Adoptive transfer of T-cell precursors enhances T-cell reconstitution after allogeneic hematopoietic stem cell transplantation

JL Zakrzewski, AA Kochman, SX Lu, TH Terwey… - Nature medicine, 2006 - nature.com
JL Zakrzewski, AA Kochman, SX Lu, TH Terwey, TD Kim, VM Hubbard, SJ Muriglan, D Suh…
Nature medicine, 2006nature.com
Immunoincompetence after allogeneic hematopoietic stem cell transplantation (HSCT)
affects in particular the T-cell lineage and is associated with an increased risk for infections,
graft failure and malignant relapse. To generate large numbers of T-cell precursors for
adoptive therapy, we cultured mouse hematopoietic stem cells (HSCs) in vitro on OP9
mouse stromal cells expressing the Notch-1 ligand Delta-like-1 (OP9-DL1). We infused
these cells, together with T-cell–depleted mouse bone marrow or purified HSCs, into lethally …
Abstract
Immunoincompetence after allogeneic hematopoietic stem cell transplantation (HSCT) affects in particular the T-cell lineage and is associated with an increased risk for infections, graft failure and malignant relapse. To generate large numbers of T-cell precursors for adoptive therapy, we cultured mouse hematopoietic stem cells (HSCs) in vitro on OP9 mouse stromal cells expressing the Notch-1 ligand Delta-like-1 (OP9-DL1). We infused these cells, together with T-cell–depleted mouse bone marrow or purified HSCs, into lethally irradiated allogeneic recipients and determined their effect on T-cell reconstitution after transplantation. Recipients of OP9-DL1–derived T-cell precursors showed increased thymic cellularity and substantially improved donor T-cell chimerism (versus recipients of bone marrow or HSCs only). OP9-DL1–derived T-cell precursors gave rise to host-tolerant CD4+ and CD8+ populations with normal T-cell antigen receptor repertoires, cytokine secretion and proliferative responses to antigen. Administration of OP9-DL1–derived T-cell precursors increased resistance to infection with Listeria monocytogenes and mediated significant graft-versus-tumor (GVT) activity but not graft-versus-host disease (GVHD). We conclude that the adoptive transfer of OP9-DL1–derived T-cell precursors markedly enhances T-cell reconstitution after transplantation, resulting in GVT activity without GVHD.
nature.com