The clinical goal of allogeneic hematopoietic stem cell transplantation (allo-HSCT) is to minimize GVHD while maintaining GvL. Here, we show that interferon ␥ receptor-deficient (IFN␥R ؊/؊ ) allogeneic Tconv, which possess normal alloreactivity and cytotoxicity, induce significantly less GVHD than wild-type (WT) Tconv. This effect is mediated by altered trafficking of IFN␥R ؊/؊ Tconv to GVHD target organs, especially the gastrointestinal (GI) tract. We show that the chemokine receptor CXCR3 is induced via IFN␥R-mediated signaling and partially contributes to the trafficking of WT Tconv to GVHD target organs. Indeed, CXCR3 ؊/؊ Tconv recapitulate the reduced GVHD potential of IFN␥R ؊
IntroductionAllogeneic hematopoietic stem cell transplantation (allo-HSCT) is the only curative treatment for patients with relapsed/refractory leukemia, and marrow failure states such as myelodysplasia and aplastic anemia. However, the infusion of allogeneic donor T cells (conventional T cells or "Tconv") for allo-HSCT results in 2 distinct biologic effects: graft-versus-host disease (GVHD), which may be mild, moderate, or life-threatening 1,2 ; and a beneficial graft-versus-leukemia (GvL) effect, which results in enhanced leukemia cell clearance. 3,4 Thus, the clinical goal in allo-HSCT is to prevent GVHD while maintaining the beneficial GvL effect. Recent studies have suggested that this might be achieved by infusing regulatory T cells (Tregs), which in some preclinical models suppress GVHD-causing alloreactive Tconv but have only limited effects on GvL-promoting alloreactive Tconv. [5][6][7][8] Unfortunately, Tregs exist in low frequency in the peripheral blood, are difficult to purify and expand, and after expansion are difficult to isolate because of the lack of cell-surface markers, all of which prevent their routine use in the clinic. Thus, alternative therapeutic approaches that do not require Tregs are needed.Interferon ␥ (IFN␥) is a well-known proinflammatory cytokine. Serum levels of IFN␥ after allo-HSCT have been correlated with the severity of GVHD and the treatment of murine allo-HSCT recipients with blocking antibodies to IFN␥ mitigates GVHD. [9][10][11][12] In addition, IFN␥ facilitates T cell-mediated GvL. 11 In contrast, several reports suggest that IFN␥ Ϫ/Ϫ T cells induce more severe GVHD, especially in the lung, than WT T cells when infused into WT MHC-mismatched recipients that are lethally irradiated, [10][11][12][13][14] suggesting that IFN␥ may also have anti-inflammatory properties.Possible mechanisms underlying this anti-inflammatory effect of IFN␥ on lung GVHD have been proposed by several groups. [14][15][16] First, donor T cell-derived IFN␥ prevents allogeneic donor T-cell trafficking and expansion in the lung by inducing PDL1 expression on host lung tissue. 14,15,17 Second, donor T cell-derived IFN␥ induces indoleamine 2,3-dioxygenase (IDO) expression in donor bone marrow-derived dendritic cells, which in turn suppress GVHD. 16 All of these observations suggest that GVHD and GvL can be regulated by modi...