Reconstitution of T cell immunity following bone marrow transplantation is critical for the protection of the host from both infectious pathogens and tumor recurrence but this process is slow and is limited by parameters which are poorly defined. Further characterization of the mechanisms limiting immune reconstitution is restricted by available experimental systems. To address this issue, we have developed a novel model of in vitro T lymphopoiesis that recapitulates the differentiation of functional T cell from lineage negative bone marrow progenitor cells. In this project we propose to use this model system to examine T lymphopoiesis after allogeneic stem cell transplantation and to develop therapeutic strategies based on ex vivo T cell generation. We propose to adapt the in vitro system to provide a semi-quantitative measure of total and subset specific lymphopoietic output and repertoire complexity from input stem cells. We will test samples derived from patients undergoing transplantation and correlate in vitro findings with clinical parameters of immune reconstitution and T cell generation. These studies will determine whether stem cell lymphopoietic capacity dictates immune reconstitution and may provide a method by which the immunologic potential of a stem cell graft may be defined prior to transplantation. In addition, we will assess the capability of the in vitro system to provide T cell neogenesis and determine if reactivity to defined antigens can be achieved. Determination of whether negative selection permits expansion of a fully tolerized T cell population may enable adoptive transfer for host defense.
Specific Aims : 1. To optimize an in vitro model system that supports the differentiation of human hematopoietic stem cells into functional polyclonal T cells. 2. To establish methods for positive and negative selection of donor T cells in vitro. 3. To develop in vitro correlates of in vivo T cell lymphopoiesis. 4, To develop methods for in vitro expansion of mature polyclonal na ve T cells for adoptive T cell infusion after allogeneic BMT.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Research Program Projects (P01)
Project #
5P01AI029530-12
Application #
6611101
Study Section
Special Emphasis Panel (ZAI1)
Project Start
2002-08-01
Project End
2003-06-30
Budget Start
Budget End
Support Year
12
Fiscal Year
2002
Total Cost
$247,466
Indirect Cost
Name
Dana-Farber Cancer Institute
Department
Type
DUNS #
149617367
City
Boston
State
MA
Country
United States
Zip Code
02215
Exley, Mark A; Friedlander, Phillip; Alatrakchi, Nadia et al. (2017) Adoptive Transfer of Invariant NKT Cells as Immunotherapy for Advanced Melanoma: A Phase I Clinical Trial. Clin Cancer Res 23:3510-3519
Matsuoka, Ken-ichi; Koreth, John; Kim, Haesook T et al. (2013) Low-dose interleukin-2 therapy restores regulatory T cell homeostasis in patients with chronic graft-versus-host disease. Sci Transl Med 5:179ra43
Brown, J R; Kim, H T; Armand, P et al. (2013) Long-term follow-up of reduced-intensity allogeneic stem cell transplantation for chronic lymphocytic leukemia: prognostic model to predict outcome. Leukemia 27:362-9
Jacobson, Caron A; Turki, Amin T; McDonough, Sean M et al. (2012) Immune reconstitution after double umbilical cord blood stem cell transplantation: comparison with unrelated peripheral blood stem cell transplantation. Biol Blood Marrow Transplant 18:565-74
Kawano, Yutaka; Kim, Haesook T; Matsuoka, Ken-Ichi et al. (2011) Low telomerase activity in CD4+ regulatory T cells in patients with severe chronic GVHD after hematopoietic stem cell transplantation. Blood 118:5021-30
Koreth, John; Matsuoka, Ken-ichi; Kim, Haesook T et al. (2011) Interleukin-2 and regulatory T cells in graft-versus-host disease. N Engl J Med 365:2055-66
Schoenfeld, Jonathan D; Dranoff, Glenn (2011) Anti-angiogenesis immunotherapy. Hum Vaccin 7:976-81
Brown, Julia A; Stevenson, Kristen; Kim, Haesook T et al. (2010) Clearance of CMV viremia and survival after double umbilical cord blood transplantation in adults depends on reconstitution of thymopoiesis. Blood 115:4111-9
Matsuoka, Ken-ichi; Kim, Haesook T; McDonough, Sean et al. (2010) Altered regulatory T cell homeostasis in patients with CD4+ lymphopenia following allogeneic hematopoietic stem cell transplantation. J Clin Invest 120:1479-93
Sarantopoulos, Stefanie; Stevenson, Kristen E; Kim, Haesook T et al. (2009) Altered B-cell homeostasis and excess BAFF in human chronic graft-versus-host disease. Blood 113:3865-74

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