Ex vivo priming of naïve T cells into EBV-specific Th1/Tc1 effector cells by mature autologous DC loaded with apoptotic/necrotic LCL

Am J Transplant. 2003 Nov;3(11):1369-77. doi: 10.1046/j.1600-6135.2003.00252.x.

Abstract

Posttransplant lymphoproliferative disorders (PTLDs) represent life-threatening complications of bone marrow and solid organ transplantation (SOTx). These are B-cell malignancies triggered by Epstein-Barr Virus (EBV) infection in chronically immunosuppressed (IS) recipients. Immunosuppressed EBV seronegative (EBV(-)) organ recipients are at highest risk of developing PTLD owing to the lack of anti-EBV memory T cells to control subsequent EBV challenges. Our aim is to establish effective anti-EBV T-cell generation protocols for prevention or treatment of PTLD encountered in SOTx. We have used autologous dendritic cells (DCs) loaded with apoptotic/necrotic lymphoblastoid cell lines (LCLs) to evaluate the ability of such an approach to activate naïve T cells in vitro. In EBV(-) individuals, both CD8+ and CD4+ T-cell responses were amplified by this approach, as detected by IFN-gamma ELISPOT and cytotoxicity assays. The CD8+ T cells were poly-specific anti-EBNA3 A, -LMP2 and -BMLF1, with uniform reversion to a CD45RO+/RA-phenotype, decreased CD62L expression, and up-regulation of the activation markers CD28 and CD69. Addition of rhIL-12 improved anti-viral T-cell responses and reduced the functional differences observed between EBV(+) and EBV(-) responders. In conclusion, the DC/LCL method promotes cross-presentation of EBV-associated epitopes and may serve as an effective protocol for the adoptive immunotherapy of PTLD in EBV(-) SOTx patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigen Presentation
  • Antigens / metabolism
  • Antigens, CD / biosynthesis
  • Antigens, Differentiation, T-Lymphocyte / biosynthesis
  • Apoptosis*
  • CD28 Antigens / biosynthesis
  • CD4-Positive T-Lymphocytes / immunology
  • CD8-Positive T-Lymphocytes / immunology
  • Cytotoxicity, Immunologic
  • Dendritic Cells / immunology*
  • Enzyme-Linked Immunosorbent Assay
  • Epitopes
  • Epstein-Barr Virus Infections / immunology
  • Flow Cytometry
  • HLA Antigens / biosynthesis
  • Herpesvirus 4, Human / metabolism*
  • Humans
  • Immunotherapy / methods
  • Immunotherapy, Adoptive
  • L-Selectin / biosynthesis
  • Lectins, C-Type
  • Lymphocyte Activation
  • Lymphocytes / metabolism
  • Lymphoproliferative Disorders / etiology
  • Monocytes / metabolism
  • Necrosis*
  • Peptides / chemistry
  • Reverse Transcriptase Polymerase Chain Reaction
  • T-Lymphocytes / metabolism
  • T-Lymphocytes, Cytotoxic / virology*
  • Th1 Cells / virology*
  • Time Factors

Substances

  • Antigens
  • Antigens, CD
  • Antigens, Differentiation, T-Lymphocyte
  • CD28 Antigens
  • CD69 antigen
  • Epitopes
  • HLA Antigens
  • Lectins, C-Type
  • Peptides
  • L-Selectin