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Blood, 15 April 2007, Vol. 109, No. 8, pp. 3300-3307.
Prepublished online as a Blood First Edition Paper on December 19, 2006; DOI 10.1182/blood-2006-06-028001.
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Submitted June 8, 2006
Accepted December 12, 2006
Selective deletion of antigen-specific CD8+ T cells by MHC class I tetramers coupled to the type I ribosome-inactivating protein, saporin
Paul R. Hess*, Carie Barnes, Matthew D. Woolard, Michael D. L. Johnson, John M. Cullen, Edward J. Collins, and Jeffrey A. Frelinger
Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, United States
Department of Microbiology and Immunology, University of North Carolina, Chapel Hill, NC, United States
Department of Population Health and Pathobiology, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, United States
* Corresponding author; email: paul_hess{at}ncsu.edu.
CD8+ cytotoxic T lymphocytes (CTL) are important effector cells responsible for tissue destruction in several autoimmune and allograft-related diseases. To discover if pathogenic T cells could be selectively deleted, we investigated the ability of a toxin coupled to major histocompatibility complex (MHC) class I tetramers to kill antigen-specific CD8+ T cells. H2-Db tetramers were assembled using streptavidin conjugated to the ribosome-inactivating protein (RIP), saporin (SAP). These tetramers inhibited ribosome activity in vitro, retained the T cell receptor (TCR) binding specificity of their non-toxic counterparts, and were internalized by 100% of target cells, leading to cell death in 72 hours. Cytotoxicity was dependent on the tetramer dose and avidity for the T cell. A single injection of the SAP-coupled tetramer eliminated >75% of cognate, but not control, T cells. This work demonstrates the therapeutic potential of cytotoxic tetramers to selectively eradicate pathogenic clonotypes, while leaving overall T cell immunity intact.

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