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Blood, 15 February 2005, Vol. 105, No. 4, pp. 1622-1631.
Prepublished online as a Blood First Edition Paper on October 26, 2004; DOI 10.1182/blood-2004-03-1208.
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Submitted April 2, 2004
Accepted October 13, 2004
Enhanced anti-lymphoma efficacy of CD19 redirected influenza MP1-specific CTL's by co-transfer of T-cells modified to present influenza MP1
Laurence J Cooper*, Zaid Al-Kadhimi, Lisa M Serrano, Timothy Pfeiffer, Simon Olivares, Adrian Castro, Wen-Chung Chang, Sergio Gonzalez, David Smith, Stephen J Forman, and Michael C Jensen
Division of Pediatric Hematology-Oncology, Beckman Research Institute and City of Hope National Medical Center, Duarte, CA, USA; Division of Molecular Medicine, Beckman Research Institute and City of Hope National Medical Center, Duarte, CA, USA; Division of Hematology and Hematopoietic Cell Transplantation, Beckman Research Institute and City of Hope National Medical Center, Duarte, CA, USA
Division of Hematology and Hematopoietic Cell Transplantation, Beckman Research Institute and City of Hope National Medical Center, Duarte, CA, USA
Division of Molecular Medicine, Beckman Research Institute and City of Hope National Medical Center, Duarte, CA, USA
Division of Bioinformatics, Beckman Research Institute and City of Hope National Medical Center, Duarte, CA, USA
Division of Pediatric Hematology-Oncology, Beckman Research Institute and City of Hope National Medical Center, Duarte, CA, USA; Division of Molecular Medicine, Beckman Research Institute and City of Hope National Medical Center, Duarte, CA, USA
* Corresponding author; email: lcooper{at}coh.org.
To enhance the in vivo anti-tumor activity of adoptively transferred CD19-specific chimeric antigen receptor (CAR) redirected cytotoxic T lymphocytes (CTL's), we studied the effect of restimulating CAR+ CTL's through their endogenous virus-specific T-cell antigen receptor (TcR) by the co-transfer of engineered T-cell antigen-presenting cells (T-APC's). Using influenza A matrix protein 1 (MP1) as a model antigen, we show that ex vivo-expanded CD4+ and CD8+ T-APC's expressing a hygromycin phosphotransferase-MP1 fusion protein (HyMP1), process and present MP1 to autologous HLA-restricted MP1-specific CD4+ and CD8+ CTL-precursors. The MP1-specific CTL's are amenable to subsequent genetic modification to express a CD19-specific CAR, designated CD19R, and acquire HLA-unrestricted reactivity towards CD19+ leukemia and lymphoma tumor targets, while maintaining HLA-restricted MP1 specificity. The re-stimulation of MP1xCD19 dual-specific CTL's in vivo by the adoptive transfer of irradiated HyMP1+ T-APC's resulted in enhanced anti-lymphoma potency of bi-specific effector cells as measured by elimination of the biophotonic signal of established firefly luciferase-expressing Burkitt lymphoma xenografts in NOD/scid animals, in comparison to control groups restimulated by Hy+MP1neg T-APC's. Engineered T-APC's are a novel and versatile antigen-delivery system for generating antigen-specific T cells in vitro and enhancing the in vivo effector functioning of CAR-redirected anti-tumor effector cells.

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