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*
Institut National de la Santé et de la Recherche Médicale Unite 475, Montpellier, France;
Immunology Research Unit, Suzhou Medical College, Suzhou, China;
Service des Maladies du Sang B, Centre Hospitalier Universitaire Montpellier, Hôpital Lapeyronie, Montpellier, France;
§
Unite de Therapie Cellulaire, Centre Hospitalier Universitaire Montpellier, Hôpital Saint Eloi, Montpellier, France; and
¶
Transgene, Strasbourg, France
The aim of this study was to evaluate whether tumor cells from
patients with multiple myeloma activate allogeneic and autologous T
cells. Results showed that myeloma cells expressed few B7-2 and no B7-1
in six cell lines and primary cells from 11 patients. They expressed
substantial levels of HLA class I, CD40, and a set of adhesion
molecules. In accordance with the low density of B7 molecules on these
cells, they were poor allogeneic CD8+ T cell stimulators.
Neither IFN-
plus TNF-
nor CD40 stimulation significantly induced
B7-1 or up-regulated B7-2 on human myeloma cell line or primary myeloma
cells from six of seven patients. However, such induction was found on
autologous bone-marrow nontumoral cells and on autologous dendritic
cells following CD40 stimulation. High B7-1 expression was stably
obtained on human myeloma cell line using transduction with a B7-1
retrovirus, enabling these cells to stimulate allogeneic
CD8+, though not CD4+, T cell proliferation.
For one patient with advanced disease, B7-1 gene transfer made it
possible to amplify autologous cytotoxic T cells that killed autologous
myeloma cells in an HLA class I-restricted manner, but not autologous
PHA blasts. These results suggest that B7-1 gene transfer could be a
promising immunotherapeutic approach in multiple
myeloma.
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