A non-myeloablating conditioning regimen has been developed that allows allogeneic marrow engraftment and induction of donor-specific transplantation tolerance in mice. In the project proposed, the investigator and her colleagues will focus on the mechanisms of tolerance induction in this model and will use this knowledge to reduce even further the potential toxicity of the pre-BMT conditioning.
Aim 1 : They will define the mechanism by which residual peripheral CD4+ T cells that escape depletion by mAb treatment are rendered tolerant in mixed chimeras prepared with the non-myeloablative regimen.
Aim 2 : They will use TCR transgenic and Vb markers to evaluate the mechanism by which additional mAb treatments inactivate residual thymocytes in mice not receiving thymic irradiation. They will evaluate the role of TCR and coreceptor down-modulation and of donor antigen in inactivating residual thymocytes and peripheral T cells that are rendered incapable of rejecting donor marrow. The goal of Aim 3 will be to evaluate recognition of donor and host hematopoietic cells among NK cells derived from both sources in mixed allogeneic chimeras. These studies should allow determination of the elements which dictate self/non-self discrimination among developing NK cells. Important information will be obtained on the factors determining NK cell differentiation, and on the potential obstacle that might be presented by NK cells to the development of lasting mixed chimerism.
Aim 4 : They will use the information obtained from the first aims to minimize the amount of pre-BMT conditioning required to achieve lasting mixed chimerism and tolerance. They will attempt to diminish the duration of T cell depletion by replacing repeat injections of depleting mAbs with non-depleting reagents. Based upon preliminary studies indicating that engraftment of syngeneic marrow can be achieved without whole body irradiation if high marrow doses are given, they will develop strategies for achieving marrow engraftment without myelosuppression.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL049915-06
Application #
2735215
Study Section
Experimental Immunology Study Section (EI)
Project Start
1993-04-16
Project End
2000-06-30
Budget Start
1998-07-01
Budget End
1999-06-30
Support Year
6
Fiscal Year
1998
Total Cost
Indirect Cost
Name
Massachusetts General Hospital
Department
Type
DUNS #
City
Boston
State
MA
Country
United States
Zip Code
02199
Sykes, M (2015) Immune tolerance in recipients of combined haploidentical bone marrow and kidney transplantation. Bone Marrow Transplant 50 Suppl 2:S82-6
Haspot, F; Li, H W; Lucas, C L et al. (2014) Allospecific rejection of MHC class I-deficient bone marrow by CD8 T cells. Am J Transplant 14:49-58
Strober, Samuel; Spitzer, Thomas R; Lowsky, Robert et al. (2011) Translational studies in hematopoietic cell transplantation: treatment of hematologic malignancies as a stepping stone to tolerance induction. Semin Immunol 23:273-81
Lucas, Carrie L; Workman, Creg J; Beyaz, Semir et al. (2011) LAG-3, TGF-?, and cell-intrinsic PD-1 inhibitory pathways contribute to CD8 but not CD4 T-cell tolerance induced by allogeneic BMT with anti-CD40L. Blood 117:5532-40
Hermanrud, Christina E; Lucas, Carrie L; Sykes, Megan et al. (2011) Expression and purification of soluble murine CD40L monomers and polymers in yeast Pichia pastoris. Protein Expr Purif 76:115-20
Levesque, V; Bardwell, P D; Shimizu, I et al. (2011) B-cell-dependent memory T cells impede nonmyeloablative mixed chimerism induction in presensitized mice. Am J Transplant 11:2322-31
Mollov, J L; Lucas, C L; Haspot, F et al. (2010) Recipient dendritic cells, but not B cells, are required antigen-presenting cells for peripheral alloreactive CD8+ T-cell tolerance. Am J Transplant 10:518-526
Nikolic, Boris; Onoe, Takashi; Takeuchi, Yasuo et al. (2010) Distinct requirements for achievement of allotolerance versus reversal of autoimmunity via nonmyeloablative mixed chimerism induction in NOD mice. Transplantation 89:23-32
Fehr, Thomas; Lucas, Carrie L; Kurtz, Josef et al. (2010) A CD8 T cell-intrinsic role for the calcineurin-NFAT pathway for tolerance induction in vivo. Blood 115:1280-7
Sykes, Megan (2009) Mechanisms of transplantation tolerance in animals and humans. Transplantation 87:S67-9

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