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Blood, 15 April 2005, Vol. 105, No. 8, pp. 3365-3371.
Prepublished online as a Blood First Edition Paper on July 6, 2004; DOI 10.1182/blood-2003-03-0982.


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Submitted April 3, 2003
Accepted June 15, 2004

Eradication of B-CLL by Autologous and Allogeneic Host Non-Reactive Anti-Third Party CTLs

Fabian Arditti, Shraga Aviner, Benjamin Dekel, Rita Krauthgamer, Judith Gan, Arnon Nagler, Antonio Tabilio, Massimo Martelli, Alain Berrebi, and Yair Reisner*

Department of Immunology, Weizmann Institute of Science, Rehovot, Israel
Department of Bone Marrow Transplantation, Hadassah University Hospital, Jerusalem, Israel
Department of Hematology, University of Perugia, Perugia, Italy
Hematology Institute, Kaplan Medical Center, Rehovot, Israel

* Corresponding author; email: yair.reisner{at}weizmann.ac.il.

Establishment of cell lines capable of killing leukemia cells, in the absence of alloreactivity against normal host cells, represents a most desirable goal in bone marrow transplantation (BMT) and cancer immunotherapy. By using a human{Rightarrow}mouse chimeric model, we demonstrate that allogeneic anti third party CTLs depleted of alloreactivity are endowed with a potent anti B-CLL reactivity. Likewise, CTL preparations generated from autologous T cells of the same B-CLL patients, exhibited comparable leukemia eradication, suggesting that the reactivity of allogeneic anti-3rd party CTLs is not mediated by residual anti-host clones. This specificity was also exhibited in-vitro and annexin staining revealed that B-CLL killing is mediated by apoptosis. While the CTLs killing of 3rd party cells could be blocked by anti-CD3 antibody, the lysis of the B-CLL cells was not inhibited by this antibody, suggesting a TCR independent cytotoxicity. The role of cell contact leading to apoptosis of B-CLL cells is shown in transwell plates and by anti LFA-1 blocking antibody. Up-regulation of CD54 and the subsequent apoptosis of B-CLL cells depend on the initial LFA-1/ICAM-1 interaction. Taken together, these results suggest that allogeneic or autologous host non-reactive anti-third party CTLs may represent a new therapeutic approach for B-CLL patients.


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