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Successful expansion of functional and stable regulatory T cells for immunotherapy in liver transplantation.

Identifieur interne : 000A04 ( Main/Exploration ); précédent : 000A03; suivant : 000A05

Successful expansion of functional and stable regulatory T cells for immunotherapy in liver transplantation.

Auteurs : Niloufar Safinia [Royaume-Uni] ; Trishan Vaikunthanathan [Royaume-Uni] ; Henrieta Fraser [Royaume-Uni] ; Sarah Thirkell [Royaume-Uni] ; Katie Lowe [Royaume-Uni] ; Laura Blackmore [Royaume-Uni] ; Gavin Whitehouse [Royaume-Uni] ; Marc Martinez-Llordella [Royaume-Uni] ; Wayel Jassem [Royaume-Uni] ; Alberto Sanchez-Fueyo [Royaume-Uni] ; Robert I. Lechler [Royaume-Uni] ; Giovanna Lombardi [Royaume-Uni]

Source :

RBID : pubmed:26788992

Descripteurs français

English descriptors

Abstract

Strategies to prevent organ transplant rejection whilst minimizing long-term immunosuppression are currently under intense investigation with regulatory T cells (Tregs) nearing clinical application. The clinical trial, ThRIL, recently commenced at King's College London, proposes to use Treg cell therapy to induce tolerance in liver transplant recipients, the success of which has the potential to revolutionize the management of these patients and enable a future of drug-free transplants. This is the first report of the manufacture of clinical grade Tregs from prospective liver transplant recipients via a CliniMACS-based GMP isolation technique and expanded using anti-CD3/CD28 beads, IL-2 and rapamycin. We report the enrichment of a pure, stable population of Tregs (>95% CD4(+)CD25(+)FOXP3(+)), reaching adequate numbers for their clinical application. Our protocol proved successful in, influencing the expansion of superior functional Tregs, as compared to freshly isolated cells, whilst also preventing their conversion to Th17 cells under pro-inflammatory conditions. We conclude with the manufacture of the final Treg product in the clinical research facility (CRF), a prerequisite for the clinical application of these cells. The data presented in this manuscript together with the much-anticipated clinical results from ThRIL, will undoubtedly inform the improved management of the liver transplant recipient.

DOI: 10.18632/oncotarget.6927
PubMed: 26788992
PubMed Central: PMC4884938


Affiliations:


