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COMBINED ISOLATION OF MULTI ANTIGEN SPECIFIC T CELL PRODUCTS CONTAINING NAÏVE AND/OR MEMORY VIRUS-SPECIFIC T CELLS AND T CELLS SPECIFIC FOR TUMOR ASSOCIATED AND MINOR HISTOCOMPATIBILITY ANTIGENS
Author(s): ,
Marthe Roex
Affiliations:
Hematology,LEIDEN UNIVERSITY MEDICAL CENTER,Leiden,Netherlands
,
José Matamoros Luna
Affiliations:
Hematology,LEIDEN UNIVERSITY MEDICAL CENTER,Leiden,Netherlands
,
Lois Hageman
Affiliations:
Hematology,LEIDEN UNIVERSITY MEDICAL CENTER,Leiden,Netherlands
,
Esther van Egmond
Affiliations:
Hematology,LEIDEN UNIVERSITY MEDICAL CENTER,Leiden,Netherlands
,
Sabrina Veld
Affiliations:
Hematology,LEIDEN UNIVERSITY MEDICAL CENTER,Leiden,Netherlands
,
Ellis van Liempt
Affiliations:
Hematology,LEIDEN UNIVERSITY MEDICAL CENTER,Leiden,Netherlands
,
Conny Hoogstraten
Affiliations:
Hematology,LEIDEN UNIVERSITY MEDICAL CENTER,Leiden,Netherlands
,
Lothar Germeroth
Affiliations:
Juno Therapeutics,Goettingen,Germany
,
Peter van Balen
Affiliations:
Hematology,LEIDEN UNIVERSITY MEDICAL CENTER,Leiden,Netherlands
,
Stijn Halkes
Affiliations:
Hematology,LEIDEN UNIVERSITY MEDICAL CENTER,Leiden,Netherlands
,
JH Frederik Falkenburg
Affiliations:
Hematology,LEIDEN UNIVERSITY MEDICAL CENTER,Leiden,Netherlands
Inge Jedema
Affiliations:
Hematology,LEIDEN UNIVERSITY MEDICAL CENTER,Leiden,Netherlands
(Abstract release date: 05/19/16) EHA Library. Jedema I. 06/09/16; 132670; E1121 Disclosure(s): Juno Therapeutics: Lothar Germeroth is Senior Vice President, Managing Director at Juno Therapeutics, which develops Cell therapeutics based on the Streptamer technology.
Assoc. Prof. Inge Jedema
Assoc. Prof. Inge Jedema
Contributions
Abstract
Abstract: E1121

Type: Eposter Presentation

Background
T cell depleted allogeneic stem cell transplantation (aIIoSCT) followed by a donor lymphocyte infusion (DLI) is a potential curative treatment for patients with hematological malignancies. However, between the aIIoSCT and the DLI patients are vulnerable to viral infections and disease relapses. Within a clinical phase I/II study in the EU FP7 program T-control we isolate and adoptively transfer multi-antigen specific T-cell products to prevent these complications. Therefore, we isolate donor T-cells directed against HLA-A1, A2, A24, B7, and/or B8-restricted peptides of CMV, EBV and Adenovirus and HLA-A2-restricted peptides from the tumor-associated antigens (TAA) NY-eso, WT-1, RHAMM, PRAME and proteinase 3, and the minor histocompatibility antigen (MiHA) HA-1h. Due to the relatively high precursor frequency of virus-specific T cells in seropositive donors, memory virus-specific T cells can be easily isolated.

Aims
To investigate the presence and functional activity of the specificities with a very low precursor frequency, e.g. TAA and MiHA specific T cells, and virus specific T cells from seronegative donors.

Methods
HLA-A2, B7, and/or B8-positive CMV seronegative donors (n=5) and EBV seronegative donors (n=2) were selected for isolation of CMV, EBV and AdV-specific T cells. From 4 HLA-A2 positive donors TAA and MiHA specific T cells were isolated. The reversible HLA/peptide streptamer and magnetic nanobead technique (Juno) was used for the isolation out of 1-2*10^9 donor PBMC, using all relevant streptamers according to the HLA-type of the donor. The positive fractions were non-specifically expanded using PHA, IL-2 and allogeneic feeder cells. The presence of the different specificities was assessed 10-14 days after the isolation by tetramer staining. To confirm the presence of the invisible very low frequency T cell specificities, subsequent enrichment and expansion rounds were performed until populations were visible. Specificities that were present in a frequency >1% were clonally expanded and tested for their functional potential.

