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Blood, 1 February 2004, Vol. 103, No. 3, pp. 1158-1165.
Prepublished online as a Blood First Edition Paper on October 2, 2003; DOI 10.1182/blood-2003-04-1098.

Submitted April 9, 2003
Accepted September 27, 2003
Ex vivo depletion of alloreactive cells based on CFSE dye dilution, activation antigen selection, and dendritic cell stimulation
Wayne R Godfrey*, Mark R Krampf, Patricia A Taylor, and Bruce R Blazar
Departments of Medicine and Pediatrics, University of Minnesota, Minneapolis, MN, USA
* Corresponding author; email: godfr007{at}umn.edu.
Eliminating alloreactive cells from T cell populations would enable the transfer of immune function to stem cell transplant patients. However, high efficiency depletion has proved difficult to achieve. We sought to develop ex vivo approaches for the maximal depletion of alloreactive CD4+ T cells. Using a flow cytometric cell sorting approach after MLR culture, we have found that sorted CFSEbright (non-divided) and activation antigen-negative cells are markedly depleted of alloreactivity. With HLA-mismatched PBMC stimulators we have consistently attained (90-95%) depletion of alloreactivity. Importantly, when purified matured monocyte derived dendritic cells (DCs) are used as stimulators, a 100-fold (99%) reduction in alloreactivity was attained, resulting in abrogation of the secondary MLR. Significantly, the CFSEbright CD25(-) cells recovered from these cultures retained general immunoreactivity, including responses to Candida and CMV antigens. In addition, a CFSE based approach was tested and found to be sufficient for GVHD prevention in vivo, in an MHC class II disparate murine model. This efficient approach to selectively deplete mature alloantigen-specific T cells, may permit enhanced immune reconstitution without GVHD.

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