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*
Anthony Nolan Research Institute and
Department of Immunology, The Royal Free and University College Medical School, London, United Kingdom;
Department of Cardiological Sciences, British Heart Foundation Cardiovascular Pathology Unit, St. Georges Hospital Medical School, London, United Kingdom; and
§
Department of Haematology, Imperial College School of Medicine, Hammersmith Hospital, London, United Kingdom
| Abstract |
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40% of the European Caucasoid population. However,
strain variation must be taken in consideration when the search for CTL
epitopes is extended to other HLA class I alleles, because these
mutations may span potential CTL epitopes for other HLA molecules, as
it is described in this study. | Introduction |
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One of the predominant viral Ags recognized by CMV-specific CTLs is the lower matrix 65-kDa phosphoprotein (pp65) (4, 5), one of the most abundant structural proteins of the virion (6). Currently, several strategies have been attempted to identify the particular peptide epitopes derived from this protein responsible for CTL recognition (5, 7, 8). Some of these studies have employed autologous fibroblasts infected with CMV, or vaccinia constructs expressing pp65, for the in vitro induction and expansion of pp65-specific CTLs (5, 8). Such stimulation protocols can lead to the activation of polyclonal CTL responses, where effector cells are likely to recognize only the more dominant epitopes derived from the pp65 protein (9, 10). Because immunodominant viral epitopes are often selected for mutation in vivo, this could hamper their effectiveness as therapeutic targets (11, 12, 13, 14). In an attempt to avoid biasing the CTL response to immunodominant epitopes, alternative protocols of CTL generation have made use of APC pulsed with potential CTL peptide epitopes. This might allow the triggering of CTL responses to epitopes, which are not detected using conventional stimulation protocols, and could potentially make useful peptide based vaccines. We have therefore used the latter approach to identify CTL epitopes in the CMV protein pp65.
The prediction of epitopes that have the potential of eliciting a CTL response has been greatly facilitated by the identification of binding motifs for different MHC class I alleles. Based on the reported binding motifs for the HLA-A*0201 molecule (15, 16, 17), we have searched the amino acid sequence of the pp65 protein for peptides that could bind to this HLA molecule. We chose to use HLA-A*0201 due to its high frequency in the Caucasoid population, with an average allele frequency of 25%, reaching 39% in selected populations (18). The peptides thus identified were then assessed for their ability to bind to the HLA-A*0201 molecule, and a subset of binding peptides was then analyzed for their ability to induce an HLA-A*0201-restricted CTL response in vitro. We showed that the pp65 protein contains multiple HLA-A*0201-restricted CTL epitopes, which were conserved among eight different strains of CMV. Only one of these peptide epitopes had previously been identified using other epitope mapping approaches (5, 8).
| Materials and Methods |
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The human fetal lung fibroblast cell line MRC-5 (HLA-A*0201, A29, B13, B44 Cw7) and the human foreskin fibroblast line, Hs68 (HLA A1, 29; B8, 44; Cw7, 16) were obtained from the European Collection of Cell Cultures (ECACC, Witshire, U.K.) and used from passages 20 to 35. The primary human embryonal kidney cell line 293 was obtained from the American Type Culture collection (ATCC, Manassas, VA). These cell lines were grown in MEM (Life Technologies, Gaithersburg, MD) supplemented with 2 mM L-glutamine, 1% nonessential amino acids, and 10% FCS. Cells were cultured in a 5% CO2 humidified atmosphere at 37°C. The EBV transformed B cell line JY (HLA type: A*0201, B7, Cw7, DR4, DRw6, DPw2) was grown in RPMI 1640 medium supplemented with 10% FCS (RPMI/10% FCS). The cell line .174xCEMT2 (T2) (19)) was maintained in either RPMI/10% FCS or the serum-free medium X-vivo 10 (BioWhittaker, Walkersville, MD). PHA-activated T cell blasts were obtained by stimulation of PBMC with 2 µg/ml PHA (Murex Biotech, Dartford, U.K.) in RPMI 1640 with 10% AB human serum for 3 days, and expanded in medium supplemented with 25 IU/ml IL-2 (Boehringer Mannheim, Mannheim, Germany). Cell lines and PBMC were HLA-typed by serology using standard microtiter typing techniques, and HLA-A*0201 subtyping was accomplished using Sequence Specific Oligonucleotide Probing (SSOP) as described elsewhere (20).
