Increased efficacy of dual proinflammatory cytokine blockade on acute GVHD while maintaining GVT effects

© 2021 by The American Society of Hematology..

Allogeneic hematopoietic stem cell transplantation (allo-HSCT) remains a potential curative option for treating a variety of hematologic diseases, but acute and chronic graft-versus-host disease (GVHD) remain major barriers limiting efficacy. Acute gut GVHD occurs with marked increases in proinflammatory cytokines (including TNF and IL-6), which we recently demonstrated was exacerbated in obesity resulting in severe gastrointestinal pathology. Given the pleiotropic and overlapping effects of these 2 cytokines, we assessed the impact of dual TNF and IL-6R blockade on GVHD as well as graft-versus tumor (GVT) effects in different mouse GVHD models. Early administration of combined blockade resulted in greater protection and survival from acute gut GVHD compared with single blockade regimens and even development of later chronic skin GVHD. Importantly, double cytokine blockade preserved GVT effects reinforcing that GVT and GVHD can be delineated and may result in greater efficacy in allo-HSCT.

Errataetall:

CommentIn: Blood. 2021 Dec 16;138(24):2453-2454. - PMID 34914834

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:138

Enthalten in:

Blood - 138(2021), 24 vom: 16. Dez., Seite 2583-2588

Sprache:

Englisch

Beteiligte Personen:

Khuat, Lam T [VerfasserIn]
Vick, Logan V [VerfasserIn]
Dunai, Cordelia [VerfasserIn]
Collins, Craig P [VerfasserIn]
More, Shyam K [VerfasserIn]
Le, Catherine T [VerfasserIn]
Pai, Chien-Chun Steven [VerfasserIn]
Stoffel, Kevin M [VerfasserIn]
Maverakis, Emanual [VerfasserIn]
Canter, Robert J [VerfasserIn]
Monjazeb, Arta M [VerfasserIn]
Longo, Dan L [VerfasserIn]
Abedi, Mehrdad [VerfasserIn]
Choi, Eunju [VerfasserIn]
Blazar, Bruce R [VerfasserIn]
Dave, Maneesh [VerfasserIn]
Murphy, William J [VerfasserIn]

Links:

Volltext

Themen:

Anti-Inflammatory Agents
Antibodies, Monoclonal
Etanercept
Journal Article
OP401G7OJC
Receptors, Interleukin-6
Research Support, N.I.H., Extramural
Tumor Necrosis Factor Inhibitors

Anmerkungen:

Date Completed 03.01.2022

Date Revised 26.02.2024

published: Print

CommentIn: Blood. 2021 Dec 16;138(24):2453-2454. - PMID 34914834

Citation Status MEDLINE

doi:

10.1182/blood.2021011216

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM329682628