2009
DOI: 10.1172/jci39692
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PKCθ is required for alloreactivity and GVHD but not for immune responses toward leukemia and infection in mice

Abstract: When used as therapy for hematopoietic malignancies, allogeneic BM transplantation (BMT) relies on the graftversus-leukemia (GVL) effect to eradicate residual tumor cells through immunologic mechanisms. However, graft-versus-host disease (GVHD), which is initiated by alloreactive donor T cells that recognize mismatched major and/or minor histocompatibility antigens and cause severe damage to hematopoietic and epithelial tissues, is a potentially lethal complication of allogeneic BMT. To enhance the therapeutic… Show more

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Cited by 73 publications
(106 citation statements)
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“…Our findings are consistent with the fact that PKCu is a key molecule in modulating T cell activation versus anergy (48) and that PKCu effects are opposite to those of TGF-b. As PKCu relays a subset of CD28 signals during T cell activation, absence of PKCu raises the threshold for T cell activation and facilitates tolerance induction (48)(49)(50).…”
Section: Discussionmentioning
confidence: 99%
“…Our findings are consistent with the fact that PKCu is a key molecule in modulating T cell activation versus anergy (48) and that PKCu effects are opposite to those of TGF-b. As PKCu relays a subset of CD28 signals during T cell activation, absence of PKCu raises the threshold for T cell activation and facilitates tolerance induction (48)(49)(50).…”
Section: Discussionmentioning
confidence: 99%
“…Mice lacking CD18 or CCR7 also exhibit effective GVL activity associated with absent or attenuated GVHD responses (50,51), as do mice lacking PKCθ (52). While these models are superficially similar, closer examination reveals important differences.…”
Section: Methodsmentioning
confidence: 99%
“…For example, Ccr7 -/-T cells show defects in trafficking to recipient lymph nodes, while Cd18 -/-T cells migrate efficiently to lymph nodes but are defective in their ability to enter inflamed skin and GVHD target tissues such as intestine (50,53). PKCθ deficiency was shown to affect GVHD via altered T cell effector function (52), but trafficking may also be affected, since PKCθ is known to regulate RAP1 activation and T cell trafficking in other settings (16,54). CRK-deficient T cells, which migrate efficiently to lymphoid organs but inefficiently to liver in a GVHD model, most closely resemble the Cd18 -/-T cells.…”
Section: Methodsmentioning
confidence: 99%
“…However, recent studies suggest that the threshold of T cell responses needed to eradicate leukemia cells is different from the responses threshold required for mediating GVHD. For example, a recent study showed that PKCu was crucial for the expansion of alloreactive T cells, and inhibition of PKCu could reduce GVHD while preserving the GVL effect (54). In addition, studies showed that the elimination of residual leukemia was primarily mediated by donor CD8 + cytotoxic T lymphocytes and NK cells, whereas the inflammatory cytokines that are secreted mainly by CD4 + Th cells have a very limited role in leukemia eradication but contribute significantly to the toxicity of GVHD (55).…”
Section: Discussionmentioning
confidence: 99%