938 Current evidence suggests that tolerance induced by donor bone marrow administration to graft recipients treated with antithymocyte globulin (ATG) is mediated through peripheral deletion of graft reactive T cells by donor bone marrow cells (BMC). Methods: To test this hypothesis, we determined the fate of graft reactive T cells following bone marrow administration using a murine system in which the graft recipients are female C57BL/10 mice transgenic for T cell receptor (TCR) αβ chains that confer specificity for the male H-Y histocompatibility antigen in the context of Db. These mice were treated with ATG on days −1 and +2, and transplanted with male skin on Day 0. On day +7, 2.5 × 107 male BMC were administered i.v. The fate of male skin reactive T cells in thymus, lymph node, spleen, and blood was followed by flow cytometry using monoclonal antibodies specific for the transgenic TCR α and β chains, and for the CD8 or CD4 accessory molecules. Tissues were analyzed prior to treatment with ATG, and at 7, 14, 21, 32, and 42 days post BMC infusion. Results: Full recovery from ATG treatment of T cell populations in thymus and peripheral lymphoid tissues occurred by 32 days post-infusion. Recipients injected with syngeneic (female) BMC exhibited two subpopulations each of CD4+ and CD8 + T cells as defined by expression of transgenic (Tg) TCR α-chains at high (TCRBright) and low density, a profile that is identical to normal, untreated mice. Previous studies have shown that TCRBright Tg cells are the cells that are activated by the H-Y antigen in vitro. However, graft recipients treated with male (donor) BMC exhibited an absence of TCRBright CD8+ and CD4+ cells in the peripheral lymphoid organs, blood, and the thymus. This was accompanied by a marked downregulation of TCR expression such that the percentage CD8+ cells expressing the transgenic TCRα chain was diminished by >2-fold (See Table). Similar results were obtained for CD4+ T cells.Table: % of CD8+ Cells Bearing TCR Transgenes at 32 days Post-BMC Infusion While these results do not preclude the existence of peripheral deletion in this system, the lack of TCRBright CD8+ and CD4+ cells in the thymus of recipients injected with male BMC strongly suggests that thymic deletion of graft reactive cells also occurs, either through physical deletion or downregulation of the TCR
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