Preservation of lymphokine-activated killer activity following T cell depletion of human bone marrow

Transplantation. 1990 Oct;50(4):625-32. doi: 10.1097/00007890-199010000-00020.

Abstract

T cell depletion has decreased the incidence and severity of graft-versus-host disease following transplantation of allogeneic bone marrow. In the treatment of leukemia, decreased GVHD has often been associated with diminished antileukemia or graft-versus-leukemia (GVL) reactivity resulting in higher relapse rates. However, we have not seen a loss of the GVL effect following transplantation of marrow grafts depleted of CD3+ T cells. This suggests that non-T-cell effectors may play a role in preventing leukemic relapse. To study whether natural killer and lymphokine-activated killer (LAK) activity in BM was compromised by T cell depletion, the effect of T-cell-specific monoclonal antibodies against CD3 and CD6 determinants alone, or in combination, on the generation and expansion of NK/LAK cells was examined in vitro and compared to the effect of T depletion on mitogen-driven T cell proliferation. Limiting dilution analysis revealed that T depletion with CD3 and/or CD6 specific antibodies significantly reduced the number of proliferating T lymphocytes but did not significantly affect the frequency of cells able to expand and mediate LAK activity. Bone marrow, depleted of CD3+ or CD6+ T cells, generated levels of LAK activity equivalent to non-T-cell-depleted bone marrow following long-term culture in recombinant interleukin 2. CD3- NKH-1+ cells were the predominant population in rIL-2 expanded marrow cultures prior to transplant and in the peripheral blood of patients who had received a CD3-depleted marrow graft 21-65 days earlier. These studies show that it is possible to selectively reduce GVH-reactive T cells in allogeneic bone marrow while retaining non-T-effector cells with potential to mediate an antileukemia effect in vivo.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigens, CD*
  • Antigens, Differentiation, T-Lymphocyte / analysis
  • Bone Marrow / immunology*
  • Bone Marrow Transplantation
  • CD3 Complex
  • CD56 Antigen
  • Graft vs Host Disease / etiology
  • Humans
  • Killer Cells, Lymphokine-Activated / immunology*
  • Killer Cells, Natural / immunology
  • Leukemia / surgery
  • Lymphocyte Activation
  • Lymphocyte Depletion*
  • Receptors, Antigen, T-Cell / analysis
  • T-Lymphocyte Subsets
  • T-Lymphocytes / immunology

Substances

  • Antigens, CD
  • Antigens, Differentiation, T-Lymphocyte
  • CD3 Complex
  • CD56 Antigen
  • CD6 antigen
  • Receptors, Antigen, T-Cell