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Abstract Book 2010 - CIMT Annual Meeting

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057 Foerster | Cellular therapy<br />

Generation of multivirus-specific CD4+ and CD8+ T cells<br />

for adoptive immunotherapy<br />

Anna Foerster, Verena Lasmanowicz, Olaf Brauns, Sven Kramer, Petra Jekow, Wolfgang Rönspeck,<br />

Jürgen Schmitz, Mario Assenmacher, Anne Richter<br />

Department of Research & Development, Miltenyi Biotec GmbH, Bergisch Gladbach, Germany<br />

Adoptive transfer of T lymphocyte populations<br />

with specificities for several antigens is an attractive<br />

strategy for the treatment of multiple infections<br />

in immunocompromised patients or of cancer. We<br />

have established a protocol for the generation of<br />

multiantigen-specific CD4+ and CD8+ T cells<br />

using newly developed pools of peptides for in vitro<br />

T cell stimulation and a subsequent magnetic enrichment<br />

of functional T cells according to IFN-γ<br />

secretion.Peptide pools consist of synthetic peptides<br />

of mainly 15 amino acid (aa) length with 11<br />

aa overlap covering the complete antigenic protein.<br />

We have analyzed the efficiency of peptide pools<br />

compared to recombinant proteins and immunodominant<br />

HLA-A2 and –B7-restricted peptides for<br />

short-term in vitro restimulation and induction of<br />

IFN-γ in cytomegalovirus (CMV) pp65 and IE-1 specific<br />

CD4+ and CD8+ T cells derived from CMVinfected<br />

healthy blood donors.<br />

The results show that the peptide pools as well as<br />

the recombinant proteins are useful for efficient<br />

activation of CD4+ T helper cells. In contrast, efficient<br />

stimulation of CD8+ T cells is achieved only<br />

using either the overlapping 15-mer peptide pools<br />

or the immunodominant peptide epitopes of 8-10<br />

amino acids. The latter are well defined only for<br />

a limited panel of antigens and are restricted to<br />

certain HLA alleles.<br />

To test the usability of peptide pools to generate<br />

multivirus-specific T cells for adoptive immunotherapy<br />

we stimulated PBMC from leukapheresis of<br />

healthy donors with a combination of four peptide<br />

pools selected from CMV pp65 and IE-1, adenovirus<br />

(AdV) hexon, and Epstein-Barr-Virus (EBV) EBNA-1<br />

and BZLF-1 for four hours. The Large Scale IFN-γ<br />

Secretion Assay Enrichment Kit was used to magnetically<br />

enrich IFN-γ secreting T cells to a purity of<br />

>90%. Antigen specificity and functionality of the<br />

enriched T cells were controlled after expansion.<br />

Cells expanded between 4 and 745 fold within 9-14<br />

days. Expanded cells contained high frequencies<br />

of pp65495-503/A2 tetramer+ and pp65417-426/B7<br />

tetramer+ CD8+ T cells. Additionally after restimulation<br />

of the expanded cells with the mixture<br />

of peptide pools and intracellular IFN-γ staining,<br />

21-53% of CD4+ T cells and 53-87% of CD8+ T<br />

cells produced IFN-γ. Moreover comparing the stimulation<br />

of PBMC with reactivation of the T cell<br />

lines with each peptide pool separately showed that<br />

the specificity for each antigen sustained during<br />

the enrichment and expansion phase.<br />

The concomitant addition of four peptide pools increases<br />

the competition of peptides to be loaded on<br />

MHC molecules, which might decrease the efficient<br />

activation of each antigen-specific T cell. Therefore<br />

we included in our study the separation of PBMC<br />

in four samples, separate loading of the samples<br />

with one peptide pool for two hours, and recombination<br />

of PBMC for T cell stimulation for four<br />

hours. We found comparable results in the number<br />

of enriched cells, expansion rate of T cells, and the<br />

antigen-specificity of the T cell lines for concomitant<br />

and separate antigen loading.<br />

In summary, we have established a protocol for<br />

rapid in vitro generation of multivirus-specific<br />

CD4+ and CD8+ T cells using a combination of<br />

peptide pools from several antigens for restimulation<br />

and subsequent magnetic selection of IFN-γ<br />

secreting T cells.<br />

101

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