Generation and characterisation of acute myeloid leukaemia-reactive CD4 + T cells and their potential to eliminate human leukaemia blasts in NSG mice

Acute myeloid leukaemia (AML) is a cancer of the haematopoietic system, which can in many cases only be cured by haematopoietic stem cell transplantation (HSCT) and donor lymphocyte infusion (DLI) (Burnett et al., 2011). This therapy is associated with the beneficial graft-versus-leukaemia (GvL) effect mediated by transplanted donor T and NK cells that either recognise mismatch HLA molecules or polymorphic peptides, so-called minor histocompatibility antigens, leukaemia-associated or leukaemia-specific antigens in the patient and thus eliminate remaining leukaemic blasts. Nevertheless, the mature donor-derived cells often trigger graft-versus-host disease (GvHD), leading to severe damages in patients’ epithelial tissue, mainly skin, liver and intestine (Bleakley & Riddell, 2004). Therefore, approaches for the selective mediation of strong GvL effects are needed, also in order to prevent relapse after transplantation. One promising opportunity is the in vitro generation of AML-reactive CD4+ T cells for adoptive transfer. CD4+ T cells are advantageous compared to CD8+ T cells, as HLA class II molecules are under non-inflammatory conditions only expressed on haematopoietic cells; a fact that would minimise GvHD (Klein & Sato, 2000). In this study, naive CD4+ T cells were isolated from healthy donors and were successfully stimulated against primary AML blasts in mini-mixed lymphocyte/leukaemia cell cultures (mini-MLLC) in eight patient/donor pairs. After three to seven weekly restimulations, T cells were shown to produce TH1 type cytokines and to be partially of monoclonal origin according to their TCR Vβ chain usage. Furthermore, they exhibited lytic activity towards AML blasts, which was mediated by the release of granzymes A and B and perforin. The patient/donor pairs used in this study were fully HLA-class I matched, except for one pair, and also matched for HLA-DR and -DQ, whereas -DP was mismatched in one or both alleles, reflecting the actual donor selection procedure in the clinic (Begovich et al., 1992). Antibody blocking experiments suggested that the generated CD4+ T cells were directed against the HLA-DP mismatches, which could be confirmed by the recognition of donor-derived lymphoblastoid cell lines (LCLs) electroporated with the mismatched DP alleles. Under non-inflammatory conditions primary fibroblasts did not express HLA-DP and were thus not recognised, supporting the idea of a safer application of CD4+ T cells regarding induction of GvHD. For the assessment of the biological significance of these T cells, they were adoptively transferred into NSG mice engrafted with human AML blasts, where they migrated to the bone marrow and lymphoid tissue and succeeded in eliminating the leukaemic burden after only one week. Therefore, AML-reactive CD4+ T cells expanded from the naive compartment by in vitro stimulation with primary leukaemia blasts appear to be a potent tool for DLI in HSCT patients and promise to mediate specific GvL effects without causing GvHD.

Identifikation des Gruppe I Introns CDISt1 in offenen Leserastern des Clostridium difficile Genoms und dessen Charakterisierung als chimäres genetisches Element

Im tcdA-Gen des Clostridium difficile Stammes C34 wurde eine Insertion mit einer Größe von 1975 bp lokalisiert. Der als CdISt1 bezeichneten Insertion konnten charakteristische Merkmale von Gruppe I Introns und von Insertionselementen zugewiesen werden. Dem im 5’ Bereich gelegenen Anteil ließen sich die Intron-spezifischen Eigenschaften zuordnen, im 3’ Anteil wurden zwei offene Leseraster gefunden, die hohe Homologien zu Transposasen der IS605 Familie hatten. Funktionelle Analysen belegten die Spleißaktivität des chimären Ribozymes. CdISt1 konnte in mehren Kopien in allen untersuchten C. difficile Stämmen nachgewiesen werden. In anderen clostridialen Spezies konnte das Gruppe I Intron bislang nicht vorgefunden werden. Der Integrationsort in C. difficile war in allen untersuchten Fällen immer ein offenes Leseraster. Bislang waren Gruppe I Introns noch nie in bakteriellen offenen Leserastern beschrieben worden. Es kann angenommen werden, dass der chimäre Aufbau des Ribozymes die Integration in bakterielle offene Leseraster ermöglicht. Dabei wäre für die Spleißaktivität der Gruppe I Intron Anteil maßgeblich, die Mobilität würde über den IS Element Anteil vermittelt. Im Rahmen der Dissertationsarbeit konnten erste experimentelle Hinweise erbracht werden, dass das chimäre Ribozym an der evolution clostridialer Proteine beteiligt sein kann, wovon seinen Wirt C. difficile entsprechend profitieren würde.An insertion of 1975 bp is situated in the tcdA-gene of Clostridium difficile strain C34. The insertion was designated as CdISt1 and it had characteristics of group I introns and insertion elements. The group I characteristcs could be found in the 5’ area of the genetic element, in the 3’ area two open reading frames were located with high homologies to transposases of the IS605 family. Functional studies could proof the splicing activity of the ribozyme. CdISt1 could be found in several copies in all C. difficile strains examined so far. It was absent in other examined clostridial species. In all cases, the integration site in C. difficile was an open reading frame. Up to now, group I introns never were discovered in bacterial open reading frames. It can be assumed that the chimeric characteristics of the ribozyme permit an integration in bacterial open reading frames. The group I intron part would be responsible of the splicing activity, the IS element part could mediate the mobility of the genetic element. First experimental evidences point to a possible involvement of the chimeric ribozyme in the evolution of clostridial proteins, so the host C. difficile could benefit from its presence.