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Blood, 1 December 2004, Vol. 104, No. 12, pp. 3429-3436.
Prepublished online as a Blood First Edition Paper on July 29, 2004; DOI 10.1182/blood-2004-05-1918.
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Submitted May 20, 2004
Accepted July 12, 2004
Functional assessment and specific depletion of alloreactive human T cells using flow cytometry
Sergio L Martins, Lisa S St. John, Richard E Champlin, Eric D Wieder, John McMannis, Jeffrey J Molldrem, and Krishna V Komanduri*
Transplant Immunology Section, Dept. of Blood and Marrow Transplantation, M.D. Anderson Cancer Center, Houston, TX, USA; Department of Hematology, Fleury-Diagnostic Medical Center, Sao Paolo, Brazil
Transplant Immunology Section, Dept. of Blood and Marrow Transplantation, M.D. Anderson Cancer Center, Houston, TX, USA
* Corresponding author; email: kkomandu{at}mdanderson.org.
Human T cell alloreactivity plays an important role in many disease processes, including the rejection of solid organ grafts and graft-versus-host disease (GVHD) following allogeneic stem cell transplantation. To develop a better understanding of the T cells involved in alloreactivity in humans, we developed a cytokine flow cytometry (CFC) assay that enabled us to characterize the phenotypic and functional characteristic of T cells responding to allogeneic stimuli. Using this approach, we determined that most T cell alloreactivity resided within the CD4+ T cell subset, as assessed by activation marker expression and the production of effector cytokines (e.g., TNF ) implicated in human GVHD. Following prolonged stimulation in vitro using either allogeneic stimulator cells or viral antigens, we found that co-expression of activation markers within the CD4+ T cell subset occurred exclusively within a subpopulation of T cells that significantly increased their surface expression of CD4. We then developed a simple sorting strategy that exploited these phenotypic characteristics to specifically deplete alloreactive T cells, while retaining broad specificity for other stimuli, including viral antigens and third party alloantigens. This approach was also applied to specifically enrich or deplete human virus-specific T cells.

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