Results
After 2 or 3 enrichment and expansion rounds, we were able to demonstrate specific T cell populations for 6 CMV specificities from 4 seronegative donors (pp65 A2 NLV (3x), pp65 B7 TPR, 1E-1 A2 VLE, 1E-1 B8 QIK) and 4 EBV specificities from 2 seronegative donors (BMLF-1 A2 GLC, EBNA-3a B7 RPP (2x), BZLF-1 B8 RAK). The CD8/tetramer positive clones from two CMV specificities (pp65 A2 NLV and pp65 B7 TPR) and one EBV specificity (EBNA-3a B7 RPP) were tested for antigen specific reactivity measured by cytokine release (IFN-gamma and GM-CSF) after 24 hours of stimulation with TAP deficient T2 cells and/or allogeneic EBV-LCL exogenously loaded with the relevant peptide. This analysis revealed the presence of clones of high avidity recognizing up to 10^-9M peptide on T2 cells and 10^-8M peptide on allogeneic EBV-LCL. Besides this, all mentioned TAA and MiHA specificities could be isolated from all four HLA-A2 positive donors after 2 to 4 enrichment and expansion rounds, and comprised clones with a range of different functional avidities.

Conclusion
In conclusion, the HLA/peptide streptamer technology allows the simultaneous isolation of multi antigen specific T cell products containing not only highly frequent virus-specific memory T cells, but also EBV and/or CMV specific T cells from the naïve T cell repertoire of seronegative donors, as well as TAA and MiHA specific T cells with differential functional avidities. 

Session topic: E-poster

Keyword(s): Cellular therapy, CMV infection, Minor histocompatibility antigen, Tumor antigen
Abstract: E1121

Type: Eposter Presentation

Background
T cell depleted allogeneic stem cell transplantation (aIIoSCT) followed by a donor lymphocyte infusion (DLI) is a potential curative treatment for patients with hematological malignancies. However, between the aIIoSCT and the DLI patients are vulnerable to viral infections and disease relapses. Within a clinical phase I/II study in the EU FP7 program T-control we isolate and adoptively transfer multi-antigen specific T-cell products to prevent these complications. Therefore, we isolate donor T-cells directed against HLA-A1, A2, A24, B7, and/or B8-restricted peptides of CMV, EBV and Adenovirus and HLA-A2-restricted peptides from the tumor-associated antigens (TAA) NY-eso, WT-1, RHAMM, PRAME and proteinase 3, and the minor histocompatibility antigen (MiHA) HA-1h. Due to the relatively high precursor frequency of virus-specific T cells in seropositive donors, memory virus-specific T cells can be easily isolated.

Aims
To investigate the presence and functional activity of the specificities with a very low precursor frequency, e.g. TAA and MiHA specific T cells, and virus specific T cells from seronegative donors.

Methods
HLA-A2, B7, and/or B8-positive CMV seronegative donors (n=5) and EBV seronegative donors (n=2) were selected for isolation of CMV, EBV and AdV-specific T cells. From 4 HLA-A2 positive donors TAA and MiHA specific T cells were isolated. The reversible HLA/peptide streptamer and magnetic nanobead technique (Juno) was used for the isolation out of 1-2*10^9 donor PBMC, using all relevant streptamers according to the HLA-type of the donor. The positive fractions were non-specifically expanded using PHA, IL-2 and allogeneic feeder cells. The presence of the different specificities was assessed 10-14 days after the isolation by tetramer staining. To confirm the presence of the invisible very low frequency T cell specificities, subsequent enrichment and expansion rounds were performed until populations were visible. Specificities that were present in a frequency >1% were clonally expanded and tested for their functional potential.

Results
After 2 or 3 enrichment and expansion rounds, we were able to demonstrate specific T cell populations for 6 CMV specificities from 4 seronegative donors (pp65 A2 NLV (3x), pp65 B7 TPR, 1E-1 A2 VLE, 1E-1 B8 QIK) and 4 EBV specificities from 2 seronegative donors (BMLF-1 A2 GLC, EBNA-3a B7 RPP (2x), BZLF-1 B8 RAK). The CD8/tetramer positive clones from two CMV specificities (pp65 A2 NLV and pp65 B7 TPR) and one EBV specificity (EBNA-3a B7 RPP) were tested for antigen specific reactivity measured by cytokine release (IFN-gamma and GM-CSF) after 24 hours of stimulation with TAP deficient T2 cells and/or allogeneic EBV-LCL exogenously loaded with the relevant peptide. This analysis revealed the presence of clones of high avidity recognizing up to 10^-9M peptide on T2 cells and 10^-8M peptide on allogeneic EBV-LCL. Besides this, all mentioned TAA and MiHA specificities could be isolated from all four HLA-A2 positive donors after 2 to 4 enrichment and expansion rounds, and comprised clones with a range of different functional avidities.

Conclusion
In conclusion, the HLA/peptide streptamer technology allows the simultaneous isolation of multi antigen specific T cell products containing not only highly frequent virus-specific memory T cells, but also EBV and/or CMV specific T cells from the naïve T cell repertoire of seronegative donors, as well as TAA and MiHA specific T cells with differential functional avidities. 

Session topic: E-poster

Keyword(s): Cellular therapy, CMV infection, Minor histocompatibility antigen, Tumor antigen

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