Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Graft-Versus-Host Disease

A preclinical acute GVHD mouse model based on chemotherapy conditioning and MHC-matched transplantation

Abstract

Animal disease models have been criticized for lack of resemblance to human illnesses, hampering transfer of knowledge from preclinical research to clinical medicine. In the field of allogeneic hematopoietic stem cell transplantation (allo-HSCT), it is standard practice to study GVHD in lethal TBI-based murine models. Frequently, MHC-mismatched donors are used in GVHD models. In contrast, in clinical allo-HSCT conditioning with chemotherapy (+/−TBI) is common and donors are often MHC-matched. Aiming at a more clinically oriented situation, we established and characterized a murine MHC-matched, minor histocompatibility antigen mismatched GVHD model (LP/J [H2kb]→C57BL/6 [H2kb]) using busulfan and cyclophosphamide conditioning. We found typical clinical and histological features of acute GVHD. T-cell infiltration, GVHD-specific damage and systemic inflammation were similar to observations made in patients after allo-HSCT. In survivors of acute GVHD, we found expansion of CD4+ T cells and the development of scleroderma-like chronic GVHD. The use of chemotherapy-based, minor histocompatibility antigen (miHA)-mismatched GVHD animal models may be a good option when studying clinically relevant questions in the field of allo-HSCT.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4

Similar content being viewed by others

References

  1. Ferrara JL, Levine JE, Reddy P, Holler E . Graft-versus-host disease. Lancet 2009; 373: 1550–1561.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. van der Worp HB, Howells DW, Sena ES, Porritt MJ, Rewell S, O'Collins V et al. Can animal models of disease reliably inform human studies? PLoS Med 2010; 7: e1000245.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Schroeder MA, DiPersio JF . Mouse models of graft-versus-host disease: advances and limitations. Dis Model Mech 2011; 4: 318–333.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Reddy P, Ferrara JLM . Mouse Models of Graft-Versus-Host Disease. StemBook: Cambridge, MA, USA, 2008.

    Google Scholar 

  5. Socie G, Blazar BR . Acute graft-versus-host disease: from the bench to the bedside. Blood 2009; 114: 4327–4336.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Santos GW, Tutschka PJ, Brookmeyer R, Saral R, Beschorner WE, Bias WB et al. Marrow transplantation for acute nonlymphocytic leukemia after treatment with busulfan and cyclophosphamide. N Engl J Med 1983; 309: 1347–1353.

    Article  CAS  PubMed  Google Scholar 

  7. Lerner KG, Kao GF, Storb R, Buckner CD, Clift RA, Thomas ED . Histopathology of graft-vs.-host reaction (GvHR) in human recipients of marrow from HL-A-matched sibling donors. Transplant Proc 1974; 6: 367–371.

    CAS  PubMed  Google Scholar 

  8. Hamilton BL, Bevan MJ, Parkman R . Anti-recipient cytotoxic T lymphocyte precursors are present in the spleens of mice with acute graft versus host disease due to minor histocompatibility antigens. J Immunol 1981; 126: 621–625.

    CAS  PubMed  Google Scholar 

  9. Fontaine P, Perreault C . Diagnosis of graft-versus-host disease in mice transplanted across minor histocompatibility barriers. Transplantation 1990; 49: 1177–1179.

    Article  CAS  PubMed  Google Scholar 

  10. Hollander GA, Widmer B, Burakoff SJ . Loss of normal thymic repertoire selection and persistence of autoreactive T cells in graft vs host disease. J Immunol 1994; 152: 1609–1617.

    CAS  PubMed  Google Scholar 

  11. Vander Lugt MT, Braun TM, Hanash S, Ritz J, Ho VT, Antin JH et al. ST2 as a marker for risk of therapy-resistant graft-versus-host disease and death. N Engl J Med 2013; 369: 529–539.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Paczesny S, Raiker N, Brooks S, Mumaw C . Graft-versus-host disease biomarkers: omics and personalized medicine. Int J Hematol 2013; 98: 275–292.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Beres AJ, Drobyski WR . The role of regulatory T cells in the biology of graft versus host disease. Front Immunol 2013; 4: 163.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Ferrara JL . Pathogenesis of acute graft-versus-host disease: cytokines and cellular effectors. J Hematother Stem Cell Res 2000; 9: 299–306.

