Dichotomous regulation of GVHD through bidirectional functions of the BTLA-HVEM pathway

Blood. 2011 Feb 24;117(8):2506-14. doi: 10.1182/blood-2010-08-301325. Epub 2011 Jan 10.

Abstract

B and T lymphocyte attenuator (BTLA) is a co-inhibitory receptor that interacts with herpesvirus entry mediator (HVEM), and this interaction regulates pathogenesis in various immunologic diseases. In graft-versus-host disease (GVHD), BTLA unexpectedly mediates positive effects on donor T-cell survival, whereas immunologic mechanisms of this function have yet to be explored. In this study, we elucidated a role of BTLA in GVHD by applying the newly established agonistic anti-BTLA monoclonal antibody that stimulates BTLA signal without antagonizing BTLA-HVEM interaction. Our results revealed that provision of BTLA signal inhibited donor antihost T-cell responses and ameliorated GVHD with a successful engraftment of donor hematopoietic cells. These effects were dependent on BTLA signal into donor T cells but neither donor non-T cells nor recipient cells. On the other hand, expression of BTLA mutant lacking an intracellular signaling domain restored impaired survival of BTLA-deficient T cells, suggesting that BTLA also serves as a ligand that delivers HVEM prosurvival signal in donor T cells. Collectively, current study elucidated dichotomous functions of BTLA in GVHD to serve as a costimulatory ligand of HVEM and to transmit inhibitory signal as a receptor.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Antibodies, Monoclonal / pharmacology
  • Cell Survival
  • Graft vs Host Disease / immunology*
  • Mice
  • Protein Binding / immunology
  • Receptors, Immunologic / immunology
  • Receptors, Immunologic / metabolism*
  • Receptors, Tumor Necrosis Factor, Member 14 / immunology
  • Receptors, Tumor Necrosis Factor, Member 14 / metabolism*
  • Signal Transduction / immunology*
  • T-Lymphocytes / immunology

Substances

  • Antibodies, Monoclonal
  • BTLA protein, mouse
  • Receptors, Immunologic
  • Receptors, Tumor Necrosis Factor, Member 14
  • Tnfrsf14 protein, mouse