%0 Journal Article
%A Ramos, Teresa Lopes
%A García-Guerrero, Estefanía
%A Caballero-Velázquez, Teresa
%A Rodríguez-Gil, Alfonso
%A Caracuel-García, Rocío
%A Nufer, Melanie
%A Robles-Frías, María José
%A Barbado, María Victoria
%A Pérez-Simón, José A
%T Delayed administration of ixazomib modifies the immune response and prevents chronic graft-versus-host disease.
%D 2021
%U https://hdl.handle.net/10668/27863
%X In this study, we aimed to modify the immune response in the long term after allogeneic bone marrow transplantation (allo-BMT) by using the proteasome inhibitor ixazomib (IXZ) at the late stages of the post-transplant period. This approach facilitated the immune reconstitution after transplantation. IXZ significantly prolonged survival and decreased the risk of chronic graft-versus-host disease (cGvHD) in two different murine models without hampering the graft-versus-leukemia (GvL) effect, as confirmed by bioluminescence assays. Remarkably, the use of IXZ was related to an increase of regulatory T cells both in peripheral blood and in the GvHD target organs and a decrease of effector donor T cells. Regarding B cells, IXZ treated mice had faster recovery of B cells in PB and of pre-pro-B cells in the bone marrow. Mice receiving ixazomib had a lower number of neutrophils in the GvHD target organs as compared to the vehicle group. In summary, delayed administration of IXZ ameliorated cGvHD while preserving GvL and promoted a pro-tolerogenic immune response after allo-BMT.
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