Article ; Online: Deletion of AMPK minimizes graft-versus-host disease through an early impact on effector donor T cells.
JCI insight
2021 Volume 6, Issue 14
Abstract: Allogeneic hematopoietic stem cell transplantation is a viable treatment for multiple hematologic diseases, but its application is often limited by graft-versus-host disease (GVHD), where donor T cells attack host tissues in the skin, liver, and ... ...
Abstract | Allogeneic hematopoietic stem cell transplantation is a viable treatment for multiple hematologic diseases, but its application is often limited by graft-versus-host disease (GVHD), where donor T cells attack host tissues in the skin, liver, and gastrointestinal tract. Here, we examined the role of the cellular energy sensor AMP kinase (AMPK) in alloreactive T cells during GVHD development. Early posttransplant, AMPK activity increased more than 15-fold in allogeneic T cells, and transplantation of T cells deficient in both AMPKα1 and AMPKα2 decreased GVHD severity in multiple disease models. Importantly, a lack of AMPK lessened GVHD without compromising antileukemia responses or impairing lymphopenia-driven immune reconstitution. Mechanistically, absence of AMPK decreased both CD4+ and CD8+ effector T cell numbers as early as day 3 posttransplant, while simultaneously increasing regulatory T cell (Treg) percentages. Improvements in GVHD resulted from cell-intrinsic perturbations in conventional effector T cells as depletion of donor Tregs had minimal impact on AMPK-related improvements. Together, these results highlight a specific role for AMPK in allogeneic effector T cells early posttransplant and suggest that AMPK inhibition may be an innovative approach to mitigate GVHD while preserving graft-versus-leukemia responses and maintaining robust immune reconstitution. |
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MeSH term(s) | AMP-Activated Protein Kinases/deficiency ; AMP-Activated Protein Kinases/genetics ; Animals ; Bone Marrow Transplantation/adverse effects ; Disease Models, Animal ; Female ; Graft vs Host Disease/blood ; Graft vs Host Disease/immunology ; Graft vs Host Disease/pathology ; Hematopoietic Stem Cell Transplantation/adverse effects ; Humans ; Male ; Mice ; Mice, Knockout ; Severity of Illness Index ; T-Lymphocytes, Regulatory/immunology ; T-Lymphocytes, Regulatory/metabolism ; Transplantation, Homologous/adverse effects |
Chemical Substances | AMPK alpha1 subunit, mouse (EC 2.7.11.1) ; AMPK alpha2 subunit, mouse (EC 2.7.11.1) ; AMP-Activated Protein Kinases (EC 2.7.11.31) |
Language | English |
Publishing date | 2021-07-22 |
Publishing country | United States |
Document type | Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't |
ISSN | 2379-3708 |
ISSN (online) | 2379-3708 |
DOI | 10.1172/jci.insight.143811 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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