Graft-versus-leukemia (GVL) effect after allogeneic bone marrow transplantation (BMT) is a potent form immunotherapy with a potential for curing many hematological diseases. GVL is tightly linked to graft-versus- host disease (GVHD), the most frequent and severe complication of allogeneic BMT. Hence, improved understanding of the immunobiology in the efficacy (GVL) and the toxicity (GVHD) of allogeneic BMT will allow clinicians to better harness this powerful treatment modality. Several convergent lines of evidence have established a critical role for donor T cells in the induction of both GVHD and GVL. Recent data have demonstrated that direct allo-antigen presentation by host antigen presenting cells (APCs) is required for the induction of GVHD. Exciting preliminary data generated by us show that cross-presentation of tumor associated allo-antigens and / or tumor specific antigens by professional APCs is crucial for GVL responses. However, the nature of the antigen-specific responses induced by cross-presentation and whether these responses can be modulated to improve the anti-leukemic effect of allogeneic BMT is not known. In this proposal we will build on our exciting preliminary observations and test the central hypothesis that cross- presentation of antigens by host APCs can be modulated to enhance tumor specific responses of donor T cells and thus improve GVL. Specifically, we will systematically test the induction of allo-antigen and tumor specific antigen responses by APCs and determine whether strategies to enhance cross-presentation of tumor specific antigens will enhance GVL without exacerbating GVHD.
The specific aims of this proposal are:
Specific Aim 1 : To determine the role of direct and cross-presentation of antigens in the induction of antigen specific responses after allogeneic BMT.
Specific Aim 2 : To analyze the role of cross-presentation by host APCs in enhancing GVL responses without exacerbating GVHD after allogeneic BMT.PROJECT NARRATIVE Graft-versus-leukemia (GVL) effect after allogeneic bone marrow transplantation (BMT) is a potent form of immunotherapy with a potential for curing leukemia and other blood diseases. Unfortunately the beneficial GVL effect of allogeneic BMT is tightly linked to its severe complication, acute graft-versus-host disease (GVHD). Antigen presenting cells (APCs) are required for both GVHD and GVL. Our proposal aims to understand the role of APCs in these processes and if successful could pave way for separating GVL from GVHD.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL090775-04
Application #
7999212
Study Section
Transplantation, Tolerance, and Tumor Immunology (TTT)
Program Officer
Di Fronzo, Nancy L
Project Start
2007-12-17
Project End
2012-11-30
Budget Start
2010-12-01
Budget End
2011-11-30
Support Year
4
Fiscal Year
2011
Total Cost
$371,870
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Toubai, Tomomi; Rossi, Corinne; Oravecz-Wilson, Katherine et al. (2017) IAPs protect host target tissues from graft-versus-host disease in mice. Blood Adv 1:1517-1532
Wu, Shin-Rong; Reddy, Pavan (2017) Regulating Damage from Sterile Inflammation: A Tale of Two Tolerances. Trends Immunol 38:231-235
Wu, Shin-Rong; Reddy, Pavan (2017) Tissue tolerance: a distinct concept to control acute GVHD severity. Blood 129:1747-1752
Toubai, Tomomi; Rossi, Corinne; Oravecz-Wilson, Katherine et al. (2017) Siglec-G represses DAMP-mediated effects on T cells. JCI Insight 2:
Wu, S Julia; Niknafs, Yashar S; Kim, Stephanie H et al. (2017) A Critical Analysis of the Role of SNARE Protein SEC22B in Antigen Cross-Presentation. Cell Rep 19:2645-2656
Nieves, Evelyn C; Toubai, Tomomi; Peltier, Daniel C et al. (2017) STAT3 Expression in Host Myeloid Cells Controls Graft-versus-Host Disease Severity. Biol Blood Marrow Transplant 23:1622-1630
Sun, Yaping; Iyer, Matthew; McEachin, Richard et al. (2017) Genome-Wide STAT3 Binding Analysis after Histone Deacetylase Inhibition Reveals Novel Target Genes in Dendritic Cells. J Innate Immun 9:126-144
Mathewson, Nathan D; Jenq, Robert; Mathew, Anna V et al. (2016) Gut microbiome-derived metabolites modulate intestinal epithelial cell damage and mitigate graft-versus-host disease. Nat Immunol 17:505-513
Magenau, John; Runaas, Lyndsey; Reddy, Pavan (2016) Advances in understanding the pathogenesis of graft-versus-host disease. Br J Haematol 173:190-205
Toubai, Tomomi; Mathewson, Nathan D; Magenau, John et al. (2016) Danger Signals and Graft-versus-host Disease: Current Understanding and Future Perspectives. Front Immunol 7:539

Showing the most recent 10 out of 39 publications