    Article  CAS  PubMed  Google Scholar 

  15. Hill GR, Crawford JM, Cooke KR, Brinson YS, Pan L, Ferrara JL . Total body irradiation and acute graft-versus-host disease: the role of gastrointestinal damage and inflammatory cytokines. Blood 1997; 90: 3204–3213.

    CAS  PubMed  Google Scholar 

  16. Tsukada N, Kobata T, Aizawa Y, Yagita H, Okumura K . Graft-versus-leukemia effect and graft-versus-host disease can be differentiated by cytotoxic mechanisms in a murine model of allogeneic bone marrow transplantation. Blood 1999; 93: 2738–2747.

    CAS  PubMed  Google Scholar 

  17. van Leeuwen L, Guiffre A, Atkinson K, Rainer SP, Sewell WA . A two-phase pathogenesis of graft-versus-host disease in mice. Bone Marrow Transplant 2002; 29: 151–158.

    Article  CAS  PubMed  Google Scholar 

  18. Al-Hashmi S, Hassan Z, Sadeghi B, Rozell B, Hassan M . Dynamics of early histopathological changes in GVHD after busulphan/cyclophosphamide conditioning regimen. Int J Clin Exp Pathol 2011; 4: 596–605.

    CAS  PubMed  PubMed Central  Google Scholar 

  19. Sadeghi B, Aghdami N, Hassan Z, Forouzanfar M, Rozell B, Abedi-Valugerdi M et al. GVHD after chemotherapy conditioning in allogeneic transplanted mice. Bone Marrow Transplant 2008; 42: 807–818.

    Article  CAS  PubMed  Google Scholar 

  20. Sadeghi B, Al-Hashmi S, Hassan Z, Rozell B, Concha H, Lundmark C et al. Expansion and activation kinetics of immune cells during early phase of GVHD in mouse model based on chemotherapy conditioning. Clin Dev Immunol 2010; 2010: 142943.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Heimesaat MM, Nogai A, Bereswill S, Plickert R, Fischer A, Loddenkemper C et al. MyD88/TLR9 mediated immunopathology and gut microbiota dynamics in a novel murine model of intestinal graft-versus-host disease. Gut 2010; 59: 1079–1087.

    Article  CAS  PubMed  Google Scholar 

  22. Morris ES, MacDonald KP, Kuns RD, Morris HM, Banovic T, Don AL et al. Induction of natural killer T cell-dependent alloreactivity by administration of granulocyte colony-stimulating factor after bone marrow transplantation. Nat Med 2009; 15: 436–441.

    Article  CAS  PubMed  Google Scholar 

  23. Kuwatani M, Ikarashi Y, Mineishi S, Asaka M, Wakasugi H . An irradiation-free nonmyeloablative bone marrow transplantation model: importance of the balance between donor T-cell number and the intensity of conditioning. Transplantation 2005; 80: 1145–1152.

    Article  PubMed  Google Scholar 

  24. Westerhof GR, Ploemacher RE, Boudewijn A, Blokland I, Dillingh JH, McGown AT et al. Comparison of different busulfan analogues for depletion of hematopoietic stem cells and promotion of donor-type chimerism in murine bone marrow transplant recipients. Cancer Res 2000; 60: 5470–5478.

    CAS  PubMed  Google Scholar 

  25. Korngold R . Lethal graft-versus-host disease in mice directed to multiple minor histocompatibility antigens: features of CD8+ and CD4+ T cell responses. Bone Marrow Transplant 1992; 9: 355–364.

    CAS  PubMed  Google Scholar 

  26. Korngold R, Sprent J . Variable capacity of L3T4+ T cells to cause lethal graft-versus-host disease across minor histocompatibility barriers in mice. J Exp Med 1987; 165: 1552–1564.

