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Volume 62, Issue 2, Pages 486-491 (February 2015) Immunotherapy of HCC metastases with autologous T cell receptor redirected T cells, targeting HBsAg in a liver transplant patient  Waseem Qasim, Maurizia Brunetto, Adam J. Gehring, Shao-An Xue, Anna Schurich, Atefeh Khakpoor, Hong Zhan, Pietro Ciccorossi, Kimberly Gilmour, Daniela Cavallone, Francesco Moriconi, Farzin Farzhenah, Alessandro Mazzoni, Lucas Chan, Emma Morris, Adrian Thrasher, Mala K. Maini, Ferruccio Bonino, Hans Stauss, Antonio Bertoletti  Journal of Hepatology  Volume 62, Issue 2, Pages 486-491 (February 2015) DOI: 10.1016/j.jhep.2014.10.001 Copyright © 2014 European Association for the Study of the Liver Terms and Conditions

Fig. 1 Clinical history and expression of HBV antigens in HCC metastasis. (A) Schematic representation of the clinical history of the treated patient. (B) Sections (40×) of the lymph node with HCC metastasis stained (a) with primary anti-HBs mab (Histo-Line Laboratories, Milan, Italy) and secondary HRPO conjugated antibody (DAB, Milan, Italy) for cytoplasm (brown) and haematoxylin, counterstained for nuclei (blue) using IHC technique; (b) with mouse CK18-FITC (green) for 1h at room temperature, using intracellular direct immunofluorescence technique; or (d) with 1μg of Ab-TCR-like A2/HBs183-91 or (c) A2/EBV LMP2A as a negative control overnight at 4°C. An Alexa-Fluor 647–tyramide signal amplification kit was used to visualize the signal (red). Nuclei (b, c and d) were stained with DAPI (blue). Journal of Hepatology 2015 62, 486-491DOI: (10.1016/j.jhep.2014.10.001) Copyright © 2014 European Association for the Study of the Liver Terms and Conditions

Fig. 2 Clinical, virological and immunological parameters after TCR-redirected T cell therapy. (A) Immunotherapy monitoring schedule, indicating the time of cell preparation, T cell transfer, and time of the serological and immunological tests. (B and C) Concentrations of serum ALT and AFP at the indicated time points. (D) Serological quantification of serum HBsAg after T cell transfer (left panel) and serum HBsAg historical values in the same patient after surgical and radiation therapy (right panel). (E) Quantification of TCR-redirected T cells ex vivo and after in vitro expansion in peripheral blood. Measurement was performed at the indicated time points using an antibody specific for the V beta murine constant region of the introduced TCR (Vbm TCR), HLA-dextramer, specific for HBs183-91/A2-specific T cells, and by analysing the cytotoxic potential of TCR-redirected HBV-specific CD8 T cells through CD107 expression. Cells were analysed by flow cytometry and gated on live cells (forward-side scatter) and CD3+ cells. Peripheral blood mononuclear cells (PBMCs) were stimulated with 10μM HBV-derived peptide e183-191 for 4h in the presence of Brefeldin A for direct ex vivo detection of CD107a or cultured in the presence of 2.5μM Hbs183-91 for 10days and restimulated with the same amount of peptide in the presence of Brefeldin A at the end of the culture. Culture media was supplemented with IL-2 (20U/ml) and IL-7 (5ng/ml) to increase cell viability. Parallel analysis of IFN-gamma producing cells was also performed by intracellular cytokine staining on in vitro expanded T cells. Values represent responses, subtracted from the background obtained, in non-stimulated cells (always lower than 0.1%). (F) Values of chemokines in patient sera at the indicated time points. Chemokines were measured with a CBA bead detection assay (BD Science http://www.bdbiosciences.com/sg/research/cytometricbeadarray). Journal of Hepatology 2015 62, 486-491DOI: (10.1016/j.jhep.2014.10.001) Copyright © 2014 European Association for the Study of the Liver Terms and Conditions