title: T-cell mediated rejection of gene-modified HIV-specific cytotoxic T lymphocytes in HIV-infected patients.
abstract: The introduction and expression of genes in somatic cells is an innovative therapy for correcting genetic deficiency diseases and augmenting immune function. A potential obstacle to gene therapy is the elimination of such gene-modified cells by an immune response to novel protein products of the introduced genes. We are conducting an immunotherapy trial in which individuals seropositive for human immunodeficiency virus (HIV) receive CD8+ HIV-specific cytotoxic T cells modified by retroviral transduction to express a gene permitting positive and negative selection. However, five of six subjects developed cytotoxic T-lymphocyte responses specific for the novel protein and eliminated the transduced cytotoxic T cells. The rejection of genetically modified cells by these immunocompromised hosts suggests that strategies to render gene-modified cells less susceptible to host immune surveillance will be required for successful gene therapy of immunocompetent hosts.
authors.affiliation: Fred Hutchinson Cancer Research Center, Seattle, Washington 98104, USA.
authors.forename: S R
authors.initials: SR
authors.lastname: Riddell
authors.forename: M
authors.initials: M
authors.lastname: Elliott
authors.forename: D A
authors.initials: DA
authors.lastname: Lewinsohn
authors.forename: M J
authors.initials: MJ
authors.lastname: Gilbert
authors.forename: L
authors.initials: L
authors.lastname: Wilson
authors.forename: S A
authors.initials: SA
authors.lastname: Manley
authors.forename: S D
authors.initials: SD
authors.lastname: Lupton
authors.forename: R W
authors.initials: RW
authors.lastname: Overell
authors.forename: T C
authors.initials: TC
authors.lastname: Reynolds
authors.forename: L
authors.initials: L
authors.lastname: Corey
authors.forename: P D
authors.initials: PD
authors.lastname: Greenberg
mesh_terms: D017951:Antigen Presentation; D001483:Base Sequence; D018414:CD8-Positive T-Lymphocytes / Q000276:immunology* / Q000637:transplantation; D003602:Cytotoxicity, Immunologic; D015488:HIV Antigens / Q000276:immunology*; D015658:HIV Infections / Q000276:immunology / Q000628:therapy*; D015395:Histocompatibility Antigens Class I / Q000276:immunology; D006801:Humans; D016219:Immunotherapy, Adoptive; D008969:Molecular Sequence Data
chemical_list: D015488:HIV Antigens; D015395:Histocompatibility Antigens Class I