PMID- 30386800 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2322-4436 (Print) IS - 2322-3219 (Electronic) IS - 2322-3219 (Linking) VI - 7 IP - 3 DP - 2018 Fall TI - Regulatory T Cells and Ocular Graft Versus Host Disease: A Novel Treatment Approach. PG - 119-121 AB - Graft Versus Host Disease (GVHD) is an inflammatory immune disease, mediated by the donor's immune cells and can arise after allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for the treatment of hematologic malignancies. It can lead to destructive manifestations in various tissues, particularly dermatological, gastrointestinal, and ocular tissues. The most common ocular morbidity is dry eyes, which is often the first manifestation of GVHD. Regulatory T cells (Tr) can be broadly classified as natural or adaptive (induced). After Bone-Marrow Transplantation (BMT), excessively increased levels of type 1 Tr (Tr1) are generally observed with absence of a GVHD, while low levels are seen with severe GVHD. Treatment of patients, undergoing BMT with Interleukin-10 (IL-10)-anergized donor T cells, led to immune reconstitution without the development of GVHD, which resulted in protection against infection and against the return of the cancer. Surprisingly, in both naive syngeneic mouse models of skin and cardiac allografts, graft retention was augmented after infusion of in vitro generated double-negative Tr (DN Tr). In addition, GVHD was reduced in mice with a genetic deficiency in the IL-27 receptor (IL-27R-/-) and in mice treated with anti-IL-27p28-specific antibody. Considering above mentioned findings we would suggest carrying out experiments, using animal models of GVHD, in order to evaluate the potential role of Tr, as an innovative approach to overcome severe ocular morbidity caused by ocular GVHD. FAU - Pishnamaz, Mohammad Reza AU - Pishnamaz MR AD - Optometry Department, Iran University of Medical Sciences, Tehran, Iran. FAU - Jafarzadehpour, Ebrahim AU - Jafarzadehpour E AD - Optometry Department, Iran University of Medical Sciences, Tehran, Iran. FAU - Pishnamaz, Razieh AU - Pishnamaz R AD - Department of Allergy and Immunology, Mashhad University of Medical Sciences, Mashhad, Iran. LA - eng PT - Journal Article PL - United States TA - Med Hypothesis Discov Innov Ophthalmol JT - Medical hypothesis, discovery & innovation ophthalmology journal JID - 101611331 PMC - PMC6205679 OTO - NOTNLM OT - Anti-IL-27p28-Specific Antibody OT - Graft vs Host Disease OT - IL-27 Receptor OT - Regulatory OT - T-Lymphocytes COIS- Ethical issues have been completely observed by the authors. All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship of this manuscript, take responsibility for the integrity of the work as a whole, and have given final approval for the version to be published. No conflict of interest has been presented. EDAT- 2018/11/06 06:00 MHDA- 2018/11/06 06:01 PMCR- 2018/09/01 CRDT- 2018/11/03 06:00 PHST- 2018/11/03 06:00 [entrez] PHST- 2018/11/06 06:00 [pubmed] PHST- 2018/11/06 06:01 [medline] PHST- 2018/09/01 00:00 [pmc-release] AID - mehdiophth-7-119 [pii] PST - ppublish SO - Med Hypothesis Discov Innov Ophthalmol. 2018 Fall;7(3):119-121.