Cytokine. 2026 Mar 07. pii: S1043-4666(26)00029-3. [Epub ahead of print]202
157134
Allogeneic hematopoietic stem cell transplantation (allo-HSCT) involves the transplantation of stem cells from a healthy donor into a recipient, leading to the interaction of two distinct immune systems, in which early alloreactive responses shape downstream immune outcomes. Umbilical cord blood (UCB) is one source of hematopoietic stem cells (HSCs) with unique immunological properties, including immediate availability, efficient HSC enrichment, and a reduced baseline frequency of alloreactive T cells. Because the initial stages of alloreactivity are orchestrated by inflammatory cytokines (iCK) such as IL-6, IL-2, TNF, IFN-γ, and TGF-β, there is growing interest in characterizing their dynamics to uncover biomarkers that define the onset and magnitude of immune activation before clinical complications arise. To address this, we established robust in vitro models of inflammation, alloreactivity, and immunomodulation using human UCB, adult peripheral blood (APB), mixed leukocyte reactions (MLR), mesenchymal stromal cells (MSC), and multiplex cytokine quantification. UCB-derived cells displayed stronger immune activation than APB cells in MLR assays and exhibited a distinct iCK secretion profile associated with CD3+ T cell activation and the initiation of inflammatory responses. Notably, these iCK signatures were modulated when MLR cultures were exposed to umbilical cord-derived MSC, demonstrating the plasticity of early cytokine networks in response to immunosuppressive signals. Application of k-means clustering enabled the identification of cytokine patterns that stratified MLR cultures into high- and low-alloreactivity groups. These results support the presence of quantifiable cytokine and chemokine profiles that may serve as candidate biomarkers for early immune activation and suppression during the initial stages of donor-recipient alloreactivity, provided they are rigorously validated in preclinical models. Collectively, these findings underscore the potential of multiplex iCK signatures as predictive tools for alloreactivity in UCB-based transplantation and pave the way for future preclinical and clinical studies focused on biomarker-driven monitoring of immune activation.
Keywords: Alloreactivity; Hematopoietic stem cell transplantation; Inflammation; Mesenchymal stromal cells; Mixed lymphocyte reaction; Umbilical cord blood