WO2001075072A2

WO2001075072A2 - PRODUCTION OF TcR GAMMA DELTA T CELLS

Info

Publication number: WO2001075072A2
Application number: PCT/CA2001/000444
Authority: WO
Inventors: David N. Bell; Danna L. Skea
Original assignee: Hemosol Inc
Current assignee: Hemosol Inc
Priority date: 2000-04-03
Filing date: 2001-04-03
Publication date: 2001-10-11
Anticipated expiration: 2002-10-03
Also published as: EP1268746A2; ATE449162T1; WO2001075072A3; AU4816201A; NZ522337A; ES2336302T3; CA2405050A1; EP1268746B1; JP2003529363A; JP4982645B2; AU2001248162B2; DE60140526D1; CA2405050C

Abstract

The method for obtaining and expanding TcRηδ+ T cells in culture is described. The method involves: (1) culturing cells from a sample containing TcRηδ+ T cells or precursors thereof in a first culture medium comprising a T cell mitogen and at least two growth factors and (2) culturing the cells obtained in step (1) in a second culture medium comprising at least two growth factors. The two growth factors are factors with interleukin-2-like and interleukin-7-like activity. The TcRηδ+ T cells obtained by the method can be used in a variety of experimental, therapeutic and commercial applications.

Description

Title: Production of TcR Gamma Delta T Cells FIELD OF THE INVENTION

The present invention relates to novel and improved methods for the ex vivo expansion of TcRγδ⁺ T cells. BACKGROUND OF THE INVENTION

TcRγδ⁺ T cells are a small subset of circulating T lymphocytes that are distinct from conventional TcRαβ⁺ T cells which recognize, with fine specificity, foreign peptide antigens in the context of classical class I or class II major histocompatibility complex (MHC) restriction elements. By contrast, TcRγδ⁺ T cells are able to recognize both peptide and non-peptide antigens which may be derived from either foreign microorganisms or endogenous cellular products induced by stress such as viral infection or transformation. Moreover, unlike antigen recognition by TcRαβ⁺ T cells, antigen recognition by TcRγδ⁺ T cells is not MHC-restricted. The T cell receptors of TcRαβ⁺ and TcRγδ⁺ T cells are distinguished by the different genetic elements that encode them. The majority of TcRyδ⁺ T cells are classified into two main subsets, Vδl⁺ and Vδ2⁺, based on the genes that encode their δ chain. The major subset of TcRγδ⁺ T cells in human peripheral blood expresses Vδ2 in combination with Vγ9, while most of the remainder express Vδl in combination with Vγ2, Vγ3, Vγ4, Vγ5 or Vγ8 (Salerno, A. and Dieli, E, 1998).

Since TcRγδ⁺ T cells lack the fine specificity characteristics of TcRαβ⁺ T cells, it has been proposed that they represent a more primitive immune mechanism that provides a first-line surveillance function against infection and tumours (Boismenu, R. et al., 1997). Several studies have documented the response of TcRγδ⁺ T cells to various viruses, bacteria and parasites (Bukowski, J.F. et al., 1994; Wallace, M. et al., 1995; Lang, F. et al., 1995; Elloso, M.M. et al., 1996) as well as their ability to mediate lysis of tumour cells of various origins (Zocchi, M.R. et al, 1990; Kitayama, J. et al., 1993; Choudhary, A. et al., 1995). Hematopoietic tumours may be particularly susceptible to the lytic effects of TcRγδ⁺ T cells, since transgenic mice expressing the Vγl.l transgene display spontaneous resistance to injected T cell leukemias, and TcRγδ⁺ T cell hybridomas derived from these mice preferentially respond to hematopoietic malignant cells over non-hematopoietic tumour cells (Penninger, J. et al., 1995). Moreover, human TcRγδ⁺ T cell clones derived from patient peripheral blood and bone marrow have been shown to lyse autologous leukemic cells in acute lymphoblastic leukemia and acute myeloid leukemia, respectively (Bensussan, A. et al., 1989; Jahn, B. et al., 1995). Furthermore, improved disease-free survival in leukemia patients after allogeneic bone marrow transplantation has been shown to be associated with an increase in the number and percentage of TcRγδ⁺ T cells in peripheral blood (Lamb, L.S. et al., 1996). Collectively, these results suggest that TcRγδ⁺ T cells may have therapeutic potential in the treatment of cancer and infectious diseases.

Many of the published methods describing the ex vivo expansion of TcRγδ⁺ T cells require the presence of antigen. Virus-infected or transformed cells or cell lines, bacteria and parasites have been shown to stimulate TcRγδ⁺ T cell expansion ex vivo, as have established tumour cell lines. For example, herpes simplex virus (HSV)-infected cells were used to stimulate the expansion of Vδ2⁺ cells (Bukowski, J.F. et al., 1994), while Epstein-Barr virus (EBV)-transformed B-lymphoblastoid cell lines were used to stimulate the expansion of Vδl⁺ cells (Orsini, D.L.M. et al., 1993). Extracts of Mycohacterium tuberculosis and blood-stage Plasmodium falciparutn malarial antigens have been shown to stimulate proliferation of TcRγδ⁺ T cells (Constant, P. et al., 1994; Elloso, M.M. et al, 1996). Daudi, an immortalized human Burkitt's lymphoma cell line, can also stimulate the proliferation of TcRγδ⁺ T cells (Kaur, I. et al., 1993). In addition, well-characterized, non-peptidyl antigens of the prenyl phosphate family, for example, isopentenyl pyrophosphate, have been shown to stimulate the ex vivo expansion of TcRγδ⁺ T cells (Garcia, V.E. et al., 1998). In some of these systems, the antigen-stimulated cultures of TcRγδ⁺ T cells were supplemented with cy tokines. TcRγδ^4" T cells have also been expanded ex vivo from populations of tumour infiltrating lymphocytes (TIL) by culture with IL-2 (Zocchi, M.R. et al., 1990) or IL-2 in combination with immobilized anti-CD3 antibody (Kitayama, J. et al., 1993) or anti-TcRγδ antibody (Yu,S. et al., 1999). In these systems, selective stimulation of the TcRγδ⁺ T cells by the tumour antigens is presumed to have occurred in vivo prior to isolation of T cells from the cancerous tissue.

