Analysis of transgene-specific immune responses that limit the in vivo persistence of adoptively transferred HSV-TK-modified donor T cells after allogeneic hematopoietic cell transplantation

Blood. 2006 Mar 15;107(6):2294-302. doi: 10.1182/blood-2005-08-3503. Epub 2005 Nov 10.

Abstract

The introduction of an inducible suicide gene such as the herpes simplex virus thymidine kinase (HSV-TK) might allow exploitation of the antitumor activity of donor T cells after allogeneic hematopoietic cell transplantation (HCT) without graft versus host disease. However, HSV-TK is foreign, and immune responses to gene-modified T cells could lead to their premature elimination. We show that after the infusion of HSV-TK-modified donor T cells to HCT recipients, CD8+ and CD4+ T-cell responses to HSV-TK are rapidly induced and coincide with the disappearance of transferred cells. Cytokine flow cytometry using an overlapping panel of HSV-TK peptides allowed rapid detection and quantitation of HSV-TK-specific T cells in the blood and identified multiple immunogenic epitopes. Repeated infusion of modified T cells boosted the induced HSV-TK-specific T cells, which persisted as memory cells. These studies demonstrate the need for nonimmunogenic suicide genes and identify a strategy for detection of CD4+ and CD8+ T-cell responses to transgene products that should be generally applicable to monitoring patients on gene therapy trials. The potency of gene-modified T cells to elicit robust and durable immune responses imply this approach might be used for vaccination to elicit T-cell responses to viral or tumor antigens.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adoptive Transfer / methods*
  • Adult
  • Antibody Formation*
  • CD4-Positive T-Lymphocytes / immunology
  • CD8-Positive T-Lymphocytes / immunology
  • Genes, Transgenic, Suicide*
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Immunologic Memory
  • Lymphocyte Count
  • Simplexvirus
  • T-Lymphocytes / immunology
  • T-Lymphocytes / transplantation*
  • Thymidine Kinase / administration & dosage
  • Thymidine Kinase / genetics
  • Thymidine Kinase / immunology*
  • Transgenes
  • Transplantation, Homologous

Substances

  • Thymidine Kinase