Manufacture and Characterization of Good Manufacturing Practice-Compliant SARS-COV-2 Cytotoxic T Lymphocytes.


Journal

The Journal of infectious diseases
ISSN: 1537-6613
Titre abrégé: J Infect Dis
Pays: United States
ID NLM: 0413675

Informations de publication

Date de publication:
28 03 2023
Historique:
received: 15 08 2022
accepted: 29 12 2022
medline: 29 3 2023
pubmed: 31 12 2022
entrez: 30 12 2022
Statut: ppublish

Résumé

Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). SARS-CoV-2 virus-specific cytotoxic T-cell lymphocytes (vCTLs) could provide a promising modality in COVID-19 treatment. We aimed to screen, manufacture, and characterize SARS-CoV-2-vCTLs generated from convalescent COVID-19 donors using the CliniMACS Cytokine Capture System (CCS). Donor screening was done by stimulation of convalescent COVID-19 donor peripheral blood mononuclear cells with viral peptides and identification of interferonγ (IFN-γ)+ CD4 and CD8 T cells using flow cytometry. Clinical-grade SARS-CoV-2-vCTLs were manufactured using the CliniMACS CCS. The enriched SARS-CoV-2-vCTLs were characterized by T-cell receptor sequencing, mass cytometry, and transcriptome analysis. Of the convalescent donor blood samples, 93% passed the screening criteria for clinical manufacture. Three validation runs resulted in enriched T cells that were 79% (standard error of the mean 21%) IFN-γ+ T cells. SARS-CoV-2-vCTLs displayed a highly diverse T-cell receptor repertoire with enhancement of both memory CD8 and CD4 T cells, especially in CD8 TEM, CD4 TCM, and CD4 TEMRA cell subsets. SARS-CoV-2-vCTLs were polyfunctional with increased gene expression in T-cell function, interleukin, pathogen defense, and tumor necrosis factor superfamily pathways. Highly functional SARS-CoV-2-vCTLs can be rapidly generated by direct cytokine enrichment (12 hours) from convalescent donors. NCT04896606.

Sections du résumé

BACKGROUND
Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). SARS-CoV-2 virus-specific cytotoxic T-cell lymphocytes (vCTLs) could provide a promising modality in COVID-19 treatment. We aimed to screen, manufacture, and characterize SARS-CoV-2-vCTLs generated from convalescent COVID-19 donors using the CliniMACS Cytokine Capture System (CCS).
METHODS
Donor screening was done by stimulation of convalescent COVID-19 donor peripheral blood mononuclear cells with viral peptides and identification of interferonγ (IFN-γ)+ CD4 and CD8 T cells using flow cytometry. Clinical-grade SARS-CoV-2-vCTLs were manufactured using the CliniMACS CCS. The enriched SARS-CoV-2-vCTLs were characterized by T-cell receptor sequencing, mass cytometry, and transcriptome analysis.
RESULTS
Of the convalescent donor blood samples, 93% passed the screening criteria for clinical manufacture. Three validation runs resulted in enriched T cells that were 79% (standard error of the mean 21%) IFN-γ+ T cells. SARS-CoV-2-vCTLs displayed a highly diverse T-cell receptor repertoire with enhancement of both memory CD8 and CD4 T cells, especially in CD8 TEM, CD4 TCM, and CD4 TEMRA cell subsets. SARS-CoV-2-vCTLs were polyfunctional with increased gene expression in T-cell function, interleukin, pathogen defense, and tumor necrosis factor superfamily pathways.
CONCLUSIONS
Highly functional SARS-CoV-2-vCTLs can be rapidly generated by direct cytokine enrichment (12 hours) from convalescent donors.
CLINICAL TRIALS REGISTRATION
NCT04896606.

Identifiants

pubmed: 36583990
pii: 6965956
doi: 10.1093/infdis/jiac500
doi:

Substances chimiques

Cytokines 0
Interferon-gamma 82115-62-6

Banques de données

ClinicalTrials.gov
['NCT04896606']

Types de publication

Journal Article Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

788-799

Subventions

Organisme : FDA HHS
ID : 1R01FD006363
Pays : United States

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press on behalf of Infectious Diseases Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Déclaration de conflit d'intérêts

Potential conflicts of interest. M. S. C. has served as a consultant for Jazz Pharmaceuticals, Omeros Pharmaceuticals, and Novartis Pharmaceuticals; Speakers Bureau for Jazz Pharmaceuticals, Servier Pharmaceuticals, Amgen, Inc, Sanofi, and Sobi; and Advisory Board for Astra Zeneca. B. J. and S. K. have received research support from Miltenyi Biotec. Y. W. reports the Children's Hospital of Philadelphia Cell and Gene Therapy Laboratory has received free SARS-COV2 peptide reagent for testing. All other authors report no potential conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.

Auteurs

Yaya Chu (Y)

Department of Pediatrics, New York Medical College, Valhalla, New York, USA.

Jordan Milner (J)

Department of Pediatrics, New York Medical College, Valhalla, New York, USA.

Margaret Lamb (M)

Department of Hematology/Oncology/Bone Marrow Transplant, Center for Childhood Cancer and Blood Diseases, Nationwide Children's Hospital, Columbus, Ohio, USA.
Department of Pediatrics, The Ohio State University, Columbus, Ohio, USA.

Elena Maryamchik (E)

Department of Pathology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Perlman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Olivia Rigot (O)

Department of Pediatrics, New York Medical College, Valhalla, New York, USA.

Janet Ayello (J)

Department of Pediatrics, New York Medical College, Valhalla, New York, USA.

Lauren Harrison (L)

Department of Pediatrics, New York Medical College, Valhalla, New York, USA.

Rosemarie Shaw (R)

Department of Pediatrics, New York Medical College, Valhalla, New York, USA.

Gregory K Behbehani (GK)

Department of Internal Medicine, Division of Hematology, The Ohio State University, Columbus, Ohio, USA.

Elaine R Mardis (ER)

Department of Pediatrics, The Ohio State University, Columbus, Ohio, USA.
The Steve and Cindy Rasmussen Institute for Genomic Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.

Katherine Miller (K)

The Steve and Cindy Rasmussen Institute for Genomic Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.

Lakshmi Prakruthi Rao Venkata (L)

The Steve and Cindy Rasmussen Institute for Genomic Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.

Hsiaochi Chang (H)

Department of Internal Medicine, Division of Hematology, The Ohio State University, Columbus, Ohio, USA.

Dean Lee (D)

Department of Hematology/Oncology/Bone Marrow Transplant, Center for Childhood Cancer and Blood Diseases, Nationwide Children's Hospital, Columbus, Ohio, USA.
Department of Pediatrics, The Ohio State University, Columbus, Ohio, USA.

Elana Rosenthal (E)

Department of Pediatrics, New York Medical College, Valhalla, New York, USA.

Stephan Kadauke (S)

Department of Pathology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Nancy Bunin (N)

Perlman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Julie-An Talano (JA)

Department of Pediatrics, Hematology/Oncology and BMT, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Bryon Johnson (B)

Department of Medicine, Hematology/Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Yongping Wang (Y)

Department of Pathology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Perlman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Mitchell S Cairo (MS)

Department of Pediatrics, New York Medical College, Valhalla, New York, USA.
Department of Medicine, New York Medical College, Valhalla, New York, USA.
Department of Microbiology, Immunology, and Pathology, New York Medical College, Valhalla, New York, USA.
Department of Cell Biology and Anatomy, New York Medical College, Valhalla, New York, USA.

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