Differential effects of donor T-cell cytokines on outcome with continuous bortezomib administration after allogeneic bone marrow transplantation

Blood. 2008 Aug 15;112(4):1522-9. doi: 10.1182/blood-2008-03-143461. Epub 2008 Jun 6.

Abstract

Dissociating graft-versus-tumor (GVT) effect from acute graft-versus-host disease (GVHD) still remains a great challenge in allogeneic bone marrow transplantation (allo-BMT). Bortezomib, a proteasome inhibitor, has shown impressive efficacy as a single agent in patients with hematologic malignancies but can result in toxicity when administered late after allogeneic transplantation in murine models of GVHD. In the current study, the effects of T-cell subsets and their associated cytokines on the efficacy of bortezomib in murine allogeneic BMT were investigated. Increased levels of serum tumor necrosis factor-alpha (TNFalpha) and interferon-gamma (IFNgamma) were observed after allo-BMT and continuous bortezomib administration. Bortezomib-induced GVHD-dependent mortality was preventable by depletion of CD4(+) but not CD8(+) T cells from the donor graft. The improved survival correlated with markedly reduced serum TNFalpha but not IFNgamma levels. Transfer of Tnf(-/-) T cells also protected recipients from bortezomib-induced GVHD-dependent toxicity. Importantly, prolonged administration of bortezomib after transplantation of purified CD8(+) T cells resulted in enhanced GVT response, which was dependent on donor CD8(+) T cell-derived IFNgamma. These results indicate that decreased toxicity and increased efficacy of bortezomib in murine allo-BMT can be achieved by removal of CD4(+) T cells from the graft or by inhibiting TNFalpha.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, N.I.H., Intramural

MeSH terms

  • Animals
  • Bone Marrow Transplantation / adverse effects
  • Bone Marrow Transplantation / methods*
  • Boronic Acids / administration & dosage*
  • Bortezomib
  • Cytokines / metabolism*
  • Female
  • Graft vs Leukemia Effect
  • Graft vs Tumor Effect
  • Interferon-gamma
  • Lymphocyte Depletion
  • Mice
  • Pyrazines / administration & dosage*
  • T-Lymphocyte Subsets / immunology*
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism
  • T-Lymphocytes / transplantation*
  • Transplantation, Homologous
  • Treatment Outcome
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Boronic Acids
  • Cytokines
  • Pyrazines
  • Tumor Necrosis Factor-alpha
  • Bortezomib
  • Interferon-gamma