Virus
The following strains of CMV were used: laboratory strains AD169 (passage 94), Davis (passage 76), Towne (passage 132), and the low passage clinical isolates Toledo (passage 12), C1F (passage 8), C1FE (8 passages in fibroblasts plus 7 passages in endothelial cells), R7 (passages 47) and CRV (passage 5). The AD169, Davis, and Towne strains were obtained from the American Type Culture Collection (Manassas, VA), and the Toledo strain was a gift from Dr. Stuart Starr (Philadelphia, PA). C1F, R7, and CRV are clinical isolates which have been passaged through fibroblasts, whereas C1FE was derived from C1F by subsequent passage through endothelial cells and has enhanced pathogenicity for the latter cell type. With the exception of strain C1FE, virus was propagated by serial passage through confluent monolayers of human embryonic lung fibroblasts, in MEM supplemented with 4% FCS and stored at -70°C. Virus stocks, which had a titer of 6 x 105 PFU/ml, were used to infect fibroblasts at a multiplicity of infection of 24. This virus dose was confirmed to produce >95% infection in fibroblasts as determined by flow cytometric analysis of the expression of the CMV immediate early Ag (21). Virus stocks of CMV strain AD169 were screened for Mycoplasma and confirmed to be negative using the Mycoplasma TCII test kit (Gen-Probe, San Diego, CA).
The recombinant adenovirus encoding the CMV protein pp65 (RAd-pp65) was generated by homologous recombination between the shuttle vector pMV60-pp65 and the plasmid pJM17, which contains the entire Ad type 5 dl309 genome, and the sequence for the plasmid pBR inserted into the E1a gene region. These two plasmids were cotransfected into the 293 cell line, which constitutively expresses the Ad E1 protein as a helper function. As a result, the pp65 gene under the control of the CMV major immediate early promoter was inserted into the adenovirus genome in place of the E1 sequences. An adenovirus construct expressing ß-galactosidase (RAd-35), obtained from Dr. Gavin Wilkinson (Cardiff University, Cardiff, U.K.), was used as a control (22).
Synthetic peptides
CMV-pp65 and control peptides were synthesized at the Department of Biochemistry, Nottingham University using Fmoc chemistry on solid phase, and were purified by HPLC. Peptides were dissolved in DMSO at a concentration of 10 mg/ml and stored at -70°C before use. The HLA-A*0201-specific peptide FLPSDYFPSV (11, 23) was synthesized and fluorescein (FL)4-labeled at the Department of Immunohematology and Blood Bank (University Hospital Leiden, Leiden, The Netherlands). This peptide was synthesized as a Cys derivative in which a tyrosine was substituted with a cysteine to tag a FL group to the peptide FLPSDC(FL)FPSV, as described previously (24, 25)
T2 stabilization assay
Peptide-induced stabilization assay of the HLA-A*0201 class I molecule expressed by the T2 cell line was performed using a modification of the method described elsewhere (26). Briefly 5 x 105 T2 cells were incubated in the presence of 100 µM of peptide in X-vivo 10 medium for 18 h at 37°C. Fully conformed cell surface HLA class I molecules were detected by indirect immunofluorescence using the Ab W6/32 (27, 28). Labeled cells were analyzed by flow cytometry using a FACScan (Becton Dickinson, Oxford, U.K.) as described previously (29).
