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Publication : Pharmacologic inhibition of PKCα and PKCθ prevents GVHD while preserving GVL activity in mice.

First Author  Haarberg KM Year  2013
Journal  Blood Volume  122
Issue  14 Pages  2500-11
PubMed ID  23908466 Mgi Jnum  J:203281
Mgi Id  MGI:5525946 Doi  10.1182/blood-2012-12-471938
Citation  Haarberg KM, et al. (2013) Pharmacologic inhibition of PKCalpha and PKCtheta prevents GVHD while preserving GVL activity in mice. Blood 122(14):2500-11
abstractText  Allogeneic hematopoietic cell transplantation (HCT) is the most effective therapy for hematopoietic malignancies through T-cell-mediated graft-vs-leukemia (GVL) effects but often leads to severe graft-vs-host disease (GVHD). Given that protein kinase Ctheta (PKCtheta), in cooperation with PKCalpha, is essential for T-cell signaling and function, we have evaluated PKCtheta and PKCalpha as potential therapeutic targets in allogeneic HCT using genetic and pharmacologic approaches. We found that the ability of PKCalpha(-/-)/theta(-/-) donor T cells to induce GVHD was further reduced compared with PKCtheta(-/-) T cells in relation with the relevance of both isoforms to allogeneic donor T-cell proliferation, cytokine production, and migration to GVHD target organs. Treatment with a specific inhibitor for both PKCtheta and PKCalpha impaired donor T-cell proliferation, migration, and chemokine/cytokine production and significantly decreased GVHD in myeloablative preclinical murine models of allogeneic HCT. Moreover, pharmacologic inhibition of PKCtheta and PKCalpha spared T-cell cytotoxic function and GVL effects. Our findings indicate that PKCalpha and theta contribute to T-cell activation with overlapping functions essential for GVHD induction while less critical to the GVL effect. Thus, targeting PKCalpha and PKCtheta signaling with pharmacologic inhibitors presents a therapeutic option for GVHD prevention while largely preserving the GVL activity in patients receiving HCT.
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