Survival and tumor localization of adoptively transferred Melan-A-specific T cells in melanoma patients

Meidenbauer, Norbert and Marienhagen, Joerg and Laumer, Monika and Vogl, Sandra and Heymann, Jana and Andreesen, Reinhard and Mackensen, Andreas (2003) Survival and tumor localization of adoptively transferred Melan-A-specific T cells in melanoma patients. JOURNAL OF IMMUNOLOGY, 170 (4). pp. 2161-2169. ISSN 0022-1767

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Abstract

Adoptive T cell therapy has been successfully used for treatment of viral and malignant diseases. However, little is known about the fate and trafficking of transferred Ag-specific T cells. Using the tetramer (TM) technology which allows for detection and quantification of Ag-specific CTL, we assessed the frequency of circulating Melan-A-specific CTL in advanced melanoma patients during adoptive T cell therapy. Melan-A-specific CTL were generated from HLA-A2.1(+) patients by in vitro stimulation of CD8(+) T cells with dendritic cells pulsed with a mutated HLA-A2-binding Melan-A (ELAGIGILTV) peptide. Eight patients received three infusions of 0.25-11 X 10(8) Melan-A-specific CTL i.v. at 2-wk intervals along with low-dose IL-2. The transferred T cell product contained a mean of 42.1% Melan-A-TM+ CTL. Before therapy, the frequencies of Melan-A-specific CTL in patients' circulating CD8(+) T cells ranged from 0.01 to 0.07%.. Characterization of the TM frequencies before and at different time points after transfer revealed an increase of circulating Melan-A-specific CTL up to 2%, correlating well with the number of transferred CTL. An elevated frequency of TM+ T cells was demonstrated up to 14 days after transfer, suggesting long-term survival and/or proliferation of transferred CTL. Combining TM analysis with a flow cytometry-based cytokine secretion assay, unimpaired production of IFN-gamma was demonstrated in vivo for at least 24 h after transfer. Indium-111 labeling of Melan-A-specific CTL demonstrated localization of transferred CTL to metastatic sites as early as 48 h after injection. Overall, the results suggest that in vitro-generated Melan-A-specific CTL survive intact in vivo for several weeks and localize preferentially to tumor.

Item Type: Article
Uncontrolled Keywords: PERIPHERAL-BLOOD LYMPHOCYTES; HEMATOPOIETIC PROGENITOR CELLS; I TETRAMERIC COMPLEXES; ALLOGENEIC BONE-MARROW; DENDRITIC CELLS; INFILTRATING LYMPHOCYTES; METASTATIC MELANOMA; VITRO STIMULATION; VIRUS INFECTION; IMMUNOTHERAPY;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Abteilung für Pädiatrische Hämatologie, Onkologie und Stammzelltransplantation
Medicine > Abteilung für Nuklearmedizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 20 Sep 2021 06:45
Last Modified: 20 Sep 2021 06:45
URI: https://pred.uni-regensburg.de/id/eprint/39277

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