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IL-6-mediated endothelial injury impairs antiviral humoral immunity after bone marrow transplantation.

ABSTRACT: Endothelial function and integrity are compromised after allogeneic bone marrow transplantation (BMT), but how this affects immune responses broadly remains unknown. Using a preclinical model of CMV reactivation after BMT, we found compromised antiviral humoral responses induced by IL-6 signaling. IL-6 signaling in T cells maintained Th1 cells, resulting in sustained IFN-γ secretion, which promoted endothelial cell (EC) injury, loss of the neonatal Fc receptor (FcRn) responsible for IgG recycling, and rapid IgG loss. T cell-specific deletion of IL-6R led to persistence of recipient-derived, CMV-specific IgG and inhibited CMV reactivation. Deletion of IFN-γ in donor T cells also eliminated EC injury and FcRn loss. In a phase III clinical trial, blockade of IL-6R with tocilizumab promoted CMV-specific IgG persistence and significantly attenuated early HCMV reactivation. In sum, IL-6 invoked IFN-γ-dependent EC injury and consequent IgG loss, leading to CMV reactivation. Hence, cytokine inhibition represents a logical strategy to prevent endothelial injury, thereby preserving humoral immunity after immunotherapy.

SUBMITTER: Zhang P

PROVIDER: S-EPMC10977988 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature

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IL-6-mediated endothelial injury impairs antiviral humoral immunity after bone marrow transplantation.

Zhang Ping P Fleming Peter P Andoniou Christopher E CE Waltner Olivia G OG Bhise Shruti S SS Martins Jose Paulo JP McEnroe Benjamin A BA Voigt Valentina V Daly Sheridan S Kuns Rachel D RD Ekwe Adaeze P AP Henden Andrea S AS Saldan Alda A Olver Stuart S Varelias Antiopi A Smith Corey C Schmidt Christine R CR Ensbey Kathleen S KS Legg Samuel Rw SR Sekiguchi Tomoko T Minnie Simone A SA Gradwell Mark M Wagenaar Irma I Clouston Andrew D AD Koyama Motoko M Furlan Scott N SN Kennedy Glen A GA Ward E Sally ES Degli-Esposti Mariapia A MA Hill Geoffrey R GR Tey Siok-Keen SK

The Journal of clinical investigation 20240401 7

Endothelial function and integrity are compromised after allogeneic bone marrow transplantation (BMT), but how this affects immune responses broadly remains unknown. Using a preclinical model of CMV reactivation after BMT, we found compromised antiviral humoral responses induced by IL-6 signaling. IL-6 signaling in T cells maintained Th1 cells, resulting in sustained IFN-γ secretion, which promoted endothelial cell (EC) injury, loss of the neonatal Fc receptor (FcRn) responsible for IgG recyclin ...[more]

PMID: 38557487

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Project description:IntroductionGraft-versus-host disease (GVHD) damages vascular endothelium. Endothelial progenitor cell (EPC) can differentiate to endothelial cell and promote angiogenesis, but its role in endothelial damage in GVHD is unclear.MethodsIn this study, we intend to assess whether EPC infusion promotes the repair of endothelial injury in GVHD mouse model. Male BALB/c mice were randomly divided into 5 groups: control group, total body irradiation group (TBI group), allogeneic bone marrow transplantation group (Allo-BMT group), acute graft versus host disease group (GVHD group), EPC infusion group (GVHD+EPC group) followed by analysis of mice survival, acute GVHD (aGVHD) score, T cell infiltration by immunofluorescence, as well as continuity of vascular endothelium in liver.ResultsCompared with Allo-BMT group, the clinical and pathological score of aGVHD mice were higher. On day 21 after transplantation, a large number of mononuclear cell infiltrations were seen in the target tissues of aGVHD mice and mice died within 30 days. In addition, aGVHD group also presented increased subendothelial infiltration of CD3+ T cells in the liver, decreased VE-cadherin expression and elevated major histocompatibility complex (MHC) II molecule expression in the endothelium. Moreover, expression of MHC-II molecule increased in endothelial cell after irradiation injury and LPS stimulation, indicating abnormally activated endothelial cell with antigen-presenting function. Interestingly, infusion of EPC reduced the clinical and pathological score of aGVHD, decreased infiltration of mononuclear cells, improved survival as well as upregulated VE-cadherin and downregulated MHC-II molecule.DiscussionEPC infusion can mobilize to affected endothelium to decrease the infiltration of T cells and pathological endothelial activation contributing to ameliorating the damage of endothelium. EPC infusion combined with bone marrow transplantation might be a perspective strategy for the prevention and treatment of aGVHD.

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IL-6-mediated endothelial injury impairs antiviral humoral immunity after bone marrow transplantation.

Publications

IL-6-mediated endothelial injury impairs antiviral humoral immunity after bone marrow transplantation.

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