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Blood, 1 March 2004, Vol. 103, No. 5, pp. 1791-1795.
Prepublished online as a Blood First Edition Paper on November 6, 2003; DOI 10.1182/blood-2003-09-3023.


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Submitted September 3, 2003
Accepted October 24, 2003

Antibody targeted MHC complex directed expansion of HIV-1 and KSHV-specific CD8 positive lymphocytes: a new approach to therapeutic vaccination

Justin Stebbing, Brian Gazzard, Steve Patterson, Mark Bower, Dhayaneethie Perumal, Mark Nelson, Andrew McMichael, Graham Ogg, Agamemnon Epenetos, Frances Gotch, and Philip Savage*

Department of Immunology, Chelsea and Westminster Hospital, London, United Kingdom; Departments of HIV Medicine and Oncology, Chelsea and Westminster Hospital, London, United Kingdom
Immunology Group, Weatherall Institute, Oxford, United Kingdom
Alexis Biotech, London, United Kingdom
Department of Oncology, Velindre Hospital, Cardiff, United Kingdom

* Corresponding author; email: Philip.Savage{at}velindre.tr.wales.nhs.uk.

The ability of therapeutic vaccines to generate large numbers of CD8 positive T lymphocytes that have specificity for HIV-1 or other virally infected cells has enormous potential clinical value. However approaches to produce CTLs in vivo via vaccine technology have thus far been disappointing and the ex vivo production of cells for adoptive transfer is labour intensive and expensive. We describe the results of a two step antibody targeting system for the production of CD8 positive T lymphocytes specific for HIV-1 and Kaposi's sarcoma-associated herpesvirus (KSHV), suitable for use in vivo. In 8 consecutive HLA-A2 positive HIV-1 infected individuals with Kaposi's sarcoma, two cycles of this system resulted in greater than 1 Log increases of specific anti-HIV and anti-KSHV CD8 positive lymphocytes. These expanded cells have an effector phenotype which includes the ability to produce interferon-{gamma} and CD45Ra+/CD69+ staining. We have shown that antibody targeted B cells can function as effective antigen presenting molecules and lead to sustained specific T lymphocyte expansion from PBMCs of immunosuppressed individuals. This approach, which offers an easy and effective protocol for the amplification of specific anti-viral and anti-tumour CTLs, may offer significant advances for in vivo T cell immunotherapeutic protocols.


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