Peptide competition assay
To determine the relative affinity of putative peptides for stable HLA-A*0201 molecules at the cell surface, peptides were tested using the protocol described by Burg et al. (24, 25). Briefly, JY cells were treated with acid for 5 min using ice-cold citric acid-Na2HPO4 buffer (pH 3.2) for 90 s (24, 30). Cells were immediately buffered with IMDM medium, resuspended in the presence of 1.5 mg/ml ß2-microglobulin, and mixed with 150 nM of a FL-labeled reference peptide plus competitor peptide at a range of concentrations (0.532 µg/ml). After 12 h at 4°C, cells were washed and analyzed by flow cytometry. The mean fluorescence (MF) values obtained with the FITC-labeled peptide in the absence of competitor peptide was taken as the maximal binding and equated to 0% inhibition. The MF value obtained without FITC-labeled peptide was taken as being 100% inhibition (triplicates were assayed for all test wells).
The percentage inhibition of binding was calculated using the following
formula: [(MF-labeled peptide + test peptide - MF control
without labeled peptide)/(MF-labeled peptide - MF control without
labeled peptide)] x 100. The relative binding affinity of the peptide
was expressed as the peptide concentration needed to inhibit 50% of
the binding of the reference labeled peptide
(IC50). The binding affinity was categorized as
follows: high < 5 µM, intermediate
5 < 15 µM,
or low > 15 µM.
Generation of peptide-specific CTL
PBMC from two CMV seropositive and HLA-A*0201-positive individuals (HLA A2, 3; B7, 60 and HLA A2, 19, B7, 15) were stimulated with 5000 irradiated (6000 rads) autologous PHA blasts pulsed with 50 µg/ml peptide per well. Cultures were incubated at various responder to stimulator ratios (10:1, 5:1, 2.5:1, 0.4:1) in RPMI 1640 with 10% AB serum. On days 3 and 6, the medium was supplemented with 10 IU/ml rIL-2. On day 10, each well received irradiated (9000 rads) T2 cells pulsed with peptide, irradiated (3000 rads) autologous PBMC as feeder cells, plus 10 IU/ml IL-2. Responding T cells were expanded by weekly restimulations and the phenotype of the responder cells was determined by flow cytometric analysis using the following mAbs: CD3/FITC; CD4/PE; CD8/PE; CD16/PE; CD19/FITC; CD56/PE (Becton Dickinson). After 24 days, the CD4+ T cell fraction in the responder cell population was depleted by incubation with anti-CD4 magnetic beads (Dynabeads M-450 CD4; Dynal, Wirral, U.K.). The resulting CD8+-enriched population was replated at 1 x 103 responder cells/well and restimulated as described above.
Cytotoxicity assays
Cytotoxic activity was measured by a standard 4-h 51Cr-release assay (31). Target cells, comprising of either peptide-pulsed T2 cells (50 µg/ml) or fibroblasts infected either with CMV strain AD169 or the recombinant adenoviruses, were labeled with 100 µCi of 51NaCrO4. Labeled target cells were incubated with effector cells. E:T cell ratios varied between 5:1 and 50:1. The spontaneous release controls were normally <25% of the total release. The data from the 51Cr release assays shown are representative of three similar experiments.
ELISPOT assays
The production of IFN-
was determined by ELISPOT assay,
essentially as described by McCutcheon et al. (32) with
minor modifications. Briefly, cultures were incubated with 50 µg/ml
of the relevant peptides overnight, and the following day stimulator
cells were removed and the ELISPOT plates processed as previously
described (32).
DNA sequencing by PCR
Viral DNA was extracted from cell-free stock of various CMV strains, using Quiaquick (Qiagen, Crawley, U.K.) following the manufacturers protocol. DNA (0.1250 ng) was amplified in a 25 µl reaction mix using cloned Pfu DNA polymerase (Stratagene, La Jolla, CA) and the following oligonucleotide primers: UL83 Kpn, 5'-GACGGTACCTAAGCGGCGGCCGCAGA-3', situated 60 bp upstream of the UL83 gene encoding pp65; and primer UL83 BamHI, 5'-GACCCTAGGGTTGCGTGTCTGAGTGGA-3', situated 45 bp downstream of UL83. Primer sequences were taken from the published DNA sequence of the CMV stain AD169 (33). Following amplification, PCR products were purified by PCR Pure (Qiagen). Sequencing reactions were performed using the Applied Biosystems (Foster City, CA) Prism Big Dye Terminator Cycle Sequencing Ready Reaction Kit using 30 ng of pp65 DNA and 3.2 pmol of primer. Cycle sequencing was performed in a PE Applied Biosystems thermal cycler and samples were electrophoresed in an ABI model 377 automatic sequencer (PE Applied Biosystems).
