Normal hematopoiesis is maintained by activated bone marrow CD4+ T cells

Abstract
CD4+ T cells produce hematopoietic-related cytokines and are essential for hematopoiesis stimulation during infection and hematologic recovery after bone marrow transplantation. However, it remains unclear if T cells are necessary to maintain normal hematopoiesis. We report here that, in T-cell–deficient mice, terminal differentiation of myeloid progenitors is defective, resulting in very low levels of granulocytes in the periphery. Hematopoiesis is restored after thymus graft or reconstitution with CD4+ T cells but not CD8+ T cells. Bone marrow CD4+ T cells have an activated phenotype and produce cytokines, apparently, in the absence of exogenous stimulation. Transgenic mice carrying T-cell receptor specific for an ovalbumin peptide presented in the context of a specific class II molecule (I-Ad) (DO11.10 RAG/) show the same hematopoietic deficiency as athymic mice. Their bone marrow CD4+ T cells are not activated, suggesting that hematopoiesis maintenance requires the presence of cognate antigen in order to activate bone marrow T-helper cells. In fact, priming of transgenic mice with ovalbumin restores normal hematopoiesis. The data show that the current concept of “normal hematopoiesis” does not reflect a basal bone marrow activity, but it is an antigen-induced state maintained by constant activation of bone marrow CD4+ T cells.