In another system, TcRγδ⁺ T cells were expanded from the peripheral blood of glioblastoma patients using a solid-phase, immobilized anti-CD3 antibody in combination with IL-2 followed by culture in IL-2 alone

(Yamaguchi, T., et al, 1997). These authors reported that the subsequently purified TcRγδ⁺ T cells did not proliferate for more than one week in the presence of IL-2 alone and therefore, they concluded, that this method would be applicable only to short term studies. They further showed that the method resulted in the expansion and enrichment of both TcRγδ⁺ and TcRαβ⁺

T cells, achieving TcRγδ⁺ T cell purities on the order of 28%. In a subsequent report, the same authors demonstrated that this method selectively expanded the Vδ2⁺ subset (Suzuki, Y., et al, 1999). In another report, this group showed that TcRγδ⁺ T cells which were expanded in culture using anti-CD3 and IL-2 followed by IL-2 alone and which were subsequently purified from the expanded population proliferated better in a ³H-thymidine incorporation assay when IL-15 was added (Yamaguchi, et al, 1998).

Thus, there are limitations to cell proliferation and /or requirements for antigen stimulation in the existing methods for ex vivo culture and expansion of TcRγδ⁺ T cells. In view of the foregoing, there is a need in the art for a method to selectively culture large amounts of essentially pure TcRγδ⁺ cells in vitro. SUMMARY OF THE INVENTION The present invention provides novel methods for expanding TcRγδ⁺ T cells in culture in the absence of exogenous antigen. In particular, the inventors have shown that TcRγδ^"1" T cells can be expanded by culturing the cells in a first media containing a T cell mitogen, interleukin 2 and interleukin 7 and then sub-culturing the cells in a second culture medium containing interleukin 2 and interleukin 7 in the absence of the mitogen. Accordingly, the present invention provides a method for expanding TcRγδ⁺ T cells in a starting sample comprising: (1) culturing cells in the starting sample in a first culture medium comprising (a) a T cell mitogen, (b) a growth factor having interleukin-2-like activity and (c) a growth factor having interleukin-7-like activity; and (2) culturing the cells obtained in step (1) in a second culture medium comprising (i) a growth factor having interleukin-2-like activity and (ii) a growth factor having interleukin-7-like activity to expand TcRγδ⁺ T cells. The term "a growth factor having interleukin-2-like activity" means any compound that has the same activity as IL-2 with respect to its ability to expand TcRγδ⁺ T cells in culture and includes, but is not limited to, IL-2 and IL- 2 mimetics, or any functional equivalent of IL-2.

The term "a growth factor having interleukin-7-like activity" means any compound that has the same activity as IL-7 with respect to its ability to expand TcRγδ⁺ T cells in culture and includes, but is not limited to, IL-7, IL-7 mimetics, or any functional equivalent of IL-7.

The methods of the invention result in expanded cell populations of TcRγδ⁺ T cells. By "expanded" it is meant that the number of the desired or target cell type (i.e., TcRyδ⁺ T cells) in the final preparation is higher than the number in the initial or starting cell population.

In a preferred embodiment, prior to culturing the cells in the first culture medium, the cells are depleted of non-TcRγδ⁺ cells. The first and second culture media may also contain other growth factors (in addition to

IL-2 and IL-7) that can enhance the expansion of the TcRγδ⁺ T cells. Examples of such growth factors include IL-4 and IL-15.

The TcRγδ^"1" T cells obtained by the method of the invention can be used in a variety of experimental, therapeutic and commercial applications.

Other features and advantages of the present invention will become apparent from the following detailed description. It should be understood, however, that the detailed description and the specific examples while indicating preferred embodiments of the invention are given by way of illustration only, since various changes and modifications within the spirit and scope of the invention will become apparent to those skilled in the art from this detailed description.

BRIEF DESCRIPTION OF THE DRAWINGS

The invention will now be described in relation to the drawings in which:

Figure 1 is a graph showing the total viable cells versus time under various culture conditions.

Figure 2 is a graph showing the total viable cells versus time under various culture conditions. Figure 3 is a graph showing the total viable cells versus time under various culture conditions.

Figure 4 is a graph showing the total viable cells versus time under various culture conditions.

Figure 5 is a graph showing the total viable cells versus time under various culture conditions.

DETAILED DESCRIPTION OF THE INVENTION

The present invention provides novel methods for selectively expanding TcRγδ^4" T cells in culture. The methods can use either unfractionated starting samples or starting samples which have been enriched for T cells. Advantageously, the methods of the invention do not require the use of antigenic stimulation which is necessary in most other procedures.

Accordingly, the present invention provides a method for expanding TcRγδ⁺ T cells in a starting sample comprising:

(1) culturing cells in the starting sample in a first culture medium comprising a T cell mitogen and at least two growth factors; and

(2) culturing the cells obtained in step (1) in a second culture medium comprising at least two growth factors to expand TcRγδ⁺ T cells.

The two growth factors can be any growth factors that can expand TcRγδ⁺ T cells in culture such as IL-2 and IL-7 or growth factors that have the same activity as IL-2 or IL-7 and can expand TcRγδ⁺ T cells in culture.

In one aspect, the present invention provides a method for expanding TcRγδ^4" T cells in a starting sample comprising: (1) culturing cells in the starting sample in a first culture medium comprising (a) a T cell mitogen, (b) a growth factor having interleukin-2-like activity and (c) a growth factor having interleukin-7-like activity; and (2) culturing the cells obtained in step (1) in a second culture medium comprising (i) a growth factor having interleukin-2-like activity and (ii) a growth factor having interleukin-7-like activity to expand TcRγδ⁺ T cells. The term "a growth factor having interleukin-2-like activity" means any compound that has the same activity as IL-2 with respect to its ability to expand TcRγδ⁺ T cells in culture and includes, but is not limited to, IL-2 and IL- 2 mimetics, or any functional equivalent of IL-2.

