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EBV T-cell Immunotherapy Generated by Peptide Selection Has Enhanced Effector Functionality Compared to LCL Stimulation

FRONTIERS IN IMMUNOLOGY(2024)

Tissues | Univ Edinburgh | Univ Glasgow | Scottish Natl Blood Transfus Serv

Cited 0|Views14
Abstract
Adoptive immunotherapy with Epstein-Barr virus (EBV)-specific T cells is an effective treatment for relapsed or refractory EBV-induced post-transplant lymphoproliferative disorders (PTLD) with overall survival rates of up to 69%. EBV-specific T cells have been conventionally made by repeated stimulation with EBV-transformed lymphoblastoid cell lines (LCL), which act as antigen-presenting cells. However, this process is expensive, takes many months, and has practical risks associated with live virus. We have developed a peptide-based, virus-free, serum-free closed system to manufacture a bank of virus-specific T cells (VST) for clinical use. We compared these with standard LCL-derived VST using comprehensive characterization and potency assays to determine differences that might influence clinical benefits. Multi-parameter flow cytometry revealed that peptide-derived VST had an expanded central memory population and less exhaustion marker expression than LCL-derived VST. A quantitative HLA-matched allogeneic cytotoxicity assay demonstrated similar specific killing of EBV-infected targets, though peptide-derived EBV T cells had a significantly higher expression of antiviral cytokines and degranulation markers after antigen recall. High-throughput T cell receptor-beta (TCRβ) sequencing demonstrated oligoclonal repertoires, with more matches to known EBV-binding complementary determining region 3 (CDR3) sequences in peptide-derived EBV T cells. Peptide-derived products showed broader and enhanced specificities to EBV nuclear antigens (EBNAs) in both CD8 and CD4 compartments, which may improve the targeting of highly expressed latency antigens in PTLD. Importantly, peptide-based isolation and expansion allows rapid manufacture and significantly increased product yield over conventional LCL-based approaches.
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cell therapy,Epstein-Barr virus,immunotherapy,T cell,potency,peptide,lymphoblastoid cell line,T cell receptor
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要点】:该论文提出了一种基于肽选择的新型EBV T细胞免疫疗法,与传统LCL刺激方法相比,具有增强的效应功能。

方法】:研究者采用肽选择方法,在无病毒、无血清的封闭系统中制造了病毒特异性T细胞(VST)。

实验】:通过多参数流式细胞术、定量HLA匹配的同种异体细胞毒性实验以及高通量T细胞受体β链(TCRβ)测序,发现肽衍生的VST在中央记忆细胞群体扩大、 exhaustion标记表达减少、抗病毒细胞因子和脱颗粒标记表达增加以及更广和增强的EBV核抗原(EBNA)特异性方面优于传统LCL衍生VST。实验使用了EBV感染的目标细胞,并记录了肽衍生的VST在抗原回忆后的表现。