Table 1.

Tissue repair approaches (alphabetical order)

NameSource and functionRole in GVHDSpecies analyzedReference
IL-22 Produced by ILC3, splenic LTi-like cells, Th17 cells IL-22 is protective in mouse models of acute GVHD Mouse 43,44 
Promotes ISC expansion Clinical trial on IL-22 IgG2-Fc (F-652), NCT02406651 Human 
Can trigger inflammation in the presence of IL-17S 
KGF Produced by intraepithelial TCR γ/δ cells and mesenchymal cells Reduced acute GVHD in mouse models Mouse 46 
Leads to expansion of intestinal epithelial cells A phase 1/2 randomized placebo-controlled trial showed that KGF did not reduce acute GVHD but did lower mucositis rates in patients conditioned with more intensive TBI Human 47 
R-spo-1 Produced by the developing central nervous system, as well as in the adrenal glands, ovary, testis, thyroid, and trachea R-Spo1 reduced acute GVHD in the mouse model by protecting ISC from conditioning injury Mouse 49,50 
R-spo1 induces increased internalization of LGR5 on ISC and Paneth cells, which leads to their expansion R-Spo1 protects Paneth cells and leads to a more diverse intestinal microbiome 
NameSource and functionRole in GVHDSpecies analyzedReference
IL-22 Produced by ILC3, splenic LTi-like cells, Th17 cells IL-22 is protective in mouse models of acute GVHD Mouse 43,44 
Promotes ISC expansion Clinical trial on IL-22 IgG2-Fc (F-652), NCT02406651 Human 
Can trigger inflammation in the presence of IL-17S 
KGF Produced by intraepithelial TCR γ/δ cells and mesenchymal cells Reduced acute GVHD in mouse models Mouse 46 
Leads to expansion of intestinal epithelial cells A phase 1/2 randomized placebo-controlled trial showed that KGF did not reduce acute GVHD but did lower mucositis rates in patients conditioned with more intensive TBI Human 47 
R-spo-1 Produced by the developing central nervous system, as well as in the adrenal glands, ovary, testis, thyroid, and trachea R-Spo1 reduced acute GVHD in the mouse model by protecting ISC from conditioning injury Mouse 49,50 
R-spo1 induces increased internalization of LGR5 on ISC and Paneth cells, which leads to their expansion R-Spo1 protects Paneth cells and leads to a more diverse intestinal microbiome 

TCR, T-cell receptor.

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