Keratinocyte growth factor enhanced immune reconstitution in murine allogeneic umbilical cord blood cell transplant

Leuk Lymphoma. 2011 Aug;52(8):1556-66. doi: 10.3109/10428194.2011.573037. Epub 2011 Jun 8.

Abstract

Umbilical cord blood (UCB) is used increasingly as a source of hematopoietic cells because of a lower risk of graft-versus-host disease (GVHD). Myeloablative conditioning before allogeneic umbilical cord blood transplant (allo-UCBT) results in thymic epithelial cell injury and T-cell immune deficiency. Full-term fetal blood cells were used as hematopoietic cells in a previous murine allo-UCBT model with a limited number of mice surviving the myeloablative conditioning. We designed a viable murine allo-UCBT protocol with platelet concentrate support. Keratinocyte growth factor (KGF) is a mitogen of thymic epithelial cells that promotes recovery of thymic epithelium when given before total body irradiation (TBI)-containing conditioning in experimental murine models. We hypothesized that KGF pre-administration would improve post-allo-UCBT thymopoiesis. To test this hypothesis, allo-UCBT recipient mice were given KGF or control saline prior to UCBT. Platelet concentrate support significantly improved the survival rate of murine allo-UCBT recipients. KGF administration significantly increased donor-derived T and natural killer T (NKT) cells at day +35 in spleens of allo-UCBT recipients. KGF administration also improved thymic function after allo-UCBT, resulting in higher copies of signal joint T-cell receptor rearrangement excision circles (sjTRECs) in splenocytes. Finally, we found that KGF pre-administration could enhance the graft-versus-leukemia effect. In conclusion, KGF can be administered safely to recipients of allo-UCBT to enhance T-cell immune reconstitution.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Line, Tumor
  • Cord Blood Stem Cell Transplantation / methods*
  • Female
  • Fibroblast Growth Factor 7 / pharmacology*
  • Graft Survival / drug effects
  • Graft Survival / immunology
  • Kaplan-Meier Estimate
  • Killer Cells, Natural / drug effects
  • Killer Cells, Natural / immunology
  • Leukemia, Experimental / immunology
  • Leukemia, Experimental / pathology
  • Leukemia, Experimental / therapy
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Natural Killer T-Cells / drug effects*
  • Natural Killer T-Cells / immunology
  • Neoplasm Transplantation
  • Platelet Transfusion
  • Pregnancy
  • Spleen / drug effects
  • Spleen / immunology
  • T-Lymphocytes / drug effects*
  • T-Lymphocytes / immunology
  • Thymectomy
  • Thymus Gland / drug effects
  • Thymus Gland / immunology
  • Transplantation, Homologous
  • Whole-Body Irradiation

Substances

  • Fibroblast Growth Factor 7