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Mechanisms of action of extracorporeal photochemotherapy in the control of GVHD: involvement of dendritic cells

Abstract

Despite the fact that extracorporal photochemotherapy (ECP) is now broadly used for the treatment of graft versus host disease or T-cell lymphomas, the mechanisms of its action remain enigmatic. This work provides a synthesis of the main results suggesting the initiation by ECP of an immune reaction responsible for the down modulation of pathogenic T-cell functions, with a special focus on the role of dendritic cells in this phenomenon.

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References

  1. Edelson R, Berger C, Gasparro F, Jegasothy B, Heald P, Wintroub B et al. Treatment of cutaneous T-cell lymphoma by extracorporeal photochemotherapy. Preliminary results. N Engl J Med 1987; 316: 297–303.

    Article  CAS  Google Scholar 

  2. Dall'Amico R, Messina C . Extracorporeal photochemotherapy for the treatment of graft-versus-host disease. Ther Apher 2002; 6: 296–304.

    Article  CAS  Google Scholar 

  3. Yoo EK, Rook AH, Elenitsas R, Gasparro FP, Vowels BR . Apoptosis induction of ultraviolet light A and photochemotherapy in cutaneous T-cell lymphoma: relevance to mechanism of therapeutic action. J Invest Dermatol 1996; 107: 235–242.

    Article  CAS  Google Scholar 

  4. Truitt RL, Johnson BD, Hanke C, Talib S, Hearst JE . Photochemical treatment with S-59 psoralen and ultraviolet A light to control the fate of naive or primed T lymphocytes in vivo after allogeneic bone marrow transplantation. J Immunol 1999; 163: 5145–5156.

    CAS  PubMed  Google Scholar 

  5. Ullrich SE . Photoinactivation of T-cell function with psoralen and UVA radiation suppresses the induction of experimental murine graft-versus-host disease across major histocompatibility barriers. J Invest Dermatol 1991; 96: 303–308.

    Article  CAS  Google Scholar 

  6. Pepino P, Berger CL, Fuzesi L, Panza A, Pierson RN, Gutierrez C et al. Primate cardiac allo-and xenotransplantation: modulation of the immune response with photochemotherapy. Eur Surg Res 1989; 21: 105–113.

    Article  CAS  Google Scholar 

  7. Perez MI, Berger CL, Yamane Y, John L, Laroche L, Edelson RL . Inhibition of anti-skin allograft immunity induced by infusions with photoinactivated effector T lymphocytes – the congenic model. Transplantation 1991; 51: 1283–1289.

    Article  CAS  Google Scholar 

  8. Craciun LI, Stordeur P, Schandene L, Duvillier H, Bron D, Lambermont M et al. Increased production of interleukin-10 and interleukin-1 receptor antagonist after extracorporeal photochemotherapy in chronic graft-versus-host disease. Transplantation 2002; 74: 995–1000.

    Article  CAS  Google Scholar 

  9. Laroche L, Edelson RL, Perez M, Berger CL . Antigen-specific tolerance induced by autoimmunization with photoinactivated syngeneic effector cells. Ann N Y Acad Sci 1991; 636: 113–123.

    Article  CAS  Google Scholar 

  10. Perez MI, Lobo FM, John L, Yamane Y, Edelson RL . Induction of a cell-transferable suppression of alloreactivity by photodamaged lymphocytes. Transplantation 1992; 54: 896–903.

    Article  CAS  Google Scholar 

  11. Kuwana M . Induction of anergic and regulatory T cells by plasmacytoid dendritic cells and other dendritic cell subsets. Hum Immunol 2002; 63: 1156–1163.

    Article  CAS  Google Scholar 

  12. Wakkach A, Fournier N, Brun V, Breittmayer JP, Cottrez F, Groux H . Characterization of dendritic cells that induce tolerance and T regulatory 1 cell differentiation in vivo. Immunity 2003; 18: 605–617.

    Article  CAS  Google Scholar 

  13. Fresnay S, Garnache-Ottou F, Plumas J, Seilles E, Tiberghien P, Saas P . Can tolerogenic dendritic cells help to modulate allo-immune responses in the setting hematopoietic cell transplantation? Transplant Immunol (in press).

  14. Banchereau J, Briere F, Caux C, Davoust J, Lebecque S, Liu YJ et al. Immunobiology of dendritic cells. Annu Rev Immunol 2000; 18: 767–811.

    Article  CAS  Google Scholar 

  15. Liu YJ, Kanzler H, Soumelis V, Gilliet M . Dendritic cell lineage, plasticity and cross-regulation. Nat Immunol 2001; 2: 585–589.

    Article  CAS  Google Scholar 

  16. Rissoan MC, Soumelis V, Kadowaki N, Grouard G, Briere F, de Waal Malefyt R et al. Reciprocal control of T helper cell and dendritic cell differentiation. Science 1999; 283: 1183–1186.

    Article  CAS  Google Scholar 

  17. Kadowaki N, Antonenko S, Lau JY, Liu YJ . Natural interferon alpha/beta-producing cells link innate and adaptive immunity. J Exp Med 2000; 192: 219–226.

    Article  CAS  Google Scholar 

  18. Gilliet M, Liu YJ . Generation of human CD8 T regulatory cells by CD40 ligand-activated plasmacytoid dendritic cells. J Exp Med 2002; 195: 695–704.

    Article  CAS  Google Scholar 

  19. Fonteneau JF, Gilliet M, Larsson M, Dasilva I, Munz C, Liu YJ et al. Activation of influenza virus-specific CD4+ and CD8+ T cells: a new role for plasmacytoid dendritic cells in adaptive immunity. Blood 2003; 2: 2.

    Google Scholar 

  20. Gorgun G, Miller KB, Foss FM . Immunologic mechanisms of extracorporeal photochemotherapy in chronic graft-versus-host disease. Blood 2002; 100: 941–947.

    Article  CAS  Google Scholar 

  21. Chaperot L, Chokri M, Jacob MC, Drillat P, Garban F, Egelhofer H et al. Differentiation of antigen-presenting cells (dendritic cells and macrophages) for therapeutic application in patients with lymphoma. Leukemia 2000; 14: 1667–1677.

    Article  CAS  Google Scholar 

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Plumas, J., Manches, O. & Chaperot, L. Mechanisms of action of extracorporeal photochemotherapy in the control of GVHD: involvement of dendritic cells. Leukemia 17, 2061–2062 (2003). https://doi.org/10.1038/sj.leu.2403114

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