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Prepublished online as a Blood First Edition Paper on October 31, 2002; DOI 10.1182/blood-2002-05-1514.

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Submitted May 23, 2002
Accepted October 7, 2002

Generating CTL against the subdominant Epstein-Barr virus LMP1 antigen for the adoptive Immunotherapy of EBV-associated malignancies

Stephen Gottschalk*, Oliver L Edwards, M Helen Huls, Tatiana Goltsova, Alan R Davis, Helen E Heslop, and Cliona M Rooney

Center for Cell and Gene Therapy, Baylor College of Medicine, Houston, TX, USA
Texas Children's Cancer Center, Baylor College of Medicine, Houston, TX, USA
Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
Department of Medicine, Baylor College of Medicine, Houston, TX, USA
Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, USA

* Corresponding author; email: smg{at}bcm.tmc.edu.

The Epstein-Barr virus (EBV) encoded LMP1 protein is expressed in EBV-positive Hodgkin's disease and is a potential target for cytotoxic T-lymphocytes (CTL) therapy. However, the LMP1-specific CTL frequency is low and so far the generation of LMP1-specific CTL has required T-cell cloning. The toxicity of LMP1 has prevented the use of dendritic cells (DC) for CTL stimulation and we reasoned that an inactive, non-toxic LMP1 mutant ({delta}LMP1) could be expressed in DC and would enable the activation and expansion of polyclonal LMP1-specific CTL. Recombinant adenoviral vectors expressing LMP1 or {delta}LMP1 were tested for their ability to transduce DC. LMP1 expression was toxic within 48 hours whereas high levels of {delta}LMP1 expression were achieved with minimal toxicity. {delta}LMP1 expressing DC were able to reactivate and expand LMP1-specific CTL from three healthy EBV-seropositive donors. LMP1-specific T cells were detected by IFN-{gamma} ELISPOT assays using the HLA-A2 restricted LMP1 peptide, YLQQNWWTL (YLQ). YLQ-specific T cells were undetectable (<0.001%) in donor PBMC, however after stimulation the frequency increased to 0.5-3.8%. Lysis of autologous target cells by CTL was dependent on the level of LMP1 expression. In contrast the frequency of YLQ-specific CTL in EBV-specific CTL reactivated and expanded using lymphoblastoid cell lines was low and no LMP1-specific cytotoxic activity was observed. Thus {delta}LMP1 expression in DC is non-toxic and enables the generation of LMP1-specific CTL for future adoptive immunotherapy protocols for patients with LMP1-positive malignancies such as EBV-positive Hodgkin's disease. Targeting LMP1 in these malignancies may improve the efficacy of current adoptive immunotherapy approaches.


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