Housing temperature–induced stress is suppressing murine graft-versus-host disease through β2-adrenergic receptor signaling

ND Leigh, KM Kokolus, RE O'Neill, W Du… - The Journal of …, 2015 - journals.aai.org
ND Leigh, KM Kokolus, RE O'Neill, W Du, JWL Eng, J Qiu, GL Chen, PL McCarthy, JD Farrar…
The Journal of Immunology, 2015journals.aai.org
Graft-versus-host disease (GVHD) is the major complication of allogeneic hematopoietic cell
transplantation, a potentially curative therapy for hematologic diseases. It has long been
thought that murine bone marrow–derived T cells do not mediate severe GVHD because of
their quantity and/or phenotype. During the course of experiments testing the impact of
housing temperatures on GVHD, we discovered that this apparent resistance is a function of
the relatively cool ambient housing temperature. Murine bone marrow–derived T cells have …
Abstract
Graft-versus-host disease (GVHD) is the major complication of allogeneic hematopoietic cell transplantation, a potentially curative therapy for hematologic diseases. It has long been thought that murine bone marrow–derived T cells do not mediate severe GVHD because of their quantity and/or phenotype. During the course of experiments testing the impact of housing temperatures on GVHD, we discovered that this apparent resistance is a function of the relatively cool ambient housing temperature. Murine bone marrow–derived T cells have the ability to mediate severe GVHD in mice housed at a thermoneutral temperature. Specifically, mice housed at Institutional Animal Care and Use Committee–mandated, cool standard temperatures (∼ 22 C) are more resistant to developing GVHD than are mice housed at thermoneutral temperatures (∼ 30 C). We learned that the mechanism underlying this housing-dependent immunosuppression is associated with increased norepinephrine production and excessive signaling through β-adrenergic receptor signaling, which is increased when mice are cold stressed. Treatment of mice housed at 22 C with a β 2-adrenergic antagonist reverses the norepinephrine-driven suppression of GVHD and yields similar disease to mice housed at 30 C. Conversely, administering a β 2-adrenergic agonist decreases GVHD in mice housed at 30 C. In further mechanistic studies using β 2-adrenergic receptor–deficient (β 2-AR−/−) mice, we found that it is host cell β 2-AR signaling that is essential for decreasing GVHD. These data reveal how baseline levels of β-adrenergic receptor signaling can influence murine GVHD and point to the feasibility of manipulation of β 2-AR signaling to ameliorate GVHD in the clinical setting.
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