Play all audios:
ABSTRACT Although the use of non-myeloablative stem cell transplantation (NST) reduces the severity of graft-versus-host disease (GVHD), GVHD remains a major complication following
allogeneic transplantation. Since following NST in comparison with myeloablative conditioning, higher proportions of host immunohematopoietic cells may persist while donor-derived
alloreactive lymphocytes are being infused, thus possibly serving as host antigen presentation for continuous stimulation of donor T cells, we speculated that GVHD may be similarly amplified
by conditioning followed by intentional administration of host cells. This hypothesis was tested in a preclinical animal model. Increased incidence of GVHD, higher mortality and increased
levels of chimerism were observed in recipients reconstituted with host cells, particularly with non-irradiated spleen cells. Graft-versus-leukemia effect was not impaired by post transplant
cell administration. These results suggest that GVHD may be amplified by recipient cell infusion using either irradiated or viable stimulatory host cells, thus possibly explaining in part
higher than anticipated incidence of GVHD and rapid displacement of host cells and conversion to 100% donor type cells following NST. Administration of irradiated host antigen-presenting
cells post transplantation may thus represent a potential approach for amplification of the alloreactive capacity of donor lymphocytes following stem cell transplantation. Access through
your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution Subscribe to this journal Receive 12
print issues and online access $259.00 per year only $21.58 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be
subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR
CONTENT BEING VIEWED BY OTHERS DYNAMIC IMMUNE PROFILING IDENTIFIES THE STRONGER GRAFT-VERSUS-LEUKEMIA (GVL) EFFECTS WITH HAPLOIDENTICAL ALLOGRAFTS COMPARED TO HLA-MATCHED STEM CELL
TRANSPLANTATION Article 06 January 2021 HOW ADOPTIVE TRANSFER OF COMPONENTS OF THE DONOR IMMUNE SYSTEM BOOSTS GVL AND PREVENTS GVHD IN HLA-HAPLOIDENTICAL HEMATOPOIETIC TRANSPLANTATION FOR
ACUTE LEUKEMIA Article 11 January 2024 REMOVAL OF CD276+ CELLS FROM HAPLOIDENTICAL MEMORY T-CELL GRAFTS SIGNIFICANTLY LOWERS THE RISK OF GVHD Article Open access 11 May 2021 REFERENCES *
Giralt S, Estey E, Albitar M, van Besien K, Rondon G, Anderlini P _et al_. Engraftment of allogeneic hematopoietic progenitor cells with purine analog-containing chemotherapy: harnessing
graft-versus-leukemia without myeloablative therapy. _Blood_ 1997; 89: 4531–4536. CAS PubMed Google Scholar * Slavin S, Nagler A, Naparstek E, Kapelushnik Y, Aker M, Cividalli G _et al_.
Non-myeloablative transplantation and cell therapy as an alternative to conventional bone marrow transplantation with lethal cytoreduction for the treatment of malignant and non-malignant
hematologic diseases. _Blood_ 1998; 91: 756–763. CAS PubMed Google Scholar * Slavin S, Nagler A, Aker M, Shapira MY, Cividalli G, Or R . Non-myeloablative stem cell transplantation and
donor lymphocyte infusion for the treatment of cancer and life-threatening non-malignant disorders. _Rev Clin Exp Hematol_ 2001; 5: 135–146. Article CAS PubMed Google Scholar * Slavin S,
Fuks Z, Kaplan HS, Strober S . Transplantation of allogeneic bone marrow without graft vs host disease using total lymphoid irradiation. _J Exp Med_ 1978; 147: 963–972. Article CAS PubMed
Google Scholar * Ildstad ST, Sachs DH . Reconstitution with syngeneic plus allogeneic or xenogeneic bone marrow leads to specific acceptance of allografts or xenografts. _Nature_ 1984;
307: 168–170. Article CAS PubMed Google Scholar * Sykes M, Sachs DH . Mixed allogeneic chimerism as an approach to transplantation tolerance. _Immunol Today_ 1988; 9: 23–27. Article CAS
PubMed Google Scholar * Couriel DR, Saliba RM, Giralt S, Khouri I, Andersson B, de Lima M _et al_. Acute and chronic graft-versus-host disease after ablative and nonmyeloablative
conditioning for allogeneic hematopoietic transplantation. _Biol Blood Marrow Transplant_ 2004; 10: 178–185. Article PubMed Google Scholar * Shlomchik WD, Couzens MS, Tang CB, McNiff J,
Robert ME, Liu J _et al_. Prevention of graft-versus-host disease by inactivation of host antigen-presenting cells. _Science_ 1999; 285: 412–415. Article CAS PubMed Google Scholar *
Duffner UA, Maeda Y, Cooke KR, Reddy P, Ordemann R, Liu C _et al_. Host dendritic cells alone are sufficient to initiate acute graft-versus-host disease. _J Immunol_ 2004; 172: 7393–7398.
