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Prepublished online as a Blood First Edition Paper on November 7, 2002; DOI 10.1182/blood-2002-02-0378.
Submitted February 5, 2002
Institute of Immunology, Vienna International Research Cooperation Center (VIRCC) at Novartis, Vienna, Austria * Corresponding author; email: concha.bello{at}univie.ac.at.
Myeloid lineage-derived dendritic cells (DCs) are considered the professional antigen-presenting cell type responsible for eliciting T-cell-mediated immune responses. Acute myelogenous leukemia (AML) is a disease where tumor antigens are expressed by the malignant clone that also has the potential to differentiate into DC-like cells (leukemic-DCs) with antigen-presenting capacity. This study investigated whether the constitutive expression of the interleukin-7 (IL-7) cytokine into primary AML cells during their differentiation towards DCs-type results in superior antigen presenting cells. A bicistronic retroviral vector encoding the IL-7 cytokine and the surface immunoselectable low nerve growth factor receptor (LNGFr) gene was constructed and employed for transduction experiments. A serum-free system was used to transduce and differentiate leukemic cells towards leukemic-DCs. Eight AML patients were included in the study. The transduction efficiency with the cytokine vector varied between patients ranging from 5% to 30% as judged by LNGFr expression. The leukemic origin of the transduced cells was confirmed in a patient with a chromosomal translocation t(9:11), by fluorescence in situ hybridisation analysis (FISH). Cytokine modified-cells consistently secrete IL-7(mean415pg±190/106cells/48h, n=5). We demonstrate that IL-7 transduced cells are included in the differentiated leukemic-DC subset, and, as shown in a particular case, that about half of the mature CD80+ and CD83+ populations co-express the LNGFr transgene. In addition, IL-7 modified-leukemic cells induce stronger allo-T cell stimulation and higher amounts of IL-2 production in T cells compared to control groups. Finally, cytokine transduced leukemic-DCs can effectively prime and generate cytotoxic T lymphocytes (CTL) against autologous leukemic blasts.
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