Israel Immunological Society 2025

Regulation of immune responses by modulation of inflammatory cell death in bone marrow transplantation

Shelly Oisher Solomonovich 1 Oron Goldstein 1 Aner Ottolenghi 1 Tom Levy 2 Orly Gershoni-Yahalom 1 Benyamin Rosental 1
1The Shraga Segal Department of Microbiology, Immunology, and Genetics., Ben-Gurion University of the Negev
2Institute for Stem Cell Biology and Regenerative Medicine, Stanford University

Bone marrow transplantation (BMT) is a critical therapy for treating hematological malignancies and primary immunodeficiencies. However, complications such as graft-versus-host disease (GvHD), immune rejection, and inflammatory responses often hinder its success. This research investigates the potential of targeting inflammation as a therapeutic strategy to enhance transplantation outcomes. Specifically, the study explores the effects of caspase-1 inhibitor, on reducing inflammation, improving hematopoietic stem cell (HSC) engraftment, and minimizing transplant rejection under sub-lethal irradiation conditions.

Functional assays demonstrated that caspase-1 inhibition reduces cytotoxicity and phagocytosis, suggesting a significant modulation of innate immune responses. In vivo transplantation experiments using semi-compatible mouse models further revealed enhanced chimerism in recipients treated with caspase-1 inhibitor compared to controls, indicating improved graft acceptance. Flow cytometry and serum cytokine analyses are also employed to assess long-term immune reconstitution and the inflammatory environment post-transplantation.

This research aims to expand our understanding of the role of caspase-1 in inflammatory cell death and its implications for transplantation immunology. The findings have the potential to pave the way for new anti-inflammatory therapeutic strategies, improving BMT success rates and patient outcomes. Future directions include validating these results in larger experimental cohorts and analyzing cytokine profiles to elucidate further the mechanisms involved.