2010
DOI: 10.1038/nm.2128
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Lethal graft-versus-host disease in mouse models of T cell receptor gene therapy

Abstract: The transfer of T cell receptor (TCR) genes can be used to induce immune reactivity toward defined antigens to which endogenous T cells are insufficiently reactive. This approach, which is called TCR gene therapy, is being developed to target tumors and pathogens, and its clinical testing has commenced in patients with cancer. In this study we show that lethal cytokine-driven autoimmune pathology can occur in mouse models of TCR gene therapy under conditions that closely mimic the clinical setting. We show tha… Show more

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Cited by 387 publications
(349 citation statements)
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“…Experiments with a panel of TCRs with varied affinity and targeting self-antigens show that the induction of anti-tumor activity and autoimmunity are closely coupled 93 . Furthermore, autoimmune syndromes might occur following the adoptive transfer of transgenic T cells that retain the endogenous TCR 94 , presumably owing to the formation of heterodimers that create self-reactive specificities.…”
Section: Box 1 Adoptive T Cell Therapymentioning
confidence: 99%
“…Experiments with a panel of TCRs with varied affinity and targeting self-antigens show that the induction of anti-tumor activity and autoimmunity are closely coupled 93 . Furthermore, autoimmune syndromes might occur following the adoptive transfer of transgenic T cells that retain the endogenous TCR 94 , presumably owing to the formation of heterodimers that create self-reactive specificities.…”
Section: Box 1 Adoptive T Cell Therapymentioning
confidence: 99%
“…The ideal effector T cell for adoptive therapy should be 1) available in sufficient numbers, 2) specific for the targeted Ag, and 3) possess long-lasting in vivo persistence as a prerequisite for successful therapy (7).…”
mentioning
confidence: 99%
“…Second, the transduced TCR α and β chains can mispair with endogenous TCRs 9 , which may reduce expression level of the TCR of interest. In addition, the mispaired TCRs may cause autoimmunity in vivo 11 . Finally, there is only a limited time frame the transduced T-cells can be used.…”
Section: Discussionmentioning
confidence: 99%