Interplay between cytomegalovirus infection and graft-versus-leukaemia response

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Saldan, A
Martins, JP
Zhang, P
Kuns, RD
Johnston, R
Waddell, N
Lane, SW
Fleming, P
Andoniou, CE
Degli-Esposti, MA
Hill, GR
Tey, SK
Griffith University Author(s)
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2019
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Beijing, China

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Abstract

Introduction: Human cytomegalovirus (HCMV) is an important pathogen after allogeneic bone marrow transplantation (allo-BMT). Post-transplant HCMV reactivation can lead to target organ damage and increased transplant-related mortality. However, HCMV reactivation has also been associated with a significantly reduced risk of leukaemia relapse after allo-BMT. The aim of this study is to investigate the effect that MCMV has on graft-versus-leukaemia (GvL) response and to identify the mechanism determining this effect. Materials and methods: Mice were infected with murine cytomegalovirus (MCMV) and following viraemia clearance, used as either donors or recipients in allo-BMT. Lethally irradiated recipient mice were transplanted with donor BM and T cells, and challenged with GFP+ primary murine myeloid leukaemia cells (derived by insertion of MLL-AF9 oncogene) on the day of transplant. Recipients were monitored for graft-versus-host diseases (GvHD), leukaemia burden and MCMV reactivation by clinical scoring, flow cytometry and qPCR, respectively. Two models of allo-BMT were used: MHCmismatched transplant using Balb/c (H-2Dd ) donors and C57Bl/6 (H-2Db ) recipients and MHChaploidentical transplant with C57Bl/6 (H-2Db ) donors and B6D2F1 (H-2Dbd) recipients. Results and Conclusions: Leukaemia survival was significantly improved in recipients of MCMVseropositive donors versus MCMV-seronegative donors in MHC-mismatched model (median survival: 41 vs 31 days, p < 0.05) but not in MHC-haploidentical allo-BMT. We demonstrated that the stronger GvL effect was independent of NK cells but was associated with distinct transcriptomic profiles in CD4 and CD8 T cells post-transplant, the validation of which is ongoing.

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European Journal of Immunology

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49

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S3

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Immunology

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Life Sciences & Biomedicine

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Saldan, A; Martins, JP; Zhang, P; Kuns, RD; Johnston, R; Waddell, N; Lane, SW; Fleming, P; Andoniou, CE; Degli-Esposti, MA; Hill, GR; Tey, SK, Interplay between cytomegalovirus infection and graft-versus-leukaemia response, European Journal of Immunology, 2019, 49, pp. 1505-1505