[HTML][HTML] Donor T cell STAT3 deficiency enables tissue PD-L1–dependent prevention of graft-versus-host disease while preserving graft-versus-leukemia activity

Q Li, X Wang, Q Song, S Yang, X Wu… - The Journal of …, 2023 - Am Soc Clin Investig
Q Li, X Wang, Q Song, S Yang, X Wu, D Yang, IJ Marié, H Qin, M Zheng, U Nasri, X Kong…
The Journal of Clinical Investigation, 2023Am Soc Clin Investig
STAT3 deficiency (STAT3–/–) in donor T cells prevents graft-versus-host disease (GVHD),
but the impact on graft-versus-leukemia (GVL) activity and mechanisms of GVHD prevention
remains unclear. Here, using murine models of GVHD, we show that STAT3–/–donor T cells
induced only mild reversible acute GVHD while preserving GVL effects against
nonsusceptible acute lymphoblastic leukemia (ALL) cells in a donor T cell dose–dependent
manner. GVHD prevention depended on programmed death ligand 1/programmed cell …
STAT3 deficiency (STAT3–/–) in donor T cells prevents graft-versus-host disease (GVHD), but the impact on graft-versus-leukemia (GVL) activity and mechanisms of GVHD prevention remains unclear. Here, using murine models of GVHD, we show that STAT3–/– donor T cells induced only mild reversible acute GVHD while preserving GVL effects against nonsusceptible acute lymphoblastic leukemia (ALL) cells in a donor T cell dose–dependent manner. GVHD prevention depended on programmed death ligand 1/programmed cell death protein 1 (PD-L1/PD-1) signaling. In GVHD target tissues, STAT3 deficiency amplified PD-L1/PD-1 inhibition of glutathione (GSH)/Myc pathways that regulate metabolic reprogramming in activated T cells, with decreased glycolytic and mitochondrial ATP production and increased mitochondrial ROS production and dysfunction, leading to tissue-specific deletion of host-reactive T cells and prevention of GVHD. Mitochondrial STAT3 deficiency alone did not reduce GSH expression or prevent GVHD. In lymphoid tissues, the lack of host-tissue PD-L1 interaction with PD-1 reduced the inhibition of the GSH/Myc pathway despite reduced GSH production caused by STAT3 deficiency and allowed donor T cell functions that mediate GVL activity. Therefore, STAT3 deficiency in donor T cells augments PD-1 signaling–mediated inhibition of GSH/Myc pathways and augments dysfunction of T cells in GVHD target tissues while sparing T cells in lymphoid tissues, leading to prevention of GVHD while preserving GVL effects.
The Journal of Clinical Investigation