DESCRIPTION
(Adapted from applicant's abstract) Nowhere are the promises and problems of T
cell based therapy, clearer than following bone marrow transplantation (BMT).
While on the one hand T cells can induce potentially lethal graft vs. host
disease (GVHD), they also are capable of 1) mediating graft vs. tumor (GVT)
effects, 2) facilitating hematopoietic stem cell (HSC) engraftment and 3)
providing defense against pathogenic organisms commonly encountered in the
post-BMT period. Thus, an idealized population of T cells would be one
possessing these positive attributes and lacking the negative. vs T cells are
a rarely occurring population of T cells whose function is largely unknown.
Few studies have evaluated the role of vs T cells in BMT and existing studies
present conflicting results. While some have found that vs T cells do not
cause GVHD, others implicate vs T in pathogenesis of GHVD. Moreover, studies
suggest that vs T cells may mediate GVT, facilitate HSC engraftment and
provide defense against a variety of pathogens. Thus, vs T cells potentially
are an attractive candidate population for adoptive immunotherapy. Given the
paucity of vs T cells in the peripheral blood, immunotheraptic approaches are
impractical without methods for the expansion of such a rare population. We
recently have discovered that under in vitro activation conditions, the
outgrowth of vs T cells is inhibited by alpha/betaTCR+CD8+ T cells. With this
information, we have developed methodology for the ex vivo expansion of large
numbers of vs T cells. The long-range goal of this project is to determine
whether ex vivo expanded T cell populations add benefit to bone marrow
transplantation. The objective of this proposal is to evaluate the role of
ex vivo expanded vs T cells in animal models of BMT. The central hypothesis
to this work is that vs T cells can be ex vivo expanded and that such
populations provide important benefits in the post-BMT period. This
hypothesis will be tested by pursuing three specific aims: 1) to evaluate the
effect of CD8+ T cells on the ex vivo expansion of vs T cells; 2) to determine
the in vitro biological characteristics of expanded vs T cells; and 3) to
evaluate the in vivo biological activity of expanded vs T cells with respect
to GVHD, GVT and facilitation of HSC engraftment. The proposed work is
innovative because we will be studying and transferring an otherwise rare
population of cells in sensitive animal models of GVHD, GVT and facilitation
of engraftment. It is expected that these studies will provide preclinical
information regarding the use of expanded vs T cells in the post-BMT setting.
This work is significant in that it will examine the interactions between
CD8+T cells and vs T cells. Further, we will evaluate how vs T cells
function and traffic in the post-BMT setting. The proposed training program
is in a dynamic research setting with extensive intellectual and technical
support. Thus, the candidate will acquire the skills to secure a faculty
position as a pediatric bone marrow transplantation clinical-scientist.
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