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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2001-12-0353.

Submitted December 28, 2001
Accepted March 13, 2002
P-glycoprotein targeting: a unique strategy to selectively eliminate immunoreactive T cells
Martin Guimond, Antonia Balassy, Melanie Barrette, Sylvie Brochu, Claude Perreault, and Denis Claude Roy*
* Corresponding author; email: denis-claude.roy{at}umontreal.ca.
T lymphocytes have been found to harbor P-glycoprotein (Pgp) and to demonstrate modulation of its ion channel transporter function according to the state of activation of T lymphocytes. We hypothesized that cytotoxic chemicals that are extruded by Pgp could be used to specifically eliminate immunoreactive T cell populations. In this study, we evaluated the capacity of 4,5-dibromorhodamine methyl ester (TH9402), a photosensitizer structurally similar to rhodamine, a dye transported by Pgp, and which becomes highly cytotoxic upon activation with visible light to selectively deplete alloreactive T lymphocytes. Stimulation of T cells with mitogens or allogeneic major histocompatibility complex mismatched cells resulted in the preferential retention of the TH9402 rhodamine-derivative in activated T cells, both CD4+ and CD8+. Photodynamic cell therapy of TH9402-exposed T cells lead to the selective elimination of immunoreactive T cell populations. In addition, this treatment preserved resting T cells and their capacity to respond to third party cells. Inhibition of Pgp enhanced cellular trapping of the dye in non-activated T cells and resulted in their depletion after exposure to light. Targeting of Pgp-deficient cells may therefore represent an appealing strategy for the prevention and treatment of graft-versus-host disease, and other allo- or auto-immune disorders.

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