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KFO 183:  Optimised Allogeneic Lymphocyte Therapy

Subject Area Medicine
Term from 2007 to 2016
Project identifier Deutsche Forschungsgemeinschaft (DFG) - Project number 34036658
 
The therapeutic success of allogeneic hematopoietic stem cell transplantation (HSCT) in patients with hematologic malignancies relies primarily on the specificity and the functional activity of the donor T lymphocytes. They mediate not only the desired graft-versus-leukemia effect (GvL) but contribute also significantly to alloreactivity against epithelial tissues clinically known as the graft-versus-host disease (GvHD). In addition, donor T lymphocytes lacking an effective immunity against human cytomegalovirus (HCMV) favour the reactivation of HCMV infections in HCMV-positive patients after allogeneic HSCT. Natural killer (NK) cells of donor origin play also an important role post-transplant. For instance, they execute alloreactive GvL reactions after HSCT in HLA-incompatible donor-recipient pairs.
The Clinical Research Unit introduced herein desires to pursue the development of new immunomodulatory strategies that optimise these key functions of donor T cells and NK cells for the clinical implementation in the context of allogeneic HSCT. These strategies include the selective depletion of alloreactive T cells to reduce GvHD, the augmentation of the GvL effect by T cells and NK cells in order to avoid leukemia relapse and the induction of protective immunity for the prevention and therapy of HCMV infections.
DFG Programme Clinical Research Units
International Connection Netherlands

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