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Blood, 29 January 2009, Vol. 113, No. 5, pp. 1006-1015.
Prepublished online as a Blood First Edition Paper on October 31, 2008; DOI 10.1182/blood-2008-05-156059.
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Submitted May 30, 2008
Accepted October 2, 2008
IL-7 and IL-15 allow the generation of suicide gene-modified alloreactive self-renewing central memory human T lymphocytes
Shin Kaneko, Sara Mastaglio, Attilio Bondanza*, Maurilio Ponzoni, Francesca Sanvito, Luca Aldrighetti, Marina Radrizzani, Simona La Seta-Catamancio, Elena Provasi, Anna Mondino, Toshiro Nagasawa, Katharina Fleischhauer, Vincenzo Russo, Catia Traversari, Fabio Ciceri, Claudio Bordignon, and Chiara Bonini
Experimental Hematology Unit, Cancer Immunotherapy and Gene Therapy Program, Department of Oncology, San Raffaele Scientific Institute, Milan, Italy
Hematology and BMT Unit, Department of Oncology, San Raffaele Scientific Institute, Milan, Italy
Department of Pathology, San Raffaele Scientific Institute, Milan, Italy
Liver Unit, Department of Surgery, San Raffaele Scientific Institute, Milan, Italy
MolMed SpA, Milan, Italy
Department of Hematology, Institute of Clinical Medicine, University of Tsukuba, Tsukuba, Japan
Unit of Molecular Immunology of Transplantation Immunohematology and Transfusion Medicine Service, San Raffaele Scientific Institute, Milan, Italy
Hematology, Universita Vita-Salute San Raffaele, Milan, Italy
* Corresponding author; email: bondanza.attilio{at}hsr.it.
Long-term clinical remissions of leukemia, after allogeneic hematopoietic transplantation, depend on alloreactive memory T-cells able to self-renew and differentiate into anti-leukemia effectors. This is counterbalanced by detrimental graft-versus-host disease (GvHD). Induction of a selective suicide program in donor T-cells is a current gene therapy approach to abrogate GvHD. Unfortunately, genetic modification reduces alloreactivity of human lymphocytes. This associates with an effector memory (TEM) phenotype of gene-modified lymphocytes and may limit their anti-leukemia effect. We hypothesized that alloreactivity of gene-modified lymphocytes segregates with the central memory (TCM) phenotype. To this, we generated suicide gene-modified TCM lymphocytes with a retroviral vector after CD28 co-stimulation and culture with IL-2, IL-7 or a combination of IL-7 and IL-15. In vitro, suicide gene-modified TCM were capable to self-renew upon alloantigen stimulation and resisted activation-induced cell death. In a fully humanized mouse model, only suicide gene-modified T-cells cultured with IL-7 and IL-15 persisted, differentiated in TEM and were as potent as unmanipulated lymphocytes in causing GvHD. GvHD was halted through the activation of the suicide gene machinery. These results warrant the use of suicide gene-modified TCM cultured with IL-7 and IL-15 for the safe exploitation of the alloreactive response against cancer.

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