Figure 7
Figure 7. Proposed model of the cellular mechanisms leading to T-cell reconstitution following haplo-HSCT and pt-Cy. Naive (TN) and memory T cells (TMEM) are infused in the recipient with the BM. Allogeneic antigens (allo-Ags), as well as inflammatory/homeostatic cytokines, the availability of which increases after chemotherapy, induce T-cell activation. Proliferating (HLA-DR+, Ki-67+) T cells uniformly acquire an effector phenotype, irrespective of their original differentiation status, and are preferentially depleted by Cy, given at day 3 and 4 after HSCT. T stem cell memory (TSCM) is the dominant peripheral T-cell subset at day 7, likely originating from TN that survived Cy. In the following weeks, naive-derived TSCM generate memory cells in response to exogenous antigens and, presumably, homeostatic cytokines. Adoptively transferred TMEM, which have survived Cy, expand to detectable levels in the circulation only in the presence of the cognate antigen. Whether T-cell memory can persist in the haplo-HSCT individual in the absence of the cognate antigen is currently unknown.

Proposed model of the cellular mechanisms leading to T-cell reconstitution following haplo-HSCT and pt-Cy. Naive (TN) and memory T cells (TMEM) are infused in the recipient with the BM. Allogeneic antigens (allo-Ags), as well as inflammatory/homeostatic cytokines, the availability of which increases after chemotherapy, induce T-cell activation. Proliferating (HLA-DR+, Ki-67+) T cells uniformly acquire an effector phenotype, irrespective of their original differentiation status, and are preferentially depleted by Cy, given at day 3 and 4 after HSCT. T stem cell memory (TSCM) is the dominant peripheral T-cell subset at day 7, likely originating from TN that survived Cy. In the following weeks, naive-derived TSCM generate memory cells in response to exogenous antigens and, presumably, homeostatic cytokines. Adoptively transferred TMEM, which have survived Cy, expand to detectable levels in the circulation only in the presence of the cognate antigen. Whether T-cell memory can persist in the haplo-HSCT individual in the absence of the cognate antigen is currently unknown.

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