PMID- 37310580 OWN - NLM STAT- MEDLINE DCOM- 20230721 LR - 20230721 IS - 1865-3774 (Electronic) IS - 0925-5710 (Linking) VI - 118 IP - 2 DP - 2023 Aug TI - Development of TCR-T cell therapy targeting mismatched HLA-DPB1 for relapsed leukemia after allogeneic transplantation. PG - 252-266 LID - 10.1007/s12185-023-03621-y [doi] AB - Relapsed leukemia after allogeneic hematopoietic stem cell transplantation (allo-HSCT) remains a significant challenge, with the re-emergence of the primary disease being the most frequent cause of death. Human leukocyte antigen (HLA)-DPB1 mismatch occurs in approximately 70% of unrelated allo-HSCT cases, and targeting mismatched HLA-DPB1 is considered reasonable for treating relapsed leukemia following allo-HSCT if performed under proper conditions. In this study, we established several clones restricted to HLA-DPB1*02:01, -DPB1*04:02, and -DPB1*09:01 from three patients who underwent HLA-DPB1 mismatched allo-HSCT using donor-derived alloreactive T cells primed to mismatched HLA-DPB1 in the recipient's body after transplantation. A detailed analysis of the DPB1*09:01-restricted clone 2A9 showed reactivity against various leukemia cell lines and primary myeloid leukemia blasts, even with low HLA-DP expression. T cell receptor (TCR)-T cells derived from clone 2A9 retained the ability to trigger HLA-DPB1*09:01-restricted recognition and lysis of various leukemia cell lines in vitro. Our study demonstrated that the induction of mismatched HLA-DPB1 specific T cell clones from physiologically primed post-allo-HSCT alloreactive CD4(+) T cells and the redirection of T cells with cloned TCR cDNA by gene transfer are feasible as techniques for future adoptive immunotherapy. CI - (c) 2023. Japanese Society of Hematology. FAU - Barakat, Carolyne AU - Barakat C AD - Department of Immunology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8560, Japan. FAU - Inagaki, Yuichiro AU - Inagaki Y AD - Department of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan. FAU - Mizuno, Shohei AU - Mizuno S AD - Division of Hematology, Department of Internal Medicine, Aichi Medical University, Nagakute, Japan. FAU - Nishio, Nobuhiro AU - Nishio N AD - Center for Advanced Medicine and Clinical Research, Department of Advanced Medicine, Nagoya University Hospital, Nagoya, Japan. AD - Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Katsuyama, Naoya AU - Katsuyama N AD - Department of Immunology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8560, Japan. FAU - Sato, Yoshie AU - Sato Y AD - Department of Immunology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8560, Japan. FAU - Kobayashi, Miki AU - Kobayashi M AD - Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, Nagoya, Japan. FAU - Ozeki, Kazutaka AU - Ozeki K AD - Department of Hematology and Oncology, JA Aichi Konan Kosei Hospital, Konan, Japan. FAU - Iida, Hiroatsu AU - Iida H AD - Department of Hematology, National Hospital Organization Nagoya Medical Center, Nagoya, Japan. FAU - Tomita, Akihiro AU - Tomita A AD - Department of Hematology, Fujita Health University School of Medicine, Toyoake, Japan. FAU - Sawa, Masashi AU - Sawa M AD - Department of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan. FAU - Demachi-Okamura, Ayako AU - Demachi-Okamura A AD - Division of Translational Oncoimmunology, Aichi Cancer Center Research Institute, Nagoya, Japan. FAU - Takahashi, Yoshiyuki AU - Takahashi Y AD - Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Nishikawa, Hiroyoshi AU - Nishikawa H AD - Department of Immunology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8560, Japan. AD - Division of Cancer Immunology, Research Institute/Exploratory Oncology Research and Clinical Trial Center (EPOC), National Cancer Center, Tokyo, Japan. FAU - Akatsuka, Yoshiki AU - Akatsuka Y AUID- ORCID: 0000-0003-3623-2826 AD - Department of Immunology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8560, Japan. yakatsuk@med.nagoya-u.ac.jp. LA - eng GR - 21K08369/Japan Society for the Promotion of Science/ GR - JP21ek0510027/Japan Agency for Medical Research and Development/ PT - Journal Article DEP - 20230613 PL - Japan TA - Int J Hematol JT - International journal of hematology JID - 9111627 RN - 0 (HLA-DPB1 antigen) RN - 0 (HLA-DP beta-Chains) RN - 0 (Receptors, Antigen, T-Cell) SB - IM MH - Humans MH - CD4-Positive T-Lymphocytes MH - *Leukemia MH - HLA-DP beta-Chains/genetics/metabolism MH - Transplantation, Homologous MH - *Hematopoietic Stem Cell Transplantation/methods MH - Receptors, Antigen, T-Cell/genetics/metabolism MH - *Graft vs Host Disease OTO - NOTNLM OT - Allogeneic transplantation OT - HLA-DPB1 OT - Leukemia OT - Relapse OT - TCR-T EDAT- 2023/06/13 13:12 MHDA- 2023/07/21 06:43 CRDT- 2023/06/13 11:11 PHST- 2023/04/27 00:00 [received] PHST- 2023/05/23 00:00 [accepted] PHST- 2023/05/23 00:00 [revised] PHST- 2023/07/21 06:43 [medline] PHST- 2023/06/13 13:12 [pubmed] PHST- 2023/06/13 11:11 [entrez] AID - 10.1007/s12185-023-03621-y [pii] AID - 10.1007/s12185-023-03621-y [doi] PST - ppublish SO - Int J Hematol. 2023 Aug;118(2):252-266. doi: 10.1007/s12185-023-03621-y. Epub 2023 Jun 13.