REMOVAL OF T-CELLS FROM BONE-MARROW FOR TRANSPLANTATION - A MONOCLONAL ANTI-LYMPHOCYTE ANTIBODY THAT FIXES HUMAN-COMPLEMENT

Authors:
  • GHG HALE
    G HALE
  • SBS BRIGHT
    S BRIGHT
  • GCG CHUMBLEY
    G CHUMBLEY
  • THT HOANG
    T HOANG
  • DMD METCALF
    D METCALF
  • AMAJ MUNRO
    AJ MUNRO
  • HWH WALDMANN
    H WALDMANN

  • 1 January 1983
    • journal article
    • research article
    • Vol. 62  (4) , 873-882
    • PMID:6349718
Abstract
Graft-vs.-host disease is one of the major problems in clinical bone marrow transplantation. Many experiments in animals have shown that it could be greatly reduced if mature T lymphocytes were removed from the donor marrow. A new rat monoclonal antibody is described. CAMPATH 1, which is suitable for depleting lymphocytes from human marrow grafts. CAMPATH 1 is an IgM that fixes human complement. It binds to both T and B lymphocytes and some monocytes but not to other hemopoietic cells. When peripheral blood mononuclear cells were treated with CAMPATH 1 and complement, > 99% of lympocytes were killed and viable T cells could no longer be detected. Under these conditions, in vitro multipotential erythroid and myeloid colony-forming cells were unaffected. As well as being used for in vitro treatment of bone marrow to remove T cells, CAMPATH 1 could potentially be applied to other experimental and clinical situations where depletion of lymphoid cells is required, including serotherapy to achieve immunosuppression for organ transplants or to treat lymphocytic leukemias.