A new approach for eradication of residual lymphoma cells by host nonreactive anti-third-party central memory CD8 T cells

Blood. 2013 Apr 11;121(15):3033-40. doi: 10.1182/blood-2012-06-432443. Epub 2013 Feb 27.

Abstract

Generation of T cells endowed with graft-versus-leukemia (GVL) and depleted of graft-versus-host (GVH) activity represents a highly desirable goal in bone marrow transplantation (BMT). Here, we demonstrate that donor anti-third-party CD8 T cells with central memory phenotype (Tcm) exhibit marked GVL reactivity through a unique T-cell receptor-independent mechanism. Thus, in a residual disease mouse model, Tcm therapy following autologous BMT led to significant survival prolongation, with 30% to 40% of the treated mice displaying long-term tumor-free survival. A more impressive finding was that infusion of donor Tcm in an allogeneic model rapidly eliminated residual lymphoma cells and led to long-term survival of 100% in the absence of GVH disease. Collectively, the strong GVL reactivity of anti-third-party Tcm, coupled with their demonstrated enhancement of bone marrow allografting, suggests that the use of Tcm therapy in conjunction with allogeneic T-cell-depleted BMT could be of particular benefit in patients with B-cell malignancies who cannot tolerate intensive myeloablative conditioning.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis / immunology
  • B-Lymphocytes / immunology
  • B-Lymphocytes / metabolism
  • Bone Marrow Transplantation / methods
  • CD8-Positive T-Lymphocytes / immunology*
  • CD8-Positive T-Lymphocytes / metabolism
  • Cell Line, Tumor
  • Cytotoxicity, Immunologic / immunology
  • Female
  • Flow Cytometry
  • Graft vs Host Disease / immunology
  • Graft vs Leukemia Effect / immunology
  • Immunologic Memory / immunology*
  • Intercellular Adhesion Molecule-1 / immunology
  • Intercellular Adhesion Molecule-1 / metabolism
  • Lymphocyte Function-Associated Antigen-1 / immunology
  • Lymphocyte Function-Associated Antigen-1 / metabolism
  • Lymphoma / immunology*
  • Lymphoma / metabolism
  • Lymphoma / pathology
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Nude
  • Mice, Transgenic
  • Neoplasm, Residual / immunology*
  • Time Factors
  • Transplantation, Homologous

Substances

  • Lymphocyte Function-Associated Antigen-1
  • Intercellular Adhesion Molecule-1