The term "a growth factor having interleukin-7-like activity" means any compound that has the same activity as IL-7 with respect to its ability to expand TcRγδ^4" T cells in culture and includes, but is not limited to, IL-7, IL-7 mimetics, or any functional equivalent of IL-7.

The starting sample can be any sample that contains TcRγδ⁺ T cells or precursors thereof including, but not limited to, blood, bone marrow, lymphoid tissue, epithelia, thymus, liver, spleen, cancerous tissues, lymph node tissue, infected tissue, fetal tissue and fractions or enriched portions thereof. The starting sample is preferably blood including peripheral blood or umbilical cord blood or fractions thereof, including buffy coat cells, mononuclear cells and low density mononuclear cells (LDMNC). The cells may be obtained from a starting sample of blood using techniques known in the art such as density gradient centrifugation. For example, whole blood may be layered onto an equal volume of Ficoll-Hypaque™ followed by centrifugation at 400xg for 30 minutes at room temperature. The interface material will contain the low density mononuclear cells which can be collected and washed in culture medium and centrifuged at lOOxg for 10 minutes at room temperature. Prior to culturing for TcRγδ⁺ cells, the cells can be maintained in any suitable mammalian culture medium such as AIM-V™, RPMI 1640 or IMDM. Prior to culturing the starting sample or fraction thereof (such as LDMNC) in the first culture medium, the sample or fraction thereof may be enriched for certain cell types and /or depleted for other cell types. In particular, the starting sample or fraction thereof may be enriched for T cells together with the depletion of TcR β⁺ T cells. The sample may be enriched or depleted of certain cell types using techniques known in the art. In one embodiment, the cells of a particular phenotype may be depleted by culturing the starting sample or fraction thereof with an antibody cocktail containing antibodies specific for markers on the cells to be depleted. Preferably, the antibodies in the cocktail are tetrameric antibody complexes as described in United States Patent No.4,868,109 to Lansdorp.

Once the cells in the starting sample have been fractionated and enriched, if desired, the cells are cultured in a first culture medium comprising a T cell mitogen and at least two growth factors, preferably a growth factor having interleukin-2-like activity and a growth factor having interleukin-7- like activity. Preferably, the T cell mitogen is present in an amount from about 0.01 to about 100 μg/ml; the growth factor having interleukin-2-like activity is present in an amount from about 0.1 to about 1000 ng/ml; the growth factor having interleukin-7-like activity is present in an amount from about 0.1 to about 1000 ng/ml. More preferably, the T cell mitogen is present in an amount from about 0.1 to about 50 μg/ml; the growth factor having interleukin-2-like activity is present in an amount from about 1 to about 100 ng/ml; the growth factor having interleukin-7-like activity is present in an amount from about 1 to about 100 ng/ml. Most preferably, the medium comprises 1 μg/mL of a T cell mitogen; 10 ng/mL of a growth factor having interleukin-2-like activity and 10 ng/mL of a growth factor having interleukin-7-like activity.

The cells are preferably cultured in the first culture medium for a period of time ranging from about 3 days to about 21 days. More preferably, from about 5 days to about 14 days.

The T cell mitogen can be any agent that can stimulate T cells including, but not limited to, lectins of plant and non-plant origin, antibodies that activate T cells, and other non-lectin/non-antibody mitogens. A preferred plant lectin is concanavalin A (ConA) although other plant lectins such as phytohemagglutinin (PHA) may be used. Preferred antibodies include an anti-CD3 antibody such as OKT3, an anti-CD2 antibody such as OKT11 or an anti-CD28 antibody. Within the context of the present invention, antibodies are understood to include monoclonal antibodies, polyclonal antibodies, antibody fragments (e.g., Fab, and F(ab')2), single chain antibodies, single chain variable fragments(ScFv) and recombinantly produced binding partners. Other mitogens include phorbol 12-myristate-13-acetate (TPA) and its related compounds, such as mezerein, or bacterial compounds such as Staphylococcal enterotoxin A (SEA) and Streptococcal protein A. The T cell mitogen may be soluble or immobilized and more than one T cell mitogen may be used in the method of the invention.

Following culture in the first culture medium, the cells are washed by centrifugation and sub-cultured in a second culture medium comprising at least two growth factors, preferably a growth factor having interleukin-2-like activity and a growth factor having interleukin-7-like activity. If the cells are sub-cultured with IL-2 alone then proliferation continues for a few days but then quickly abates. Thus, for continued cell proliferation following the removal of the mitogen, growth factors with both IL-2 and IL-7-like activity are required in the second culture medium.

The sub-culture step (i.e. removal of the T cell mitogen) is important for the expansion of TcRγδ^4" T cells by the method of the present invention particularly if the starting sample or LDMNC are not fractionated prior to culture in the first culture medium. If the LDMNC are fractionated then the subculture step may be optional. Conversely, if mitogen is left out of the first culture medium, little/no cell expansion occurs. The removal of mitogen by sub-culture has the further advantage of making the TcRγδ⁴ T cells better suited for therapeutic use, as the administration of residual mitogen to a patient is not desirable. The removal of the T cell mitogen in the subculturing step may not be required if the TcRγδ^4" T cells are for experimental, diagnostic or other non-therapeutic uses. Preferably, in the second culture medium, the two growth factors are present in the same concentrations as listed above for the first culture medium.

The cells are preferably cultured in the second culture medium for a period of time ranging from about 3 days to about 21 days. More preferably, from about 9 days to about 13 days.

The first and second culture media may additionally include other ingredients that can assist in the growth and expansion of the TcRγδ^4" T cells.

Examples of other ingredients that may be added, include, but are not limited to, plasma or serum, additional growth factors including cytokines such as IL-

4 and IL-15, tumour necrosis factors (TNFs) and interferons (IFNs), purified proteins such as albumin, a lipid source such as low density lipoprotein (LDL), vitamins, amino acids, steroids and any other supplements supporting or promoting growth and /or survival. In a preferred embodiment, the first and second culture media additionally include other growth factors such as IL-4 or IL-15 or a mimetic or functional equivalent thereof. The inventors have found that the addition of a third growth factor to the first and second media enhances the expansion of the TcRyδ^4" T cells as compared to the expansion obtained using two growth factors.