Article CAS PubMed Google Scholar * Chan GW, Gorgun G, Miller KB, Foss FM . Persistence of host dendritic cells after transplantation is associated with graft-versus-host disease. _Biol
Blood Marrow Transplant_ 2003; 9: 170–176. Article PubMed Google Scholar * Goker H, Haznedaroglu IC, Chao NJ . Acute graft-vs-host disease: pathobiology and management. _Exp Hematol_
2001; 29: 259–277. Article CAS PubMed Google Scholar * Slavin S, Strober S . Spontaneous murine B-cell leukemia. _Nature_ 1978; 272: 624–626. Article CAS PubMed Google Scholar *
Slavin S, Weiss L, Morecki S, Bassat HB, Leizerowitz R, Gamliel H _et al_. Ultrastructural, cell membrane and cytogenetic characteristics of B-cell leukemia (BCL1), a murine model of chronic
lymphocytic leukemia. _Cancer Res_ 1981; 41: 4162–4166. CAS PubMed Google Scholar * Pugatsch T, Weiss L, Slavin S . Minimal residual disease in murine B cell leukemia (BCL1) detected by
PCR. _Leukemia Res_ 1993; 17: 999–1002. Article CAS Google Scholar * Appelbaum FR, Thomas ED . Treatment of acute leukemia in adults with chemoradiotherapy and bone marrow
transplantation. _Cancer_ 1985; 55: 2202–2209. Article CAS PubMed Google Scholar * Sinkovics JG, Shullenberger CC . Effect of hematopoietic chimerism on the course of Rauscher's
viral mouse leukemia. _Proc Am Assoc Cancer Res_ 1963; 4: 62–72. Google Scholar * Boranic M, Tonkovic I . Time pattern of the antileukemia effect of graft-vs-host reaction in mice. I.
Cellular events. _Cancer Res_ 1971; 31: 1140–1147. CAS PubMed Google Scholar * Weiden PL, Fluornoy N, Sanders JE, Sullivan KM, Thomas ED . Antileukemic effect of graft-versus-host disease
contributes to improved survival after allogeneic marrow transplantation. _Transplantation_ 1981; 13: 248–251. CAS Google Scholar * Slavin S, Or R, Naparstek E, Ackerstein A, Weiss L .
Cellular-mediated immunotherapy of leukemia in conjunction with autologous and allogeneic bone marrow transplantation in experimental animals and man. _Blood_ 1988; 72 (Suppl 1): 407a.
Google Scholar * Slavin S, Naparstek E, Nagler A, Ackerstein A, Kapelushnik J, Or R . Allogeneic cell therapy for relapsed leukemia following bone marrow transplantation with donor
peripheral blood lymphocytes. _Exp Hematol_ 1995; 23: 1553–1562. CAS PubMed Google Scholar * Slavin S, Naparstek E, Nagler A, Ackerstein A, Samuel S, Kapelushnik J _et al_. Allogeneic
cell therapy with donor peripheral blood cells and recombinant human interleukin-2 to treat leukemia relapse after post allogeneic bone marrow transplantation. _Blood_ 1996; 87: 2195–2204.