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Le document en format XML

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<name sortKey="Lowe, Katie" sort="Lowe, Katie" uniqKey="Lowe K" first="Katie" last="Lowe">Katie Lowe</name>
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<settlement type="city">Londres</settlement>
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<name sortKey="Blackmore, Laura" sort="Blackmore, Laura" uniqKey="Blackmore L" first="Laura" last="Blackmore">Laura Blackmore</name>
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<nlm:affiliation>Institute of Liver Studies, King's College Hospital, London, UK.</nlm:affiliation>
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<settlement type="city">Londres</settlement>
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<region type="région" nuts="1">Grand Londres</region>
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<name sortKey="Whitehouse, Gavin" sort="Whitehouse, Gavin" uniqKey="Whitehouse G" first="Gavin" last="Whitehouse">Gavin Whitehouse</name>
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<nlm:affiliation>Institute of Liver Studies, King's College Hospital, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Institute of Liver Studies, King's College Hospital, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Martinez Llordella, Marc" sort="Martinez Llordella, Marc" uniqKey="Martinez Llordella M" first="Marc" last="Martinez-Llordella">Marc Martinez-Llordella</name>
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<nlm:affiliation>Institute of Liver Studies, King's College Hospital, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Institute of Liver Studies, King's College Hospital, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
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<name sortKey="Jassem, Wayel" sort="Jassem, Wayel" uniqKey="Jassem W" first="Wayel" last="Jassem">Wayel Jassem</name>
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<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
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<name sortKey="Sanchez Fueyo, Alberto" sort="Sanchez Fueyo, Alberto" uniqKey="Sanchez Fueyo A" first="Alberto" last="Sanchez-Fueyo">Alberto Sanchez-Fueyo</name>
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<nlm:affiliation>Institute of Liver Studies, King's College Hospital, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Institute of Liver Studies, King's College Hospital, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
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<name sortKey="Lechler, Robert I" sort="Lechler, Robert I" uniqKey="Lechler R" first="Robert I" last="Lechler">Robert I. Lechler</name>
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<wicri:regionArea>MRC Centre for Transplantation, Division of Transplantation Immunology and Mucosal Biology, King's College London, Guy's Hospital, London</wicri:regionArea>
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<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
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<name sortKey="Lombardi, Giovanna" sort="Lombardi, Giovanna" uniqKey="Lombardi G" first="Giovanna" last="Lombardi">Giovanna Lombardi</name>
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<title level="j">Oncotarget</title>
<idno type="eISSN">1949-2553</idno>
<imprint>
<date when="2016" type="published">2016</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Alcohol-Related Disorders (immunology)</term>
<term>Alcohol-Related Disorders (therapy)</term>
<term>Cells, Cultured (MeSH)</term>
<term>Enzyme-Linked Immunosorbent Assay (MeSH)</term>
<term>Flow Cytometry (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Immune Tolerance (drug effects)</term>
<term>Immune Tolerance (immunology)</term>
<term>Immunosuppressive Agents (therapeutic use)</term>
<term>Immunotherapy (MeSH)</term>
<term>Liver Cirrhosis (immunology)</term>
<term>Liver Cirrhosis (therapy)</term>
<term>Liver Transplantation (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>T-Lymphocytes (cytology)</term>
<term>T-Lymphocytes (drug effects)</term>
<term>T-Lymphocytes (immunology)</term>
<term>T-Lymphocytes, Regulatory (cytology)</term>
<term>T-Lymphocytes, Regulatory (drug effects)</term>
<term>T-Lymphocytes, Regulatory (immunology)</term>
<term>Th17 Cells (cytology)</term>
<term>Th17 Cells (drug effects)</term>
<term>Th17 Cells (immunology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Cellules Th17 (cytologie)</term>
<term>Cellules Th17 (effets des médicaments et des substances chimiques)</term>
<term>Cellules Th17 (immunologie)</term>
<term>Cellules cultivées (MeSH)</term>
<term>Cirrhose du foie (immunologie)</term>
<term>Cirrhose du foie (thérapie)</term>
<term>Cytométrie en flux (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Immunosuppresseurs (usage thérapeutique)</term>
<term>Immunothérapie (MeSH)</term>
<term>Lymphocytes T (cytologie)</term>
<term>Lymphocytes T (effets des médicaments et des substances chimiques)</term>
<term>Lymphocytes T (immunologie)</term>
<term>Lymphocytes T régulateurs (cytologie)</term>
<term>Lymphocytes T régulateurs (effets des médicaments et des substances chimiques)</term>
<term>Lymphocytes T régulateurs (immunologie)</term>
<term>Test ELISA (MeSH)</term>
<term>Tolérance immunitaire (effets des médicaments et des substances chimiques)</term>
<term>Tolérance immunitaire (immunologie)</term>
<term>Transplantation hépatique (MeSH)</term>
<term>Troubles liés à l'alcool (immunologie)</term>
<term>Troubles liés à l'alcool (thérapie)</term>
<term>Études de suivi (MeSH)</term>
<term>Études prospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Immunosuppressive Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="cytologie" xml:lang="fr">
<term>Cellules Th17</term>
<term>Lymphocytes T</term>
<term>Lymphocytes T régulateurs</term>
</keywords>
<keywords scheme="MESH" qualifier="cytology" xml:lang="en">
<term>T-Lymphocytes</term>
<term>T-Lymphocytes, Regulatory</term>
<term>Th17 Cells</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en">
<term>Immune Tolerance</term>
<term>T-Lymphocytes</term>
<term>T-Lymphocytes, Regulatory</term>
<term>Th17 Cells</term>
</keywords>
<keywords scheme="MESH" qualifier="effets des médicaments et des substances chimiques" xml:lang="fr">
<term>Cellules Th17</term>
<term>Lymphocytes T</term>
<term>Lymphocytes T régulateurs</term>
<term>Tolérance immunitaire</term>
</keywords>
<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr">
<term>Cellules Th17</term>
<term>Cirrhose du foie</term>
<term>Lymphocytes T</term>
<term>Lymphocytes T régulateurs</term>
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<term>Troubles liés à l'alcool</term>
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<term>Liver Cirrhosis</term>
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<div type="abstract" xml:lang="en">Strategies to prevent organ transplant rejection whilst minimizing long-term immunosuppression are currently under intense investigation with regulatory T cells (Tregs) nearing clinical application. The clinical trial, ThRIL, recently commenced at King's College London, proposes to use Treg cell therapy to induce tolerance in liver transplant recipients, the success of which has the potential to revolutionize the management of these patients and enable a future of drug-free transplants. This is the first report of the manufacture of clinical grade Tregs from prospective liver transplant recipients via a CliniMACS-based GMP isolation technique and expanded using anti-CD3/CD28 beads, IL-2 and rapamycin. We report the enrichment of a pure, stable population of Tregs (>95% CD4(+)CD25(+)FOXP3(+)), reaching adequate numbers for their clinical application. Our protocol proved successful in, influencing the expansion of superior functional Tregs, as compared to freshly isolated cells, whilst also preventing their conversion to Th17 cells under pro-inflammatory conditions. We conclude with the manufacture of the final Treg product in the clinical research facility (CRF), a prerequisite for the clinical application of these cells. The data presented in this manuscript together with the much-anticipated clinical results from ThRIL, will undoubtedly inform the improved management of the liver transplant recipient.</div>
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<name sortKey="Lechler, Robert I" sort="Lechler, Robert I" uniqKey="Lechler R" first="Robert I" last="Lechler">Robert I. Lechler</name>
<name sortKey="Lombardi, Giovanna" sort="Lombardi, Giovanna" uniqKey="Lombardi G" first="Giovanna" last="Lombardi">Giovanna Lombardi</name>
<name sortKey="Lowe, Katie" sort="Lowe, Katie" uniqKey="Lowe K" first="Katie" last="Lowe">Katie Lowe</name>
<name sortKey="Martinez Llordella, Marc" sort="Martinez Llordella, Marc" uniqKey="Martinez Llordella M" first="Marc" last="Martinez-Llordella">Marc Martinez-Llordella</name>
<name sortKey="Sanchez Fueyo, Alberto" sort="Sanchez Fueyo, Alberto" uniqKey="Sanchez Fueyo A" first="Alberto" last="Sanchez-Fueyo">Alberto Sanchez-Fueyo</name>
<name sortKey="Thirkell, Sarah" sort="Thirkell, Sarah" uniqKey="Thirkell S" first="Sarah" last="Thirkell">Sarah Thirkell</name>
<name sortKey="Vaikunthanathan, Trishan" sort="Vaikunthanathan, Trishan" uniqKey="Vaikunthanathan T" first="Trishan" last="Vaikunthanathan">Trishan Vaikunthanathan</name>
<name sortKey="Whitehouse, Gavin" sort="Whitehouse, Gavin" uniqKey="Whitehouse G" first="Gavin" last="Whitehouse">Gavin Whitehouse</name>
</country>
</tree>
</affiliations>
</record>

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Data generation: Thu Nov 19 21:55:41 2020. Site generation: Thu Nov 19 22:00:39 2020