Accordingly, the present invention provides a method for expanding TcRγδ^4" T cells in a starting sample comprising:

(1) culturing cells in the starting sample in a first culture medium comprising a T cell mitogen and at least three growth factors; and (2) culturing the cells obtained in step (1) in a second culture medium comprising at least three growth factors to expand TcRγδ⁺ T cells. In a preferred embodiment, the three growth factors are selected from combinations of IL-2, IL-4, IL-7; and IL-15. Examples of combinations include IL-2, IL-4 and IL-15; IL-2, IL-4 and IL-7 and IL-2, IL-7 and IL-15. The third growth factor can be present in an amount similar to the two growth factors as described above. The inventors have also found that addition of a fourth growth factor to the first and second media enhances the expansion of the TcRγδ^4" T cells as compared to the expansion obtained using two or three growth factors.

(1) culturing cells in the starting sample in a first culture medium comprising a T cell mitogen and at least four growth factors; and

(2) culturing the cells obtained in step (1) in a second culture medium comprising at least four growth factors to expand TcRγδ^4" T cells. In preferred embodiments, the four growth factors are IL-2, IL-4, IL-7 and IL-15.

Preferably, both the first and second culture media are supplemented with serum or plasma (P). The amount of P in the first and second culture media is preferably from about 1% to about 25%. More preferably, the amount of P in the first and second culture media is from about 2% to about 20%. Even more preferably, the amount of P in the first and second culture media is from about 2.5% to about 10%. Most preferably, the amount of P is the first and second culture media is 5%. The serum or plasma (P) can be obtained from any source including, but not limited to, human peripheral blood, umbilical cord blood, or blood derived from another (mammalian species. The plasma may be from a single donor or may be pooled from several donors. If autologous TcRγδ T cells are to be used clinically, i.e. re- infused into the same patient from whom the original starting sample was obtained, then it is preferable to use autologous P as well (i.e. from the same patient) to avoid the introduction of extraneous products (e.g. viruses) into that patient. If the TcRγδ^4" T cells are to be used allogeneically (i.e. infused into a person other than the one from whom the original starting sample was obtained) then it is preferable to use plasma from one or the other to minimize the introduction of extraneous products into the patient; at a minimum the plasma should be human-derived to avoid the administration of animal products to the patient.

The methods of the invention result in expanded cell populations of TcRγδ^4" T cells. By "expanded" it is meant that the number of the desired or target cell type (i.e., TcRγδ⁺ T cells) in the final preparation is higher than the number in the initial or starting cell population.

The TcRγδ^4" T cells obtained according to the methods of the invention can be separated from other cells that may be present in the final culture using techniques known in the art including fluorescence activated cell sorting, immunomagnetic separation, affinity column chromatography, density gradient centrifugation and cellular panning.

The present invention includes the TcRγδ⁺ T cells obtained by the methods of the invention. Accordingly, the present invention provides a cell preparation of TcRγδ⁺ T cells. Preferably, the TcRγδ⁴ T cells comprise greater than 60%, more preferably greater than 80% and most preferably greater than 90%, of the total cells in the enriched population.

The present invention also includes the use of the TcRγδ^4" T cells obtained by the method of the invention in any and all applications. TcRγδ T cells are thought to be a first line of defense against infectious pathogens. In addition, TcRγδ^4" T cells possess intrinsic cytolytic activity against transformed cells of various origins including B-cell lymphomas, sarcomas and carcinomas.

As a result, the TcRγδ^4" T cells obtained and cultured ex vivo according to the method of the invention, can be transfused into a patient for the treatment or prevention of infections, cancer or diseases resulting from immunosuppression. Advantageously, the TcRγδ⁴ T cells of the invention do not contain mitogen or fetal bovine serum making them useful for human therapeutic applications. Accordingly, the present invention provides a method of modulating an immune response comprising administering an effective amount of TcRγδ^4" T cells prepared according to a method of the invention to an animal in need thereof.

The term "effective amount" as used herein means an amount effective, at dosages and for periods of time necessary to achieve the desired results. The term "animal" as used herein includes all members of the animal kingdom. Preferably, the animal is a mammal, more preferably a human. In one embodiment, the present invention provides a method of treating an infection comprising administering an effective amount of TcRγδ⁴ T cells prepared according to the method of the invention to an animal in need thereof. Examples of infections that may be treated include, but are not limited to, bacterial infections such as those caused by Mycobacteria (e.g. tuberculosis), viral infections such as those caused by herpes simplex virus (HSV), human immunodeficiency virus (HrV) or the hepatitis viruses, and parasitic infections such as those caused by Plasmodium (e.g. malaria). In another embodiment, the present invention provides a method for treating cancer comprising administering an effective amount of TcRγδ^4" T cells prepared according to the method of the invention to an animal in need thereof.

Examples of cancer that may be treated according to the present invention include, but are not limited to, leukemias including chronic myelogenous leukemia, acute myelogenous leukemia, acute lymphoblastic leukemia, and T cell and B cell leukemias, lymphomas (Hodgkins and non- Hodgkins), lymphoproliferative disorders, plasmacytomas, histiocytomas, melanomas, adenomas, sarcomas, carcinomas of solid tissues, hypoxic tumours, squamous cell carcinomas, genitourinary cancers such as cervical and bladder cancer, hematopoietic cancers, head and neck cancers, and nervous system cancers.

In a preferred embodiment, the present invention provides a method of treating chronic myelogenous leukemia comprising administering an effective amount of TcRγδ^4" T cells prepared according to the method of the invention to an animal in need thereof. In such an embodiment, the LDMNC can be obtained from a patient with chronic myelogenous leukemia (CML). After culturing and expanding for TcRγδ^4" T cells, the expanded cells will not contain cancerous CML cells making them well suited for re-infusion back to the patient.

