Targeting ST2 Alleviates Graft-Versus-Host Disease Mortality and Maintains Graft- Versus-Leukemia  Jilu Zhang, PhD, Benjamin Ulrich, Abdulraouf Ramadan,

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Targeting ST2 Alleviates Graft-Versus-Host Disease Mortality and Maintains Graft- Versus-Leukemia  Jilu Zhang, PhD, Benjamin Ulrich, Abdulraouf Ramadan, PhD, Hanenberg Helmut, MD, McKenzie Andrew, MD, PhD, Isao Tawara, M.D., Ph.D., Sophie Paczesny, MD, PhD  Biology of Blood and Marrow Transplantation  Volume 21, Issue 2, Pages S63-S64 (February 2015) DOI: 10.1016/j.bbmt.2014.11.064 Copyright © 2015 Terms and Conditions

Figure 1 Anti-ST2 mAb treatment reduces GVHD severity and mortality by increasing plasma IL-33 (A) The kinetics of plasma sST2 show increased sST2 levels in allogeneic group. Mice were treated with anti-ST2 or lgG isotype control via intraperitoneal injection on Day 1 and Day 1 post-transplantation (B) Survival, clinical GVHD score and (C) histopathologic analysis shows protection from GVHD in anti-ST2 treated group. (D) Increased plasma IL-33 in anti-ST2 treated group. (E)Anti-ST2 modutates transcript expression in MLN T cells. ∗pc<0.05∗∗p<0.01, ∗∗∗p<0.001, IgG vs Anti-ST2. Biology of Blood and Marrow Transplantation 2015 21, S63-S64DOI: (10.1016/j.bbmt.2014.11.064) Copyright © 2015 Terms and Conditions

Figure 2 Blockade of ST2 shifts the Th1/Th2 balance toward Th2 phenotype and increases CD4+ regulatory T cells. Spleen T cells were collected for intracellular staining at day l0 post-transplantation. ∗p<0.05, ∗∗p<0.01. Biology of Blood and Marrow Transplantation 2015 21, S63-S64DOI: (10.1016/j.bbmt.2014.11.064) Copyright © 2015 Terms and Conditions

Figure 3 Anti-ST2 mAb treatment preserves substantial GVL activity. (A) Survival cure. (B) GVHD score (bars) and percent of tumor relapse (lines). ∗∗p<0.01, IgG vs Anti-ST2 Biology of Blood and Marrow Transplantation 2015 21, S63-S64DOI: (10.1016/j.bbmt.2014.11.064) Copyright © 2015 Terms and Conditions