1区 · 医学
Article
作者: Hoffman, Michelle ; Furlan, Scott N ; Outen, Riley ; Yu, Alison ; Radtke, Freddy ; Ludewig, Burkhard ; Gerdemann, Ulrike ; Panoskaltsis-Mortari, Angela ; Zheng, Hengqi ; Thurston, Gavin ; Gómez Atria, Daniela ; Hunt, Daniel J ; Colonna, Lucrezia ; Chen, Guoying ; Rui, Xianliang ; Koch, Ute ; Lane, Jennifer ; Vanderbeck, Ashley ; Kean, Leslie S ; Harari, Olivier ; McGuckin, Connor ; Perkey, Eric ; Shimizu, Yoji ; Allman, Anneka ; Kelly, Samantha ; Burbach, Brandon ; Maillard, Ivan ; Kuhnert, Frank ; Tkachev, Victor ; Blazar, Bruce R ; Carpenter, Stephen M
Notch signaling promotes T cell pathogenicity and graft-versus-host disease (GVHD) after allogeneic hematopoietic cell transplantation (allo-HCT) in mice, with a dominant role for the Delta-like Notch ligand DLL4. To assess whether Notch’s effects are evolutionarily conserved and to identify the mechanisms of Notch signaling inhibition, we studied antibody-mediated DLL4 blockade in a nonhuman primate (NHP) model similar to human allo-HCT. Short-term DLL4 blockade improved posttransplant survival with durable protection from gastrointestinal GVHD in particular. Unlike prior immunosuppressive strategies tested in the NHP GVHD model, anti-DLL4 interfered with a T cell transcriptional program associated with intestinal infiltration. In cross-species investigations, Notch inhibition decreased surface abundance of the gut-homing integrin α4β7 in conventional T cells while preserving α4β7 in regulatory T cells, with findings suggesting increased β1 competition for α4 binding in conventional T cells. Secondary lymphoid organ fibroblastic reticular cells emerged as the critical cellular source of Delta-like Notch ligands for Notch-mediated up-regulation of α4β7 integrin in T cells after allo-HCT. Together, DLL4-Notch blockade decreased effector T cell infiltration into the gut, with increased regulatory to conventional T cell ratios early after allo-HCT. Our results identify a conserved, biologically unique, and targetable role of DLL4-Notch signaling in intestinal GVHD.