Reprogramming of virus-specific T cells into leukemia-reactive T cells using T cell receptor gene transfer

MHM Heemskerk, M Hoogeboom… - The Journal of …, 2004 - rupress.org
MHM Heemskerk, M Hoogeboom, R Hagedoorn, MGD Kester, R Willemze, JHF Falkenburg
The Journal of experimental medicine, 2004rupress.org
T cells directed against minor histocompatibility antigens (mHags) might be responsible for
eradication of hematological malignancies after allogeneic stem cell transplantation. We
investigated whether transfer of T cell receptors (TCRs) directed against mHags, exclusively
expressed on hematopoietic cells, could redirect virus-specific T cells toward antileukemic
reactivity, without the loss of their original specificity. Generation of T cells with dual
specificity may lead to survival of these TCR-transferred T cells for prolonged periods of time …
T cells directed against minor histocompatibility antigens (mHags) might be responsible for eradication of hematological malignancies after allogeneic stem cell transplantation. We investigated whether transfer of T cell receptors (TCRs) directed against mHags, exclusively expressed on hematopoietic cells, could redirect virus-specific T cells toward antileukemic reactivity, without the loss of their original specificity. Generation of T cells with dual specificity may lead to survival of these TCR-transferred T cells for prolonged periods of time in vivo due to transactivation of the endogenous TCR of the tumor-reactive T cells by the latent presence of viral antigens. Furthermore, TCR transfer into restricted T cell populations, which are nonself reactive, will minimize the risk of autoimmunity. We demonstrate that cytomegalovirus (CMV)-specific T cells can be efficiently reprogrammed into leukemia-reactive T cells by transfer of TCRs directed against the mHag HA-2. HA-2-TCR–transferred CMV-specific T cells derived from human histocompatibility leukocyte antigen (HLA)-A2+ or HLA-A2 individuals exerted potent antileukemic as well as CMV reactivity, without signs of anti–HLA-A2 alloreactivity. The dual specificity of these mHag-specific, TCR-redirected virus-specific T cells opens new possibilities for the treatment of hematological malignancies of HLA-A2+ HA-2–expressing patients transplanted with HLA-A2–matched or –mismatched donors.
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