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Publication : Prevention of acute graft-versus-host disease by blocking T-cell entry to secondary lymphoid organs.

First Author  Beilhack A Year  2008
Journal  Blood Volume  111
Issue  5 Pages  2919-28
PubMed ID  17989315 Mgi Jnum  J:131612
Mgi Id  MGI:3774062 Doi  10.1182/blood-2007-09-112789
Citation  Beilhack A, et al. (2008) Prevention of acute graft-versus-host disease by blocking T-cell entry to secondary lymphoid organs. Blood 111(5):2919-28
abstractText  In acute graft-versus-host disease (aGVHD), donor T cells attack the recipient's gastrointestinal tract, liver, and skin. We hypothesized that blocking access to distinct lymphoid priming sites may alter the specific organ tropism and prevent aGVHD development. In support of this initial hypothesis, we found that different secondary lymphoid organs (SLOs) imprint distinct homing receptor phenotypes on evolving alloreactive effector T cells in vivo. Yet preventing T-cell entry to specific SLOs through blocking monoclonal antibodies, or SLO ablation, did not alter aGVHD pathophysiology. Moreover, transfer of alloreactive effector T cells into conditioned secondary recipients targeted the intestines and liver, irrespective of their initial priming site. Thus, we demonstrate redundancy of SLOs at different anatomical sites in aGVHD initiation. Only prevention of T-cell entry to all SLOs could completely abrogate the onset of aGVHD.
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