Department of Immunology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Department of Hematology and Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Nagoya J Med Sci. 2023 Nov;85(4):779-796. doi: 10.18999/nagjms.85.4.779.
Human leukocyte antigen (HLA)-DPB1 antigens are mismatched in approximately 70% of allogeneic hematopoietic stem cell transplantations (allo-HSCT) from HLA 10/10 matched unrelated donors. HLA-DP-mismatched transplantation was shown to be associated with an increase in acute graft-versus-host disease (GVHD) and a decreased risk of leukemia relapse due to the graft-versus-leukemia (GVL) effect. Immunotherapy targeting mismatched HLA-DP is considered reasonable to treat leukemia following allo-HCT if performed under non-inflammatory conditions. Therefore, we isolated CD4 T cell clones that recognize mismatched HLA-DPB1 from healthy volunteer donors and generated T cell receptor (TCR)-gene-modified T cells for future clinical applications. Detailed analysis of TCR-T cells expressing TCR from candidate clone #17 demonstrated specificity to myeloid and monocytic leukemia cell lines that even expressed low levels of targeted HLA-DP. However, they did not react to non-hematopoietic cell lines with a substantial level of targeted HLA-DP expression, suggesting that the TCR recognized antigenic peptide is only present in some hematopoietic cells. This study demonstrated that induction of T cells specific for HLA-DP, consisting of hematopoietic cell lineage-derived peptide and redirection of T cells with cloned TCR cDNA by gene transfer, is feasible when using careful specificity analysis.
人类白细胞抗原 (HLA)-DPB1 抗原在大约 70%的 HLA 10/10 匹配的无关供体异基因造血干细胞移植 (allo-HSCT) 中不匹配。HLA-DP 不匹配的移植与急性移植物抗宿主病 (GVHD) 的增加有关,并且由于移植物抗白血病 (GVL) 效应,白血病复发的风险降低。如果在非炎症条件下进行,针对 HLA-DP 不匹配的免疫疗法被认为是合理的,可以治疗 allo-HCT 后的白血病。因此,我们从健康志愿者供体中分离出识别不匹配 HLA-DPB1 的 CD4 T 细胞克隆,并生成用于未来临床应用的 T 细胞受体 (TCR)-基因修饰的 T 细胞。对候选克隆 #17 表达的 TCR-T 细胞的详细分析表明,它们对髓系和单核细胞白血病细胞系具有特异性,即使这些细胞系表达低水平的靶向 HLA-DP。然而,它们不会对具有大量靶向 HLA-DP 表达的非造血细胞系产生反应,这表明 TCR 识别的抗原肽仅存在于一些造血细胞中。这项研究表明,当使用仔细的特异性分析时,诱导针对 HLA-DP 的 T 细胞是可行的,这些 T 细胞由造血细胞谱系衍生的肽组成,并通过基因转移重定向克隆的 TCR cDNA 的 T 细胞。