Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Chronic Lymphocytic Leukemia

Redirection of CMV-specific CTL towards B-CLL via CD20-targeted HLA/CMV complexes

Abstract

B-cell chronic lymphocytic leukaemia (B-CLL) is a slowly progressing malignancy of CD5+ B cells, for which at present no curative treatment is available. In our current study, we apply a novel bridging reagent to redirect cytomegalovirus (CMV)-specific cytotoxic T lymphocytes (CTL) to target B-CLL. A streptavidin-fused anti-CD20 single-chain variable fragment (scFv) is used in combination with biotinylated MHC class I molecules containing CMV pp65 peptide (HLA/CMV). We demonstrate that B-CLL cells coated with this CD20-HLA/CMV complex can be lysed by autologous CMV-specific CTL with similar efficiency as B-CLL cells directly loaded with CMV peptide. Killing is HLA restricted and occurs at scFv CD20 concentrations of 100 ng ml−1 and HLA/CMV concentrations of 20 ng ml−1. Furthermore, complex-coated B-CLL cells induce both proliferation and cytokine production (interferon γ, tumour necrosis factor α and macrophage inflammatory protein−1 β) in CMV-specific CD8+ T cells. Hereby, a necessary step towards possible application of CD20-HLA/CMV complexes for immunotherapy of B-cell malignancies is constituted.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

Similar content being viewed by others

References

  1. Gorgun G, Holderried TAW, Zahrieh D, Neuberg D, Gribben JG . Chronic lymphocytic leukemia cells induce changes in gene expression of CD4 and CD8T cells. J Clin Invest 2005; 115: 1797–1805.

    Article  Google Scholar 

  2. Scrivener S, Kaminski ER, Demaine A, Prentice AG . Analysis of the expression of critical activation/interaction markers on peripheral blood T cells in B-cell chronic lymphocytic leukaemia: evidence of immune dysregulation. Br J Haematol 2001; 112: 959–964.

    Article  CAS  Google Scholar 

  3. Yellin MJ, Sinning J, Covey LR, Sherman W, Lee JJ, Glickmannir E et al. T-lymphocyte T-cell B-cell activating molecule Cd40-l molecules induce normal B-cells or chronic lymphocytic-leukemia B-cells to express Cd80 (B7/Bb-1) and enhance their costimulatory activity. J Immunol 1994; 153: 666–674.

    CAS  PubMed  Google Scholar 

  4. Arditti FD, Aviner S, Dekel B, Krauthgamer R, Gan J, Nagler A et al. Eradication of B-CLL by autologous and allogeneic host nonreactive anti-third-party CTLs. Blood 2005; 105: 3365–3371.

    Article  CAS  Google Scholar 

  5. Hoogendoorn M, Wolbers JO, Smit WM, Schaafsma MR, Barge RMY, Willemze R et al. Generation of B-cell chronic lymphocytic leukemia (B-CLL)-reactive T-cell lines and clones from HLA class I-matched donors using modified B-CLL cells as stimulators: implications for adoptive immunotherapy. Leukemia 2004; 7: 1278–1287.

    Article  Google Scholar 

  6. Kokhaei P, Choudhury A, Mahdian R, Lundin J, Moshfegh A, Osterborg A et al. Apoptotic tumor cells are superior to tumor cell lysate, and tumor cell RNA in induction of autologous T cell response in B-CLL. Leukemia 2004; 18: 1810–1815.

    Article  CAS  Google Scholar 

  7. Wierda WG, Cantwell MJ, Woods SJ, Rassenti LZ, Prussak CE, Kipps TJ . CD40-ligand (CD154) gene therapy for chronic lymphocytic leukemia. Blood 2000; 96: 2917–2924.

    CAS  PubMed  Google Scholar 

  8. Mackus WJM, Frakking FNJ, Grummels A, Gamadia LE, de Bree GJ, Hamann D et al. Expansion of CMV-specific CD8+CD45RA+CD27(−) T cells in B-cell chronic lymphocytic leukemia. Blood 2003; 102: 1057–1063.

    Article  CAS  Google Scholar 

  9. Gamadia LE, Rentenaar RJ, Baars PA, Remmerswaal EBM, Surachno S, Weel JFL et al. Differentiation of cytomegalovirus-specific CD8(+) T cells in healthy and immunosuppressed virus carriers. Blood 2001; 98: 754–761.

    Article  CAS  Google Scholar 

  10. Heidema J, de Bree GJ, de Graaff PMA, van Maren WWC, Hoogerhout P, Out TA et al. Human CD8(+) T cell responses against five newly identified respiratory syncytial virus-derived epitopes. J Gen Virol 2004; 85: 2365–2374.

    Article  CAS  Google Scholar 

  11. Kater AP, Remmerswaal EBM, Nolte MA, Eldering E, van Oers MHJ, van Lier RAW . Autologous cytomegalovirus-specific T cells as effector cells in immunotherapy of B cell chronic lymphocytic leukaemia. Br J Haematol 2004; 126: 512–516.

    Article  Google Scholar 

  12. Schultz J, Lin YK, Sanderson J, Zuo YT, Stone D, Mallett R et al. A tetravalent single-chain antibody-streptavidin fusion protein for pretargeted lymphoma therapy. Cancer Res 2000; 60: 6663–6669.

    CAS  PubMed  Google Scholar 

  13. Oscier D, Fegan C, Hillmen P, Illidge T, Johnson S, Maguire P et al. Guidelines on the diagnosis and management of chronic lymphocytic leukaemia. Br J Haematol 2004; 125: 294–317.

    Article  CAS  Google Scholar 

  14. Lens SMA, Drillenburg P, den Drijver BFA, van Schijndel G, Pals ST, van Lier RAW et al. Aberrant expression and reverse signalling of CD70 on malignant B cells. Br J Haematol 1999; 106: 491–503.