    Article  CAS  PubMed  Google Scholar 

  27. Hamilton BL, Parkman R . Acute and chronic graft-versus-host disease induced by minor histocompatibility antigens in mice. Transplantation 1983; 36: 150–155.

    Article  CAS  PubMed  Google Scholar 

  28. DeClerck Y, Draper V, Parkman R . Clonal analysis of murine graft-vs-host disease. II. Leukokines that stimulate fibroblast proliferation and collagen synthesis in graft-vs. host disease. J Immunol 1986; 136: 3549–3552.

    CAS  PubMed  Google Scholar 

  29. Dubovsky JA, Flynn R, Du J, Harrington BK, Zhong Y, Kaffenberger B et al. Ibrutinib treatment ameliorates murine chronic graft-versus-host disease. J Clin Invest 2014; 124: 4867–4876.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Dignan FL, Clark A, Amrolia P, Cornish J, Jackson G, Mahendra P et al. Diagnosis and management of acute graft-versus-host disease. Br J Haematol 2012; 158: 30–45.

    Article  CAS  PubMed  Google Scholar 

  31. Ferrara J, Guillen FJ, Sleckman B, Burakoff SJ, Murphy GF . Cutaneous acute graft-versus-host disease to minor histocompatibility antigens in a murine model: histologic analysis and correlation to clinical disease. J Invest Dermatol 1986; 86: 371–375.

    Article  CAS  PubMed  Google Scholar 

  32. Goker H, Haznedaroglu IC, Chao NJ . Acute graft-vs-host disease: pathobiology and management. Exp Hematol 2001; 29: 259–277.

    Article  CAS  PubMed  Google Scholar 

  33. Heldal D, Brinch L, Evensen SA, Tjonnfjord GE, Aamodt G, Elgjo K et al. Skin biopsies for early diagnosis and prognosis of graft-versus-host disease in recipients of allogeneic stem cells from blood or bone marrow. Bone Marrow Transplant 2004; 34: 345–350.

    Article  CAS  PubMed  Google Scholar 

  34. Snover DC, Weisdorf SA, Vercellotti GM, Rank B, Hutton S, McGlave P . A histopathologic study of gastric and small intestinal graft-versus-host disease following allogeneic bone marrow transplantation. Hum Pathol 1985; 16: 387–392.

    Article  CAS  PubMed  Google Scholar 

  35. Snover DC, Weisdorf SA, Ramsay NK, McGlave P, Kersey JH . Hepatic graft versus host disease: a study of the predictive value of liver biopsy in diagnosis. Hepatology 1984; 4: 123–130.

    Article  CAS  PubMed  Google Scholar 

  36. Na IK, Lu SX, Yim NL, Goldberg GL, Tsai J, Rao U et al. The cytolytic molecules Fas ligand and TRAIL are required for murine thymic graft-versus-host disease. J Clin Invest 2010; 120: 343–356.

    Article  CAS  PubMed  Google Scholar 

  37. Clave E, Busson M, Douay C, Peffault de Latour R, Berrou J, Rabian C et al. Acute graft-versus-host disease transiently impairs thymic output in young patients after allogeneic hematopoietic stem cell transplantation. Blood 2009; 113: 6477–6484.

    Article  CAS  PubMed  Google Scholar 

  38. Krenger W, Hollander GA . The role of the thymus in allogeneic hematopoietic stem cell transplantation. Swiss Med Wkly 2010; 140: w13051.

    PubMed  Google Scholar 

  39. Velardi A, Cucciaioni S, Terenzi A, Quinti I, Aversa F, Grossi CE et al. Acquisition of Ig isotype diversity after bone marrow transplantation in adults. A recapitulation of normal B cell ontogeny. J Immunol 1988; 141: 815–820.

    CAS  PubMed  Google Scholar 

  40. Shimabukuro-Vornhagen A, Hallek MJ, Storb RF, von Bergwelt-Baildon MS . The role of B cells in the pathogenesis of graft-versus-host disease. Blood 2009; 114: 4919–4927.

