Direct assessment of thymic reactivation after autologous stem cell transplantation

被引:30
作者
Thiel, Andreas [1 ,3 ]
Alexander, Tobias [1 ,3 ]
Schmidt, Christian A. [8 ]
Przybylski, Gregorsz K. [8 ,9 ]
Kimmig, Sonja [6 ]
Kohler, Siegfried [1 ]
Radtke, Hartmut [5 ]
Gromnica-Ihle, Erika [7 ]
Massenkeil, Gero [4 ]
Radbruch, Andreas [2 ]
Arnold, Renate [4 ]
Hiepe, Falk [3 ]
机构
[1] Deutsches Rheuma Forschungszentrum Berlin, Clin Immunol Grp, DE-10117 Berlin, Germany
[2] Deutsches Rheuma Forschungszentrum Berlin, Cell Biol Grp, DE-10117 Berlin, Germany
[3] Berlin Brandenburg Ctr Regenerat Therapies, Dept Rheumatol, Berlin, Germany
[4] Berlin Brandenburg Ctr Regenerat Therapies, Dept Hematol & Oncol, Berlin, Germany
[5] Univ Hosp Charite, Inst Transfus Med, Berlin, Germany
[6] Max Planck Inst Infect Biol, Dept Mol Biol, Berlin, Germany
[7] Rheuma Klin Berlin Buch, Berlin, Germany
[8] Univ Hosp, Dept Hematol, Greifswald, Germany
[9] Polish Acad Sci, Inst Human Genet, PL-60479 Poznan, Poland
关键词
thymic activity; T cell; naive; autologous stem cell transplantation; immune reconstitution;
D O I
10.1159/000117824
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Methods to quantify Th cell reconstitution after immunosuppressive therapies such as hematopoietic stem cell transplantation are becoming a key issue since persistent Th cell deficiencies may result in severe complications and adverse events. We employed here cytometric monitoring of CD31+ thymus-naive Th cells for the direct assessment of human thymic function in 10 patients undergoing autologous stem cell transplantation for severe autoimmune diseases. High frequencies of posttransplant recurring naive Th cells coexpressed CD31 and stable long-term reconstitution with elevated absolute counts of CD31+ thymus-naive Th cells that were enriched with T cell receptor excision circles was demonstrated. Cytometric monitoring of CD31+ thymus-naive Th cells enables to directly evaluate human thymic function ex vivo. Copyright (c) 2008 S. Karger AG, Basel.
引用
收藏
页码:22 / 27
页数:6
相关论文
共 19 条
[1]   Changes in thymic function with age and during the treatment of HIV infection [J].
Douek, DC ;
McFarland, RD ;
Keiser, PH ;
Gage, EA ;
Massey, JM ;
Haynes, BF ;
Polis, MA ;
Haase, AT ;
Feinberg, MB ;
Sullivan, JL ;
Jamieson, BD ;
Zack, JA ;
Picker, LJ ;
Koup, RA .
NATURE, 1998, 396 (6712) :690-695
[2]   Assessment of thymic output in adults after haematopoietic stem-cell transplantation and prediction of T-cell reconstitution [J].
Douek, DC ;
Vescio, RA ;
Betts, MR ;
Brenchley, JM ;
Hill, BJ ;
Zhang, L ;
Berenson, JR ;
Collins, RH ;
Koup, RA .
LANCET, 2000, 355 (9218) :1875-1881
[3]   Onset of thymic recovery and plateau of thymic output are differentially regulated after stem cell transplantation in children [J].
Eyrich, M ;
Wollny, G ;
Tzaribaschev, N ;
Dietz, M ;
Brügger, D ;
Bader, P ;
Lang, P ;
Schilbach, K ;
Winkler, B ;
Niethammer, D ;
Schlegel, PG .
BIOLOGY OF BLOOD AND MARROW TRANSPLANTATION, 2005, 11 (03) :194-205
[4]   T-cell receptor excision circle and T-cell dynamics after allogeneic stem cell transplantation are related to clinical events [J].
Hazenberg, MD ;
Otto, SA ;
de Pauw, ES ;
Roelofs, H ;
Fibbe, WE ;
Hamann, D ;
Miedema, F .
BLOOD, 2002, 99 (09) :3449-3453
[5]   Thymic output: a bad TREC record [J].
Hazenberg, MD ;
Borghans, JAM ;
de Boer, RJ ;
Miedema, F .
NATURE IMMUNOLOGY, 2003, 4 (02) :97-99
[6]   Essential role of the thymus to reconstitute naive (CD45RA(+)) T-helper cells after human allogeneic bone marrow transplantation [J].
Heitger, A ;
Neu, N ;
Kern, H ;
PanzerGrumayer, ER ;
Greinix, H ;
Nachbaur, D ;
Niederwieser, D ;
Fink, FM .
BLOOD, 1997, 90 (02) :850-857
[7]   Two subsets of naive T helper cells with distinct T cell receptor excision circle content in human adult peripheral blood [J].
Kimmig, S ;
Przybylski, GK ;
Schmidt, CA ;
Laurisch, K ;
Möwes, B ;
Radbruch, A ;
Thiel, A .
JOURNAL OF EXPERIMENTAL MEDICINE, 2002, 195 (06) :789-794
[8]   Post-thymic in vivo proliferation of naive CD4+ T cells constrains the TCR repertoire in healthy human adults [J].
Kohler, S ;
Wagner, U ;
Pierer, M ;
Kimmig, S ;
Oppmann, B ;
Möwes, B ;
Jülke, K ;
Romagnani, C ;
Thiel, A .
EUROPEAN JOURNAL OF IMMUNOLOGY, 2005, 35 (06) :1987-1994
[9]   Thymic function can be accurately monitored by the level of recent T cell emigrants in the circulation [J].
Kong, FK ;
Chen, CLH ;
Cooper, MD .
IMMUNITY, 1998, 8 (01) :97-104
[10]  
Mackall C L, 1997, Semin Immunol, V9, P339, DOI 10.1006/smim.1997.0091