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James L. M. Ferrara,
M.D.
Professor, Departments of Internal Medicine and Pediatrics
Director, Combined Bone Marrow Transplant Program
ferrara@umich.edu
My laboratory investigates the immunobiology of bone marrow transplantation
(BMT). A major therapeutic benefit of allogeneic BMT resides in the graft
versus leukemia (GVL) effect which is mediated by cytotoxic pathways of
cytolytic T cells and natural killer cells. The GVL effect is tightly
linked to graft versus host disease (GVHD), a major toxicity of BMT. Using
well defined mouse models, our research has shown that cascades of inflammatory
cytokines amplify GVHD and that blockade of cascade checkpoints can prevent
GVHD. Furthermore, many of these anti-inflammatory strategies preserve
cytolytic T lymphocyte function, permitting a separation of GVL and GVHD
in well defined animal models.
We have recently determined that epithelial targets of GVHD are damaged
primarily by cytokines and that neutralization of cytokines can suppress
the inflammation of GVHD but preserve beneficial graft versus tumor effects.
We have also shown that histone deacetylase inhibitors can prevent inflammatory
cytokine release while preserving CTL function and GVL effects. We are
investigating the mechanisms of these exciting new strategies with the
intent of designing innovative clinical trials.
Representative
Publications
Ordemann R, Hutchinson
R, Friedman J, Burakoff SJ, Reddy P, Duffner U, Braun TM, Liu C, Teshima
T, Ferrara JLM. Enhanced allostimulatory activity of host antigen-presenting
cells in old mice intensifies acute graft-versus-host disease. Journal
of Clinical Investigation, 109:1249-1256, 2002.
Teshima T, Ordemann R, Reddy P, Gagin S, Liu C, Cooke KR, Ferrara JLM.
Acute graft-versus-host disease does not require alloantigen expression
on host epithelium. Nature Medicine, 8:575-581, 2002.
Reddy P, Maeda Y, Hotary K, Liu C, Reznikov L, Dinarello C, Ferrara
JLM. Histone deacetylase inhibitor suberoylanilide hydroxamic acid reduces
acute graft-versus-host disease and preserve graft-versus-leukemia effect.
Pro Natl Acad Sci 101: 3921-3926, 2004.
Reddy PR, Maeda Y, Liu C, Krijanovski OI, Korngold R, Ferrara JLM. A critical role for antigen presenting cells and alloantigen expression in graft-versus-leukemia responses. Nature Medicine 11:1244-1249, 2005.
Weissinger EM, Schiffer E, Hertenstein B, Ferrara JLM, Holler E, Stadler M, Kolb HJ, Zander A, Zurbig P, Kellmann M, Ganser A. Proteomic patterns predict acute graft-versus-host disease after allogeneic hematopoietic stem cell transplantation. Blood, 109:1-36, 2007.
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