PMID- 20400962 OWN - NLM STAT- MEDLINE DCOM- 20100702 LR - 20211020 IS - 1546-170X (Electronic) IS - 1078-8956 (Linking) VI - 16 IP - 5 DP - 2010 May TI - Lethal graft-versus-host disease in mouse models of T cell receptor gene therapy. PG - 565-70, 1p following 570 LID - 10.1038/nm.2128 [doi] AB - The transfer of T cell receptor (TCR) genes can be used to induce immune reactivity toward defined antigens to which endogenous T cells are insufficiently reactive. This approach, which is called TCR gene therapy, is being developed to target tumors and pathogens, and its clinical testing has commenced in patients with cancer. In this study we show that lethal cytokine-driven autoimmune pathology can occur in mouse models of TCR gene therapy under conditions that closely mimic the clinical setting. We show that the pairing of introduced and endogenous TCR chains in TCR gene-modified T cells leads to the formation of self-reactive TCRs that are responsible for the observed autoimmunity. Furthermore, we demonstrate that adjustments in the design of gene therapy vectors and target T cell populations can be used to reduce the risk of TCR gene therapy-induced autoimmune pathology. FAU - Bendle, Gavin M AU - Bendle GM AD - Division of Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands. g.bendle@nki.nl FAU - Linnemann, Carsten AU - Linnemann C FAU - Hooijkaas, Anna I AU - Hooijkaas AI FAU - Bies, Laura AU - Bies L FAU - de Witte, Moniek A AU - de Witte MA FAU - Jorritsma, Annelies AU - Jorritsma A FAU - Kaiser, Andrew D M AU - Kaiser AD FAU - Pouw, Nadine AU - Pouw N FAU - Debets, Reno AU - Debets R FAU - Kieback, Elisa AU - Kieback E FAU - Uckert, Wolfgang AU - Uckert W FAU - Song, Ji-Ying AU - Song JY FAU - Haanen, John B A G AU - Haanen JB FAU - Schumacher, Ton N M AU - Schumacher TN LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100418 PL - United States TA - Nat Med JT - Nature medicine JID - 9502015 RN - 0 (Receptors, Antigen, T-Cell) SB - IM CIN - Nat Med. 2010 May;16(5):520-1. PMID: 20448573 CIN - Immunotherapy. 2010 Nov;2(6):791-4. PMID: 21091111 MH - Animals MH - *Genes, T-Cell Receptor MH - Genetic Therapy/*methods MH - Graft vs Host Disease/immunology/*pathology MH - Humans MH - Mice MH - Mice, Inbred C57BL MH - Models, Animal MH - Neoplasms/genetics/immunology/*therapy MH - Receptors, Antigen, T-Cell/*genetics/immunology MH - T-Lymphocytes/metabolism EDAT- 2010/04/20 06:00 MHDA- 2010/07/03 06:00 CRDT- 2010/04/20 06:00 PHST- 2010/01/08 00:00 [received] PHST- 2010/02/25 00:00 [accepted] PHST- 2010/04/20 06:00 [entrez] PHST- 2010/04/20 06:00 [pubmed] PHST- 2010/07/03 06:00 [medline] AID - nm.2128 [pii] AID - 10.1038/nm.2128 [doi] PST - ppublish SO - Nat Med. 2010 May;16(5):565-70, 1p following 570. doi: 10.1038/nm.2128. Epub 2010 Apr 18.