Shai Y. Yarkoni, Israel
cellect cellectPresenter of 1 Presentation
EX-VIVO INCUBATION WITH FAS LIGAND SELECTIVELY DEPLETES ALLOREACTIVE T CELLS AND ANTIGEN PRESENTING CELLS – FROM HEMATOLOGICAL MALIGNANCIES TO AUTOIMMUNITY
Abstract
Background and Aims
Graft Vs Host disease (GvHD) remains the Achilles’ heel of hematopoietic stem cell transplantation: GvHD elicit patient 's risk for transplant-related mortality and decreased quality of life while treduced GvHD increase the risk of relapse.While GvHD is T cell mediated, the APCs are required for the initiation and maintenance of the GvHD. To reduce the risk for GvHD, grafts are sometimes depleted of their T cells, however, while preventing GvHD, the critically important attributes of rate and pace of engraftment and the graft versus leukemia (GvL) effect are reduced significantly. Novel strategies that aim to abrogate or ameliorate GvHD, while preserving engraftment and GvL are of great need.
Methods
A short incubation (2hr) of G-CSF mobilized PBCs with multimeric Fas ligand (i.e. ApoGraft) selectively induces apoptosis in T cell subsets and to a lesser degree in B cells and APCs, but not in CD34+ progenitor cells. FasL treatment preferentially induces apoptosis in mature T cell subsets which express high levels of Fas (CD95) as well as the pro-inflammatory T cell subtypes TH1 and TH17 cells, while no apoptotic signal is detected in Tregs and hematopoietic progenitor cells.
Results
In preliminary studies we tested the In-Vivo effect of FasL treated BMT in the context of diabetes type I and Osteoarthritis as two autoimmune models.
Conclusions
After initiating human trials in USA and Israel, Cellect is looking for the next indications where FasL Ex-Vivo treatment of Apheresis products can be adopted. Data and opportunities for this breakthrough technology will be presented.