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Blood, 1 May 2004, Vol. 103, No. 9, pp. 3565-3572.
Prepublished online as a Blood First Edition Paper on December 11, 2003; DOI 10.1182/blood-2003-09-3056.

Submitted September 5, 2003
Accepted December 3, 2003
Rapid generation of combined CMV-specific CD4+and CD8+ T-cell lines for adoptive transfer into allogeneic stem cell transplant recipients
Georg Rauser, Hermann Einsele, Christian Sinzger, Dorothee Wernet, Gabriele Kuntz, Mario Assenmacher, John D M Campbell, and Max S Topp*
Medizinische Klinik II, Universitaetsklinikum Tuebingen, Tuebingen, Germany
Medizinische Virologie, Universitaetsklinikum Tuebingen, Tuebingen, Germany
Transfusionsmedizin, Universitaetsklinikum Tuebingen, Tuebingen, Germany
Miltenyi Biotec, Bergisch Gladbach, Germany
* Corresponding author; email: max.topp{at}med.uni-tuebingen.de.
Adoptive transfer of cytomegalovirus-specific T cells can restore long lasting virus-specific immunity and clear CMV-viremia in allogeneic stem cell transplant (SCT) recipients, if both CD4+ and CD8+ CMV-specific T-cells are detected in the recipient after transfer. Current protocols for generating virus-specific T cells utilize live virus, require leukapheresis of donor and remains time consuming. To circumvent these limitations, a clinical scale protocol was developed for generation of CMV-specific T cells by utilizing only autologous cellular and serum components derived from one single 500mL blood draw. CMV-specific T cells were stimulated simultaneously with CMV-specific MHC-I restricted peptides and CMV-antigen. Activated T cells were isolated with the interferon- secretion assay and expanded for 10 days. In 8 randomly selected CMV-seropositive donors on average 1.34x108 combined CD4+ and CD8+ CMV-specific T cells were generated as determined by antigen-triggered interferon- production. CMV-infected fibroblasts were efficiently lysed by the generated T cells and both CMV-specific CD4+ and CD8+ T-cells expanded if stimulated with natural processed antigen. On the other hand, CD4+ and CD8+ T-cell mediated alloreactivity of generated CMV-specific T-cell lines was reduced when compared to the starting population. In conclusion, the developed culture system allows rapid generation of allo-depleted and highly enriched combined CD4+ and CD8+ CMV-specific T cells under good manufactoring practice conditions.

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