Potential Role of a Mismatched HLA-Specific CTL Clone Developed Pre-Transplant in Graft Rejection following Cord Blood Transplantation  Hiroto Narimatsu,

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Potential Role of a Mismatched HLA-Specific CTL Clone Developed Pre-Transplant in Graft Rejection following Cord Blood Transplantation  Hiroto Narimatsu, Makoto Murata, Seitaro Terakura, Kyoko Sugimoto, Tomoki Naoe  Biology of Blood and Marrow Transplantation  Volume 14, Issue 4, Pages 397-402 (April 2008) DOI: 10.1016/j.bbmt.2008.01.001 Copyright © 2008 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 1 The N19D8 CTL clone recognizes HLA-B∗1501. (A) Transfection of HLA-B∗1501 cDNA into the B-LCL from the patient restored recognition by N19D8 CTL. The patient's B-LCL were transfected with a plasmid encoding HLA-B∗1501 cDNA and assayed as a target for N19D8 CTL. Cytotoxicity was determined using a chromium release assay. Lysis of the first-donor B-LCL (closed squares), second-donor B-LCL (open squares), patient B-LCL (triangles), and HLA-B∗1501-transfected patient B-LCL (circles) are shown as the mean of triplicate cultures at various E:T ratios. (B) HLA-B∗1501 cDNA stimulated interferon-γ production by N19D8 CTL. COS cells were transfected with a plasmid encoding HLA-B∗1501, B∗5603 (negative control), or B∗4403 (negative control) cDNA. COS transfectants were cocultured with N19D8 CTL, and interferon-γ production was measured in the supernatant, an enzyme-linked immunosorbent assay. Data is shown as the mean of triplicate determinations. Biology of Blood and Marrow Transplantation 2008 14, 397-402DOI: (10.1016/j.bbmt.2008.01.001) Copyright © 2008 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 2 Presence of the N19D8 clone in pretransplant peripheral blood from the patient. Detection of lymphocytes with the N19D8 clone-specific T cell receptor in pretransplant PBMCs. Nested PCR was performed on genomic DNA using a T cell receptor Vβ17-specific primer set for the first PCR. Genomic DNA was prepared from PBMCs obtained from the patient 1 month before the first CBT (pre PBMCs) and 3 or 9 months after the second CBT (post PBMCs). Genomic DNA from the N19D8 clone was used as a positive control. Genomic DNA prepared from PBMCs obtained from unrelated volunteers were used as negative controls. PCR to detect β-globin was used as an internal control in each assay. Biology of Blood and Marrow Transplantation 2008 14, 397-402DOI: (10.1016/j.bbmt.2008.01.001) Copyright © 2008 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 3 Presence of the N19D8 clone in pretransplant peripheral blood from the patient. The presence of HLA-B∗1501 microchimerism in pretransplant PBMCs. Lanes 1 and 6 are standard PCRs specific for HLA-B∗1501 on genomic DNA from pretransplant PBMCs from the patient and B∗1501-positive PBMCs from the patient's daughter (positive control), respectively. Lanes 2-3, 4-5, and 7-8 are nested PCR specific for HLA-B∗1501 on diluted (in parentheses) first PCR products from a posttransplant fingernail sample from the patient (negative control), pretransplant PBMCs from the patient, and PBMCs from the patient's daughter (positive control), respectively. PCR to detect complement factor 4 was used as an internal control in each assay. Biology of Blood and Marrow Transplantation 2008 14, 397-402DOI: (10.1016/j.bbmt.2008.01.001) Copyright © 2008 American Society for Blood and Marrow Transplantation Terms and Conditions