The invention also includes the use of the TcRγδ⁺ T cells obtained by the methods of the invention to modulate an immune response, to treat an infection or to treat cancer as described hereinabove. The invention further includes the use of the TcRγδ^4" T cells obtained according to the methods of the invention to prepare a medicament or pharmaceutical composition to modulate an immune response, to treat an infection or to treat cancer as described hereinabove. The TcRγδ^4" T cells obtained according to the present invention can also be used in experimental models, for example, to further study and elucidate the function of the cells. Additionally, these cells may be used for studies directed towards the identification of the antigens /epitopes recognized by TcRγδ⁴ T cells and for the design and development of vaccines. The obtained TcRγδ^4" T cells, according to the invention may be immediately used in the above therapeutic, experimental or commercial applications or the cells may be cryopreserved for use at a later date.

The following non-limiting examples are illustrative of the present invention: EXAMPLES

EXAMPLE 1

Low density mononuclear cells (LDMNC) were isolated from adult peripheral blood by density gradient centrifugation using Ficoll-Hypaque™ (density = 1.077 g/ml). A volume of 100 ml of whole blood was layered in 10 - 15 ml aliquots onto an equal volume of Ficoll-Hypaque™ in 50 ml conical tissue culture tubes which were then centrifuged at 400 x g for 30 minutes at room temperature. The interphase material containing the mononuclear cells was collected and the cells were washed twice in culture medium (ATM-V™ containing 20 units/ml of heparin and 50 μM 2-mercaptoethanol; HCBM-2) by centrifugation at 100 x g for 10 minutes at room temperature. The cells were diluted in HCBM-2 containing 10% autologous plasma and incubated in polystyrene tissue culture flasks overnight at 37°C and 5% C0₂. The next morning, the cells were washed twice by centrifugation and resuspended in phosphate buffered saline (PBS) containing 2% autologous plasma. A sample of the cell suspension was diluted 1:20 with 2% acetic acid and the total number of nucleated cells determined using a hemocytometer. TcRγδ⁺ T cells were enriched from the LDMNC by negative selection using a cocktail of lineage specific antibodies and immunomagnetic affinity chromatography (StemSep™, Stem Cell Technologies, Vancouver, BC). A total of 8.2 x 10⁷ LDMNC were resuspended in 1.25 ml of PBS containing 2% autologous plasma and a cocktail of lineage specific, monoclonal antibodies was added. The cocktail contained antibodies specific for CD14 (monocytes), CD16 (NK cells), CD19 (B cells), CD33 (myeloid progenitor cells), CD56 (NK cells), glycophorin A (erythroid cells) and TcRccβ (TcRαβ⁺ T cells). These were bispecific antibodies with one antigenic specificity for the lineage specific marker and the other antigenic specificity for dextran. The LDMNC were incubated with the bispecific antibodies on ice for 30 minutes following which iron dextran colloid was added and the incubation was continued for a further 30 minutes. The suspension was then subjected to immunomagnetic chromatography, a procedure which removed those cells which had been cross-linked by the bispecific antibodies to the iron dextran particles. Thus, the cells recovered were an enriched population of TcRγδ⁺ T cells that had not been bound by antibody or iron dextran. The yield of enriched TcRγδ⁺ T cells obtained was 2.65 x 10⁵ cells.

The enriched TcRγδ^4" T cells were seeded into tissue culture under various conditions (described below) at a density of 1 x 10⁵ cells /ml in HCBM- 2 containing 5% autologous plasma (P) and the cultures were incubated at 37°C and 5% C0₂. At various time points, cell expansion was monitored by counting the cells in a small sample of each culture using a hemocytometer. The samples were diluted with an equal volume of 0.4% trypan blue prior to counting, so that the viable cells (unstained) could be distinguished from the non-viable cells (stained blue).

Initially, the cells were cultured under two different conditions (Condition 1 and Condition 6) and then the cells in Condition 1 were sub- cultured under five different conditions (Conditions 1-5). Initially, in Condition 1, a combination of mitogen and cytokines was added to 1.3 x 10⁵ enriched TcRγδ^4" T cells as follows: 1 ug/ml of concanavalin A (ConA), 10 ng/ml of IL-2 and 10 ng/ml of IL-4. The cells were cultured in this condition for 7 days, after which they had expanded approximately 3.5-fold to a total of 4.5 x 10⁵ viable cells. At this point, fresh culture medium containing 5% autologous plasma was added to the culture to dilute the cells to a density of 1 x 10⁵ cells/ml (total volume = 4.5 ml) and 1 ug/ml of concanavalin A, 10 ng/ml of IL-2 and 10 ng/ml of IL-4 were added. The culture was continued for a further 2 days, after which the cells had expanded to a total of 2.0 x 10⁶ viable cells. At this point, the cells were sub-cultured as follows: the cells were pelleted by centrifugation at 100 x g for 10 minutes at room temperature, washed once with HCBM-2 and resuspended at 1.0 x 10⁵ cells/ml in HCBM-2 containing 2% autologous plasma. The resuspended cells were divided into 5 equal portions of 4.0 x 10⁵ cells each and were cultured under the following conditions:

1. 1 ug/ml ConA + 10 ng/ml IL-2 + 10 ng/ml IL-4 + 2% P 2. 10 ng/ml IL-2 + 10 ng/ml IL-4 + 2% P

3. 10 ng/ml IL-2 + 2% P

4. 10 ng/ml IL-4 + 2% P

5. 2% P

At day 12, the cells in each culture were counted and fresh culture medium containing 2% autologous plasma was added to each to dilute the cells to 1 x 10⁵ cells/ml. Fresh mitogen and cytokines were added to maintain the conditions given above. The cultures were continued for another 4 days

(to day 16), at which point the cells in each condition were counted and analyzed by flow cytometry to determine the percentage of TcRγδ⁺ T cells. In a sixth culture condition, the enriched TcRγδ^4" T cells were seeded into culture as described above except in this condition the cells were never stimulated with mitogen and were maintained throughout in the presence of 10 ng/ml of IL-2 and 10 ng/ml of IL-4 in HCBM-2 with autologous plasma. Summary of Conditions: Culture Condition — > Sub-culture Condition