| Results and Discussion |
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The amino acid sequence of the pp65 protein from the CMV strain
AD169 (33) was searched for sequences containing the
consensus anchor motifs for HLA-A*0201 binding (P2(L or I), P9(V or L))
(15, 16, 17). In total, 17 peptides were found that contained
this binding motif. These CMV-pp65 peptides were then analyzed for
their capacity to stabilize HLA-A*0201 molecules on the surface of the
Ag processing deficient cell line T2 (34). T2 cells were
incubated with the relevant peptide and the resultant increase in the
cell surface expression of HLA-A*0201 was measured. In this assay, a
nonamer peptide from the influenza matrix protein
(Flu-M15866), which has been described as
having a high binding affinity for the HLA-A*0201 molecule
(35, 36, 37), was used as a positive control. This peptide
resulted in a 6-fold increase in cell surface HLA-A*0201 stabilization
(Table I
). In contrast, an
HLA-B27-binding peptide used as a negative control, residues 383392
from influenza nucleoprotein (Flu-NP383392),
showed no increase above the background of T2 cells with no peptide
added (Table I
). The CMV-pp65 peptides with the HLA-A*0201 binding
motif displayed varying levels of stabilization of HLA-A*0201 molecules
on T2 cells. We found that peptides bearing the anchor residues leucine
and valine at positions 2 and 9, respectively, generally showed good
HLA class I stabilization (Table I
). The highest levels of
stabilization were observed for peptides AE42, AE44, and AE45, which
also possessed in their sequence several hydrophobic residues. For
example, in peptide AE42, where valine and alanine were present in
positions 6 and 7. In contrast, peptides AF88, AE47, AE48, and AE49
showed minimal or no stabilization (Table I
), although they also
possessed the same anchor residues. However, the latter peptides
contained at least one charged residue in secondary positions, which
might explain their poor binding.
|
15 µM (AE42, AE44, and AE49)
binding affinity for HLA-A*0201 (Fig. 1
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Previous observations have shown that known CTL peptide epitopes display binding to HLA class I molecules with a high to intermediate affinity (IC50, 215 µM) (24, 38). Therefore, we evaluated the ability of four pp65-derived peptides, which showed reproducibility of binding to HLA-A*0201 molecules between the T2 and the peptide-binding competition assays, for their ability to elicit a CMV-specific CTL response.
To achieve this, PBMC from two normal CMV seropositive HLA-A*0201
individuals were isolated and stimulated in vitro with peptides AE42,
AE44, AE45, and AE47. The cytotoxic activity of the responding cells
was measured after three consecutive stimulations against T2 cells
pulsed either with the peptide used in the stimulations or with an
irrelevant peptide, Flu-M15866, as target
cells. When the peptide-pulsed T2 cells were utilized in the initial
rounds of stimulation, we found very strong non-peptide-specific
responses, which masked the underlying peptide-specific response, as
demonstrated by the fact that the responder cells recognized
non-peptide-pulsed T2 cells (data not shown). To circumvent this
nonspecific response, we used autologous peptide-pulsed PHA blasts in
the first two rounds of stimulation and found that this was sufficient
to focus the response, and to obtain specific recognition of the
peptide used as the stimulator. This peptide-specific recognition was
maintained when peptide-pulsed T2 cells were used for subsequent
stimulations. Following this strategy, three of the peptides that
displayed relatively high binding affinity for HLA-A*0201
molecules (Table I
) were able to induce peptide-specific CTL responses.
