title: Clinical expansion of cord blood-derived T cells for use as donor lymphocyte infusion after cord blood transplantation.
abstract: Allogeneic stem cell transplantation (SCT) from cord blood (CB) as a stem cell source is a promising alternative when no human leukocyte antigen-matched donor is found. Donor lymphocyte infusion (DLI) is a possible treatment modality for threatening graft failure or relapse of an underlying malignancy after transplantation. Ethical and logistical reasons limit the possibility of DLI in the setting of CB SCT. To remedy this restriction, we performed expansion of donor T cells in vitro from CB grafts in a clinical setting for use as future DLI and characterized the expanded cells in comparison to T cells from CB acquired ex vivo and adult peripheral blood. T cells were expanded from grafts used for transplantation, upon CD3/CD28 crosslinking and culture in interleukin-2. Phenotype and function of T cells were assessed by flow cytometry and mixed lymphocyte culture assays. T-cell receptor repertoire distribution was evaluated with polymerase chain reaction-based spectratyping. We were able to amplify T cells to sufficient amounts for DLI in 13 out of 13 initiated expansions. Expanded T cells presented with an activated phenotype and could be induced to produce cytokines by a nonspecific stimulus. When exposed to allogeneic targets, expanded CB T cells proliferated at comparable levels to their ex vivo and adult blood counterparts. In summary, clinical expansion of CB T cells for DLI is feasible and may be a future modality for treatment of graft failure or relapse after SCT.
authors: Centre for Allogeneic Stem Cell Transplantation and Division of Clinical Immunology, Karolinska University Hospital Huddinge, SE-141 86, Stockholm, Sweden. mantas.okas@ki.se
authors: Mantas
authors: M
authors: Okas
authors: Jens
authors: J
authors: Gertow
authors: Mehmet
authors: M
authors: Uzunel
authors: Helen
authors: H
authors: Karlsson
authors: Magnus
authors: M
authors: Westgren
authors: Klas
authors: K
authors: Kärre
authors: Olle
authors: O
authors: Ringden
authors: Jonas
authors: J
authors: Mattsson
authors: Michael
authors: M
authors: Uhlin
mesh_terms: D018929:Cell Culture Techniques / Q000379:methods*; D002469:Cell Separation; D036101:Cord Blood Stem Cell Transplantation; D005312:Fetal Blood; D005434:Flow Cytometry; D006801:Humans; D007959:Lymphocyte Culture Test, Mixed; D016176:T-Lymphocyte Subsets / Q000166:cytology / Q000276:immunology*; D013601:T-Lymphocytes / Q000166:cytology / Q000276:immunology* / Q000637:transplantation*