1. Con A + IL-2 + IL-4 + P → Con A + IL-2 + IL-4 + P

2. Con A + IL-2 + IL-4 + P → IL-2 + rL-4 + P 3. Con A + IL-2 + IL-4 + P → IL-2 + P

4. Con A + IL-2 + IL-4 + P -> IL-4 + P

5. Con A + IL-2 + IL-4 + P → P

6. IL-2 + IL-4 + P The results of this experiment are shown in Figure 1 in which the total number of viable cells in each culture condition is plotted as a function of time. The arrow in the figure indicates the time point at which the cells were sub-cultured. The numerical cell counts are given in the table accompanying the graph, together with the percentage of TcRγδ⁺ T cells in the expanded populations at the end of the culture period.

These data demonstrate the expansion of TcRγδ⁺ T cells by the method of the present invention, i.e.

Mitogen (e.g. Con A) + IL-2 + IL-4 → IL-2 + IL-4 The data also demonstrate that the expansion of TcRγδ^4" T cells is greater when IL-4 is used than when it is not, i.e. the total expansion was higher in condition 2 compared to condition 3.

The data further demonstrate that the mitogen is necessary at the beginning of the culture for significant expansion of TcRγδ^4" T cells to occur, i.e. the total expansion was much higher in condition 2 compared to condition

6.

The data further demonstrate that the sub-culture step (i.e. removal of the mitogen from the culture) results in better expansion of TcRγδ⁺ T cells, i.e. the total expansion was higher in condition 2 compared to condition 1. The data also demonstrate that very pure TcRγδ^4" T cells (99%) are obtained by the method of the present invention without the need for further purification of the expanded population of cells. EXAMPLE 2

TcRγδ^4" T cells were enriched from adult peripheral blood LDMNC as described in Example 1. The enriched TcRγδ⁴ T cells were seeded into tissue culture and expanded in a manner similar to that described in Example 1, condition 2. Specifically, cultures were initiated with (1) 1 ug/ml of concanavalin A and 10 ng/ml of IL-2, or (2) 1 ug/ml of concanavalin A and 10 ng/ml of IL-2 and 10 ng/ml of IL-4, or (3) 1 ug/ml of concanavalin A and 10 ng/ml of IL-2 and 10 ng/ml of IL-7. At day 10, the cells in each condition were sub-cultured, i.e. the mitogen was removed, and the cells were further expanded in (1) IL-2, or (2) IL-2 and IL-4, or (3) IL-2 and IL-7. At day 17, the cultures were terminated, final cell counts were determined and TcRγδ^4" T cell purity was assessed by flow cytometry. Summary of Conditions: Culture Condition — > Sub-culture Condition

1. Con A + IL-2 + P → IL-2 + P

2. Con A + IL-2 + IL-4 + P → IL-2 + IL-4 + P

3. Con A + IL-2 + IL-7 + P → IL-2 + IL-7 + P

The results of this experiment are shown in Figure 2 in which the total number of viable cells in each culture condition is plotted as a function of time. The arrow in the figure indicates the time point at which the cells were sub-cultured (i.e. the mitogen was removed). The numerical cell counts are given in the table accompanying the graph, together with the percentage of

TcRγδ⁴ T cells in the expanded populations at the end of the culture period. These data demonstrate the expansion of TcRγδ⁴" T cells by the method of the present invention, i.e.

Mitogen (e.g. Con A) + IL-2 4- IL-4 or IL-7 → IL-2 + IL-4 or IL-7

The data further demonstrate that the expansion of TcRγδ^4" T cells is greater when IL-4 or IL-7 is used than when it is not, i.e. the total expansion was higher in conditions 2 and 3 compared to condition 1.

The data also demonstrate that very pure TcRγδ⁺ T cells (>95%) are obtained by the method of the present invention without further purification of the expanded population of cells. EXAMPLE 3

TcRγδ⁺ T cells were enriched from adult peripheral blood LDMNC as described in Example 1. The enriched TcRγδ⁺ T cells were seeded into tissue culture and expanded in a manner similar to that described in Example 1, condition 2, except that the mitogen used was an immobilized monoclonal antibody instead of concanavalin A. The monoclonal anti-CD3 antibody OKT3 was coated onto the wells of a tissue culture plate at a concentration of 10 ug/ml in PBS overnight at 4°C. The wells were emptied and washed five times with PBS prior to use. As a negative control, an isotype-matched immunoglobulin (IgG2a) of irrelevant antigenic specificity was similarly used. Cultures were initiated with (1) immobilized OKT3 and 10 ng/ml of IL-2, (2) immobilized OKT3 and 10 ng/ml of IL-2 and 10 ng/ml of IL-4, or (3) immobilized IgG2a and 10 ng/ml of IL-2 and 10 ng/ml of IL-4. At day 8, the cells in each condition were sub-cultured, i.e. the mitogen was removed. This was accomplished by resuspending the cells, removing the cell suspension from the coated wells, pelleting and washing the cells by centrifugation, and replacing the cells in uncoated tissue culture wells. The cultures were further expanded in (1) IL-2, (2) IL-2 and IL-4, or (3) IL-2 and IL-4. At day 20, the cultures were terminated, final cell counts were determined and TcRγδ⁺ T cell purity was assessed by flow cytometry. Summary of Conditions:

Culture Condition - Sub-culture Condition

1. OKT3 + IL-2 + P → IL-2 + P

2. OKT3 + IL-2 + IL-4 + P → IL-2 + IL-4 + P ' 3. IgG2a + IL-2 + IL-4 + P → IL-2 + IL-4 + P

The results of this experiment are shown in Figure 3 in which the total number of viable cells in each culture condition is plotted as a function of time. The arrow in the figure indicates the time point at which the cells were sub-cultured. The numerical cell counts are given in the table accompanying the graph, together with the percentage of TcRγδ⁺ T cells in the expanded populations at the end of the culture period. These data demonstrate the expansion of TcRγδ⁺ T cells by the method of the present invention, i.e.

