Interleukin-7 restores immunity in athymic T-cell-depleted hosts

Thymic-deficient hosts rely primarily on antigen-driven expansion to restor e the peripheral T-cell compartment following T-cell depletion (TCD), The d egree to which this thymic-independent pathway can restore immune competenc e remains poorly understood but has important implications for a number of clinical conditions including stem cell transplantation and human immunodef iciency virus (HIV) infection. A model of MY-mediated skin graft rejection by athymic, TCD mice was used to show that restoration of naive and recall responses via peripheral expansion requires transfer of only 25 x 10(6) lym ph node (LN) cells representing approximately 10% of the T-cell repertoire, Constitutive expression of bcl-2 in the expanding inocula restored recall responses to MY at a substantially lower LN cell dose (1 x 10(6)), which is normally insufficient to induce MY-mediated graft rejection in athymic hos ts. Interestingly, bcl-2 had no effect on primary responses. Interleukin-7 (IL-7) potently enhanced thymic-independent peripheral expansion and led to MY graft rejection using an LN cell dose of 1 x 10(6) in both primary and recall models, The restoration of immune competence by IL-7 appeared to be mediated through a combination of programmed cell death inhibition, improve d costimulation, and modulation of antigen-presenting cell (APC) function. These results show that immune competence for even stringent antigens such as HY can be restored in the absence of thymic function and identify IL-7 a s a potent modulator of thymic-independent T-cell regeneration. (Blood. 200 1;97:1525-1533) (C) 2001 by The American Society of Hematology.