CAS PubMed Google Scholar * Ferrara JLM, Cooke KR, Pan L, Krenger W . The immunopathophysiology of acute graft-versus-host disease. _Stem Cells_ 1996; 14: 473–489. Article CAS PubMed
Google Scholar * Weiss L, Slavin S . Prevention and treatment of graft-versus-host disease by down-regulation of anti-host reactivity with veto cells of host origin. _Bone Marrow
Transplant_ 1999; 23: 1139–1143. Article CAS PubMed Google Scholar * Rachamim N, Gan J, Segall H, Krauthgamer R, Marcus H, Berrebi A _et al_. Tolerance induction by ‘megadose’
hematopoietic transplants: donor-type human CD34 stem cells induce potent specific reduction of host anti-donor cytotoxic T lymphocyte precursors in mixed lymphocyte culture.
_Transplantation_ 1998; 65: 1386–1393. Article CAS PubMed Google Scholar * Prigozhina TB, Gurevitch O, Slavin S . Nonmyeloablative conditioning to induce bilateral tolerance after
allogeneic bone marrow transplantation in mice. _Exp Hematol_ 1999; 27: 1503–1510. Article CAS PubMed Google Scholar * Bittencourt MC, Perruche S, Contassot E, Fresnay S, Baron MH,
Angonin R _et al_. Intravenous injection of apoptotic leukocytes enhances bone marrow engraftment across major histocompatibility barriers. _Blood_ 2001; 98: 224–230. Article CAS PubMed
Google Scholar * Cohen P, Vourka-Karussis U, Weiss L, Slavin S . Spontaneous and IL-2-induced anti-leukemic and anti-host effects against tumor- and host-specific alloantigens. _Immunol_
1993; 151: 4803–4810. CAS Google Scholar Download references ACKNOWLEDGEMENTS This work was carried out at the Danny Cunniff Leukemia Research Laboratory. We wish to thank the Gabrielle
Rich Leukemia Research Foundation; the Cancer Treatment Research Foundation; the Novotny Trust; the Szydlowsky Foundation; The Fig Tree Foundation; Ronne & Donald Hess and the
Silverstein Families for their continuous support of our basic and clinical research. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Bone Marrow Transplantation and Cancer
Immunotherapy, Hadassah – Hebrew University Medical Center, Jerusalem, Israel E Hirshfeld, L Weiss, J Kasir, M Zeira, S Slavin & M Y Shapira Authors * E Hirshfeld View author
publications You can also search for this author inPubMed Google Scholar * L Weiss View author publications You can also search for this author inPubMed Google Scholar * J Kasir View author
publications You can also search for this author inPubMed Google Scholar * M Zeira View author publications You can also search for this author inPubMed Google Scholar * S Slavin View author
publications You can also search for this author inPubMed Google Scholar * M Y Shapira View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING
AUTHOR Correspondence to M Y Shapira. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Hirshfeld, E., Weiss, L., Kasir, J. _et al._ Post transplant
persistence of host cells augments the intensity of acute graft-versus-host disease and level of donor chimerism, an explanation for graft-versus-host disease and rapid displacement of host
cells seen following non-myeloablative stem cell transplantation?. _Bone Marrow Transplant_ 38, 359–364 (2006). https://doi.org/10.1038/sj.bmt.1705449 Download citation * Received: 24 April
2006 * Revised: 06 June 2006 * Accepted: 23 June 2006 * Published: 24 July 2006 * Issue Date: 01 September 2006 * DOI: https://doi.org/10.1038/sj.bmt.1705449 SHARE THIS ARTICLE Anyone you
share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the
Springer Nature SharedIt content-sharing initiative KEYWORDS * graft-versus-host disease * non-myeloablative stem cell transplantation * chimerism * antigen presentation