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Cutting Edge: Persistence of Transferred Lymphocyte Clonotypes Correlates with Cancer Regression in Patients Receiving Cell Transfer Therapy

Paul F. Robbins, Mark E. Dudley, John Wunderlich, Mona El-Gamil, Yong F. Li, Juhua Zhou, Jianping Huang, Daniel J. Powell Jr. and Steven A. Rosenberg
J Immunol December 15, 2004, 173 (12) 7125-7130; DOI: https://doi.org/10.4049/jimmunol.173.12.7125
Paul F. Robbins
Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892
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Mark E. Dudley
Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892
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John Wunderlich
Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892
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Mona El-Gamil
Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892
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Yong F. Li
Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892
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Juhua Zhou
Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892
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Jianping Huang
Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892
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Daniel J. Powell Jr.
Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892
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Steven A. Rosenberg
Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892
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  • FIGURE 1.
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    FIGURE 1.

    Comparison of TRBV sequencing results with FACS analysis. The percentages of individual rearranged TRBV sequences obtained using 5′ RACE analysis were compared with the results of FACS analysis conducted with specific TRBV Abs. Samples were only analyzed if the appropriate TRBV Ab was available, and TRBV products that were represented at levels below 5% as determined either by TRBV sequence analysis or by Ab staining were excluded from the analysis. The results obtained using these methods were highly correlated using linear regression analysis (R = 0.8975, p < 0.001).

  • FIGURE 2.
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    FIGURE 2.

    Comparisons of the persistence of individual T cell clonotypes in responders and nonresponders. The percentages of all persistent T cell clonotypes that were detected in samples of PBMC obtained between 23 and 63 days following adoptive transfer, as determined using TRBV sequence analysis, were plotted for the responding and nonresponding patients. Each point represents a distinct T cell clonotype that was identified in an individual patient sample.

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    Table I.

    Clonal composition of TIL

    Total Number of TRBV Sequences AnalyzedNumber of Distinct Clonal SequencesaNumber of Clonotypes Represented in TIL at:
    <5%5–9%10–20%>20%
    Responder
     61184137130
     9128104222
     10922017003
     16642016202
     17812421021
     19783832420
     21913732230
     25813935310
     26843732311
     28781512102
     30813733031
     31751813401
     34802119101
    Nonresponder
     7803431201
     118243001
     12897878000
     13702218121
     148531011
     15671410211
     18612217311
     20863432011
     22811510122
     24852319112
     27732623111
     29782117112
    • a Clonotypes present within TIL samples were identified by comparison of the TRBV, D, and J region sequences of cDNA clones that were derived from individual TRBV genes.

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    Table II.

    Clonal persistence following adoptive transfer

    PBMC Sample DayaLymphocyte Number Per mm3 (days 5–15)Persistence Total (%)bLymphocyte Number Per mm3 (days 23–63)Persistence Total (%)b
    Responder
     6(2)c9, 552,085491,64624
     99, 2921,436967,08696
     107, 2312,150943,41084
     167, 613893697314
     17(2)c8, 28555431,32810
     195, 331,956572,74012
     216, 271,407451,07915
     257, 31168564558
     268, 34711444832
     289, 63576741,3827
     30(2)c5, 261116128311
     317, 26739366434
     349, 37826263951
    Mean3,258581,70426
    SE1,75655159
    Nonresponder
     715, 37NDd91,893<1
     118, 358104760<1
     128, 3579158649
     138, 291,073361,027<1
     148, 29532<11,792<1
     157, 34760608715
     1813, 292872385<1
     208, 25548185922
     228, 34305413071
     247, 292,2828753541
     277, 242,496472001
     298, 3216425186<1
    Mean913287845
    SE22581633
    p2 = 0.663ep2 = 0.008p2 = 0.115p2 = 0.001
    • a The days given are relative to the date of TIL infusion.

