Zhao Chenchen, Jia Bei, Jiang Yixing, Shike Hiroko, Annageldiyev Charyguly, Cioccio Joseph, Minagawa Kentaro, Mineishi Shin, Ehmann WChristopher, Schell Todd D, Cheng Hua, Zheng Hong
Penn State Cancer Institute, Penn State University College of Medicine, Hershey, PA, 17033, USA.
Department of Medicine, Marlene and Stewart Greenebaum Cancer Center, University of Maryland, Baltimore, MD, 21201, USA.
Cancer Immunol Immunother. 2025 Feb 25;74(4):117. doi: 10.1007/s00262-025-03971-y.
Effective treatment of acute myeloid leukemia (AML) remains an urgent unmet need. Adoptive transfer of cytotoxic T cells (CTLs) against leukemia-associated antigen (LAA) has strong potential to improve AML treatment. However, the clinical translation of this therapeutic modality is hindered by the difficulty of obtaining large quantities of LAA-specific CTLs. Stimulating naïve T cells using monocyte-derived dendritic cells (MoDCs) loaded with LAA is commonly used for the generation of CTLs. This approach has drawbacks as MoDCs loaded with desired antigen need to be developed repeatedly with multiple steps and have limited growth potential. We have established immortalized human dendritic cells (DC) lines (termed ihv-DCs). Here, we report the successful generation of CTLs by culturing AML patient-derived T cells with our off-the-shelf ihv-DCs that carry HLA-A2-restricted human telomerase reverse transcriptase (hTERT), a known LAA. These CTLs exert a potent cytotoxic activity against leukemia cell lines and primary AML blasts in vitro. Importantly, using a highly clinically relevant PDX model where CTLs (derived from clinical donors) were adoptively transferred into NSG mice bearing patient-derived AML cells (that were partial or full HLA match with the donors), we showed that the CTLs effectively reduced leukemia growth in vivo. Our results are highly translational and provide proof of concept using the novel DC methodology to improve the strategy of adoptive T cell transfer for AML treatment.
急性髓系白血病(AML)的有效治疗仍然是一个迫切未被满足的需求。过继性转移针对白血病相关抗原(LAA)的细胞毒性T细胞(CTL)具有改善AML治疗的强大潜力。然而,这种治疗方式的临床转化受到难以获得大量LAA特异性CTL的阻碍。使用负载LAA的单核细胞衍生树突状细胞(MoDC)刺激初始T细胞常用于CTL的产生。这种方法存在缺点,因为负载所需抗原的MoDC需要经过多个步骤反复制备,且生长潜力有限。我们已经建立了永生化人树突状细胞(DC)系(称为ihv-DC)。在此,我们报告通过用我们现成的携带HLA-A2限制性人端粒酶逆转录酶(hTERT,一种已知的LAA)的ihv-DC培养AML患者来源的T细胞成功产生了CTL。这些CTL在体外对白血病细胞系和原发性AML母细胞具有强大的细胞毒性活性。重要的是,使用一种高度临床相关的PDX模型,将CTL(来自临床供体)过继性转移到携带患者来源AML细胞(与供体部分或完全HLA匹配)的NSG小鼠中,我们表明CTL在体内有效地降低了白血病的生长。我们的结果具有高度的可转化性,并提供了使用新型DC方法改善AML治疗过继性T细胞转移策略的概念验证。
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