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Prevention of graft-versus-host disease while preserving graft-versus-leukemia effect after selective depletion of host-reactive T cells by photodynamic cell purging process.

Abstract
In this study, we investigated the possibility of selective depletion of donor alloantigen-specific T cells from C57BL/6 (H-2(b)) mice to prevent graft-versus-host disease (GVHD). These cells were first activated with irradiated BALB/c (H-2(d)) host spleen cells in a 5-day mixed lymphocyte culture. Following this activation, a photoactive rhodamine derivative called 4,5-dibromorhodamine 123 (TH9402), was added. This compound is selectively retained in the mitochondria of activated host-reactive cells but not tumor- or third-party-specific resting cells. The treated cells were subsequently exposed to visible light (514 nm) to deplete the TH9402-enriched activated host-reactive cells. Treatment with photodynamic cell purging process (PDP) inhibited antihost responses measured by cytotoxic T lymphocytes (CTL) by 93%, and interferon-gamma production by 66%. By contrast, anti-BCL1 (BALB/c-origin leukemia/lymphoma) and anti-third-party C3H/HeJ (H-2(k)) responses were preserved. PDP-treated primed C57BL/6 cells were further tested in vivo. All lethally irradiated BALB/c mice inoculated with BCL1 cells and T-cell-depleted bone marrow cells developed leukemia by day +30, with 50% mortality by 100 days. All mice died of GVHD after addition of 5 x 10(6) untreated primed C57BL/6 cells. However, addition of same numbers of PDP-treated cells allowed 90% of the recipients to survive more than 100 days without detectable BCL1 tumor cells and free of GVHD. Moreover, PDP-treated primed C57BL/6 cells retained the ability to induce GVHD in the third-party C3H/HeJ mice. These data suggest that PDP can selectively deplete host alloantigen-specific T cells for GVHD prevention and immune and antileukemia function preserve.
AuthorsBenny J Chen, Xiuyu Cui, Congxiao Liu, Nelson J Chao
JournalBlood (Blood) Vol. 99 Issue 9 Pg. 3083-8 (May 01 2002) ISSN: 0006-4971 [Print] United States
PMID11964269 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Photosensitizing Agents
  • Rhodamines
  • 4,5-dibromorhodamine 123
Topics
  • Animals
  • Bone Marrow Transplantation (methods)
  • Female
  • Graft vs Host Disease (prevention & control)
  • Graft vs Leukemia Effect (radiation effects)
  • Histocompatibility (radiation effects)
  • Light
  • Lymphocyte Depletion (methods)
  • Mice
  • Mice, Inbred Strains
  • Photosensitizing Agents (pharmacology)
  • Rhodamines (pharmacology)
  • T-Lymphocytes (immunology, radiation effects)
  • T-Lymphocytes, Cytotoxic (cytology)
  • Transplantation Immunology (radiation effects)
  • Tumor Cells, Cultured

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