Graft-versus-host disease: establishing IL-33 as an important costimulatory molecule

Approximately half of patients with hematologic malignancy who are treated with allogeneic hematopoietic stem cell transplantation (alloHCT) experience graft-versus-host disease (GVHD), which has high mortality rates despite immunosuppressive therapy. IL-12 is known to drive donor T cells toward an...

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Main Authors: James Ferrara, Mariano Prado-Acosta
Format: Article
Language:English
Published: American Society for Clinical Investigation 2022-06-01
Series:The Journal of Clinical Investigation
Online Access:https://doi.org/10.1172/JCI160692
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author James Ferrara
Mariano Prado-Acosta
author_facet James Ferrara
Mariano Prado-Acosta
author_sort James Ferrara
collection DOAJ
description Approximately half of patients with hematologic malignancy who are treated with allogeneic hematopoietic stem cell transplantation (alloHCT) experience graft-versus-host disease (GVHD), which has high mortality rates despite immunosuppressive therapy. IL-12 is known to drive donor T cells toward an inflammatory Th1 lineage in GVHD, but other mechanisms also promote pathological Th1 alloimmune responses. In this issue of the JCI, Dwyer et al. report on their use of transgenic mice and alloHCT models of GVHD to demonstrate that IL-33 acts directly on donor T cells to increase Tbet expression independently of IL-12. Notably, IL-33 amplified T cell receptor–signaling pathways and inhibited production of regulatory molecules. These findings firmly establish IL-33 as an important costimulatory molecule for Th1 cells during GVHD and provide a target for reducing GVHD, especially in the gastrointestinal (GI) tract, where damage drives mortality.
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spelling doaj.art-7fa3aa8cdcbb4f68a5d36e31c000a7fb2022-12-22T02:41:08ZengAmerican Society for Clinical InvestigationThe Journal of Clinical Investigation1558-82382022-06-0113212Graft-versus-host disease: establishing IL-33 as an important costimulatory moleculeJames FerraraMariano Prado-AcostaApproximately half of patients with hematologic malignancy who are treated with allogeneic hematopoietic stem cell transplantation (alloHCT) experience graft-versus-host disease (GVHD), which has high mortality rates despite immunosuppressive therapy. IL-12 is known to drive donor T cells toward an inflammatory Th1 lineage in GVHD, but other mechanisms also promote pathological Th1 alloimmune responses. In this issue of the JCI, Dwyer et al. report on their use of transgenic mice and alloHCT models of GVHD to demonstrate that IL-33 acts directly on donor T cells to increase Tbet expression independently of IL-12. Notably, IL-33 amplified T cell receptor–signaling pathways and inhibited production of regulatory molecules. These findings firmly establish IL-33 as an important costimulatory molecule for Th1 cells during GVHD and provide a target for reducing GVHD, especially in the gastrointestinal (GI) tract, where damage drives mortality.https://doi.org/10.1172/JCI160692
spellingShingle James Ferrara
Mariano Prado-Acosta
Graft-versus-host disease: establishing IL-33 as an important costimulatory molecule
The Journal of Clinical Investigation
title Graft-versus-host disease: establishing IL-33 as an important costimulatory molecule
title_full Graft-versus-host disease: establishing IL-33 as an important costimulatory molecule
title_fullStr Graft-versus-host disease: establishing IL-33 as an important costimulatory molecule
title_full_unstemmed Graft-versus-host disease: establishing IL-33 as an important costimulatory molecule
title_short Graft-versus-host disease: establishing IL-33 as an important costimulatory molecule
title_sort graft versus host disease establishing il 33 as an important costimulatory molecule
url https://doi.org/10.1172/JCI160692
work_keys_str_mv AT jamesferrara graftversushostdiseaseestablishingil33asanimportantcostimulatorymolecule
AT marianopradoacosta graftversushostdiseaseestablishingil33asanimportantcostimulatorymolecule