Abstract
In the past years, a number of clinical trials involving the adoptive transfer of genetically modified T lymphocytes have been reported [1–3]. Gene marking studies were the first gene transfer protocols to enter clinical practice. The principal objective of a gene marking study is to introduce, in the target cells, a gene which does not modify the function of the cells but allows them to be detected, providing information on survival, distribution, and function of the infused genetically-modified cells. Moreover, gene marking studies provided crucial informations about the feasibility, safety, and efficacy of genetically-modified cells, an important pre-requisite for future gene therapy trials. To date, two general groups of marking studies have been conducted. The first group of protocols focuses on the transduction of lymphocytes with potential antitumor or antiviral activity. Target cells of these studies include tumor infiltrating lymphocytes (TIL), virus-specific cytotoxic T cells (anti-Epstein-Barr virus specific CTLs and anti-HIV specific CTLs), and donor-derived lymphocytes infused in the context of allogeneic bone marrow transplantation (BMT). The second group of gene marking studies focuses on the transduction of autologous bone marrow cells from patients with neoplastic diseases. These studies provided important information concerning the biology of BMT and the source of post-BMT relapse of neoplastic diseases. The principal purpose of these studies was to determine whether neoplastic cells, present in unpurged autologous bone marrow, contribute to relapse following autologous BMT. In all disease settings (acute leukemia, chronic myelogenous leukemia, and neuroblastoma) gene marked tumor cells were found in relapsed patients [4, 5]. This observation represents the basis for ongoing second generation studies, which focus on the comparison of different purging techniques performed prior to transplantation. The second purpose of these studies was to investigate ex vivo the possibility of introducing a gene into normal hematopoietic progenitors. The presence of the marker gene in hematopoietic progenitor cells was confirmed ex vivo by clonogenic assays. The marker gene continued to be detected and expressed for up to 4 years in the mature progeny of marrow precursor cells, suggesting that a relatively immature hematopoietic cell population had been transduced.
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© 1999 Birkhäuser Verlag Basel
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Bonini, C., Bordignon, C. (1999). Gene Marking of T Lymphocytes. In: Blankenstein, T. (eds) Gene Therapy. Birkhäuser Basel. https://doi.org/10.1007/978-3-0348-7011-5_13
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DOI: https://doi.org/10.1007/978-3-0348-7011-5_13
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