These peptides were AE42, (495503,
NLVPMVATV), from the carboxyl terminus, and
AE44 (1422, VLGPISGHV) and AE45 (120128,
MLNIPSINV) from the amino terminus of the pp65
protein. In contrast, peptide AE47 failed to do so (data not shown).
The failure of AE47 to induce CTLs correlated with poor ability to
stabilize HLA-A*0201 molecules on T2.
The CTL lines generated lysed T2 cells pulsed with peptide AE44, but also lysed cells pulsed with an irrelevant peptide, Flu-M15866. Similar nonspecificity against the irrelevant peptide was seen when peptides AE42 and AE45 pulsed cells were used as stimulators (data not shown), and this was attributed to the polyclonal nature of the cultures. No significant differences were found when different stimulators to responder cell ratios were used for the generation of the CTL lines. In an attempt to reduce the observed nonspecificity and to obtain a predominant CD8+ population, some of these bulk cultures generated using peptides AE42, AE44, and AE45 were depleted of CD4+ cells, and the resultant CD8+ cell population was then replated (1000 cells/well), and long-term lines were generated.
Following two rounds of stimulation and cell expansion, these
CD4+ depleted CTL lines were again tested for
peptide specificity in a cytotoxicity assay. Approximately 20% of the
sublines then displayed more clearly defined specificity for the
relevant peptides than before the CD4+ depletion.
These lines no longer cross-reacted with T2 cells alone, and displayed
minimal recognition of irrelevant peptides derived from the same pp65
protein (Fig. 2
), or the less related
peptide from Flu-M15866 (data not shown).
|
Peptide-specific CTL recognize endogenously processed pp65
A frequent feature of stimulation with APC pulsed with synthetic peptides is the induction of low affinity CTL that lyse target cells in the presence of relatively high concentrations of exogenous peptide and which do not recognize epitopes from endogenously processed Ags (39, 40). To investigate if the CTL lines generated were able to recognize endogenously processed pp65, representative peptide-specific CTL lines were tested in a cytotoxicity assay against HLA-A*0201 positive fibroblasts (MRC5) infected with the CMV strain AD169. The lines tested were H4, C11, and D11 generated against the peptides AE42, AE44, and AE45, respectively.
The results from the cytotoxicity assay showed that all three CTL lines
were able to recognize HLA-A*0201 fibroblasts infected with CMV (Fig. 3
), with minimal recognition of the
uninfected HLA-A*0201-positive fibroblasts. Lines generated against the
peptide AE45 showed a comparable percentage of lysis to lines generated
against peptides AE42 or AE44, despite the fact that a low level of
lysis of peptide-pulsed target cells had been observed in previous
experiments shown in Fig. 2
. One possible explanation for this might be
that the number of effector cells in the earlier assays was suboptimal,
and that the extent of the response had been underestimated.
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To demonstrate that the pp65 peptide-specific CTL lines reacting
against CMV-infected fibroblasts were recognizing a peptide derived
from the endogenously processed pp65, and not from any other CMV
proteins, they were tested further for their ability to lyse
fibroblasts infected with an adenovirus construct expressing pp65
(RAd-pp65). Fibroblasts infected with a control adenovirus construct,
RAd-35, expressing the enzyme ß-galactosidase were used as a control
in these experiments. Fig. 3
shows that these CTL lines were able to
lyse fibroblasts infected with the RAd-pp65 construct with minimal
nonspecific lysis against the control RAd-35-infected
fibroblasts. These results confirm that the pp65-derived peptide
epitopes identified here are presented in association with HLA-A*0201
on the surface of infected cells as a result of endogenous pp65
processing.
