iScience (Apr 2021)

Targeting SLP76:ITK interaction separates GVHD from GVL in allo-HSCT

  • Mahinbanu Mammadli,
  • Weishan Huang,
  • Rebecca Harris,
  • Hui Xiong,
  • Samuel Weeks,
  • Adriana May,
  • Teresa Gentile,
  • Jessica Henty-Ridilla,
  • Adam T. Waickman,
  • Avery August,
  • Alaji Bah,
  • Mobin Karimi

Journal volume & issue
Vol. 24, no. 4
p. 102286

Abstract

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Summary: Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is a curative therapy for hematological malignancies, due to graft-versus-leukemia (GVL) activity mediated by alloreactive donor T cells. However, graft-versus-host disease (GVHD) is also mediated by these cells. Here, we assessed the effect of attenuating TCR-mediated SLP76:ITK interaction in GVL vs. GVHD effects after allo-HSCT. CD8+ and CD4+ donor T cells from mice expressing a Y145F mutation in SLP-76 did not cause GVHD but preserved GVL effects against B-ALL cells. SLP76Y145FKI CD8+ and CD4+ donor T cells also showed less inflammatory cytokine production and migration to GVHD target organs. We developed a novel peptide to specifically inhibit SLP76:ITK interactions, resulting in decreased phosphorylation of PLCγ1 and ERK, decreased cytokine production in human T cells, and separation of GVHD from GVL effects. Altogether, our data suggest that inhibiting SLP76:ITK interaction could be a therapeutic strategy to separate GVHD from GVL effects after allo-HSCT treatment.

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