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Blood, 15 April 2004, Vol. 103, No. 8, pp. 3076-3083.
Prepublished online as a Blood First Edition Paper on December 4, 2003; DOI 10.1182/blood-2003-07-2424.

Submitted July 21, 2003
Accepted December 2, 2003
Identification and in vitro expansion of CD4+ and CD8+ T cells specific for human neutrophil elastase
Hiroshi Fujiwara, Frank El Ouriaghli, Matthias Grube, David A Price, Katayoun Rezvani, Emma Gostick, Giuseppe Sconocchia, Jos Melenhorst, Nancy Hensel, Daniel C Douek, and A John Barrett*
Department of Hematology, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA
Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA
Nuffield Department of Medicine, John Radcliffe Hospital, Oxford, United Kingdom
* Corresponding author; email: barrettj{at}nhlbi.nih.gov.
Human Neutrophil elastase (HNE) and proteinase 3 (PRO3) are myeloid tissue-restricted serine proteases, aberrantly expressed by myeloid leukemia cells. PRO3 and HNE share the PR1 peptide sequence which induces HLA-A*0201-restricted cytotoxic T cells (CTL) with anti-leukemia reactivity. We studied the entire HNE protein for its ability to induce CTL. In an 18 hour culture, HNE-loaded monocytes stimulated significant intracellular IFN- production by CD4+ and CD8+ T-cells in 12/20 and 8/20 normal individuals respectively. Lymphocytes from two HNE responders were pulsed weekly for four weeks to generate HNE specific CTL. One of two HLA-A*0201 negative individuals inhibited the colony formation of HLA-identical chronic myelogenous leukemia progenitor cells (73%, inhibition at 50:1 E:T ratio) indicating that peptides other than PR1 can induce leukemia-reactive CTL. Repetitive stimulations with HNE in two of five HLA-A*0201+ individuals increased PR1 tetramer positive CD8+T-cell frequencies from 0.1% to 0.29% and 0.02% to 0.55% respectively. These CTL recognized PR1 peptide or killed HNE-loaded targets. These results indicate that exogenously processed HNE is a source of PR1 peptide as well as other peptide sequences capable of inducing leukemia-specific CD8+ and CD4+ T cells. HNE could therefore be used in an HLA-unrestricted manner to induce leukemia-reactive CTL for adoptive immunotherapy.

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