Weiss L, Reich S, Slavin S
Department of Bone Marrow Transplantation, Cancer Immunotherapy and Immunobiology Research Center, Hadassah University Hospital, Jerusalem, Israel.
Cytokines Cell Mol Ther. 1999 Sep;5(3):145-52.
We have investigated the efficacy of graft-versus-leukemia (GVL) effects induced by cells obtained from different syngeneic and allogeneic lymphoid compartments, by comparing the response to cell therapy with syngeneic (BALB/c x C57BL/6)F1 (H-2d/b) (F1) or allogeneic C57BL/6 (H-2b) (B6) lymphocytes in F1 recipients inoculated with B-cell leukemia (BCL1) of BALB/c (H-2d) origin. Eradication of BCL1 was confirmed in vivo by adoptive transfer of 10(5) spleen cells obtained from treated mice into syngeneic BALB/c recipients. Immunotherapy induced by allogeneic but not syngeneic spleen and lymph node lymphocytes was therapeutically more effective than thymocytes and bone marrow cells (BMC). Alloreactive cells could be further activated in vivo with recombinant human interleukin-2 (rIL-2). The GVL effect of allogeneic lymphocytes was cell-dose-dependent; a heavy leukemia load was more efficiently eradicated after three doses than after a single dose of allogeneic spleen cells (100% versus 23% disease-free survival rate of secondary adoptive recipients respectively). The GVL effect induced by allogeneic spleen cells was preserved after ex vivo exposure of cells to 250 cGy, but not 500 cGy or more. Interestingly, GVL was preserved following administration of ex vivo irradiated (500 cGy) spleen cells when rIL-2 was administered in vivo (p < 0.05). Syngeneic effector cells did not induce GVL, regardless of in vitro and in vivo activation with rIL-2. Our data suggest that allogeneic but not syngeneic (in analogy to autologous) cell therapy may be an effective tool to control residual leukemia following high-dose chemo-radiotherapy. The feasibility of augmenting GVL by successive doses of activated allogeneic donor lymphocytes, partly inactivated in vitro by low-dose ionizing irradiation to prevent severe graft-versus-host disease (GVHD), may lead to safer therapeutic approaches that can be used to reduce the incidence of relapse while avoiding the risk of uncontrolled GVHD.
我们通过比较同基因(BALB/c×C57BL/6)F1(H-2d/b)(F1)或异基因C57BL/6(H-2b)(B6)淋巴细胞对接种了BALB/c(H-2d)来源的B细胞白血病(BCL1)的F1受体进行细胞治疗的反应,研究了从不同同基因和异基因淋巴区室获得的细胞所诱导的移植物抗白血病(GVL)效应。通过将从治疗小鼠获得的10⁵个脾细胞过继转移到同基因BALB/c受体中,在体内证实了BCL1的根除。异基因而非同基因的脾和淋巴结淋巴细胞诱导的免疫治疗在治疗上比胸腺细胞和骨髓细胞(BMC)更有效。同种反应性细胞可以用重组人白细胞介素-2(rIL-2)在体内进一步激活。异基因淋巴细胞的GVL效应是细胞剂量依赖性的;与单次剂量的异基因脾细胞相比,在三次剂量后,重度白血病负荷能更有效地被根除(二次过继受体的无病生存率分别为100%和23%)。异基因脾细胞诱导的GVL效应在细胞体外暴露于250 cGy后得以保留,但在暴露于500 cGy或更高剂量后则不然。有趣的是,当在体内给予rIL-2时,给予体外照射(500 cGy)的脾细胞后GVL得以保留(p<0.05)。无论用rIL-2在体外和体内激活,同基因效应细胞均不诱导GVL。我们的数据表明,异基因而非同基因(类似于自体)细胞治疗可能是控制大剂量放化疗后残留白血病的有效工具。通过连续给予部分在体外经低剂量电离辐射灭活以预防严重移植物抗宿主病(GVHD)的活化异基因供体淋巴细胞来增强GVL的可行性,可能会导致更安全的治疗方法,可用于降低复发率,同时避免不受控制的GVHD风险。
Biol Blood Marrow Transplant. 2009-4