Mitogen (e.g. OKT3) + IL-2 + IL-4 → IL-2 + IL-4 The data demonstrate that the expansion of TcRγδ⁺ T cells is greater when IL-4 is used than when it is not, i.e. the total expansion was higher in condition 2 compared to condition 1.

The data demonstrate that the mitogen can be a monoclonal antibody, and that the specificity of the monoclonal antibody is important since the total expansion was much higher in condition 2 compared to condition 3.

The data also demonstrate that very pure TcRγδ^4" T cells (94%) are obtained by the method of the present invention without further purification of the expanded population of cells. Moreover, the purity of the TcRγδ⁴ T cells is higher when IL-4 is used (94%) than when it is not (73%). EXAMPLE 4

TcRγδ⁴" T cells were enriched from adult peripheral blood LDMNC as described in Example 1. The enriched TcRγδ^4" T cells were seeded into tissue culture and expanded in a manner similar to that described in Example 3. Cultures were initiated with (1) immobilized OKT3 and 10 ng/ml of IL-2, (2) immobilized OKT3 and 10 ng/ml of IL-2 and 10 ng/ml of IL-4, or (3) immobilized OKT3 and 10 ng/ml of IL-2 and 10 ng/ml of IL-7. At day 6, the cells in each condition were sub-cultured, i.e. the mitogen was removed. The cultures were further expanded in (1) IL-2, (2) IL-2 and IL-4, or (3) IL-2 and IL- 7. At day 21, the cultures were terminated, and final cell counts were determined.

Summary of Conditions:

Culture Condition — Sub-culture Condition

1. OKT3 + IL-2 + P → IL-2 + P

2. OKT3 + IL-2 + IL- + P → IL-2 + IL-4 + P 3. OKT3 + IL-2 + IL-7 + P → IL-2 + IL-7 + P The results of this experiment are shown in Figure 4 in which the total number of viable cells in each culture condition is plotted as a function of time. The arrow indicates the time point at which the cells were sub-cultured. The numerical cell counts are given in the table accompanying the graph, together with the percentage of TcRγδ⁺ T cells in the expanded populations at the end of the culture period.

Mitogen (e.g. OKT3) + IL-2 + IL-4 or IL-7 → IL-2 + IL-4 or IL-7

The data further demonstrate that the expansion of TcRγδ⁺ T cells is greater when IL-4 or IL-7 is used than when it is not, i.e. the total expansion was higher in conditions 2 and 3 compared to condition 1. EXAMPLE 5 TcRγδ⁺ T cells were enriched from adult peripheral blood LDMNC as described in Example 1. The enriched TcRγδ⁺ T cells were seeded into tissue culture and expanded in a manner similar to that described in Example 2.

Specifically, cultures were initiated with 1 ug/ml of concanavalin A and a combination of cytokines (see below), each of which was used at 10 ug/ml. At day 8, the cells in each condition were sub-cultured, i.e. the mitogen was removed, and the cells were further expanded using the respective combination of cytokines alone.

Summary of Conditions:

Culture Condition -» Sub-culture Condition 1. Con A + IL-24- P → IL-24- P

2. Con A + IL-2 + IL-4 + P → IL-2 + IL-4 + P

3. Con A + IL-2 + IL-4 + IL-7 + P → IL-2 + IL-4 + IL-7 + P

4. Con A + IL-2 + IL-4 + IL-15 + P → IL-2 + IL-4 + IL-15 + P

5. Con A 4- IL-2 + IL-7 + IL-15 + P → IL-2 + IL-7 + IL-15 4- P 6. Con A + IL-2 + IL-44- IL-74- IL-15 + P → IL-2 + IL-4 + IL-7

4- IL-154- P The results of this experiment are shown in Figure 5 in which the total number of viable cells in each culture condition is plotted as a function of time. The arrow in the figure indicates the time point at which the cells were sub-cultured (i.e. the mitogen was removed). The numerical cell counts are given in the table accompanying the graph.

These data demonstrate that the addition of a third growth factor enhances the expansion of the TcRγδ⁴" T ceHs as compared to the expansion obtained using one or two growth factors, i.e. the expansion was higher in conditions 3, 4 and 5, compared to conditions 1 and 2. These data further demonstrate that the addition of a fourth growth factor enhances the expansion of the TcRγδ^4" T cells as compared to the expansion obtained using one or two or three growth factors, i.e. the expansion was higher in condition 6 compared to conditions 1 - 5.

While the present invention has been described with reference to what are presently considered to be the preferred examples, it is to be understood that the invention is not limited to the disclosed examples. To the contrary, the invention is intended to cover various modifications and equivalent arrangements included within the spirit and scope of the appended claims.

All publications, patents and patent applications are herein incorporated by reference in their entirety to the same extent as if each individual publication, patent or patent application was specifically and individually indicated to be incorporated by reference in its entirety.

FULL CITATIONS FOR REFERENCES REFERRED TO IN THE SPECIFICATION

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Claims

WE CLAIM:

1. A method for expanding TcRγδ T cells in a starting sample comprising:

(1) culturing cells in the starting sample in a first culture medium comprising a T cell mitogen, a growth factor having interleukin-2- like activity and a growth factor having interleukin-7-like activity; and

(2) culturing the cells obtained in step (1) in a second culture medium comprising a growth factor having interleukin-2-like activity and a growth factor having interleukin-7-like activity to expand

TcRγδ T cells.

2. A method according to claim 1 wherein the growth factor having interleukin-2-like activity is interleukin-2.

3. A method according to claim 1 wherein the growth factor having interleukin-7-like activity is interleukin-7.

4. A method according to any one of claims 1 to 3 wherein prior to step (1) the cells in the starting sample are enriched for T cells.

5. A method according to any one of claims 1 to 4 wherein prior to step (1) the cells in the starting sample are enriched for TcRγδ^4" T cells.

