Functional assessment and specific depletion of alloreactive human T cells using flow cytometry

Blood. 2004 Dec 1;104(12):3429-36. doi: 10.1182/blood-2004-05-1918. Epub 2004 Jul 29.

Abstract

Human T-cell alloreactivity plays an important role in many disease processes, including the rejection of solid organ grafts and graft-versus-host disease (GVHD) following allogeneic stem cell transplantation. To develop a better understanding of the T cells involved in alloreactivity in humans, we developed a cytokine flow cytometry (CFC) assay that enabled us to characterize the phenotypic and functional characteristic of T cells responding to allogeneic stimuli. Using this approach, we determined that most T-cell alloreactivity resided within the CD4(+) T-cell subset, as assessed by activation marker expression and the production of effector cytokines (eg, tumor necrosis factor alpha [TNF]alpha) implicated in human GVHD. Following prolonged stimulation in vitro using either allogeneic stimulator cells or viral antigens, we found that coexpression of activation markers within the CD4(+) T-cell subset occurred exclusively within a subpopulation of T cells that significantly increased their surface expression of CD4. We then developed a simple sorting strategy that exploited these phenotypic characteristics to specifically deplete alloreactive T cells while retaining broad specificity for other stimuli, including viral antigens and third-party alloantigens. This approach also was applied to specifically enrich or deplete human virus-specific T cells.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antigens, Differentiation, T-Lymphocyte / analysis
  • Blood Component Removal
  • CD4 Antigens / analysis
  • CD4-Positive T-Lymphocytes / immunology
  • Cytokines / biosynthesis
  • Flow Cytometry*
  • Humans
  • Immunity, Cellular*
  • Kinetics
  • Lymphocyte Activation / immunology
  • Lymphocyte Depletion / methods*
  • T-Lymphocytes / immunology*
  • Up-Regulation

Substances

  • Antigens, Differentiation, T-Lymphocyte
  • CD4 Antigens
  • Cytokines