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Blood, 15 June 2004, Vol. 103, No. 12, pp. 4613-4615.
Prepublished online as a Blood First Edition Paper on February 26, 2004; DOI 10.1182/blood-2003-11-3903.

Submitted November 13, 2003
Accepted February 4, 2004
Use of B-cell bound HLA-A2 class I monomers to generate high avidity, allo-restricted CTL against the leukemia-associated protein Wilms tumor antigen 1
Philip Savage, Liquan Gao, Kevin Vento, Pam Cowburn, Stephen Man, Neil Steven, Graham Ogg, Andrew McMichael, Agamemnon Epenetos, Els Goulmy, and Hans J Stauss*
Alexis Biotechnology, London, United Kingdom; Velindre Hospital, Cancer Research Wales, Cardiff, United Kingdom
Immunology/Tumor Immunology, Imperial College, London, United Kingdom
Velindre Hospital, Cancer Research Wales, Cardiff, United Kingdom
Section of Infection and Immunity, University of Wales College of Medicine, Cardiff, United Kingdom
Division of Cancer Studies, University of Birmingham, Birmingham, United Kingdom
Human Immunology Unit, Institute of Molecular Medicine, Oxford, United Kingdom
Alexis Biotechnology, London, United Kingdom; Dept of Medical Oncology, St Bartholomews Hospital, London, United Kingdom
Department of Immunohematology and Blood Transfusion, Leiden University Medical Centre, Leiden, The Netherlands
* Corresponding author; email: h.stauss{at}imperial.ac.uk.
Recent studies have detected WT1-specific CTL in AML and CML patients and demonstrated that most of these CTL were low avidity. Although HLA-mismatched donors can mount high avidity CTL against HLA-A2-presented peptides of WT1, a dominant anti-allo immune response usually obscures detection of peptide-specific CTL. Here we explored the feasibility of using recombinant HLA-A2 monomers containing single peptide epitopes as immunogens to generate peptide-specific CTL from allogeneic donors. We demonstrate that the coating of HLA-A2-negative B lymphocytes with A2/peptide monomers provides a strong stimulus for autologous peptide-specific CTL. After 3-5 rounds of stimulation a population of CD8+ T cells binding A2/peptide tetramers is easily detectable by FACS analysis. Furthermore, sorted A2/WT1 tetramer-positive CTL display strong cytotoxic activity against leukemia cells expressing WT1 endogenously but not against WT1-negative human tumor cells. Thus, HLA/peptide monomers may be useful to isolate peptide-specific donor lymphocytes for treatment of leukemia patients after HLA-mismatched transplantation.

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