6. A method according to any one of claims 1 to 5 wherein prior to step (1) the cells in the starting sample are depleted of CD14⁺, CD16⁺, CD19⁺, CD33^4", CD56⁺ and glycophorin A^4" cells.

7. A method according to any one of claims 1 to 6 wherein prior to step (1) the cells in the starting sample are depleted of TcR β⁴ T cells.

8. A method according to any one of claims 1 to 7 wherein prior to step (1) the cells in the starting sample are depleted of non-TcRγδ⁺ T cells.

9. A method according to any one of claims 1 to 8 wherein the starting sample is blood or tissue or fractions thereof.

10. A method according to claim 9 wherein the starting sample is selected from peripheral blood, umbilical cord blood, bone marrow, lymphoid tissue, epithelia, thymus, liver, spleen, cancerous tissue, infected tissue, lymph node tissue or fractions thereof.

11. A method according to claim 9 or 10 wherein the starting sample is human peripheral blood or a fraction thereof.

12. A method according to any one of claims 1 to 11 wherein the starting sample is low density mononuclear cells.

13. A method according to any one of claims 1 to 12 wherein in the first culture medium the T cell mitogen is present in an amount from about 0.01 to about 100 μg/ml and wherein in the first and second culture media the growth factor having interleukin-2-like activity is present in an amount from about 0.1 to about 1000 ng/ml and the growth factor having interleukin-7- like activity is present in an amount from about 0.1 to about 1000 ng/ml.

14. A method according to any one of claims 1 to 12 wherein in the first culture medium the T cell mitogen is present in an amount from about 0.1 to about 50 μg/ml and wherein in the first and second culture media the growth factor having interleukin-2-like activity is present in an amount from about 1 to about 100 ng/ml and the growth factor having interleukin-7-like activity is present in an amount from about 1 to about 100 ng/ml.

15. A method according to any one of claims 1 to 12 wherein in the first culture medium the T cell mitogen is present in an amount from about 0.5 to about 10 μg/ml and wherein in the first and second culture media the growth factor having interleukin-2-like activity is present in an amount from about 2 to about 50 ng/ml and the growth factor having interleukin-7-like activity is present in an amount from about 2 to about 50 ng/ml.

16. A method according to any one of claims 1 to 15 wherein the first culture medium comprises 1 μg/mL of a T cell mitogen and wherein in the first and second culture media 10 ng/mL of a growth factor having interleukin-2-like activity and 10 ng/mL of a growth factor having interleukin- 7-like activity.

17. A method according to any one of claims 1 to 16 wherein said first and second culture media further comprises a third growth factor.

18. A method according to claim 17 wherein said third growth factor is IL- 4 or IL-15 or a mimetic or functional equivalent thereof.

19. A method according to any one of claims 1 to 16 wherein said first and second culture media further comprises a third and a fourth growth factor.

20. A method according to claim 19 wherein said third and fourth growth factors are IL-4 and IL-15, or a mimetic or functional equivalent thereof.

21. A method according to any one of claims 1 to 20 wherein the T cell mitogen is a plant lectin.

22. A method according to claim 21 wherein the plant lectin is concanavalin A.

23. A method according to any one of claims 1 to 20 wherein the T cell mitogen is an antibody or a fragment thereof.

24. A method according to claim 23 wherein the antibody binds to CD3 or a fragment thereof.

25. A method according to any one of claims 1 to 24 wherein the first and second culture media further contains serum or plasma.

26. A method according to claim 25 wherein the serum or plasma is present in an amount from about 1 to about 25% by volume.

27. A method according to claim 25 wherein the serum or plasma is present in an amount from about 2 to about 20% by volume.

28. A method according to claim 25 wherein the serum or plasma is present in an amount from about 2.5 to about 10% by volume.

29. A method according to claim 25 wherein the serum or plasma is present in an amount of about 5% by volume.

30. A cell preparation enriched in TcRγδ⁴ T cells prepared according to the method of any one of claims 1 to 29.

31. A cell preparation enriched in TcRγδ T cells wherein greater than.70% of the total cells are TcRγδ⁴ T cells.

32. A cell preparation according to claims 30 or 31 wherein greater than 80% of the total cells are TcRγδ⁴ T cells.

33. A cell preparation according to claims 30, 31 or 32 wherein greater than 90% of the total cells are TcRγδ^4" T cells.

34. A cell preparation according to any one of claims 30 to 33 that is substantially free of a T cell mitogen.

35. A use of a cell preparation according to any one of claims 30 to 34 to prepare a medicament to modulate an immune response.

36. A use of a cell preparation according to any one of claims 30 to 34 to prepare a medicament to treat an infection.

37. A use of a cell preparation according to any one of claims 30 to 34 to prepare a medicament to treat cancer.

38. A use of a cell preparation according to any one of claims 30 to 34 to prepare a medicament to treat chronic myelogenous leukemia.

39. A use of a cell preparation according to any one of claims 30 to 34 to prepare a vaccine.

40. A use of a cell preparation according to any one of claims 30 to 34 to study antigen recognition, activation, signal transduction or function of TcRγδ⁴ T cells.

41. A method of modulating an immune response comprising administering an effective amount of TcRγδ⁴ T cells obtained according to the method of any one of claims 1 to 29 or obtained from a cell preparation according to any one of claims 30 to 34 to an animal in need thereof.

42. A method for treating an infection comprising administering an effective amount of TcRγδ T cells obtained according to the method of any one of claims 1 to 29 or obtained from a cell preparation according to any one of claims 30 to 34 to an animal in need thereof.

43. A method for treating cancer comprising administering an effective amount of TcRγδ T cells obtained according to the method of any one of claims 1 to 29 or obtained from a cell preparation according to any one of claims 30 to 34 to an animal in need thereof.

44. A method for treating chronic myelogenous leukemia comprising administering an effective amount of TcRγδ⁴ T cells obtained according to the method of any one of claims 1 to 29 or obtained from a cell preparation according to any one of claims 30 to 34 to an animal in need thereof.