PMID- 28504668 OWN - NLM STAT- MEDLINE DCOM- 20170821 LR - 20220321 IS - 1546-1696 (Electronic) IS - 1087-0156 (Print) IS - 1087-0156 (Linking) VI - 35 IP - 8 DP - 2017 Aug TI - HLA-E-expressing pluripotent stem cells escape allogeneic responses and lysis by NK cells. PG - 765-772 LID - 10.1038/nbt.3860 [doi] AB - Polymorphisms in the human leukocyte antigen (HLA) class I genes can cause the rejection of pluripotent stem cell (PSC)-derived products in allogeneic recipients. Disruption of the Beta-2 Microglobulin (B2M) gene eliminates surface expression of all class I molecules, but leaves the cells vulnerable to lysis by natural killer (NK) cells. Here we show that this 'missing-self' response can be prevented by forced expression of minimally polymorphic HLA-E molecules. We use adeno-associated virus (AAV)-mediated gene editing to knock in HLA-E genes at the B2M locus in human PSCs in a manner that confers inducible, regulated, surface expression of HLA-E single-chain dimers (fused to B2M) or trimers (fused to B2M and a peptide antigen), without surface expression of HLA-A, B or C. These HLA-engineered PSCs and their differentiated derivatives are not recognized as allogeneic by CD8(+) T cells, do not bind anti-HLA antibodies and are resistant to NK-mediated lysis. Our approach provides a potential source of universal donor cells for applications where the differentiated derivatives lack HLA class II expression. FAU - Gornalusse, German G AU - Gornalusse GG AD - Department of Medicine, University of Washington, Seattle, Washington, USA. FAU - Hirata, Roli K AU - Hirata RK AD - Department of Medicine, University of Washington, Seattle, Washington, USA. FAU - Funk, Sarah E AU - Funk SE AD - Department of Medicine, University of Washington, Seattle, Washington, USA. FAU - Riolobos, Laura AU - Riolobos L AD - Department of Medicine, University of Washington, Seattle, Washington, USA. FAU - Lopes, Vanda S AU - Lopes VS AD - Center for Stem Cell Biology and Engineering, Department of Molecular, Cellular, and Developmental Biology, University of California, Santa Barbara, USA. FAU - Manske, Gabriel AU - Manske G AD - Department of Medicine, University of Washington, Seattle, Washington, USA. FAU - Prunkard, Donna AU - Prunkard D AD - Department of Medicine, University of Washington, Seattle, Washington, USA. FAU - Colunga, Aric G AU - Colunga AG AD - Department of Medicine, University of Washington, Seattle, Washington, USA. FAU - Hanafi, Laila-Aicha AU - Hanafi LA AD - Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. FAU - Clegg, Dennis O AU - Clegg DO AD - Center for Stem Cell Biology and Engineering, Department of Molecular, Cellular, and Developmental Biology, University of California, Santa Barbara, USA. FAU - Turtle, Cameron AU - Turtle C AD - Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. FAU - Russell, David W AU - Russell DW AD - Department of Medicine, University of Washington, Seattle, Washington, USA. AD - Department of Biochemistry, University of Washington, Seattle, Washington, USA. LA - eng GR - R01 DK055759/DK/NIDDK NIH HHS/United States GR - R01 HL130770/HL/NHLBI NIH HHS/United States GR - T32 HL007093/HL/NHLBI NIH HHS/United States GR - U54 DK106829/DK/NIDDK NIH HHS/United States PT - Journal Article DEP - 20170515 PL - United States TA - Nat Biotechnol JT - Nature biotechnology JID - 9604648 RN - 0 (HLA Antigens) SB - IM CIN - Nat Biotechnol. 2017 Aug 8;35(8):722-723. PMID: 28787417 MH - Animals MH - Female MH - Graft Rejection/immunology MH - HLA Antigens/chemistry/genetics/*immunology MH - Humans MH - Killer Cells, Natural/*immunology MH - Mice MH - Pluripotent Stem Cells/chemistry/cytology/*immunology MH - Transplants/chemistry/cytology/*immunology PMC - PMC5548598 MID - NIHMS863048 EDAT- 2017/05/16 06:00 MHDA- 2017/08/22 06:00 PMCR- 2017/11/15 CRDT- 2017/05/16 06:00 PHST- 2016/05/09 00:00 [received] PHST- 2017/03/24 00:00 [accepted] PHST- 2017/05/16 06:00 [pubmed] PHST- 2017/08/22 06:00 [medline] PHST- 2017/05/16 06:00 [entrez] PHST- 2017/11/15 00:00 [pmc-release] AID - nbt.3860 [pii] AID - 10.1038/nbt.3860 [doi] PST - ppublish SO - Nat Biotechnol. 2017 Aug;35(8):765-772. doi: 10.1038/nbt.3860. Epub 2017 May 15.