    • b The values indicate the sum of the percentages of individual clonotypes detected in PBMC samples that were also present in the administered TIL.

    • c Patients 6, 17, and 30 had received a single prior ablation followed by an adoptive transfer of autologous TIL.

    • d A PBL count was not carried out for patient no. 7 at this time point.

    • e The lymphocyte counts and the percentage of persistent clonotypes present in responders and nonresponders were compared using the Wilcoxon rank sum test.

    • View popup
    Table III.

    Ag reactivity of TIL and persistent T

    Patient No.Ag Reactivity of TILaReactivity of Most Prevalent Persistent ClonotypebMost Prevalent Persistent Clonotype (%)
    Responder
     6Autol.Autol.16
     9MART-1MART-183
     10MART-1MART-177
     16Autol.Autol.12
     17Autol.Autol.8
     19Autol.N/Tc5
     21Autol.Autol.8
     25Autol.N/T7
     26MART-1-1
     28MART-1MART-17
     30gp100:209–217Autol.7
     31MART-1-2
     34Autol.N/T43
    Nonresponder
     7MART-1-<1
     11MART-1-<1
     12Autol.-4
     13MART-1-1
     14Autol.-<1
     15MART-1-4
     18gp100:209–217-<1
     20MART-1-2
     22Autol.-3
     24Autol.N/T17
     27MART-1-1
     29MART-1-<1
    • a Ag reactivity was evaluated by determining the ability of TIL to release IFN-γ in response to autologous (Autol.) or HLA-matched allogeneic tumors, or to T2 cells that were pulsed with either the MART-1:26–35 or gp100:209–217 HLA-A2-restricted peptides.

    • b The Ag reactivity of the most persistent clonotype detected in PBMC 23–63 days after transfer is indicated. Isolated T cell clones corresponding to the dominant persistent clonotypes from TIL from patients 9 and 10 released IFN-γ in response to T2 cells that were pulsed with the MART-1:27–35 peptide, and clones corresponding to the dominant persistent clonotypes within TIL from patients 6, 16, and 22, released IFN-γ in response to autologous tumor cells. The dominant persistent clonotype within the TIL from patient 28 was identified by staining with anti-TRBV Abs and a MART-1:26–35(2L) tetramer. Tumor reactivity of the dominant persistent clonotypes from patients 17 and 30 was determined by measuring the ability of these T cells, which were identified within the TIL using specific TRBV Abs, to specifically up-regulate expression of cell surface CD107a expression following stimulation with autologous tumor cells. A dash indicates either that no persistent clonotype was detected or that the most persistent clonotype was present at a frequency of between 1 and 5% and was not evaluated due to the limited number of cells available for analysis.

    • c For samples designated N/T (not tested), the ability of the persistent clonotype to recognize autologous tumor has not been verified.

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The Journal of Immunology: 173 (12)
The Journal of Immunology
Vol. 173, Issue 12
15 Dec 2004
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Cutting Edge: Persistence of Transferred Lymphocyte Clonotypes Correlates with Cancer Regression in Patients Receiving Cell Transfer Therapy
Paul F. Robbins, Mark E. Dudley, John Wunderlich, Mona El-Gamil, Yong F. Li, Juhua Zhou, Jianping Huang, Daniel J. Powell, Steven A. Rosenberg
The Journal of Immunology December 15, 2004, 173 (12) 7125-7130; DOI: 10.4049/jimmunol.173.12.7125

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Cutting Edge: Persistence of Transferred Lymphocyte Clonotypes Correlates with Cancer Regression in Patients Receiving Cell Transfer Therapy
Paul F. Robbins, Mark E. Dudley, John Wunderlich, Mona El-Gamil, Yong F. Li, Juhua Zhou, Jianping Huang, Daniel J. Powell, Steven A. Rosenberg
The Journal of Immunology December 15, 2004, 173 (12) 7125-7130; DOI: 10.4049/jimmunol.173.12.7125
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