Targeting the activation-induced antigen CD137 can selectively deplete alloreactive T cells from antileukemic and antitumor donor T-cell lines

Blood. 2007 Jan 1;109(1):365-73. doi: 10.1182/blood-2006-04-014100. Epub 2006 Aug 24.

Abstract

In HLA-incompatible hematopoietic stem cell transplantation, alloreactive donor T cells recognizing recipient mismatch HLA cause severe graft-versus-host disease (GVHD). Strategies allowing the selective depletion of alloreactive T cells as well as the enhancement of graft-versus-malignancy immunity would be beneficial. We generated donor CD8 T-cell lines in vitro using allogeneic recipient cells mismatched at a single HLA class I allele or haplotype as stimulators. Recipient cells were obtained from acute myeloid leukemias, renal-cell carcinomas, and CD40L-induced B lymphoblasts. Resulting alloreactive T cells were activated by incubating day 21 T-cell cultures with HLA-mismatch transfected K562 cells or recipient-derived fibroblasts. Selective allodepletion (SAD) was subsequently performed by a newly developed immunomagnetic depletion approach targeting the tumor necrosis factor receptor molecule CD137 (4-1BB). Compared with other activation-induced antigens, CD137 showed a superior performance based on a consistently low baseline expression and a rapid up-regulation following alloantigen stimulation. In 15 different SAD experiments, the frequency of alloreactive CD8 T cells was reduced to a median of 9.5% compared with undepleted control populations. The allodepleted T-cell subsets maintained significant antitumor and antiviral CD8 responses. In vitro expansion of tumor-reactive T cells followed by CD137-mediated SAD might enhance the antitumor efficacy of T-cell allografts with lower risk of inducing GVHD.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • B-Lymphocytes / drug effects
  • CD4-Positive T-Lymphocytes / immunology
  • CD40 Ligand / pharmacology
  • CD8-Positive T-Lymphocytes / chemistry
  • CD8-Positive T-Lymphocytes / immunology*
  • Carcinoma, Renal Cell / pathology
  • Cells, Cultured / chemistry
  • Cells, Cultured / immunology
  • Cytomegalovirus / immunology
  • Cytotoxicity Tests, Immunologic
  • Fibroblasts / immunology
  • Graft vs Host Disease / prevention & control
  • HLA Antigens / immunology
  • Herpesvirus 4, Human / immunology
  • Histocompatibility
  • Humans
  • Immunomagnetic Separation / methods*
  • Immunotherapy, Adoptive*
  • In Vitro Techniques
  • Isoantigens / immunology
  • K562 Cells / immunology
  • Kidney Neoplasms / pathology
  • Leukemia, Myeloid / pathology
  • Lymphocyte Activation
  • Lymphocyte Depletion / methods*
  • Skin / cytology
  • T-Lymphocyte Subsets / chemistry
  • T-Lymphocyte Subsets / immunology*
  • Transfection
  • Tumor Necrosis Factor Receptor Superfamily, Member 9 / immunology*

Substances

  • HLA Antigens
  • Isoantigens
  • Tumor Necrosis Factor Receptor Superfamily, Member 9
  • CD40 Ligand