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Blood, 15 March 2006, Vol. 107, No. 6, pp. 2294-2302.
Prepublished online as a Blood First Edition Paper on November 10, 2005; DOI 10.1182/blood-2005-08-3503.
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GENE THERAPY
Analysis of transgene-specific immune responses that limit the in vivo persistence of adoptively transferred HSV-TKmodified donor T cells after allogeneic hematopoietic cell transplantation
Carolina Berger,
Mary E. Flowers,
Edus H. Warren, and
Stanley R. Riddell
From the Fred Hutchinson Cancer Research Center, Clinical Research Division, Seattle, WA; and the University of Washington, Department of Medicine, Seattle.
The introduction of an inducible suicide gene such as the herpes simplex virus thymidine kinase (HSV-TK) might allow exploitation of the antitumor activity of donor T cells after allogeneic hematopoietic cell transplantation (HCT) without graft versus host disease. However, HSV-TK is foreign, and immune responses to gene-modified T cells could lead to their premature elimination. We show that after the infusion of HSV-TKmodified donor T cells to HCT recipients, CD8+ and CD4+ T-cell responses to HSV-TK are rapidly induced and coincide with the disappearance of transferred cells. Cytokine flow cytometry using an overlapping panel of HSV-TK peptides allowed rapid detection and quantitation of HSV-TKspecific T cells in the blood and identified multiple immunogenic epitopes. Repeated infusion of modified T cells boosted the induced HSV-TKspecific T cells, which persisted as memory cells. These studies demonstrate the need for nonimmunogenic suicide genes and identify a strategy for detection of CD4+ and CD8+ T-cell responses to transgene products that should be generally applicable to monitoring patients on gene therapy trials. The potency of gene-modified T cells to elicit robust and durable immune responses imply this approach might be used for vaccination to elicit T-cell responses to viral or tumor antigens.

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