lymphoid organs, including the spleen and lymph nodes, but it can also occur in other peripheral lymphoid tissues, such as Peyers patches. In the third phase of the acute GVHD response, activated T cells migrate to target organs and release cytolytic molecules and inammatory cytokines, such as IFN and TNF, and undergo Fas/Fas ligand deacetylase inhibitor interactions. Recruitment of other effector leukocytes, including macrophages, follows T cell migration, and this process is thought to be important for the perpetuation of inammatory responses and the destruction of target organs. Although the migration of T cells into secondary lymphoid organs during GVHD has been well characterized, the migration of leukocytes into parenchymal organs is less well understood. The latter process depends on interactions
transplantation, recipient mice demonstrate mixed chimerism, and the majority of the cells come from the donor. In models in which mice are transplanted with a mix of allogeneic bone marrow cells and splenocytes, the animals usually succumb to more severe disease than if they are only transplanted with bone marrow Dinaciclib cells. Splenocytes represent a population of mature immune cells that are prepared to react against antigens when stimulated, whereas the bone marrow contains many immature immune cells that are not able to develop an appropriate response against antigens. Therefore, the response against host antigens in recipient mice is decreased when bone marrow cells rather than splenocytes are given. There is also a model of GVHD in which recipient mice are not irradiated. In this model, an infusion of 5 107 allogeneic cells is necessary to induce GVHD, and the disease is not lethal. Another important consideration about the induction of GVHD in mice is the genetic origin of the donor cells. An allogeneic transplant is a transplant between
Figure 1 summarize the expression of chemokines and chemokine receptors in GVHD in various target organs and during different temporal phases of the disease. Soon after transplantation, donor cells migrate to secondary PARP lymphoid organs and to lymphoid tissues associated with the mucosa, such as PP. CCR7, which is expressed on dendritic cells and nave and central memory T cells, is responsible for the circulation of these cells between lymphoid organs in response to CCL19 and CCL21 and is therefore critical for the initiation of GVHD. Three days after transplantation, CXCR3 ligands are upregulated in secondary lymphoid tissues, and this event is followed by the upregulation of CCL2, CCL3, CCL4, and CCL5. Upregulation of these ligands promotes the accumulation and activation of T cells in lymphoid tissue, but not in peripheral target organs, such as the liver and lung. CCR5 and CCR2 are also involved in the circulation of lymphocytes to lymphoid organs in GVHD. CCR5 expression in donor T cells plays
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