title: Gene transfer applied to the modulation of alloreactivity.
abstract: Allogenic hematopoietic stem cell transplantation is associated with a severe complication induced by the T-cells present in the graft: graft-vs-host disease (GVHD). While effectively preventing GVHD, ex vivo T-lymphocyte depletion of the graft unfortunately increases graft rejection and reduces the graft-vs-leukemia (GVL) effect. The ex vivo transfer to the herpes simplex thymidine kinase (HS-tk) suicide gene into T-cells before their infusion with the hematopoietic stem cells should allow for selective in vivo depletion of these T-cells with ganciclovir (GCV) if subsequent GVHD was to occur. In patients not experiencing GVHD, and therefore at a higher risk of relapse, one could preserve the beneficial effects of the donor T-cells on tumor control. Lastly, the early presence of donor T-cells in all patients should contribute to successful engraftment. We have demonstrated that retroviral-mediated transfer of HS-tk and Neomycine resistance genes in T-lymphocytes, followed by G418 selection, results in T-cells specifically inhibited by GCV with no bystander effect. In a phase I study, escalating amounts of HS-tk expressing T-cells will be infused in conjunction with a T-cell depleted marrow graft to allogenic HLA identical recipients. Toxicity, survival, alloreactivity and GCV-sensitivity of the gene-modified cells will be monitored. If successful, such an approach could significantly contribute to expanding the use of alloreactivity as a treatment modality.
authors.affiliation: Laboratoire de Thérapeutique, Service d'Hématologie, CHU, Besançon, France.
authors.forename: P
authors.initials: P
authors.lastname: Tiberghien
authors.forename: J Y
authors.initials: JY
authors.lastname: Cahn
authors.forename: E
authors.initials: E
authors.lastname: Contassot
authors.forename: C
authors.initials: C
authors.lastname: Ferrand
authors.forename: C W
authors.initials: CW
authors.lastname: Reynolds
authors.forename: P
authors.initials: P
authors.lastname: Hervé
mesh_terms: D018014:Gene Transfer Techniques; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D007938:Leukemia / Q000628:therapy; D018139:Simplexvirus / Q000201:enzymology; D013937:Thymidine Kinase / Q000235:genetics; D014184:Transplantation, Homologous
chemical_list: D013937:Thymidine Kinase