Optimization of a myeloid cell transfusion strategy for infected neutropenic hosts

J Leukoc Biol. 2007 Mar;81(3):632-41. doi: 10.1189/jlb.0906549. Epub 2006 Dec 8.

Abstract

Although granulocyte transfusion is a logical, therapeutic option for neutropenic patients with refractory infections, significant technical barriers have prevented its widespread use. A novel phagocyte transfusion strategy has been developed based on activation of a human myeloid cell line HL-60. To further define the potential for HL-60 cells to recapitulate white cell transfusions, a shortened duration of activation was evaluated, facile quality control markers were defined, and the impact of low-dose irradiation on cell function was determined. Three days of activation resulted in increased cell viability and in vitro candidacidal capacity but with slightly higher cell replication compared with 7 days of activation. Cell viability and several flow cytometric measurements were accurate, quality control markers for HL-60 activation. In combination with activation, low-dose irradiation abrogated replication while sparing the candidacidal effects of the HL-60 cells. Infusion of irradiated, activated HL-60 cells improved survival of neutropenic, candidemic mice significantly. In summary, activated, irradiated HL-60 cells are microbicidal, have virtually no replicative capacity, and are safe and effective at protecting neutropenic mice against an otherwise 100% fatal candidal infection. With continued development, this strategy to recapitulate neutrophil functions has the potential to serve as an effective alternative to granulocyte transfusions.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Candida albicans / immunology
  • Candidiasis / immunology*
  • Candidiasis / therapy
  • Cell Survival / immunology
  • Disease Models, Animal
  • Flow Cytometry
  • HL-60 Cells
  • Humans
  • Leukocyte Transfusion* / methods
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Myeloid Cells / immunology*
  • Myeloid Cells / radiation effects
  • Myeloid Cells / transplantation*
  • Neutropenia / immunology
  • Neutropenia / therapy*
  • Transplantation, Heterologous