TY  - BOOK
AU  - Kang, Jiman
AU  - Kwon, Dong Hyang
TI  - CD69+ resident memory T cells are associated with graft-versus-host disease in intestinal transplantation
SN  - 1600-6135
PY  - 2020///
KW  - IN PROCESS -- NOT YET INDEXED
KW  - MedStar Health Research Institute
KW  - MedStar Washington Hospital Center
KW  - Pathology and Laboratory Medicine
KW  - Journal Article
N1  - Available online from MWHC library: May 2001 - present
N2  - Graft-versus-host disease (GvHD) is a common, morbid complication after intestinal transplantation (ITx) with poorly-understood pathophysiology. Resident memory T cells (TRM ) are a recently described CD69+ memory T cell subset localizing to peripheral tissue. We observed that T effector memory cells (TEM ) in the blood increase during GvHD and hypothesized that they derive from donor graft CD69+TRM migrating into host blood and tissue. To probe this hypothesis, graft and blood lymphocytes from 10 ITx patients with overt GvHD and 34 without were longitudinally analyzed using flow cytometry. As hypothesized, CD4+ and CD8+CD69+TRM were significantly increased in blood and grafts of GvHD patients, alongside higher cytokine and activation marker expression. The majority of CD69+TRM were donor derived as determined by multiplex immunostaining. Notably, CD8/PD-1 was significantly elevated in blood prior to transplantation in patients who later had GvHD, and percentages of HLA-DR, CD57, PD-1, and naive T cells differed significantly between GvHD patients who died vs. those who survived. Overall, we demonstrate that (1) there were significant increases in TEM , at the time of GvHD, possibly of donor derivation; (2) donor TRM in the graft are a possible source; and (3) potential biomarkers for the development and prognosis of GvHD exist. Copyright This article is protected by copyright. All rights reserved
UR  - https://dx.doi.org/10.1111/ajt.16405
ER  -