TCR Repertoire Analysis by Next Generation Sequencing Allows Complex Differential Diagnosis of T Cell–Related Pathology

Clonotype analysis is essential for complete characterization of antigen‐specific T cells. Moreover, knowledge on clonal identity allows tracking of antigen‐specific T cells in whole blood and tissue infiltrates and can provide information on antigenic specificity. Here, we developed a next generati...

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Veröffentlicht in:American journal of transplantation 2013-11, Vol.13 (11), p.2842-2854
Hauptverfasser: Dziubianau, M., Hecht, J., Kuchenbecker, L., Sattler, A., Stervbo, U., Rödelsperger, C., Nickel, P., Neumann, A. U., Robinson, P. N., Mundlos, S., Volk, H.‐D., Thiel, A., Reinke, P., Babel, N.
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container_end_page 2854
container_issue 11
container_start_page 2842
container_title American journal of transplantation
container_volume 13
creator Dziubianau, M.
Hecht, J.
Kuchenbecker, L.
Sattler, A.
Stervbo, U.
Rödelsperger, C.
Nickel, P.
Neumann, A. U.
Robinson, P. N.
Mundlos, S.
Volk, H.‐D.
Thiel, A.
Reinke, P.
Babel, N.
description Clonotype analysis is essential for complete characterization of antigen‐specific T cells. Moreover, knowledge on clonal identity allows tracking of antigen‐specific T cells in whole blood and tissue infiltrates and can provide information on antigenic specificity. Here, we developed a next generation sequencing (NGS)‐based platform for the highly quantitative clonotype characterization of T cells and determined requirements for the unbiased characterization of the input material (DNA, RNA, ex vivo derived or cell culture expanded T cells). Thereafter we performed T cell receptor (TCR) repertoire analysis of various specimens in clinical settings including cytomegalovirus (CMV), polyomavirus BK (BKV) reactivation and acute cellular allograft rejection. Our results revealed dynamic nature of virus‐specific T cell clonotypes; CMV reactivation was linked to appearance of new highly abundant antigen‐specific clonalities. Moreover, analysis of clonotype overlap between BKV‐, alloantigen‐specific T cell–, kidney allograft‐ and urine‐derived lymphocytes provided hints for the differential diagnosis of allograft dysfunction and enabled appropriate therapy adjustment. We believe that the established approach will provide insights into the regulation of virus‐specific/anti‐tumor immunity and has high diagnostic potential in the clinical routine. This study describes the development and characterization of T cell receptor repertoire analysis based on Next Generation Sequencing and its application for complex differential diagnosis of posttransplant kidney dysfunction.
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U. ; Robinson, P. N. ; Mundlos, S. ; Volk, H.‐D. ; Thiel, A. ; Reinke, P. ; Babel, N.</creator><creatorcontrib>Dziubianau, M. ; Hecht, J. ; Kuchenbecker, L. ; Sattler, A. ; Stervbo, U. ; Rödelsperger, C. ; Nickel, P. ; Neumann, A. U. ; Robinson, P. N. ; Mundlos, S. ; Volk, H.‐D. ; Thiel, A. ; Reinke, P. ; Babel, N.</creatorcontrib><description>Clonotype analysis is essential for complete characterization of antigen‐specific T cells. Moreover, knowledge on clonal identity allows tracking of antigen‐specific T cells in whole blood and tissue infiltrates and can provide information on antigenic specificity. Here, we developed a next generation sequencing (NGS)‐based platform for the highly quantitative clonotype characterization of T cells and determined requirements for the unbiased characterization of the input material (DNA, RNA, ex vivo derived or cell culture expanded T cells). 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Transplantations, organ and tissue grafts. 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U.</creatorcontrib><creatorcontrib>Robinson, P. N.</creatorcontrib><creatorcontrib>Mundlos, S.</creatorcontrib><creatorcontrib>Volk, H.‐D.</creatorcontrib><creatorcontrib>Thiel, A.</creatorcontrib><creatorcontrib>Reinke, P.</creatorcontrib><creatorcontrib>Babel, N.