Abstract |
Umbilical cord blood transplantation is applied as treatment for mainly pediatric patients with hematologic malignancies. The clinical results show a relatively low incidence of graft-versus-host disease and leukemia relapse. Since maternal cells traffic into the fetus during pregnancy, we questioned whether cord blood has the potential to generate cytotoxic T cells specific for the hematopoietic minor histocompatibility ( H) antigen HA-1 that would support the graft-versus- leukemia effect. Here, we demonstrate the feasibility of ex vivo generation of minor H antigen HA-1-specific T cells from cord blood cells. Moreover, we observed pre-existing HA-1-specific T cells in cord blood samples. Both the circulating and the ex vivo-generated HA-1-specific T cells show specific and hematopoietic restricted lysis of human leukocyte antigen-A2(pos)/HA-1(pos) (HLA-A2(pos)/HA-1(pos)) target cells, including leukemic cells. The cord blood-derived HA-1-specific cytotoxic T cells are from child origin. Thus, the so-called naive cord blood can comprise cytotoxic T cells directed at the maternal minor H antigen HA-1. The apparent immunization status of cord blood may well contribute to the in vivo graft-versus- leukemia activity after transplantation. Moreover, since the fetus cannot be primed against Y chromosome-encoded minor H antigens, cord blood is an attractive stem cell source for male patients.
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Authors | Bregje Mommaas, Janine A Stegehuis-Kamp, Astrid G van Halteren, Michel Kester, Jürgen Enczmann, Peter Wernet, Gesine Kögler, Tuna Mutis, Anneke Brand, Els Goulmy |
Journal | Blood
(Blood)
Vol. 105
Issue 4
Pg. 1823-7
(Feb 15 2005)
ISSN: 0006-4971 [Print] United States |
PMID | 15498856
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Epitopes, T-Lymphocyte
- HA-1 antigen
- HLA-A2 Antigen
- Minor Histocompatibility Antigens
- Oligopeptides
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Topics |
- Cell Differentiation
(immunology)
- Cell Line
- Cell Line, Tumor
- Cell Separation
- Cells, Cultured
- Cytotoxicity, Immunologic
- Epitopes, T-Lymphocyte
(immunology)
- Female
- Fetal Blood
(cytology, immunology, metabolism)
- Fetus
(cytology, immunology, metabolism)
- HLA-A2 Antigen
(biosynthesis)
- Hematopoietic Stem Cells
(cytology, immunology)
- Humans
- Maternal-Fetal Exchange
(immunology)
- Minor Histocompatibility Antigens
(biosynthesis, blood, immunology)
- Oligopeptides
(biosynthesis, blood, immunology)
- Pregnancy
- T-Lymphocyte Subsets
(immunology, metabolism)
- T-Lymphocytes, Cytotoxic
(cytology, immunology, metabolism)
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