    Article  CAS  Google Scholar 

  15. van Leeuwen EM, Gamadia LE, Baars PA, Renunerswaal EB, ten Berge IJ, van Lier RA . Proliferation requirements of cytomegalovirus-specific, effector-type human CD8(+) T cells. J Immunol 2002; 169: 5838–5843.

    Article  CAS  Google Scholar 

  16. Savage P, Cowburn P, Clayton A, Man S, McMichael A, Lemoine N et al. Induction of viral and tumour specific CTL responses using antibody targeted HLA class I peptide complexes. Br J Cancer 2002; 86: 1336–1342.

    Article  CAS  Google Scholar 

  17. Dhein J, Walczak H, Baumler C, Debatin KM, Krammer PH . Autocrine T-cell suicide mediated by Apo-1/(Fas/Cd95). Nature 1995; 373: 438–441.

    Article  CAS  Google Scholar 

  18. Picker LJ, Singh MK, Zdraveski Z, Treer JR, Waldrop SL, Bergstresser PR et al. Direct demonstration of cytokine synthesis heterogeneity among human memory/effector T-cells by flow-cytometry. Blood 1995; 86: 1408–1419.

    CAS  PubMed  Google Scholar 

  19. Bitmansour AD, Douek DC, Maino VC, Picker LJ . Direct ex vivo analysis of human CD4(+) memory T cell activation requirements at the single clonotype level. J Immunol 2002; 169: 1207–1218.

    Article  CAS  Google Scholar 

  20. Rossmann ED, Lundin J, Lenkei R, Mellstedt H, Osterborg A . Variability in B-cell antigen expression: implications for the treatment of B-cell lymphomas and leukemias with monoclonal antibodies. Hematol J 2001; 2: 300–306.

    Article  CAS  Google Scholar 

  21. Savage P, Cowburn P, Clayton A, Man S, Lawson T, Ogg G et al. Anti-viral cytotoxic T cells inhibit the growth of cancer cells with antibody targeted HLA class I/peptide complexes in SCID mice. Int J Cancer 2002; 98: 561–566.

    Article  CAS  Google Scholar 

  22. Lev A, Noy R, Oved K, Novak H, Segal D, Walden P et al. Tumor-specific Ab-mediated targeting of MHC-peptide complexes induces regression of human tumor xenografts in vivo. Proc Natl Acad Sci USA 2004; 101: 9051–9056.

    Article  CAS  Google Scholar 

  23. Forero A, Weiden PL, Vose JM, Knox SJ, LoBuglio AF, Hankins J et al. Phase 1 trial of a novel anti-CD20 fusion protein in pretargeted radioimmunotherapy for B-cell non-Hodgkin lymphoma. Blood 2004; 104: 227–236.

    Article  CAS  Google Scholar 

  24. Stebbing J, Gazzard B, Patterson S, Bower M, Perumal D, Nelson M et al. Antibody-targeted MHC complex-directed expansion of HIV-1- and KSHV-specific CD8(+) lymphocytes: a new approach to therapeutic vaccination. Blood 2004; 103: 1791–1795.

    Article  CAS  Google Scholar 

  25. Schroder K, Hertzog PJ, Ravasi T, Hume DA . Interferon-gamma: an overview of signals,**** mechanisms and functions. J Leukocyte Biol 2004; 75: 163–189.

    Article  CAS  Google Scholar 

  26. Ruddle NH . Tumor-necrosis-factor (TNF-alpha) and lymphotoxin (TNF-beta). Curr Opin Immunol 1992; 4: 327–332.

    Article  CAS  Google Scholar 

  27. Menten P, Wuyts A, Van Damme J . Macrophage inflammatory protein-1. Cytokine Growth Factor Rev 2002; 13: 455–481.

    Article  CAS  Google Scholar 

  28. McLaughlin P, Grillo-Lopez AJ, Link BK, Levy R, Czuczman MS, Williams ME et al. Rituximab chimeric anti-CD20 monoclonal antibody therapy for relapsed indolent lymphoma: half of patients respond to a four-dose treatment program. J Clin Oncol 1998; 16: 2825–2833.

    Article  CAS  Google Scholar 

  29. Golay J, Lazzari M, Facchinetti V, Bernasconi S, Borleri G, Barbui T et al. CD20 levels determine the in vitro susceptibility to rituximab and complement of B-cell chronic lymphocytic leukemia: further regulation by CD55 and CD59. Blood 2001; 98: 3383–3389.

    Article  CAS  Google Scholar 

  30. Golay J, Manganini M, Facchinmi V, Gramigna R, Broady R, Borleri G et al. Rituximab-mediated antibody-dependent cellular cytotoxicity against neoplastic B cells is stimulated strongly by interleukin-2. Haematologica 2003; 88: 1002–1012.

    CAS  PubMed  Google Scholar 

  31. Witzig TE, White CA, Gordon LI, Wiseman GA, Emmanouilides C, Murray JL et al. Safety of yttrium-90 ibritumomab tiuxetan radioimmunotherapy for relapsed low-grade, follicular, or transformed non-Hodgkin's lymphoma. J Clin Oncol 2003; 21: 1263–1270.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank Berend Hooibrink for flowcytometric sorting of IFN-γ-secreting cells.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R Mous.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mous, R., Savage, P., Remmerswaal, E. et al. Redirection of CMV-specific CTL towards B-CLL via CD20-targeted HLA/CMV complexes. Leukemia 20, 1096–1102 (2006). https://doi.org/10.1038/sj.leu.2404185

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.leu.2404185

Keywords

This article is cited by

Search

Quick links