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Prepublished online as a Blood First Edition Paper on May 1, 2003; DOI 10.1182/blood-2002-11-3407.

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2002-11-3407v1
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Blood, 15 August 2003, Vol. 102, No. 4, pp. 1241-1248

GENE THERAPY

Retrovirus-mediated gene transfer in polyclonal T cells results in lower apoptosis and enhanced ex vivo cell expansion of CMV-reactive CD8 T cells as compared with EBV-reactive CD8 T cells

Delphine Sauce, Nathalie Rufer, Patricia Mercier, Marie Bodinier, Jean-Paul Rémy-Martin, Anne Duperrier, Christophe Ferrand, Patrick Hervé, Pedro Romero, François Lang, Pierre Tiberghien, and Eric Robinet

From the Institut National de la Santé et de la Recherche Médicale (INSERM) EPI-0119/Unité Propre de Recherche de l'Enseignement Superieur (UPRES) EA-2284, Etablissement Français du Sang-Bourgogne/Franche-Comté, Besançon, France; National Center of Competence in Research (NCCR) Molecular Oncology, Swiss Institute for Cancer Research, Epalinges, Switzerland; INSERM U463, Institut de Biologie, Nantes, France; and Multidisciplinary Oncology Center, University Hospital, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.

To modulate alloreactivity after hematopoietic stem cell transplantation, "suicide" gene-modified donor T cells (GMCs) have been administered with an allogeneic T-cell–depleted marrow graft. We previously demonstrated that such GMCs, generated after CD3 activation, retrovirusmediated transduction, and G418 selection, had an impaired Epstein-Barr virus (EBV) reactivity, likely to result in an altered control of EBV-induced lymphoproliferative disease. To further characterize the antiviral potential of GMCs, we compared the frequencies of cytomegalovirus (CMV)–specific CD8+ T (CMV-T) cells and EBV-specific CD8+ T (EBV-T) cells within GMCs from CMV- and EBV-double seropositive donors. Unlike anti-EBV responses, the anti-CMV responses were not altered by GMC preparation. During the first days of culture, CMV-T cells exhibited a lower level of CD3-induced apoptosis than did EBV-T cells. In addition, the CMV-T cells escaping initial apoptosis subsequently underwent a higher expansion rate than EBV-T cells. The differential early sensitivity to apoptosis could be in relation to the "recent activation" phenotype of EBV-T cells as evidenced by a higher level of CD69 expression. Furthermore, EBV-T cells were found to have a CD45RACD27+CCR7 effector memory phenotype, whereas CMV-T cells had a CD45RA+CD27CCR7 terminal effector phenotype. Such differences could be contributive, because bulk CD8+CD27 cells had a higher expansion than did bulk CD8+CD27+ cells. Overall, ex vivo T-cell culture differentially affects apoptosis, long-term proliferation, and overall survival of CMV-T and EBV-T cells. Such functional differences need to be taken into account when designing cell and/or gene therapy protocols involving ex vivo T-cell manipulation.


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