www.sciencetranslationalmedicine.org/cgi/content/full/7/273/273ra13/DC1 Supplementary Materials for In vivo tracking of T cells in humans unveils decade-long survival and activity of genetically modified T memory stem cells Luca Biasco,* Serena Scala, Luca Basso Ricci, Francesca Dionisio, Cristina Baricordi, Andrea Calabria, Stefania Giannelli, Nicoletta Cieri, Federica Barzaghi, Roberta Pajno, Hamoud Al-Mousa, Alessia Scarselli, Caterina Cancrini, Claudio Bordignon, Maria Grazia Roncarolo, Eugenio Montini, Chiara Bonini, Alessandro Aiuti* *Corresponding author. E-mail: [email protected] (L.B.); [email protected] (A.A.) Published 4 February 2015, Sci. Transl. Med. 7, 273ra13 (2015) DOI: 10.1126/scitranslmed.3010314 The PDF file includes: Patient characteristics Fig. S1. CD4 + /CD8 + frequency ratio in all groups of individuals. Fig. S2. FMO controls and gating strategy for T SCM identification. Fig. S3. Analysis of CD8 + cell composition and T SCM frequencies in ADA, BMT, and HSC-GT patients versus BMT-treated individuals with other primary immunodeficiencies. Fig. S4. In vivo and in vitro analyses of T SCM contribution in CD4 + cells. Fig. S5. T SCM absolute numbers in HDs and patients treated with BMT, HSC-GT, or PBL-GT+ERT. Fig. S6. In vitro IFN-γ production of sorted T cell subsets from HDs and GT patients. Fig. S7. In vitro analyses of sorted T N and T SCM from HD. Fig. S8. Phenotypical and functional characterization of in vitro generated T SCM . Fig. S9. Vector marking of sorted T cell subsets from PBL-GT+ERT patients. Fig. S10. Sorting scheme and IS retrieval of sorted T cell subpopulations from GT-treated patients. Fig. S11. IS analyses of T cell subpopulations from PBL-GT+ERT patients. Fig. S12. IS analyses of T cell subpopulations from HSC-GT patients. Fig. S13. Overlaps among single closest genes to insertion sites collected in vivo from PBL-GT+ERT and HSC-GT patients. Fig. S14. Top 10 enriched (binomial ranking) biological processes and MSig pathways associated to hit genes in PBL-GT+ERT (PBL-GT) and HSC-GT. Fig. S15. ISs detected over time in T central and T effector memory cells.
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Supplementary Materials for · 2015. 2. 2. · Table S1. Characteristics of patients included in this study. Table S2. Percentages of T cell subpopulations on CD8 + cells in BMT-,
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Published 4 February 2015, Sci. Transl. Med. 7, 273ra13 (2015) DOI: 10.1126/scitranslmed.3010314
The PDF file includes:
Patient characteristics Fig. S1. CD4+/CD8+ frequency ratio in all groups of individuals. Fig. S2. FMO controls and gating strategy for TSCM identification. Fig. S3. Analysis of CD8+ cell composition and TSCM frequencies in ADA, BMT, and HSC-GT patients versus BMT-treated individuals with other primary immunodeficiencies. Fig. S4. In vivo and in vitro analyses of TSCM contribution in CD4+ cells. Fig. S5. TSCM absolute numbers in HDs and patients treated with BMT, HSC-GT, or PBL-GT+ERT. Fig. S6. In vitro IFN-γ production of sorted T cell subsets from HDs and GT patients. Fig. S7. In vitro analyses of sorted TN and TSCM from HD. Fig. S8. Phenotypical and functional characterization of in vitro generated TSCM. Fig. S9. Vector marking of sorted T cell subsets from PBL-GT+ERT patients. Fig. S10. Sorting scheme and IS retrieval of sorted T cell subpopulations from GT-treated patients. Fig. S11. IS analyses of T cell subpopulations from PBL-GT+ERT patients. Fig. S12. IS analyses of T cell subpopulations from HSC-GT patients. Fig. S13. Overlaps among single closest genes to insertion sites collected in vivo from PBL-GT+ERT and HSC-GT patients. Fig. S14. Top 10 enriched (binomial ranking) biological processes and MSig pathways associated to hit genes in PBL-GT+ERT (PBL-GT) and HSC-GT. Fig. S15. ISs detected over time in T central and T effector memory cells.
Table S1. Characteristics of patients included in this study. Table S2. Percentages of T cell subpopulations on CD8+ cells in BMT-, HSC-GT–, and PBL-GT+ERT–treated patients. Table S3. Frequencies of TSCM on CD8+ CD62L+CD45RA+ cells in BMT, HSC-GT, and PBL-GT individuals. Table S4. TREC content in BMT, HSC-GT, and PBL-GT patients. Table S5. CD8+ cell composition after 6 days of CD3/CD28+ rhIL2 stimulation of sorted T cell subsets. Table S6. Number of unique integrations retrieved for each T cell subset per patient.
