TY - JOUR
T1 - ROCK1/2 signaling contributes to corticosteroid-refractory acute graft-versus-host disease
AU - Maas-Bauer, Kristina
AU - Stell, Anna Verena
AU - Yan, Kai Li
AU - de Vega, Enrique
AU - Vinnakota, Janaki Manoja
AU - Unger, Susanne
AU - Núñez, Nicolas
AU - Norona, Johana
AU - Talvard-Balland, Nana
AU - Koßmann, Stefanie
AU - Schwan, Carsten
AU - Miething, Cornelius
AU - Martens, Uta S.
AU - Shoumariyeh, Khalid
AU - Nestor, Rosa P.
AU - Duquesne, Sandra
AU - Hanke, Kathrin
AU - Rackiewicz, Michal
AU - Hu, Zehan
AU - El Khawanky, Nadia
AU - Taromi, Sanaz
AU - Andrlova, Hana
AU - Faraidun, Hemin
AU - Walter, Stefanie
AU - Pfeifer, Dietmar
AU - Follo, Marie
AU - Waldschmidt, Johannes
AU - Melchinger, Wolfgang
AU - Rassner, Michael
AU - Wehr, Claudia
AU - Schmitt-Graeff, Annette
AU - Halbach, Sebastian
AU - Liao, James
AU - Häcker, Georg
AU - Brummer, Tilman
AU - Dengjel, Joern
AU - Andrieux, Geoffroy
AU - Grosse, Robert
AU - Tugues, Sonia
AU - Blazar, Bruce R.
AU - Becher, Burkhard
AU - Boerries, Melanie
AU - Zeiser, Robert
N1 - Publisher Copyright:
© 2024, The Author(s).
PY - 2024/12
Y1 - 2024/12
N2 - Patients with corticosteroid-refractory acute graft-versus-host disease (aGVHD) have a low one-year survival rate. Identification and validation of novel targetable kinases in patients who experience corticosteroid-refractory-aGVHD may help improve outcomes. Kinase-specific proteomics of leukocytes from patients with corticosteroid-refractory-GVHD identified rho kinase type 1 (ROCK1) as the most significantly upregulated kinase. ROCK1/2 inhibition improved survival and histological GVHD severity in mice and was synergistic with JAK1/2 inhibition, without compromising graft-versus-leukemia-effects. ROCK1/2-inhibition in macrophages or dendritic cells prior to transfer reduced GVHD severity. Mechanistically, ROCK1/2 inhibition or ROCK1 knockdown interfered with CD80, CD86, MHC-II expression and IL-6, IL-1β, iNOS and TNF production in myeloid cells. This was accompanied by impaired T cell activation by dendritic cells and inhibition of cytoskeletal rearrangements, thereby reducing macrophage and DC migration. NF-κB signaling was reduced in myeloid cells following ROCK1/2 inhibition. In conclusion, ROCK1/2 inhibition interferes with immune activation at multiple levels and reduces acute GVHD while maintaining GVL-effects, including in corticosteroid-refractory settings.
AB - Patients with corticosteroid-refractory acute graft-versus-host disease (aGVHD) have a low one-year survival rate. Identification and validation of novel targetable kinases in patients who experience corticosteroid-refractory-aGVHD may help improve outcomes. Kinase-specific proteomics of leukocytes from patients with corticosteroid-refractory-GVHD identified rho kinase type 1 (ROCK1) as the most significantly upregulated kinase. ROCK1/2 inhibition improved survival and histological GVHD severity in mice and was synergistic with JAK1/2 inhibition, without compromising graft-versus-leukemia-effects. ROCK1/2-inhibition in macrophages or dendritic cells prior to transfer reduced GVHD severity. Mechanistically, ROCK1/2 inhibition or ROCK1 knockdown interfered with CD80, CD86, MHC-II expression and IL-6, IL-1β, iNOS and TNF production in myeloid cells. This was accompanied by impaired T cell activation by dendritic cells and inhibition of cytoskeletal rearrangements, thereby reducing macrophage and DC migration. NF-κB signaling was reduced in myeloid cells following ROCK1/2 inhibition. In conclusion, ROCK1/2 inhibition interferes with immune activation at multiple levels and reduces acute GVHD while maintaining GVL-effects, including in corticosteroid-refractory settings.
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U2 - 10.1038/s41467-024-44703-7
DO - 10.1038/s41467-024-44703-7
M3 - Article
C2 - 38199985
AN - SCOPUS:85181898537
SN - 2041-1723
VL - 15
JO - Nature communications
JF - Nature communications
IS - 1
M1 - 446
ER -