Utilization of leukapheresis and CD4 positive selection in Treg isolation and the ex-vivo expansion for a clinical application in transplantation and autoimmune disorders

Adoptive transfer of T regulatory cells (Tregs) is of great interest as a novel immunosuppressive therapy in autoimmune disorders and transplantation. Obtaining a sufficient number of stable and functional Tregs generated according to current Good Manufacturing Practice (cGMP) requirements has been...

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Veröffentlicht in:Oncotarget 2016-11, Vol.7 (48), p.79474-79484
Hauptverfasser: Gołąb, Karolina, Grose, Randall, Trzonkowski, Piotr, Wickrema, Amittha, Tibudan, Martin, Marek-Trzonkowska, Natalia, Matosz, Sabrina, Solomina, Julia, Ostrega, Diane, Michael Millis, J, Witkowski, Piotr
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container_end_page 79484
container_issue 48
container_start_page 79474
container_title Oncotarget
container_volume 7
creator Gołąb, Karolina
Grose, Randall
Trzonkowski, Piotr
Wickrema, Amittha
Tibudan, Martin
Marek-Trzonkowska, Natalia
Matosz, Sabrina
Solomina, Julia
Ostrega, Diane
Michael Millis, J
Witkowski, Piotr
description Adoptive transfer of T regulatory cells (Tregs) is of great interest as a novel immunosuppressive therapy in autoimmune disorders and transplantation. Obtaining a sufficient number of stable and functional Tregs generated according to current Good Manufacturing Practice (cGMP) requirements has been a major challenge in introducing Tregs as a clinical therapy. Here, we present a protocol involving leukapheresis and CD4+ cell pre-enrichment prior to Treg sorting, which allows a sufficient number of Tregs for a clinical application to be obtained. With this method there is a decreased requirement for ex- vivo expansion. The protocol was validated in cGMP conditions. Our final Treg product passed all release criteria set for clinical applications. Moreover, during expansion Tregs presented their stable phenotype: percentage of CD4+CD25hiCD127- and CD4+FoxP3+ Tregs was > 95% and > 80%, respectively, and Tregs maintained proper immune suppressive function in vitro. Our results suggest that utilization of leukapheresis and CD4 positive selection during Treg isolation improves the likelihood of obtaining a sufficient number of high quality Treg cells during subsequent ex-vivo expansion and they can be applied clinically.
doi_str_mv 10.18632/oncotarget.13101
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subjects Biomarkers - metabolism
CD4-Positive T-Lymphocytes - cytology
Cell Separation
Flow Cytometry
Forkhead Transcription Factors - metabolism
Humans
Interleukin-2 Receptor alpha Subunit - metabolism
Interleukin-7 Receptor alpha Subunit - metabolism
Leukapheresis - methods
Research Paper
T-Lymphocytes, Regulatory - cytology
title Utilization of leukapheresis and CD4 positive selection in Treg isolation and the ex-vivo expansion for a clinical application in transplantation and autoimmune disorders
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