    Article  PubMed  Google Scholar 

  41. Antin JH, Ferrara JL . Cytokine dysregulation and acute graft-versus-host disease. Blood 1992; 80: 2964–2968.

    CAS  PubMed  Google Scholar 

  42. Ferrara JL . Cytokine dysregulation as a mechanism of graft versus host disease. Curr Opin Immunol 1993; 5: 794–799.

    Article  CAS  PubMed  Google Scholar 

  43. Deeg HJ . Cytokines in graft-versus-host disease and the graft-versus-leukemia reaction. Int J Hematol 2001; 74: 26–32.

    Article  CAS  PubMed  Google Scholar 

  44. Hill GR, Teshima T, Gerbitz A, Pan L, Cooke KR, Brinson YS et al. Differential roles of IL-1 and TNF-alpha on graft-versus-host disease and graft versus leukemia. J Clin Invest 1999; 104: 459–467.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Huang XJ, Wan J, Lu DP . Serum TNFalpha levels in patients with acute graft-versus-host disease after bone marrow transplantation. Leukemia 2001; 15: 1089–1091.

    Article  CAS  PubMed  Google Scholar 

  46. Min CK, Lee WY, Min DJ, Lee DG, Kim YJ, Park YH et al. The kinetics of circulating cytokines including IL-6, TNF-alpha, IL-8 and IL-10 following allogeneic hematopoietic stem cell transplantation. Bone Marrow Transplant 2001; 28: 935–940.

    Article  CAS  PubMed  Google Scholar 

  47. Schots R, Kaufman L, Van Riet I, Ben Othman T, De Waele M, Van Camp B et al. Proinflammatory cytokines and their role in the development of major transplant-related complications in the early phase after allogeneic bone marrow transplantation. Leukemia 2003; 17: 1150–1156.

    Article  CAS  PubMed  Google Scholar 

  48. Visentainer JE, Lieber SR, Persoli LB, Vigorito AC, Aranha FJ, de Brito Eid KA et al. Serum cytokine levels and acute graft-versus-host disease after HLA-identical hematopoietic stem cell transplantation. Exp Hematol 2003; 31: 1044–1050.

    Article  CAS  PubMed  Google Scholar 

  49. Fowler DH, Foley J, Whit-Shan Hou J, Odom J, Castro K, Steinberg SM et al. Clinical "cytokine storm" as revealed by monocyte intracellular flow cytometry: correlation of tumor necrosis factor alpha with severe gut graft-versus-host disease. Clin Gastroenterol Hepatol 2004; 2: 237–245.

    Article  CAS  PubMed  Google Scholar 

  50. Holler E, Kolb HJ, Mittermuller J, Kaul M, Ledderose G, Duell T et al. Modulation of acute graft-versus-host-disease after allogeneic bone marrow transplantation by tumor necrosis factor alpha (TNF alpha) release in the course of pretransplant conditioning: role of conditioning regimens and prophylactic application of a monoclonal antibody neutralizing human TNF alpha (MAK 195 F). Blood 1995; 86: 890–899.

    CAS  PubMed  Google Scholar 

  51. Xun CQ, Thompson JS, Jennings CD, Brown SA, Widmer MB . Effect of total body irradiation, busulfan-cyclophosphamide, or cyclophosphamide conditioning on inflammatory cytokine release and development of acute and chronic graft-versus-host disease in H-2-incompatible transplanted SCID mice. Blood 1994; 83: 2360–2367.

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This work was supported by the Deutsche Forschungsgemeinschaft (PE1450/3-1), the Deutsche Krebshilfe (110466), the Josè Carreras Leukämie-Stiftung (R11/04) and the Wilhelm Sander-Stiftung (2010.039.1). We thank J Mengwasser, S Westphal and S Cordes for scientific discussion and A Wilke and A McGearey for technical support.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to O Penack.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Additional information

Supplementary Information accompanies this paper on Bone Marrow Transplantation website

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Riesner, K., Kalupa, M., Shi, Y. et al. A preclinical acute GVHD mouse model based on chemotherapy conditioning and MHC-matched transplantation. Bone Marrow Transplant 51, 410–417 (2016). https://doi.org/10.1038/bmt.2015.279

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/bmt.2015.279

This article is cited by

Search

Quick links