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  • 1
    In: Blood, American Society of Hematology, Vol. 108, No. 11 ( 2006-11-16), p. 549-549
    Abstract: Minor histocompatibility antigens (mHag) play an important role in beneficial graft versus tumor (GVT) reactivities but mHag reactive T cells may also cause graft versus host disease (GVHD). A female patient with relapsed multiple myeloma (MM) after allogeneic HLA identical stem cell transplantation (SCT) responded 7 weeks after donor lymphocyte infusion (DLI) by developing transient acute GVHD grade II and complete clearance of the malignant cells resulting in a long lasting complete remission. From blood and bone marrow samples that were taken at the time of the clinical response, a dominant HLA-A2 restricted CD8+ CTL designated RDR2, was isolated that recognized the patients MM cells, PHA-blasts and EBV-LCL, but not resting T cells. To identify the peptide recognized by CTL RDR2, HLA-A2 was isolated from EBV-LCL that were recognized by CTL RDR2, and peptides were separated and fractionated by HPLC techniques applying several different separation conditions. Various HPLC fractions were analyzed by mass spectrometry (MS) and tested for recognition by CTL RDR2 in 51Chromium release assays. Based on the correlation between the presence of specific masses in the MS analyses and the reactivity of the fractions, candidate masses were selected, sequence analysis was performed, and synthetic peptides were generated. An 11-mer peptide was recognized by CTL RDR2 and was found to be identical to amino acid 13–23 of an alternatively translated protein of the ATP dependent interferon responsive (ADIR) gene. ADIR gene constructs forcing translation into the alternative frame displayed higher recognition as compared to constructs resulting in normal translation. Patient but not donor cells contained a known genomic polymorphism in the ADIR gene resulting in an amino acid change from serine (S) to phenylalanine (F) in the alternative frame. When ADIR gene transcripts from a panel of 76 unrelated HLA-A2 positive individuals were sequenced, a 100% correlation was found between the presence of the ADIR polymorphism and lysis of PHA-blasts by CTL RDR2. The polymorphism was present in 43 out of 76 individuals tested. We designated the mHag LB-ADIR-1F. Tetramer staining of patient samples taken after DLI showed at the peak of the response 2.6% LB-ADIR-1F specific CD8+ T cells. Despite the high number of circulating cytotoxic CTL, GVHD was mild, and rapidly disappeared after treatment. Since ADIR gene expression is not restricted to hematopoiesis, we compared recognition of LB-ADIR-1F expressing hematopoietic cell types with recognition of LB-ADIR-1F expressing mesenchymal stem cells and biliary epithelial cells. In both IFNg production assays and in cytotoxicity assays responses to MM cells, other hematological malignancies and activated T and B cells were strong, whereas resting T cells and non hematopoietic cells displayed only minor stimulatory capacity and were poorly lysed by LB-ADIR-1F specific T cells. In conclusion, the ADIR gene encodes a new frequently occurring mHag, and recognition of the antigen by LB-ADIR-1F reactive cells seems to depend on the activation state of the target cells. We therefore hypothesize that administration of LB-ADIR-1F reactive T cells may result in GVT responses, and that concurrent GVHD development may depend on the activation state of GVHD target tissues.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2006
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
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  • 2
    In: Blood, American Society of Hematology, Vol. 106, No. 11 ( 2005-11-16), p. 3094-3094
    Abstract: Characterization of the antigens recognized by tumor-reactive T cells isolated from patients successfully treated with allogeneic HLA-matched stem cell transplantation (SCT) can lead to the identification of clinically relevant target molecules. We isolated cytotoxic CD8+ T cell (CTL) clones from a patient successfully treated with donor lymphocyte infusion for relapsed multiple myeloma (MM) after allogeneic HLA-matched SCT who suffered only from mild graft-versus-host disease (GVHD). The CTL clones were isolated by direct cloning of T cells producing IFN-γ upon stimulation with irradiated bone marrow cells harvested from the patient before SCT. The tumor-reactivity of the CTL clones was demonstrated by the recognition of MM cells in the bone marrow using the CFSE-based cytotoxicity assay. In addition to tumor cells, the CTL clones also lysed the patient-derived EBV-transformed lymphoblastoid cell line (EBV-LCL) and PHA-blasts, whereas donor-derived EBV-LCL cells and PHA blasts were not recognized demonstrating that these CTL clones were directed against a minor histocompatibility antigen (mHag). Using cDNA expression cloning, the target molecule of a HLA-B7-restricted CTL clone was identified. The CTL clone recognized a mHag produced by a non-synonymous single nucleotide polymorphism in the angiogenic endothelial cell growth factor-1 (ECGF-1) gene also known as thymidine phosphorylase. Analysis of the expression of the ECGF-1 gene in a micro array study demonstrated high levels of expression in hematopoietic cells, in particular CD14+ monocytes and DC, but ECGF-1 expression could also be detected in lung, liver and heart. We confirmed the expression pattern of ECGF-1 using quantitative real-time RT-PCR. CD14+ cells showed the highest levels of expression, although expression in other hematopoietic cells, like CD4+, CD8+ and CD19+ cells could also be detected. In agreement with the microarray study, expression of ECGF-1 in lung, liver and heart was found. By immunohistochemical analysis, it has been demonstrated that the expression of ECGF-1 in these tissues was mainly due to the presence of macrophages, although weak expression in stroma cells could also be detected. Although the patient from whom the CTL clone was isolated had more than 1% circulating ECGF-1-specific CD8+ T cells as determined with tetramer staining, she only suffered from mild GVHD indicating that the low level of ECGF-1 expression in some normal tissues has no major detrimental side effects. ECGF-1 is not only expressed in hematological tumors like multiple myeloma, CML and AML, but is also expressed in various other tumors, like melanoma, breast carcinoma and renal cell carcinoma. In these solid tumors, ECGF-1 can be expressed by the tumor cells themselves or by tumor-infiltrating monocytes. ECGF-1 expression is positively correlated with microvessel density and seems to be an unfavorable prognostic factor. The ECGF-1-specific CTL clone recognized mHag-positive, HLA-B7-expressing CML as well as melanoma cells, demonstrating that the ECGF-1-specific T cells are not only reactive against hematological malignancies but also against solid tumors. Therefore, ECGF-1 is an interesting target for immunotherapy of both hematological and solid tumors.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2005
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
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