Expansion and Homing of Adoptively Transferred Human Natural Killer Cells in Immunodeficient Mice Varies with Product Preparation and In Vivo Cytokine.

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Expansion and Homing of Adoptively Transferred Human Natural Killer Cells in Immunodeficient Mice Varies with Product Preparation and In Vivo Cytokine Administration: Implications for Clinical Therapy  Jeffrey S. Miller, Cliona M. Rooney, Julie Curtsinger, Ron McElmurry, Valarie McCullar, Michael R. Verneris, Natalia Lapteva, David McKenna, John E. Wagner, Bruce R. Blazar, Jakub Tolar  Biology of Blood and Marrow Transplantation  Volume 20, Issue 8, Pages 1252-1257 (August 2014) DOI: 10.1016/j.bbmt.2014.05.004 Copyright © 2014 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 1 GMP grade Ex-NK cells and FA-NK cells differ in phenotype and their ability to expand in mice in vivo. (A) The Ex-NK cell product contained an average of 88% NK cells, whereas the FA-NK cell product contained 40% NK cells after CD3 and CD19 depletion, with the remaining cells being CD14+ monocytes (not shown). Inset shows percent of Cr51-labeled K562 cells lysed when incubated for 4 hours with Ex-NK or FA-NK cells at the indicated ratios. (B) NSG mice were treated with 250 cGy and then Ex-NK or FA-NK cells (1 to 2 million absolute NK cells were held constant within each experiment) were infused i.v. Cytokines were administered after cell infusion as indicated. Blood was sampled weekly and tissues collected as indicated. (C) The number of human CD45+ NK cells in 100 μL of blood collected at the various times after transfer of Ex-NK or FA-NK cells obtained either directly from in vitro cultures (fresh) or thawed after cryopreservation in 10% DMSO (frozen). All mice were given IL-2 (6 doses, 5 μg/dose). Data are means ± SEM (n = 4). (D) The number of human CD45+ NK cells in 100 μL of blood collected at the indicated times after transfer of Ex-NK or FA-NK from fresh cultures. Mice were given cytokines as indicated; IL-2 was given in 6 doses of 10 μg/dose; IL-15 was given in 6 doses of 5 μg/dose. Data are means ± SEM (n = 6 to 16, depending on time point and group, as selected mice were killed 8 or 15 days after cell infusion). Biology of Blood and Marrow Transplantation 2014 20, 1252-1257DOI: (10.1016/j.bbmt.2014.05.004) Copyright © 2014 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 2 Thawed GMP grade Ex-NK and FA-NK cells expand in vivo when cultured overnight with IL-2 before adoptive transfer. Ex-NK and FA-NK products were thawed after cryopreservation in 10% DMSO and transferred to NSG mice either immediately (Thaw/inject) or after overnight culture with IL-2 (O/N IL-2). All mice were subsequently given 6 doses of IL-15 at 5 μg/dose. (A) Cytotoxic activity of each product is shown as the percent of Cr51-labeled K562 cells lysed when incubated for 4 hours with each product at the indicated ratios. (B) The number of human CD45+ NK cells in 150 μL of blood collected on days 7 and 14 after transfer. Results shown are the means ± SEM, n = 6 mice per group. Biology of Blood and Marrow Transplantation 2014 20, 1252-1257DOI: (10.1016/j.bbmt.2014.05.004) Copyright © 2014 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 3 Phenotype of GMP grade Ex-NK and FA-NK cells in the blood varies with NK cell source and cytokine conditions. Cells and mice were as described in Figure 1D. (A) Percent of human NK cells expressing any of 3 KIRs (CD158a, CD158b, or CD158e1). (B) Percent of human NK cells expressing NKG2A. (C) Percent of human NK cells expressing CD57. Results shown are the means ± SD (n = 7 to 16, depending on time point and group). Biology of Blood and Marrow Transplantation 2014 20, 1252-1257DOI: (10.1016/j.bbmt.2014.05.004) Copyright © 2014 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 4 GMP grade Ex-NK and FA-NK cells have different biodistribution in bone marrow and spleen. (A) The number of human NK cells in bone marrow and spleen of mice given Ex-NK or FA-NK cells and cytokines as shown in Figure 1B. (B) The percent of proliferating (as evidenced by coexpression of Ki-67 on CD56+/CD3- cells) human NK cells 8 days after adoptive transfer of Ex-NK or FA-NK cells in bone marrow or spleen, respectively. (C) The proportion of CD57+ human NK cells 8 (left) and 15 (right) days after adoptive transfer of Ex-NK or FA-NK cells in bone marrow or spleen, respectively. Data are mean ± SE for all analyses (n = 4). Where indicated, P values were determined using an unpaired t-test to compare results for bone marrow and spleen within a treatment group. Biology of Blood and Marrow Transplantation 2014 20, 1252-1257DOI: (10.1016/j.bbmt.2014.05.004) Copyright © 2014 American Society for Blood and Marrow Transplantation Terms and Conditions