CMV-specific TCR-transgenic T cells for immunotherapy

A Schub, IG Schuster, W Hammerschmidt… - The Journal of …, 2009 - journals.aai.org
A Schub, IG Schuster, W Hammerschmidt, A Moosmann
The Journal of Immunology, 2009journals.aai.org
Reactivation of CMV can cause severe disease after allogeneic hemopoietic stem cell
transplantation. Adoptive T cell therapy was successfully used for patients who had received
transplants from CMV-positive donors. However, patients with transplants from CMV-
negative donors are at highest risk, and an adoptive therapy is missing because CMV-
specific T cells are not available from such donors. To address this problem, we used
retroviral transfer of CMV-specific TCR genes. We generated CMV-specific T cell clones of …
Abstract
Reactivation of CMV can cause severe disease after allogeneic hemopoietic stem cell transplantation. Adoptive T cell therapy was successfully used for patients who had received transplants from CMV-positive donors. However, patients with transplants from CMV-negative donors are at highest risk, and an adoptive therapy is missing because CMV-specific T cells are not available from such donors. To address this problem, we used retroviral transfer of CMV-specific TCR genes. We generated CMV-specific T cell clones of several HLA restrictions recognizing the endogenously processed Ag pp65. The genes of four TCRs were cloned and transferred to primary T cells from CMV-negative donors. These CMV-TCR-transgenic T cells displayed a broad spectrum of important effector functions (secretion of IFN-γ and IL-2, cytotoxicity, proliferation) in response to endogenously processed pp65 and could be enriched and expanded by strictly Ag-specific stimulation. Expansion of engineered T cells was accompanied by an increase in specific effector functions, indicating that the transferred specificity is stable and fully functional. Hence, we expect these CMV-TCR-transgenic T cells to be effective in controlling acute CMV disease and establishing an antiviral memory.
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