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Blood, Vol. 93 No. 10 (May 15), 1999:
pp. 3550-3557
Depletion of Alloreactive T Cells by a Specific Anti-Interleukin-2
Receptor p55 Chain Immunotoxin Does Not Impair In
Vitro Antileukemia and Antiviral Activity
Daniela Montagna,
Eric Yvon,
Valeria Calcaterra,
Patrizia Comoli,
Franco Locatelli,
Rita Maccario,
Alain Fisher, and
Marina Cavazzana-Calvo
From the Laboratorio di Immunologia e Unità di Trapianto di
Midollo Osseo, Dipartimento di Scienze Pediatriche, Università
degli Studi di Pavia, IRCCS Policlinico San Matteo, Pavia, Italy; and
E.T.S and INSERM Unité 429, Hôpital Necker-Enfant Malades,
Paris, France.
The success of bone marrow transplantation (BMT) from HLA-disparate
donors depends on the development of new strategies able, on one hand,
to efficiently prevent graft-versus-host disease (GVHD) and, on the
other hand, to protect leukemic patients from relapse and infections.
Using an immunotoxin (IT) directed against the chain (p55) of the
human interleukin-2 receptor (RFT5-SMPT-dgA), we previously showed that
it is possible to kill mature T cells activated against a specific HLA
complex by a one-way mixed lymphocyte culture (MLC). The present study
was performed to investigate whether this protocol of allodepletion
affects the capacity of residual T cells to display antileukemia and
antiviral activity evaluated by limiting dilution assays (LDA),
measuring the frequency of cytotoxic T-lymphocyte precursors (CTLp)
directed against autologous leukemic blasts (LB) and cytomegalovirus
(CMV)- and Epstein-Barr virus (EBV)-infected target cells. Antileukemia
activity was evaluated in peripheral blood mononuclear cells (PBMC) of
3 patients treated for acute myeloid leukemia who had developed a high
frequency of LB-reactive CTLp after either autologous or allogeneic
BMT. Results demonstrate that (1) depletion with RFT5-SMPT-dgA
efficiently inhibited MLC; (2) fresh PBMC of patients yielded a high
frequency of LB-reactive CTLp comparable to that of the mock-treated
PBMC; and (3) effector cells obtained after allodepletion fully
retained the capacity to lyse pretransplant LB. By contrast, the
frequency of CTLp directed against patient's pretransplant BM
remission cells was always undetectable. Data obtained in 4 healthy
donors showed that specifically allodepleted T cells recognized and
killed autologous CMV-infected fibroblasts and autologous
EBV-B-lymphoblastoid cell lines. In conclusion, our data indicate that
allodepletion using RFT5-SMPT-dgA efficiently removed alloreactive
cells, while sparing in vitro antileukemic and antiviral cytotoxic responses.

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