CD134-allodepletion allows selective elimination of alloreactive human T cells without loss of virus-specific and leukemia-specific effectors

Biol Blood Marrow Transplant. 2008 May;14(5):518-30. doi: 10.1016/j.bbmt.2008.02.010.

Abstract

Graft-versus-host disease (GVHD) remains a frequent and severe complication of allogeneic stem cell transplantation (SCT). One approach to reducing alloreactivity is to deplete the graft of alloreactive T cells. Global T cell depletion results in poor immune reconstitution with high mortality from viral infections and disease relapse. Therefore, an approach to selectively deplete alloreactive T cells without compromising other responses would be highly beneficial. We undertook studies to identify an inducible activation marker expressed on alloreactive effector T cells following culture with HLA-mismatched allostimulators. Compared to other markers, CD134 was superior because of its negative baseline expression and rapid upregulation after activation. Depletion of CD134(+) cells from responder populations dramatically reduced specific alloreactivity as determined by reduction of helper T cell precursor frequencies below the threshold predicting development of clinical GVHD while retaining responses to third-party alloantigens. CD134-allodepleted populations retained effectors specific for the Wilms' tumor (WT1) leukemia antigen as determined by WT1 specific pentamers, and CMV-specific effectors as determined by CMV-specific pentamers and CMV-specific ELISpot. Thus, use of CD134-allodepleted grafts may improve allogeneic SCT by reducing GVHD without loss of pathogen-specific and leukemia-specific immunity.

Publication types

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

MeSH terms

  • Blood Cells
  • Cell Separation / methods
  • Cells, Cultured
  • Coculture Techniques
  • Cytomegalovirus / immunology
  • Graft vs Host Disease / prevention & control*
  • Humans
  • Immunity
  • Lymphocyte Depletion / methods*
  • Models, Biological
  • Receptors, OX40*
  • T-Lymphocytes / cytology
  • T-Lymphocytes / immunology*
  • WT1 Proteins / immunology

Substances

  • Receptors, OX40
  • TNFRSF4 protein, human
  • WT1 Proteins