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将CD20转导的T淋巴细胞作为治疗移植物抗宿主病的一种替代性自杀基因疗法的特性研究。

Characterization of CD20-transduced T lymphocytes as an alternative suicide gene therapy approach for the treatment of graft-versus-host disease.

作者信息

Serafini M, Manganini M, Borleri G, Bonamino M, Imberti L, Biondi A, Golay J, Rambaldi A, Introna M

机构信息

Istituto di Ricerche Farmacologiche Mario Negri, 20157 Milan, Italy.

出版信息

Hum Gene Ther. 2004 Jan;15(1):63-76. doi: 10.1089/10430340460732463.

DOI:10.1089/10430340460732463
PMID:14965378
Abstract

We have previously proposed the CD20 molecule as a novel suicide gene for T lymphocytes in the context of allogeneic bone marrow transplantation, because CD20 can be used both as a selection marker and as a killer gene after exposure to the anti-CD20 therapeutic antibody rituximab. We now report on preclinical studies using this novel system, in which the best transduction protocol, reproducibility, yield, feasibility, and functionality of the transduced T lymphocytes have been investigated with a large donor series. Wild-type human CD20 cDNA was transduced into human T lymphocytes, using a Moloney-derived retroviral vector. Alternative protocols were tested by employing either one or four spinoculations (in which cells are centrifuged in the presence of retroviral vector supernatant) and stimulating T cells with phytohemagglutinin (PHA) or anti-CD3/CD28. One spinoculation alone was sufficient to obtain approximately 30% CD20-positive cells within four experimental days. Four spinoculations significantly increased transduction to 60%. A small difference in transduction efficiency was observed between the two stimulation methods, with PHA being superior to anti-CD3/CD28. Transduced cells could be purified on immunoaffinity columns, with purity reaching 98% and yield being on average 50%. Finally, 86-97% of immunoselected T lymphocytes could be killed in vitro with rituximab and complement. More importantly, the CD20 transgene did not alter the functionality of T lymphocytes with respect to allogeneic recognition and cytotoxic response, anti-Epstein-Barr virus cytotoxic response, antigenic response to tetanus toxoid antigen, interleukin 2 (IL-2), IL-4, and interferon gamma production; chemotaxis in the presence of stromal cell-derived factor 1, phenotype for several activation markers including HLA-DR, CD25, CD69, and CD95, and T cell repertoire.

摘要

我们之前提出,在异基因骨髓移植背景下,CD20分子可作为T淋巴细胞的一种新型自杀基因,因为CD20在暴露于抗CD20治疗性抗体利妥昔单抗后,既可用作选择标记,也可用作杀伤基因。我们现在报告使用这个新系统的临床前研究,其中用大量供体样本研究了转导T淋巴细胞的最佳转导方案、可重复性、产量、可行性和功能。使用莫洛尼衍生的逆转录病毒载体将野生型人CD20 cDNA转导到人T淋巴细胞中。通过采用一次或四次离心接种(细胞在逆转录病毒载体上清液存在下离心)以及用植物血凝素(PHA)或抗CD3/CD28刺激T细胞来测试替代方案。仅一次离心接种就足以在四个实验日内获得约30%的CD20阳性细胞。四次离心接种显著提高转导率至60%。两种刺激方法之间观察到转导效率存在小差异,PHA优于抗CD3/CD28。转导细胞可在免疫亲和柱上纯化,纯度达到98%,平均产量为50%。最后,86% - 97%经免疫选择的T淋巴细胞可在体外被利妥昔单抗和补体杀死。更重要的是,CD20转基因在同种异体识别和细胞毒性反应、抗爱泼斯坦 - 巴尔病毒细胞毒性反应、对破伤风类毒素抗原的抗原反应、白细胞介素2(IL - 2)、IL - 4和干扰素γ产生方面,并未改变T淋巴细胞的功能;在基质细胞衍生因子1存在下的趋化性、包括HLA - DR、CD25、CD69和CD95在内的几种激活标志物的表型以及T细胞库。

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