Requirements for the promotion of allogeneic engraftment by anti-CD154 (anti-CD40L) monoclonal antibody under nonmyeloablative conditions

PA Taylor, CJ Lees, H Waldmann… - Blood, The Journal …, 2001 - ashpublications.org
PA Taylor, CJ Lees, H Waldmann, RJ Noelle, BR Blazar
Blood, The Journal of the American Society of Hematology, 2001ashpublications.org
The promotion of alloengraftment in the absence of global immune suppression and
multiorgan toxicity is a major goal of transplantation. It is demonstrated that the infusion of a
single modest bone marrow dosage in 200 cGy-irradiated recipients treated with anti-CD154
(anti-CD40L) monoclonal antibody (mAb) resulted in chimerism levels of 48%. Reducing
irradiation to 100 or 50 cGy permitted 24% and 10% chimerism, respectively. In contrast, pan–
T-cell depletion resulted in only transient engraftment in 200 cGy-irradiated recipients. Host …
The promotion of alloengraftment in the absence of global immune suppression and multiorgan toxicity is a major goal of transplantation. It is demonstrated that the infusion of a single modest bone marrow dosage in 200 cGy-irradiated recipients treated with anti-CD154 (anti-CD40L) monoclonal antibody (mAb) resulted in chimerism levels of 48%. Reducing irradiation to 100 or 50 cGy permitted 24% and 10% chimerism, respectively. In contrast, pan–T-cell depletion resulted in only transient engraftment in 200 cGy-irradiated recipients. Host CD4+ cells were essential for alloengraftment as depletion of CD4+ cells abrogated engraftment in anti-CD154–treated recipients. Strikingly, the depletion of CD8+ cells did not further enhance engraftment in anti-CD154 mAb–treated recipients in a model in which rejection is mediated by both CD4+ and CD8+ T cells. However, anti-CD154 mAb did facilitate engraftment in a model in which only CD8+ T cells mediate rejection. Furthermore, CD154 deletional mice irradiated with 200 cGy irradiation were not tolerant of grafts, suggesting that engraftment promotion by anti-CD154 mAb may not simply be the result of CD154:CD40 blockade. Together, these data suggest that a CD4+regulatory T cell may be induced by anti-CD154 mAb. In contrast to anti-CD154 mAb, anti-B7 mAb did not promote donor engraftment. Additionally, the administration of either anti-CD28 mAb or anti-CD152 (anti–CTLA-4) mAb or the use of CD28 deletional recipients abrogated engraftment in anti-CD154 mAb–treated mice, suggesting that balanced CD28/CD152:B7 interactions are required for the engraftment-promoting capacity of anti-CD154 mAb. These data have important ramifications for the design of clinical nonmyeloablative regimens based on anti-CD154 mAb administration.
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