1
Supplementary Materials
Patients characteristics
ADA-SCID patients were enrolled in different GT clinical trials using autologous transduced
PBL or HSC. Clinical trials were approved by San Raffaele Scientific Institute Ethical
Committee and Italian National regulatory authorities and patients were enrolled following
parents’ informed consent. Cells were transduced with a retroviral vector encoding human
ADA cDNA under the MLV long terminal repeat (LTR) promoter (GIADAl)(29). Vector
production and transduction protocol for PBL and HSC have been previously described(29,
31). PBL-GT patients were treated between 1992 and 1998 with repeated infusions of
autologous transduced PBL (clinical trial #NCT00599781). Three of the four patients studied
in this manuscript (PBL-GT Pt1, 2 and 3) have been previously described (28, 29); PBL-GT
Pt4 received similar treatment (manuscript in preparation). All patients were maintained on
ERT, with the exception of Pt3 who discontinued it for a period for 6 months.
The HSC-GT patients studied in this work (n=10) were treated between 2002 and 2011 with a
single infusion of autologous transduced CD34+ cells in the context of two clinical trials
(#NCT00599781 and #NCT00598481) or under compassionate use (Pt18). Five patients (Pt3,
Pt5, Pt6, Pt9 and Pt10) were previously described, while the other 5 are all ADA-SCID
patients with confirmed mutation and lack of HLA-identical sibling donor (Table S1 and
manuscript in preparation). Since April 2012 Glaxo Smith Kline (GSK) has become the
sponsor of a long-term follow up clinical trial (study 115611) under which ADA-SCID patients
with HSC-GT are followed long-term.
The group of pediatric allogeneic BMT is composed by 10 patients affected by different
variants of primary immunodeficiencies, including 4 ADA-SCID patients (Table S1). Patients
received BMT from different donor type with or without preparatory conditioning (Table S1).
ERT Pt1 is a late onset male ADA-SCID patient diagnosed at 22 months after birth and
carries a mild phenotype. ERT Pt2 is an early onset female ADA-SCID affected individual
diagnosed at 1 month after birth with a more severe phenotype. The lengths of ERT
supplementation at the time of analyses were 1 year for Pt1 and 5 years for Pt2. Biological
samples were obtained from patients, with approval of the San Raffaele Scientific Institute’s
2
or Bambino Gesù Hospital Ethics Committee and consent from parents or subjects. PB from
pediatric or adult healthy subjects was obtained on the occasion of other blood testing after
informed consent in the context of a research protocol established at San Raffaele Scientific
Institute.
Supplementary Figure and Table legends
Fig. S1. CD4+/CD8+ frequency ratio in all groups of individuals.
Ratio of CD4+ and CD8+ cells frequencies on CD3+ cells in HD Ped, HD Ad, BMT, HSC-
GT and PBL-GT+ERT individuals
HD Ped HD Ad BMT HSC-GT PBL-GT
+ERT
CD
4/C
D8
ratio
Fig. S1
HDped HDad BMTHSC-GTPBL-GT0
1
2
3
4
3
Fig. S2. FMO controls and gating strategy for T SCM identification.
Dot plots graphs showing both the FMO controls for each marker (displayed in red) and the
full stained sample (displayed in black). Gating on CD3+ cells, we investigated CD8+ and
CD4+ T cells subpopulations based on the expression of CD62L, CD45RA and CD95
markers. On the histograms are represented the expression of CD95, IL2Rβ, IL7Rα markers
in the full stained CD62L+CD45RA+ (black) and TEM (gray) cells, in comparison with the
respective TEM FMO controls. The FMO controls showed no spread of the other
fluorescences in the channel of interest. The gates for markers positivity were stringently set
to clearly dissect among discrete subpopulations.
0102 103 104 1050
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FSC-A
FS
C-H
SS
C-A
FSC-A
SS
C-A
CD3
CD8
CD
4
SS
C-H
SSC-A
CD8
CD
4
CD95
CD45RA
CD
62L
CD45RA
CD
62L
CD45RA
CD
62L
CD45RA
CD
62L
IL-2Rβ CD95 IL-7Rα
CD8 CD4
FMO CD3
FMO CD8 FMO CD4
FMO CD45RA FMO CD45RA FMO CD62L FMO CD62L
FMO CD95 FMO CD95 FMO IL-2Rβ FMO IL-7Rα
% o
f eve
nts
% o
f eve
nts
% o
f eve
nts
% o
f eve
nts
FMO sample T EM Full stained T EM Full stained CD45RA+/CD62L+
Fig. S2
4
Fig. S3. Analysis of CD8 + cell composition and T SCM frequencies in ADA, BMT, and
HSC-GT patients versus BMT-treated individuals with other primary
immunodeficiencies.
