Intestinal Epithelial HIF-1 Plays a Protective Role in Gut Graft Versus Host Disease
| Autor: | Iriana Colorado, Rena Feinman, Leah Dziopa, Anita Sreedhar, Jenny Zilberberg, Zheng Yang, Eugenia Dziopa, Robert Korngold |
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| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Blood. 124:539-539 |
| ISSN: | 1528-0020 0006-4971 |
| DOI: | 10.1182/blood.v124.21.539.539 |
| Popis: | Acute graft-versus-host disease (GVHD) is a major cause of nonrelapse morbidity and mortality following allogeneic blood and marrow transplantation (BMT). The majority of studies delineating the mechanisms involved in GVHD have focused on the alloreactive T cell response and their downstream cellular and inflammatory effector phases. While these efforts have provided important mechanistic insights that have been translated into therapies that target the T cell compartment, they ignore the role that the target organ plays in both initiating and propagating this disease. Acute gut GVHD affects more than 60% of patients and is a leading cause of death. The mechanisms for the early, conditioning-related, intestinal injuries that are the precipitating event leading to GVHD or how subsequent gut-specific GVHD actually disrupts intestinal homeostasis have not been fully explored. The transcription factor, hypoxia inducible factor-1 (HIF-1) has emerged as a common denominator for hypoxia and inflammation. Given that inflammatory bowel disease (IBD) and GVHD share many pathogenic mechanisms and intestinal epithelial HIF-1α afforded protection in IBD models, we hypothesize that the persistent activation of HIF-1 will protect the intestinal epithelium from radiation/chemotherapy and alloreactive T cell-induced damage. Since crypt damage is a hallmark of gut GVHD, we first determined whether loss of intestinal epithelial HIF-1α impaired intestinal regeneration after GVHD damage using conditional HIF-1α (HIF-1αIE) knockout mice that lack HIF-1α in the intestinal epithelium. In a major MHC mismatched B10.BR (H2k) into B6 (H2b) GVHD model, 8 days post-BMT, histopathologic assessment of H&E stained ileums of HIF-1αIE mice showed more severe crypt damage, loss of Paneth cells and fewer regenerating crypts as compared to wild-type (WT) mice. A two-fold increase of aberrant mitoses (p Disclosures No relevant conflicts of interest to declare. |
| Databáze: | OpenAIRE |
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