CD8+CD44hi but not CD4+CD44hi memory T cells mediate potent graft antilymphoma activity without GVHD

S Dutt, J Baker, HE Kohrt, N Kambham… - Blood, The Journal …, 2011 - ashpublications.org
S Dutt, J Baker, HE Kohrt, N Kambham, M Sanyal, RS Negrin, S Strober
Blood, The Journal of the American Society of Hematology, 2011ashpublications.org
Allogeneic hematopoietic cell transplantation can be curative in patients with leukemia and
lymphoma. However, progressive growth of malignant cells, relapse after transplantation,
and graft-versus-host disease (GVHD) remain important problems. The goal of the current
murine study was to select a freshly isolated donor T-cell subset for infusion that separates
antilymphoma activity from GVHD, and to determine whether the selected subset could
effectively prevent or treat progressive growth of a naturally occurring B-cell lymphoma …
Abstract
Allogeneic hematopoietic cell transplantation can be curative in patients with leukemia and lymphoma. However, progressive growth of malignant cells, relapse after transplantation, and graft-versus-host disease (GVHD) remain important problems. The goal of the current murine study was to select a freshly isolated donor T-cell subset for infusion that separates antilymphoma activity from GVHD, and to determine whether the selected subset could effectively prevent or treat progressive growth of a naturally occurring B-cell lymphoma (BCL1) without GVHD after recipients were given T cell–depleted bone marrow transplantations from major histocompatibility complex–mismatched donors. Lethal GVHD was observed when total T cells, naive CD4+ T cells, or naive CD8+ T cells were used. Memory CD4+CD44hi and CD8+CD44hi T cells containing both central and effector memory cells did not induce lethal GVHD, but only memory CD8+ T cells had potent antilymphoma activity and promoted complete chimerism. Infusion of CD8+ memory T cells after transplantation was able to eradicate the BCL1 lymphoma even after progressive growth without inducing severe GVHD. In conclusion, the memory CD8+ T-cell subset separated graft antilymphoma activity from GVHD more effectively than naive T cells, memory CD4+ T cells, or memory total T cells.
ashpublications.org