PMID- 10528221 OWN - NLM STAT- MEDLINE DCOM- 19991119 LR - 20211203 IS - 0022-1767 (Print) IS - 0022-1767 (Linking) VI - 163 IP - 9 DP - 1999 Nov 1 TI - Photochemical treatment with S-59 psoralen and ultraviolet A light to control the fate of naive or primed T lymphocytes in vivo after allogeneic bone marrow transplantation. PG - 5145-56 AB - Donor leukocyte infusions after allogeneic bone marrow transplantation can provide a curative graft-vs-leukemia (GVL) effect, but there is a significant risk of graft-vs-host (GVH) disease. A simple and effective method for controlling the fate of naive or primed T-lymphocytes in vivo without eliminating their beneficial properties is needed. In this report, photochemical treatment (PCT) ex vivo with a synthetic psoralen (S-59) and UVA light was evaluated as a pharmacological approach to limiting the proliferation and GVH potential of naive and primed donor T cells in vivo. S-59 rapidly intercalates into and cross-links DNA on UVA illumination. The effects of PCT on T cells were found to be both S-59 and UVA dose dependent. With selected PCT regimens, treated T cells still expressed activation markers (CD25 and CD69) and secreted IL-2 on activation, but they showed limited proliferative capacity in vitro and in vivo. Clonal expansion of CTL in MLR was reduced after PCT, but short term lytic activity of primed CTL was not affected. In a murine model of MHC-mismatched bone marrow transplantation, the addition of PCT-treated T cells to T-depleted bone marrow facilitated donor engraftment and complete chimerism without causing acute or chronic graft-vs-host disease. Allospecific GVL reactivity was reduced but not eliminated after PCT treatment. In an MHC-matched model using host-presensitized donor T cells, PCT significantly reduced GVH-associated mortality without eliminating GVL reactivity. Thus, PCT ex vivo offers a simple, rapid, and inexpensive method by which to control the fate of naive and primed T cells in vivo. FAU - Truitt, R L AU - Truitt RL AD - Department of Pediatrics and Cancer Center, Medical College of Wisconsin, Milwaukee 53226, USA. rtruitt@mcw.edu FAU - Johnson, B D AU - Johnson BD FAU - Hanke, C AU - Hanke C FAU - Talib, S AU - Talib S FAU - Hearst, J E AU - Hearst JE LA - eng GR - CA39854/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Immunol JT - Journal of immunology (Baltimore, Md. : 1950) JID - 2985117R RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation, T-Lymphocyte) RN - 0 (CD69 antigen) RN - 0 (Cytokines) RN - 0 (Furocoumarins) RN - 0 (Lectins, C-Type) RN - 0 (Radiation-Sensitizing Agents) RN - 0 (Receptors, Interleukin-2) RN - K1LDZ0VBC0 (amotosalen) RN - KTZ7ZCN2EX (Ficusin) SB - IM MH - Animals MH - Antigens, CD/biosynthesis MH - Antigens, Differentiation, T-Lymphocyte/biosynthesis MH - *Bone Marrow Transplantation/methods MH - Cells, Cultured MH - Clonal Anergy/drug effects MH - Cytokines/antagonists & inhibitors/biosynthesis/metabolism MH - Cytotoxicity, Immunologic/drug effects MH - Dose-Response Relationship, Immunologic MH - Ficusin/pharmacology MH - *Furocoumarins MH - Graft vs Host Reaction/drug effects/genetics/immunology MH - Immunosuppression Therapy MH - Lectins, C-Type MH - Lymphocyte Activation/*drug effects MH - Lymphocyte Culture Test, Mixed MH - Male MH - Mice MH - Mice, Inbred AKR MH - Mice, Inbred C57BL MH - PUVA Therapy/*methods MH - Radiation Chimera/immunology MH - Radiation-Sensitizing Agents/*pharmacology MH - Receptors, Interleukin-2/antagonists & inhibitors/biosynthesis MH - T-Lymphocytes/cytology/drug effects/*immunology MH - T-Lymphocytes, Cytotoxic/immunology MH - Time Factors MH - Transplantation, Homologous EDAT- 1999/10/21 00:00 MHDA- 1999/10/21 00:01 CRDT- 1999/10/21 00:00 PHST- 1999/10/21 00:00 [pubmed] PHST- 1999/10/21 00:01 [medline] PHST- 1999/10/21 00:00 [entrez] AID - ji_v163n9p5145 [pii] PST - ppublish SO - J Immunol. 1999 Nov 1;163(9):5145-56.