Depletion of Alloreactive T-Cells by Anti-CD137-Saporin Immunotoxin

Cell Transplant. 2015;24(6):1167-81. doi: 10.3727/096368914X679327. Epub 2014 Mar 3.

Abstract

Depletion of alloreactive T-lymphocytes from allogeneic bone marrow transplants may prevent graft-versus-host disease (GVHD) without impairing donor cell engraftment, immunity, and the graft-versus-leukemia (GVL) effect. Alloreactive T-cells may be identified by their expression, upon activation, of CD137, a costimulatory receptor and putative surrogate marker for antigen-specific effector T-cells. In this context, we tested the use of anti-CD137-saporin immunotoxin to selectively deplete mouse and human alloreactive T-cells. Anti-CD137 antibodies were internalized by cells within 4 h of binding to the cell surface CD137, and anti-CD137-saporin immunotoxin effectively killed polyclonally activated T-cells or antigen-stimulated T-cells. Transfer of donor T-cells after allodepletion with anti-CD137-saporin immunotoxin failed to induce any evident expression of GVHD; however, a significant GVL effect was observed. Targeting of CD137 with an immunotoxin was also effective in killing polyclonally activated or alloreactive human T-cells. Our results indicate that anti-CD137-saporin immunotoxin may be used to deplete alloreactive T-cells prior to bone marrow transplantation and thereby prevent GVHD and the relapse of leukemia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Monoclonal / metabolism
  • CD4-Positive T-Lymphocytes / metabolism
  • Cell Membrane / drug effects
  • Cell Membrane / metabolism
  • Cytotoxicity, Immunologic / drug effects
  • Endocytosis / drug effects
  • Female
  • Forkhead Transcription Factors / metabolism
  • Graft vs Host Disease / immunology
  • Graft vs Host Disease / prevention & control
  • Hematopoietic Stem Cell Transplantation
  • Humans
  • Immunotoxins / toxicity*
  • Leukemia / immunology
  • Leukemia / pathology
  • Lymphocyte Activation / drug effects
  • Lymphocyte Culture Test, Mixed
  • Lymphocyte Depletion / methods*
  • Mice
  • Protein Binding / drug effects
  • Ribosome Inactivating Proteins, Type 1 / toxicity*
  • Saporins
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology*
  • Transplantation, Homologous
  • Tumor Necrosis Factor Receptor Superfamily, Member 9 / metabolism

Substances

  • Antibodies, Monoclonal
  • Forkhead Transcription Factors
  • Foxp3 protein, mouse
  • Immunotoxins
  • Ribosome Inactivating Proteins, Type 1
  • Tumor Necrosis Factor Receptor Superfamily, Member 9
  • Saporins