Two independent groups following different strategies to ours have previously identified one of the peptides found to be immunogenic in this study, peptide AE42 (positions 495503, NLVPMVATV). By designing overlapping peptide sequences from pp65 and testing them for their recognition by CMV-specific CTLs, Wills et al. (5) reported that such CTLs recognized a 15-mer (positions 493507). When this peptide was shortened they found that the actual CTL epitope presented in the context of HLA-A*0201 was the 10-mer, positions 495504. Diamond et al. (8), using recombinant vaccinia constructs expressing truncated sequences of pp65, mapped the recognition of a pp65-specific T cell clone restricted by HLA-A*0201 to an 84-aa region in the carboxyl-terminal end of pp65. From this region they designed synthetic peptides based on MHC binding motifs and found the peptide pp65 (positions 495503, NLVPMVATV) as the only epitope recognized by their pp65-specific T cell clone. This group also reported that this peptide was able to induce both in vivo and in vitro CTLs that lysed HLA-A*0201 positive CMV infected fibroblasts (8). With the strategy employed in the present study, we have been able to identify not only peptide pp65 (positions 495503), but also two more peptides which are presumably subdominant and therefore were not identified by other strategies.
Analysis of the HLA-A*0201-restricted pp65 CTL epitopes in a range of CMV isolates
Previous results from Riddell et al. (41) found that
CTL clones from different donors were able to lyse autologous
fibroblasts infected with the two laboratory strains AD169 and Towne
and with four wild-type CMV isolates. These results suggested that the
immunodominant CTL response is specific for epitopes that are conserved
among several genetically distinct CMV strains. To confirm this and to
demonstrate that the peptides identified within this study have the
potential for use in the prevention of CMV infection in the clinical
situation, we performed direct sequencing on eight different CMV
strains, three laboratory adapted strains (AD169, Towne, and Davis),
and five clinical isolates (Toledo, CRV, R7, CIF, and CIFE). When the
DNA sequences were compared with the published sequence of the CMV
strain AD169 (Table II
) several
nucleotide differences were found; however, the differences were mainly
synonymous and would not change the amino acid sequence of the pp65
protein. Only four of the differences found at the nucleotide level
would give rise to amino acid differences when compared the to strain
AD169 (Table II
). The first substitution present only in Toledo encoded
a Ser-Asn mutation at position 371. The second was found in both Towne
and Toledo and was a Ser-Ala mutation at position 447, whereas the
third change that encoded an Asp-Glu mutation at position 545 was found
in three strains, Davis, Toledo, and CRV. The fourth substitution
observed was an Ile-Ala change found in the Towne strain which had also
been described by Pande et al. (42). Importantly, as shown
in Table II
, we found that the three peptide epitopes described in the
present study lie in conserved regions of the pp65 amino acid sequence
in all the strains analyzed. As these three peptides were found to be
conserved in several examples of clinical CMV isolates, a synthetic
peptide vaccine or alternatively the adoptive transfer of CTLs
generated against these peptides could potentially provide protection
against the multiple CMV strains to which bone marrow transplant
recipients are exposed.
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Our approach in the present study of searching the whole pp65 amino acid sequence for binding motifs for HLA-A2 not only identified the peptide previously reported to be a pp65-derived CTL epitope, but also two more peptides that are recognized in vivo in the context of HLA-A*0201.
This result serves to emphasize the potential value of the
combined use of motif analysis and MHC binding assays and functional
testing in the selection and identification of CTL immunogenic
peptides. Furthermore, this approach does not bias the outcome to the
identification of immunodominant epitopes. We have been able to
demonstrate that by the judicious application of different techniques
we have established a simple and reproducible system for the generation
of peptide-specific CTL that importantly retain the ability to respond
with native Ag as well as with peptide as seen in Fig. 4
.
It has been suggested that the pp65 protein entering the cell as part of the tegument of the virion is processed and presented by MHC class I molecules before viral DNA synthesis and replication (4). This is particularly relevant in the CTL recognition of CMV, as there are several CMV proteins expressed at immediate early, early, and late times after infection which have shown to interfere with the processing and presentation of class I Ags. This family of proteins, known as US211, down-regulates HLA class I molecules using several mechanisms (43, 44, 45). The fact that pp65 may be presented before the expression of US211 suggest that the down-regulation of MHC class I molecules may not have any effect on the recognition of pp65. Also, this could explain the high dominance of pp65 as a target Ag for CMV-specific CTL responses (5, 7, 46). Taken together, this evidence suggests that pp65 is a prime candidate to target in the development of immunotherapies against CMV, namely peptide or subunit vaccines or adoptive T cell therapy. The work described here permitted us to identify three peptides which are CTL epitopes recognized in the context of HLA-A*0201, the most common Caucasian HLA class I molecule. In the design of a potential peptide vaccine the ideal situation would be to produce a product with the ability to target as high a number of the affected population as possible, and the strategy proposed could be used in the identification of additional peptide epitopes in the context of other HLA class I molecules.
