Entry
Name
Graft-versus-host disease - Equus caballus (horse)
Description
Graft-versus-host disease (GVHD) is a lethal complication of allogeneic hematopoietic stem cell transplantation (HSCT) where immunocompetent donor T cells attack the genetically disparate host cells. GVHD pathophysiology can be summerized in a three-step process. Step 1 involves the development of an inflammatory milieu resulting from damage in the host tissues induced by the preparative chemotherapy or radiotherapy regimen. Damaged tissues secrete inflammatory cytokines, including interleukin 1 (IL-1), and tumor necrosis factor (TNF-alpha ). During step 2, antigen-presenting cells (APCs) trigger the activation of donor-derived T cells, which induce further T-cell expansion, induce cytotoxic T lymphocytes (CTL) and natural killer (NK) cells responses and prime additional mononuclear phagocytes to produce TNF-alpha and IL-1. Also, nitric oxide (NO) is produced by activated macrophages, and it may contribute to the tissue damage seen during step 3. During step 3, the effector phase, activated CTL and NK cells mediate cytotoxicity against target host cells through Fas-Fas ligand interactions and perforin-granzyme B.
Class
Human Diseases; Immune disease
BRITE hierarchy
Pathway map
Ortholog table
Organism
Equus caballus (horse) [GN:
ecb ]
Gene
100061035 HLA class II histocompatibility antigen, DM alpha chain-like precursor [KO:K06752 ]
100060770 HLA class II histocompatibility antigen, DO beta chain isoform X1 [KO:K06752 ]
100061127 HLA class II histocompatibility antigen, DO alpha chain [KO:K06752 ]
100060996 HLA class II histocompatibility antigen, DM beta chain isoform X1 [KO:K06752 ]
100060531 HLA class II histocompatibility antigen, DQ beta 2 chain isoform X1 [KO:K06752 ]
111767457 DLA class II histocompatibility antigen, DR-1 beta chain-like [KO:K06752 ]
100060697 DLA class II histocompatibility antigen, DR-1 beta chain-like [KO:K06752 ]
100060767 CD86; T-lymphocyte activation antigen CD86 isoform X5 [KO:K05413 ]
100054114 HLA class I histocompatibility antigen, alpha chain G isoform X1 [KO:K06751 ]
100051657 7-51 putative nonclassical MHC class I antigen precursor [KO:K06751 ]
100057920 HLA class I histocompatibility antigen, Cw-12 alpha chain isoform X2 [KO:K06751 ]
100056182 HLA class I histocompatibility antigen, B-40 alpha chain isoform X1 [KO:K06751 ]
100049798 class I histocompatibility antigen, Gogo-OKO alpha chain isoform X12 [KO:K06751 ]
100050473 class I histocompatibility antigen, Gogo-B*0103 alpha chain isoform X1 [KO:K06751 ]
100050706 saoe class I histocompatibility antigen, A alpha chain isoform X1 [KO:K06751 ]
100053918 HLA class I histocompatibility antigen, B-46 alpha chain isoform X2 [KO:K06751 ]
100054397 saoe class I histocompatibility antigen, A alpha chain [KO:K06751 ]
100054448 HLA class I histocompatibility antigen, alpha chain G isoform X3 [KO:K06751 ]
100056309 HLA class I histocompatibility antigen, B-15 alpha chain-like [KO:K06751 ]
100056099 HLA class I histocompatibility antigen, alpha chain G isoform X1 [KO:K06751 ]
100056231 saoe class I histocompatibility antigen, A alpha chain-like [KO:K06751 ]
100059994 HLA class I histocompatibility antigen, B-15 alpha chain isoform X1 [KO:K06751 ]
100060096 H-2 class I histocompatibility antigen, Q9 alpha chain-like [KO:K06751 ]
100052326 FASLG; tumor necrosis factor ligand superfamily member 6 [KO:K04389 ]
100071639 FAS; tumor necrosis factor receptor superfamily member 6 isoform X1 [KO:K04390 ]
100034224 KIR3DL; killer cell immunoglobulin-like receptor with three domains and long cytoplasmic tail precursor [KO:K07980 ]
Compound
Reference
Authors
Ferrara JL, Reddy P.
Title
Pathophysiology of graft-versus-host disease.
Journal
Reference
Authors
Reddy P.
Title
Pathophysiology of acute graft-versus-host disease.
Journal
Reference
Authors
Sun Y, Tawara I, Toubai T, Reddy P.
Title
Pathophysiology of acute graft-versus-host disease: recent advances.
Journal
Reference
Authors
Jaksch M, Mattsson J.
Title
The pathophysiology of acute graft-versus-host disease.
Journal
Reference
Authors
Vogelsang GB, Lee L, Bensen-Kennedy DM.
Title
Pathogenesis and treatment of graft-versus-host disease after bone marrow transplant.
Journal
Reference
Authors
Reddy P, Ferrara JL.
Title
Immunobiology of acute graft-versus-host disease.
Journal
Reference
Authors
Blazar BR, Murphy WJ.
Title
Bone marrow transplantation and approaches to avoid graft-versus-host disease (GVHD).
Journal
Reference
Authors
Couriel D, Caldera H, Champlin R, Komanduri K.
Title
Acute graft-versus-host disease: pathophysiology, clinical manifestations, and management.
Journal
Reference
Authors
Jacobsohn DA, Vogelsang GB.
Title
Acute graft versus host disease.
Journal
Related pathway
ecb04060 Cytokine-cytokine receptor interaction
ecb04612 Antigen processing and presentation
ecb04620 Toll-like receptor signaling pathway
ecb04650 Natural killer cell mediated cytotoxicity
ecb04660 T cell receptor signaling pathway
KO pathway
LinkDB
All DBs