Table 4.
Mechanistic pre-clinical studies addressing the influence of pDC on GvHD and GvL
| Contributory or neutral role | Protective role | |
|---|---|---|
| aGvHD | XRT-activated recipient-type pDC prime alloreactive donor T cells and cause aGvHD77 ProGP-1-expanded host pDCs augment GvHD103 Depletion of host cDCs and pDC does not attenuate GvHD78 Increased pDC in G+P mobilized donor splenocyte grafts increased aGvHD clinical scores and intestine pathology scores in allogeneic recipient mice128 |
p-preDC induce Tregs and reduce aGvHD65,69 BM pDC attenuate aGvHD90 p-preDC attenuate aGvHD90–92 CCR9+ immature pDCs attenuate GI aGvHD83 Pre-transplant FL given to BMT recipients reduces aGvHD via CD8α+ DC expansion50 pDC (lin−HLA-DR+ CD11c− CD123+) induce Tregs106 Type I IFN protects against CD4-dependent aGvHD109 |
| GvL | p-preDCs promote Th1/type 1 CTL differentiation, enhancing GvL activity without increasing GvHD91,92,107 |
Recipients of STAT1KO BM had increased pDCs, decreased GvHD, preserved GvL activity and enhanced OS compared with transplant recipients receiving WT BM111 |
Abbreviations: aGvHD = acute GvHD; Allo = allogeneic; BM = bone marrow; CTL = cytotoxic T lymphocyte; FL = flt3 ligand; G = G-CSF; GM = GM-CSF; M = million; p-preDC = plasmacytoid precursor DC; P = plerixafor; PB = peripheral blood; ProGP-1 = progenipoietin (FL+G); XRT = radiation.