Technical aspects of lymphokine-activated killer cell production

J Clin Apher. 1988;4(2-3):113-7. doi: 10.1002/jca.2920040215.

Abstract

Adoptive immunotherapy is a novel approach to treating patients with cancer, utilizing as therapy a patient's own peripheral blood lymphocytes that have been activated by incubation with interleukin-2 (IL-2). These cells develop the ability to mediate tumor regression in vivo and are referred to as lymphokine-activated killer (LAK) cells. The production of LAK cells is a complex and labor-intensive process. Lymphocytes are collected by continuous-flow centrifugation, purified on Ficoll-Hypaque (FH) density gradients, incubated in vitro with IL-2, and then harvested for infusion into the patient. An automated approach to LAK cell generation has been developed using the Fenwal CS-3000 cell separator and polyolefin PL-732 blood storage bags. Lymphocyte concentrates (LC) containing 6.5 x 10(9) mononuclear cells per pack were obtained using standard leukapheresis techniques. Disposable apheresis kits were then modified to allow the LC to be pumped into the separation chamber along with a counter-centrifugal flow of saline, removing the platelets and plasma by elutriation. The remaining cells were underlaid with FH, displacing the lymphocytes into a collection bag, where they were washed and concentrated. Mean leukocyte recovery was 59.2% (99.9% lymphocytes, n = 14). The final product contained 6.7% of the initial platelets and had a hematocrit of less than 1%.(ABSTRACT TRUNCATED AT 250 WORDS)

MeSH terms

  • Automation
  • Cell Separation
  • Cells, Cultured
  • Centrifugation, Density Gradient
  • Cytotoxicity, Immunologic
  • Humans
  • Immunization, Passive*
  • Killer Cells, Natural*
  • Leukapheresis / instrumentation
  • Leukapheresis / methods*
  • Lymphocyte Activation*
  • Lymphocytes / drug effects
  • Lymphokines / pharmacology*

Substances

  • Lymphokines