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经 T 细胞受体工程改造的 T 细胞来源于靶向人类白细胞抗原-DPB1 特异性 T 细胞,可成为异基因造血细胞移植后治疗白血病复发的潜在工具。

T cell receptor-engineered T cells derived from target human leukocyte antigen-DPB1-specific T cell can be a potential tool for therapy against leukemia relapse following allogeneic hematopoietic cell transplantation.

机构信息

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.

出版信息

Nagoya J Med Sci. 2023 Nov;85(4):779-796. doi: 10.18999/nagjms.85.4.779.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a0/10751490/d0c0a67cf3ea/2186-3326-85-0779-g001.jpg

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