</creatorcontrib><title>TCR Repertoire Analysis by Next Generation Sequencing Allows Complex Differential Diagnosis of T Cell–Related Pathology</title><title>American journal of transplantation</title><addtitle>Am J Transplant</addtitle><description>Clonotype analysis is essential for complete characterization of antigen‐specific T cells. Moreover, knowledge on clonal identity allows tracking of antigen‐specific T cells in whole blood and tissue infiltrates and can provide information on antigenic specificity. Here, we developed a next generation sequencing (NGS)‐based platform for the highly quantitative clonotype characterization of T cells and determined requirements for the unbiased characterization of the input material (DNA, RNA, ex vivo derived or cell culture expanded T cells). Thereafter we performed T cell receptor (TCR) repertoire analysis of various specimens in clinical settings including cytomegalovirus (CMV), polyomavirus BK (BKV) reactivation and acute cellular allograft rejection. Our results revealed dynamic nature of virus‐specific T cell clonotypes; CMV reactivation was linked to appearance of new highly abundant antigen‐specific clonalities. Moreover, analysis of clonotype overlap between BKV‐, alloantigen‐specific T cell–, kidney allograft‐ and urine‐derived lymphocytes provided hints for the differential diagnosis of allograft dysfunction and enabled appropriate therapy adjustment. We believe that the established approach will provide insights into the regulation of virus‐specific/anti‐tumor immunity and has high diagnostic potential in the clinical routine. 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Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>T cell receptors</subject><subject>T-Lymphocytes - immunology</subject><subject>T-Lymphocytes - pathology</subject><subject>T-Lymphocytes - virology</subject><subject>Tumor Virus Infections - diagnosis</subject><subject>Tumor Virus Infections - genetics</subject><subject>Tumor Virus Infections - virology</subject><subject>Virus Activation</subject><issn>1600-6135</issn><issn>1600-6143</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0c1qGzEQB3BRUpqP9tAXKIJQSA9OJK208h7NNklbQltc97xI2pEjI68caU2yt7xD3rBPUjl2UygEqosk-DEzzB-ht5Sc0nzO1KI_pYwX9AU6oCUho5LyYu_pXYh9dJjSghAq2Zi9QvuME0aqgh6gYVZP8RRWEPvgIuBJp_yQXMJ6wF_hrseX0EFUvQsd_gE3a-iM6-Z44n24TbgOy5WHO_zRWQsRut4pnz9q3oVNjWDxDNfg_a_7hyl41UOLv6v-OvgwH16jl1b5BG929xH6eXE-qz-Nrr5dfq4nVyPDBaUjppkquBWyrKQVAKCJ0VC1pmQgLQEibMsqTltGTathLFSrpW3HhmugmpHiCJ1s665iyPOnvlm6ZPJQqoOwTg3lZW7EK_I_lEtKKipEpsf_0EVYx7y8RyXGTDJZZPVhq0wMKUWwzSq6pYpDQ0mzia7J0TWP0WX7bldxrZfQPsk_WWXwfgdUMsrbqHIW6a-TVclIuRntbOtunYfh-Y7N5Mts2_o3TdmwxQ</recordid><startdate>201311</startdate><enddate>201311</enddate><creator>Dziubianau, M.</creator><creator>Hecht, J.</creator><creator>Kuchenbecker, L.</creator><creator>Sattler, A.</creator><creator>Stervbo, U.</creator><creator>Rödelsperger, C.</creator><creator>Nickel, P.</creator><creator>Neumann, A. 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subjects Acute cellular rejection
Biological and medical sciences
BK Virus - genetics
BKV
Blood
Cytomegalovirus
Cytomegalovirus - immunology
Cytomegalovirus - pathogenicity
Cytomegalovirus Infections - diagnosis
Cytomegalovirus Infections - genetics
Cytomegalovirus Infections - virology
Diagnosis, Differential
differential diagnosis
Graft Rejection - genetics
High-Throughput Nucleotide Sequencing
Humans
Immunology
kidney transplantation
Kidney Transplantation - adverse effects
Lymphocytes
Medical sciences
next generation sequencing
Pathology
polyoma
Polyomavirus Infections - diagnosis
Polyomavirus Infections - genetics
Polyomavirus Infections - virology
Receptors, Antigen, T-Cell - genetics
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
T cell receptors
T-Lymphocytes - immunology
T-Lymphocytes - pathology
T-Lymphocytes - virology
Tumor Virus Infections - diagnosis
Tumor Virus Infections - genetics
Tumor Virus Infections - virology
Virus Activation
title TCR Repertoire Analysis by Next Generation Sequencing Allows Complex Differential Diagnosis of T Cell–Related Pathology
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