Depletion of alloreactive T cells via CD69: implications on antiviral, antileukemic and immunoregulatory T lymphocytes

Bone Marrow Transplant. 2006 Feb;37(3):297-305. doi: 10.1038/sj.bmt.1705238.

Abstract

Selective depletion of alloreactive T cells from stem-cell allografts should abrogate graft-versus-host disease while preserving beneficial T cell specificities to facilitate engraftment and immune reconstitution. We therefore explored a refined immunomagnetic separation strategy to effectively deplete alloreactive donor lymphocytes expressing the activation antigen CD69 upon stimulation, and examined the retainment of antiviral, antileukemic, and immunoregulatory T cells. In addition to the CD69high T cell fraction, our studies retrieved two T cell subsets based on residual CD69 expression. Whereas, truly CD69(neg) cells were devoid of detectable alloresponses to original stimulators, CD69-low (CD69low)-expressing T cells elicited significant residual alloreactivity upon restimulation. In interferon-gamma enzyme linked immunospot assays, anti-cytomegalovirus and anti-Epstein-Barr virus responses were preserved at significant numbers among CD69neg T lymphocytes. Accordingly, T cells recognizing the leukemia-associated Wilm's tumor-1 antigen were still detectable in the CD69neg subset. However, antiviral and antileukemic specificities were also consistently found within CD69low T cells, suggesting that memory-type donor T cells were partially captured due to residual CD69 expression. Finally, CD4+CD25+ Foxp3+ immunoregulatory T cells did not upregulate CD69 upon allogeneic stimulation. Our data suggest that CD69-mediated removal of alloreactivity can result in efficient allodepletion, but may partially affect the persistence of antiviral and antileukemic donor memory specificities captured among CD69low-expressing lymphocytes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigens, CD / immunology*
  • Antigens, Differentiation, T-Lymphocyte / immunology*
  • CD4-Positive T-Lymphocytes / immunology*
  • Carrier Proteins / immunology
  • Cell Cycle Proteins
  • Cell Line
  • Cytomegalovirus / immunology*
  • Cytomegalovirus Infections / etiology
  • Cytomegalovirus Infections / immunology
  • DNA-Binding Proteins / immunology
  • Epstein-Barr Virus Infections / etiology
  • Epstein-Barr Virus Infections / immunology
  • Forkhead Transcription Factors / immunology
  • Graft vs Host Disease / complications
  • Graft vs Host Disease / immunology
  • Hematopoietic Stem Cell Transplantation
  • Herpesvirus 4, Human / immunology*
  • Humans
  • Immunologic Memory / immunology
  • Lectins, C-Type
  • Lymphocyte Activation / immunology
  • Lymphocyte Depletion* / methods
  • Nuclear Proteins / immunology
  • RNA Splicing Factors
  • Receptors, Interleukin-2 / immunology
  • Transplantation, Homologous

Substances

  • Antigens, CD
  • Antigens, Differentiation, T-Lymphocyte
  • CD69 antigen
  • Carrier Proteins
  • Cell Cycle Proteins
  • DNA-Binding Proteins
  • FOXP3 protein, human
  • Forkhead Transcription Factors
  • Lectins, C-Type
  • Nuclear Proteins
  • RNA Splicing Factors
  • Receptors, Interleukin-2
  • WTAP protein, human