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Blood, 1 October 2007, Vol. 110, No. 7, pp. 2620-2630.
Prepublished online as a Blood First Edition Paper on May 16, 2007; DOI 10.1182/blood-2006-11-059139.
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Submitted November 27, 2006
Accepted May 3, 2007
Epstein barr virus-specific cytotoxic T lymphocytes expressing the anti-CD30 artificial chimeric T-cell receptor for immunotherapy of Hodgkin's disease
Barbara Savoldo*, Cliona M Rooney, Antonio Di Stasi, Hinrich Abken, Andreas Hombach, Aaron E Foster, Lan Zhang, Helen E Heslop, Malcolm K Brenner, and Gianpietro Dotti
Center for Cell and Gene Therapy, Baylor College of Medicine, The Methodist Hospital and Texas Children's Hospital, Houston, TX, United States
Department of Molecular Virology and Microbiology, Baylor College of Medicine, The Methodist Hospital and Texas Children's Hospital, Houston, TX, United States
Tumor Genetics, University Hospital Cologne, Cologne, Germany
Department of Medicine, Baylor College of Medicine, The Methodist Hospital and Texas Children's Hospital, Houston, TX, United States
Department of Pediatrics, Baylor College of Medicine, The Methodist Hospital and Texas Children's Hospital, Houston, TX, United States
* Corresponding author; email: bsavoldo{at}bcm.tmc.edu.
Adoptive transfer of Epstein Barr Virus (EBV)-specific cytotoxic T-lymphocytes (EBV-CTLs) has shown that these cells expand and persist in patients with EBV+ Hodgkin's lymphoma (HD), to produce complete tumor responses. Treatment failure, however, occurs if a subpopulation of malignant cells in the tumor lacks or loses expression of EBV-antigens. We have therefore determined whether we could prepare EBV-CTLs that retained the anti-tumor activity conferred by their native receptor whilst expressing a chimeric antigen receptor (CAR) specific for CD30, a molecule highly and consistently expressed on malignant Hodgkin Reed-Sternberg cells. We made a CD30CAR and were able to express it on 26%±11% and 22%±5% of EBV-CTLs generated from healthy donors and HD patients, respectively. These CD30CAR+ CTLs killed both autologous EBV+ cells through their native receptor and EBV-/CD30+ targets through their MHC-unrestricted CAR. A subpopulation of activated T-cells also express CD30, but the CD30CAR+ CTLs did not impair cellular immune responses, likely because normal T-cells express lower levels of the target antigen. In a xenograft model, CD30CAR+ EBV-CTLs could be co-stimulated by EBV-infected cells and produce anti-tumor effects even against EBV-/CD30+ tumors. EBV-CTLs expressing both a native and a chimeric antigen receptor may therefore have added value for treatment of HD.

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