Selective targeting of the LIGHT-HVEM costimulatory system for the treatment of graft-versus-host disease

Blood. 2007 May 1;109(9):4097-104. doi: 10.1182/blood-2006-09-047332. Epub 2006 Dec 19.

Abstract

Decoy lymphotoxin beta receptor (LTbetaR) has potent immune inhibitory activities and thus represents a promising biologic for the treatment of inflammation, autoimmune diseases, and graft-versus-host disease (GVHD). As this reagent interrupts multiple molecular interactions, including LTbeta-LTbetaR and LIGHT-HVEM/LTbetaR, underlying molecular mechanisms have yet to be fully understood. In this study, we demonstrate that blockade of the LIGHT-HVEM pathway is sufficient to induce amelioration of GVHD in mouse models. Anti-host cytotoxic T lymphocyte (CTL) activity following in vivo transfer of allogeneic lymphocytes was completely abrogated when LIGHT- or HVEM-deficient (KO) T cells were used as donor cells. Accordingly, survival of the recipient mice following the transfer of allogeneic bone marrow cells plus LIGHT-KO or HVEM-KO T cells was significantly prolonged. In the absence of LIGHT-HVEM costimulation, alloreactive donor T cells undergo vigorous apoptosis while their proliferative potential remains intact. Furthermore, we prepared a neutralizing monoclonal antibody (mAb) specific to HVEM and showed that administration of anti-HVEM mAb profoundly ameliorated GVHD and led to complete hematopoietic chimerism with donor cells. Collectively, our results demonstrate an indispensable role of LIGHT-HVEM costimulation in the pathogenesis of GVHD and illustrate a novel target for selective immunotherapy in allogeneic bone marrow transplantation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Monoclonal / immunology
  • Antibodies, Monoclonal / pharmacology*
  • Apoptosis / drug effects
  • Apoptosis / immunology
  • Autoimmune Diseases / immunology
  • Autoimmune Diseases / pathology
  • Autoimmune Diseases / therapy
  • Bone Marrow Transplantation*
  • Graft vs Host Disease / immunology
  • Graft vs Host Disease / pathology
  • Graft vs Host Disease / therapy*
  • Immunotherapy
  • Inflammation / immunology
  • Inflammation / pathology
  • Inflammation / therapy
  • Lymphocyte Transfusion*
  • Mice
  • Mice, Inbred BALB C
  • Receptors, Tumor Necrosis Factor, Member 14 / immunology*
  • Transplantation Chimera / immunology*
  • Transplantation, Homologous
  • Tumor Necrosis Factor Decoy Receptors / immunology*

Substances

  • Antibodies, Monoclonal
  • Receptors, Tumor Necrosis Factor, Member 14
  • Tnfrsf14 protein, mouse
  • Tumor Necrosis Factor Decoy Receptors