HLA class II mismatch alleles as targets of the alloreactive CD4 T-cell response

In allogeneic hematopoietic stem cell transplantation (allo-HSCT), alloreactive T lymphocytes of donor origin mediate the beneficial graft-versus-leukemia effect but also induce graft-versus-host disease (GvHD). Since human leukocyte antigens (HLA) mismatch alleles represent major targets of alloreactive T lymphocytes, patient and donor are usually matched for the class I molecules A, B, C, and for the class II molecules DRB1 and DQB1, in order do reduce the risk of GvHD. The HLA-DPB1 locus, however, is still ignored in donor selection. Interestingly, clinical studies have demonstrated that disparities at HLA-DQB1 alleles as well as distinct HLA DPB1 mismatch constellations do not adversely affect the outcome of allo-HSCT. It has also been shown that HLA class II is predominantly expressed on hematopoietic cells under non-inflammatory conditions. Therefore, this PhD thesis focused on the application of CD4 T cells in adoptive immunotherapy of leukemias.rnIn the first part of this thesis we developed a rapid screening approach to detect T-cell reactivity of donors to single HLA class II mismatch alleles. Allo-HLA reactivity was measured in naive, memory, and entire CD4 T cells isolated from PBMC of healthy donors by flow cytometric cell sorting according to expression of the differentiation markers CD45RA, CD45RO, CD62L, and CCR7. T-cell populations were defined by a single marker to facilitate translation into a clinical-grade allo-depletion procedure. Alloreactivity to single HLA-DR/-DQ mismatch alleles was analyzed in short-term mixed lymphocyte reactions (MLR) in vitro. As standard antigen-presenting cells, we used the HLA-deficient cell line K562 upon electroporation with single HLA-DR/-DQ allele mRNA. We observed in IFN-γ ELISpot assays that allo-HLA-reactivity preferentially derived from subsets enriched for naive compared to memory T cells in healthy donors, irrespective of the HLA mismatch allele. This separation was most efficient if CD62L (P=0.008) or CD45RA (P=0.011) were used as marker. Median numbers of allo-HLA-reactive effector cells were 3.5-fold and 16.6-fold lower in CD62Lneg and CD45RAneg memory CD4 T cells than in entire CD4 T cells, respectively. In allele-specific analysis, alloreactivity to single HLA-DR alleles clearly exceeded that to HLA-DQ alleles. In terms of alloproliferation no significant difference could be observed between individual CD4 T-cell subsets. rnThe second part of this thesis dealed with the generation of allo-HLA-DQ/-DP specific CD4 T cells. Naive CD45RApos CD4 T cells isolated from healthy donor PBMC by flow cytometric cell sorting were stimulated in MLR against single allo-HLA-DQ/-DP alleles transfected into autologous mature monocyte-derived dendritic cells by mRNA electroporation. Rapidly expanding HLA-DQ/-DP mismatch reactive T cells significantly recognized and cytolysed primary acute myeloid leukemia (AML) blasts, fibroblasts (FB) and keratinocytes (KC) in IFN-γ ELISpot and 51chromium release assays if the targets carried the HLA DQ/ DP allele used for T cell priming. While AML blasts were recognized independent of pre-incubating them with IFN-γ, recognition of FB and KC required IFN-γ pre treatment. We further investigated HLA class II expression on hematopoietic and non-hematopoietic cells by flow cytometry. HLA class II was not detected on primary FB, KC, and non-malignant kidney cells, but was expressed at significant levels on primary AML blasts and B-LCL. Up-regulation of HLA class II expression was observed on all cell types after pre-incubation with IFN-γ.rnIn summary, the novel K562-HLA based MLR approach revealed that naive-depleted CD4 T-cell subsets of healthy individuals contain decreased allo-HLA reactivity in vitro. We propose the application of CD45RAneg naive-depleted CD4 T cells as memory T cell therapy, which might be beneficial for HLA-mismatched patients at high-risk of GvHD and low-risk of leukemia relapse. Memory T cells might also provide important post-transplant immune functions against infectious agents. Additionally, the screening approach could be employed as test system to detect donors which have low risks for the emergence of GvHD after allo-HSCT. In the second part of this thesis we developed a protocol for the generation of allo-HLA-DQ/-DP specific CD4 T cell lines, which could be applied in situations in which patient and donor are matched in all HLA alleles but one HLA-DQ/-DP allele with low GvHD potential. These T cells showed lytic activity to leukemia cells while presumably sparing non-hematopoietic tissues under non-inflammatory conditions. Therefore, they might be advantageous for allo-HSCT patients with advanced stage AML after reduced-intensity conditioning and T-cell depletion for the replenishment of anti-leukemic reactivity if the risk for disease relapse is high. rn

Bestimmung thermischer Untergrundparameter in Erdwärmesondenfeldern und Evaluierung tiefenaufgelöster Thermal-Response-Tests durch thermohydraulische Modellierungen

Die oberflächennahe Geothermie leistet im Bereich der Nutzung regenerativer Wärme einen wichtigen Beitrag zum Klima- und Umweltschutz. Um die technische Nutzung oberflächennaher Geothermie zu optimieren, ist die Kenntnis der Beschaffenheit des geologischen Untergrundes ausschlaggebend. Die vorliegende Dissertation befasst sich mit der Bestimmung verschiedener Untergrundparameter an einem Erdwärmesondenfeld. Es wurden Untersuchungen zur Bestimmung der Wärmeleitfähigkeit wie der enhanced Thermal Response Test (eTRT), sowie eine Untergrund-Temperaturüberwachung im ersten Betriebsjahr durchgeführt. Die Überwachung zeigte keine gegenseitige Beeinflussung einzelner Sonden. Ein Vergleich zwischen dem geplanten und dem tatsächlichem Wärmebedarf des ersten Betriebsjahres ergab eine Abweichung von ca. 35%. Dies zeigt, dass die Nutzungsparameter der Anlage deren Effizienz maßgeblich beeinflussen können. Der am Beispielobjekt praktisch durchgeführte eTRT wurde mittels numerischer Modellierung auf seine Reproduzierbarkeit hin überprüft. Bei einem rein konduktiven Wärmetransport im Untergrund betrug die maximale Abweichung der Messung selbst unter ungünstigen Bedingungen lediglich ca. 6% vom zu erwartenden Wert. Die Detektion von grundwasserdurchflossenen Schichten ist in den Modellen ebenfalls gut abbildbar. Problematisch bleibt die hohe Abhängigkeit des Tests von einer konstanten Wärmezufuhr. Lediglich die Bestimmung der Wärmeleitfähigkeit über das Relaxationsverhalten des Untergrundes liefert bei Wärmeeintragsschwankungen hinreichend genaue Ergebnisse. Die mathematische Nachbearbeitung von fehlerhaften Temperaturkurven bietet einen Einstiegspunkt für weiterführende Forschung.