| Footnotes |
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2 Current address: The G. W. Hooper Foundation, Department of Microbiology and Immunology, University of California, San Francisco, CA 94143-0552. ![]()
3 Address correspondence and reprint requests to Dr. Alejandro Madrigal, Anthony Nolan Research Institute, The Royal Free and University College Medical School, London NW3 2QG, U.K. E-mail address: ![]()
4 Abbreviations used in this paper: FL, fluorescein; ELISPOT, enzyme-linked immunospot. ![]()
Received for publication March 17, 1999. Accepted for publication August 26, 1999.
| References |
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J. W. Gratama, J. W. J. van Esser, C. H. J. Lamers, C. Tournay, B. Lowenberg, R. L. H. Bolhuis, and J. J. Cornelissen Tetramer-based quantification of cytomegalovirus (CMV)-specific CD8+ T lymphocytes in T-cell-depleted stem cell grafts and after transplantation may identify patients at risk for progressive CMV infection Blood, September 1, 2001; 98(5): 1358 - 1364. [Abstract] [Full Text] [PDF] |
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S. Szmania, A. Galloway, M. Bruorton, P. Musk, G. Aubert, A. Arthur, H. Pyle, N. Hensel, N. Ta, L. Lamb Jr, et al. Isolation and expansion of cytomegalovirus-specific cytotoxic T lymphocytes to clinical scale from a single blood draw using dendritic cells and HLA-tetramers Blood, August 1, 2001; 98(3): 505 - 512. [Abstract] [Full Text] [PDF] |
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C. L. Rosa, R. Krishnan, S. Markel, J. P. Schneck, R. Houghten, C. Pinilla, and D. J. Diamond Enhanced immune activity of cytotoxic T-lymphocyte epitope analogs derived from positional scanning synthetic combinatorial libraries Blood, March 15, 2001; 97(6): 1776 - 1786. [Abstract] [Full Text] [PDF] |
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J. A. Zaia, G. Gallez-Hawkins, X. Li, Z.-Q. Yao, N. Lomeli, K. Molinder, C. La Rosa, and D. J. Diamond Infrequent Occurrence of Natural Mutations in the pp65495-503 Epitope Sequence Presented by the HLA A*0201 Allele among Human Cytomegalovirus Isolates J. Virol., March 1, 2001; 75(5): 2472 - 2474. [Abstract] [Full Text] |
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Q. Sun, R. L. Burton, L.-J. Dai, W. J. Britt, and K. G. Lucas B Lymphoblastoid Cell Lines as Efficient APC to Elicit CD8+ T Cell Responses Against a Cytomegalovirus Antigen J. Immunol., October 1, 2000; 165(7): 4105 - 4111. [Abstract] [Full Text] [PDF] |
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L. Mollet, T.-S. Li, A. Samri, C. Tournay, R. Tubiana, V. Calvez, P. Debre, C. Katlama, and B. Autran Dynamics of HIV-Specific CD8+ T Lymphocytes with Changes in Viral Load J. Immunol., August 1, 2000; 165(3): 1692 - 1704. [Abstract] [Full Text] [PDF] |
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J. A. Zaia, J.G. P. Sissons, S. Riddell, D. J. Diamond, M.R. Wills, A.J. Carmichael, M.P. Weekes, M. Gandhi, C. La Rosa, M. Villacres, et al. Status of Cytomegalovirus Prevention and Treatment in 2000 Hematology, January 1, 2000; 2000(1): 339 - 355. [Abstract] [Full Text] [PDF] |
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