Generation and ex vivo expansion of cytotoxic T lymphocytes directed toward different types of leukemia or myelodysplastic cells using both HLA-matched and partially matched donors.
OBJECTIVE
Successful priming and in vitro expansion of anti-leukemia cytotoxic T lymphocytes (CTL) are preliminary conditions for designing approaches of adoptive immunotherapy in patients with hematological malignancies undergoing allogeneic hematopoietic stem cell transplantation (HSCT). In this study, we evaluated the possibility of generating and expanding in vitro CTL directed toward different types of either leukemia or myelodysplastic cells, using both HLA-matched and partially matched donors.


METHODS
Eleven donor/recipient pairs were enrolled; donor-derived dendritic cells, pulsed with patient blast cells, were used to generate CTL.


RESULTS
Anti-leukemia CTL lines were successfully obtained from 10 of 11 donors. After repeated rounds of stimulation, CTL lines showed, along with an increase in cytotoxic activity, a variable but continuous expansion of cultured cells. In order to increase the magnitude of CTL expansion, two anti-leukemia CTL lines were further stimulated using allogeneic feeder cells, anti-CD3, and low doses of interleukin-2 (IL-2). This stimulation gave rise to 150-fold to 270-fold expansion of the absolute number of cultured cells. Most cultures showed either absent or low reactivity of anti-leukemia CTL against patient non-leukemia cells. Three anti-leukemia CTL lines displayed a more pronounced cytotoxicity against nonmalignant recipient cells, which was always lower than that observed against leukemia blasts (LB). Spectratyping analysis of the TCR-Vbeta subfamilies revealed a preferential expansion of oligoclonal populations that persisted in CTL lines following repeated rounds of stimulation.


CONCLUSIONS
Results provide the biological background for designing protocols of adoptive immunotherapy for the control of minimal residual disease in patients with hematological malignancies given HSCT.
Oncoematologia Pediatrica, Laboratorio d'Immunologia dei Trapianti, Università di Pavia, IRCCS Policlinico San Matteo, Pavia, Italy. d.montagna@smatteo.pv.it
Daniela
D
Montagna
Rita
R
Maccario
Enrica
E
Montini
Roberto
R
Tonelli
Daniela
D
Lisini
Sara
S
Pagani
Patrizia
P
Comoli
Antonia
A
Moretta
Elisa
E
Assirelli
Sabrina
S
Basso
Antonella
A
Vitiello
Andrea
A
Pession
Franco
F
Locatelli
D000293:Adolescent; D002460:Cell Line; D002648:Child; D002675:Child, Preschool; D005260:Female; D006650:Histocompatibility Testing; D006801:Humans; D016219:Immunotherapy, Adoptive; D007223:Infant; D015470:Leukemia, Myeloid, Acute / Q000276:immunology*; D008297:Male; D009190:Myelodysplastic Syndromes / Q000276:immunology*; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000276:immunology*; D013602:T-Lymphocytes, Cytotoxic / Q000276:immunology*