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Clinical-Grade Functional Dendritic Cells From Patients With Multiple Myeloma Are Not Infected With Kaposi's Sarcoma-Associated Herpesvirus

Karin Tarte, Sonja J. Olsen, Zhao Yang Lu, Eric Legouffe, Jean-François Rossi, Yuan Chang, and Bernard Klein

From the Institute for Molecular Genetics, CNRS, Montpellier, France; the Division of Epidemiology, School of Public Health, Columbia University, New York, NY; the Unit for Cellular Therapy, CHU Montpellier, Hopital Saint Eloi, Montpellier, France; the Service des Maladies du Sang B, CHU Montpellier, Hopital Lapeyronie, Montpellier, France; and the Department of Pathology, College of Physicians and Surgeons, Columbia University, New York, NY.

Bone marrow dendritic cells (DC) from patients with multiple myeloma (MM) were recently reported to be infected with Kaposi's sarcoma-associated herpesvirus (KSHV). Because immunotherapy strategies using DC are very promising in this disease, we looked for KSHV DNA in clinical-grade DC generated in vitro from MM patients. Adherent apheresis cells from MM patients were maintained for 7 days in clinical-grade X-VIVO 15 culture medium supplemented with granulocyte-macrophage colony-stimulating factor, interleukin-4, or interleukin-13. Tumor necrosis factor alpha  was added for the last 2 days. We obtained a cell population with a DC phenotype able to endocytose fluorescein isothiocyanate (FITC)-dextran and efficiently activate resting allogenic T lymphocytes. To detect KSHV DNA, we used polymerase chain reaction (PCR) followed by Southern blotting of PCR product with a sensitivity detecting a few copies of viral DNA. All the PCR were repeated in a blinded fashion three times, on 1 µg and 0.2 µg of genomic DNA, in two different laboratories. Clinical-grade DC from 10 (91%) of 11 patients were not infected with KSHV. The apheresis cells and the purified CD34+ cells from the same patients were also negative. A very weak PCR band was detected with DC from one patient, but the initial apheresis cells were negative. The detection of KSHV infection in 1 (9%) of 11 MM patients probably represents background seroprevalence. It seems likely that functional and clinical-grade DC from MM patients can safely be used in clinical trials.

Blood, Vol. 91 No. 6 (March 15), 1998: pp. 1852-1857
© 1998 by The American Society of Hematology.


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