title: Identification of HLA class II antigens as the targets of effector clones which may cause transfusion-associated graft-versus-host disease.
abstract: We established T cell clones, which were considered to be the possible cause of transfusion-associated graft-versus-host disease (TA-GVHD), from the peripheral blood lymphocytes (PBLs) of two patients. In both cases, several CD4+ cytotoxic T-cell (CTL) clones were established. In case I, the target antigen of the established CD4+ clones was a DRB1*0403-related antigen serologically typed as HLA DR4, which was one of the patient HLA antigens. In case II, the target of four out of five established CD4+ CTL was a DRB1*1302-related antigen. One CD4+ CTL clone showed cytotoxicity against cells carrying A*2402, B*4403, Cw*1403 and DPB1*0401. A monoclonal antibody (mAb) blocking study showed only anti-DP mAb inhibited the cytotoxicity of this clone. Thus, it might be considered that this clone recognizes HLA-DP with its binding peptides derived from either A*2402, B*4403, Cw*1403 or DRB1*1302. Our findings indicate that CD4+ CTLs may play important roles in the aetiology of TA-GVHD and that the antigens of patients recognized by donor-derived effector cells may not always recognize a single HLA antigen.
authors.affiliation: Department of Research, Japanese Red Cross, Tokyo, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Nishimura
authors.forename: S
authors.initials: S
authors.lastname: Uchida
authors.forename: S
authors.initials: S
authors.lastname: Mitsunaga
authors.forename: Y
authors.initials: Y
authors.lastname: Yahagi
authors.forename: K
authors.initials: K
authors.lastname: Nakajima
authors.forename: K
authors.initials: K
authors.lastname: Tadokoro
authors.forename: T
authors.initials: T
authors.lastname: Juji
mesh_terms: D000368:Aged; D002999:Clone Cells / Q000276:immunology*; D005260:Female; D006086:Graft vs Host Disease / Q000276:immunology*; D006682:HLA-DP Antigens / Q000097:blood; D006684:HLA-DR Antigens / Q000097:blood; D000949:Histocompatibility Antigens Class II / Q000097:blood*; D006801:Humans; D008297:Male; D050378:T-Lymphocytes, Regulatory / Q000276:immunology*; D065227:Transfusion Reaction
chemical_list: D006682:HLA-DP Antigens; D006684:HLA-DR Antigens; D000949:Histocompatibility Antigens Class II