SPECIFIC SUPPRESSION OF LUPUS-LIKE GRAFT-VERSUS-HOST DISEASE USING EXTRACORPOREAL PHOTOCHEMICAL ATTENUATION OF EFFECTOR LYMPHOCYTES

(C57BL/6 x DBA/2)F-1 (B6D2F(1)) mice inoculated with parental DBA/2 (D 2) splenocytes develop chronic stimulatory graft-versus-host reaction with many of the clinical manifestations of systemic lupus erythematos us. This investigation tested the ability of 8-methoxypsoralen (8-MOP) and ultraviolet A (UVA) light-treated D2 cells, primed to contain an expanded population of T cells specific for B6D2F(1) major histocompat ability complex antigens, to treat and/or prevent such systemic lupus erythematosus-like disease. 8-MOP/UVA-treated cells from B6D2F(1)-prim ed D2 donors were inoculated into B6D2F(1) recipients weekly six to te n times, either before or after initiating graft-versus-host disease w ith normal D2 cells. A third group of B6D2F(1) recipients were vaccina ted weekly six times before disease initiation using 8-MOP/UVA-attenua ted, B6D2F(1)-primed D2 cells that had been secondarily stimulated and expanded in vitro in the presence of irradiated B6D2F(1) targets and interleukin-2. Control B6D2F(1) mice were vaccinated with 8-MOP/UVA-tr eated D2 cells stimulated in vitro and/or in vivo with (C3H/HeJ x DBA/ 2)F-1 cells. Only mice vaccinated with 8-MOP/UVA-attenuated D2-anti-B6 D2F(1) cells that were secondarily stimulated and expanded in vitro ex hibited differences from controls when measured by the clinical parame ters of ascites formation, and mean survival (p < 0.025). These groups also differed significantly in mean antinuclear antibody titer measur ed 14 weeks after disease initiation (p < 0.05). At 28 weeks, histolog ic evidence of systemic lupus erythematosus-like kidney disease was fo und only in the control group. These results indicate that photochemic ally attenuated D2-anti-B6D2F(1) cells primed in vivo and secondarily stimulated and expanded in vitro are capable of vaccinating recipients against progression of graft-versus-host reaction-initiated systemic lupus erythematosus-like disease.