(A) Stacked bars graph showing composition of CD8+ T-cell compartment in BMT patients
with primary immunodeficiencies, ADA-SCID BMT patients and ADA-SCID HSC-GT treated
patients. (B) Column graph showing TSCM frequency on CD3+CD8+CD45RA+CD62L+ cells in
the same groups of individuals. (PID, primary immunodeficiencies). (Statistical analysis:
Mann-Whitney test; *P<0.05; PID BMT vs ADA HSC-GT Pvalue= 0.0160)
BMT BMT ada hsc-gt0
20
40
60
80
100
% o
f TS
CM
on
CD
8+C
D62
L+C
D45
RA
+ ce
lls
PID BMT ADA BMT ADA HSC-GT
*
ns
Fig. S3
CD62L&
CD45RA&
0102 103 104 105
0
103
104
105
TCM&
TEM& T
EMRA&
A B
BMT PID BMT ADA HSC-GT0
25
50
75
100
PID BMT ADA BMT ADA HSC-GT
% o
f CD
8+ c
ells
5
Fig. S4. In vivo and in vitro analyses of T SCM contribution in CD4 + cells.
(A) Representative plots of CD4+ T cells of a BMT, an ADA-SCID HSC-GT and a PBL-
GT+ERT treated patients and three HD Ad subjects. (B) Frequencies of CD4+ T-cell subsets
in pediatric (n=22) and adult (n=52) HD, BMT (n=10), ADA-SCID HSC-GT (n=10) and PBL-
GT+ERT (n=4) treated patients. (C) Relative TSCM frequency on
CD3+CD4+CD45RA+CD62L+ cells in each group of individuals. Red dots identify BMT treated
0102 103 104 105
0
103
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105
0102 103 104 105
0
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105
0 102 103 104 105
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0
25
50
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100
0
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100
0
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75
100
Pre-culture 96h 11d 18d 72h
% o
f CD
4+ c
ells
pre culture 96h 7d 15d
0
25
50
75
100
% o
f CD
4+ c
ells
0
25
50
75
100
% o
f CD
4+ c
ells
Pre-culture 96h 11d 18d Pre-culture 96h 11d 18d
TSCM NAIVE CM EM TEMRATCM TSCM TN TEM TEMRA TSCM NAIVE CM EM TEMRATCM TSCM TN TEM TEMRA
TSCM NAIVE CM EM TEMRATCM TSCM TN TEM TEMRA
% o
f CD
4+ c
ells
D
E F
HD Ped HD Ad BMT HSC-GT PBL-GT +ERT
% o
f CD
4+ c
ells
CD62L&
CD45RA&
% o
f TS
CM
on
CD
62L+
CD
45R
A+
cel
ls
HD Ped HD Ad BMT HSC-GT PBL-GT
+ERT
**
*
****
****
*
A B
C
HD Ad
HD Ad
HD Ad PBL-GT ERT
HSC-GT
BMT
TCM
TEM
TEMRA
CM
TE
TSCM
TN
Fig. S4
36.4 50.1
13.2 0.24
17.3 79.2
2.27 0.69
36.3 50.3
13.1 0.23
34.5 42.1
21.5 1.86
25.7
5.12
69
0.11
43.1 7.96
45.5 3.41
6
ADA-SCID patients. (D) CD4+ cells composition during in vitro culture as described in fig. 3A.
(E-F) Column graphs showing the relative frequencies of CD4+ T-cell subsets from sorted
TSCM and TN during in vitro culture (n=6). (Statistical analysis: Mann-Whitney test; *P<0.05;
**P<0.01; ****P<0.0001. HD Ped vs HSC-GT Pvalue= <0.0001; HD Ad vs HSC-GT Pvalue=
<0.0001; BMT vs HSC-GT Pvalue= 0.0115; HD Ped vs PBL-GT+ERT Pvalue= 0.0212; HD Ad
vs PBL-GT+ERT Pvalue= 0.0052; )
7
Fig. S5. T SCM absolute numbers in HDs and patients treated with BMT, HSC-GT, or PBL-
GT+ERT.
Dot plot showing the absolute number of TSCM (cells/uL) measured in pediatric and adult HD
in comparison with BMT, HSC-GT and PBL-GT+ERT treated subjects. The number of TSCM
was calculated for each individual on the basis of peripheral blood lymphocytes cell count and
relative TSCM frequency.
BMT HSC-GT PBL-GT
+ERT
Fig. S5
TS
CM a
bsol
ute
num
ber
(cel
ls/u
L)
0
50
100
150
200
250
HD Ad HD Ped
8
Fig. S6. In vitro IFN- γ production of sorted T cell subsets from HDs and G T patients.
(A) Graph showing the percentage of IFNγ+ cells in sorted TN, TSCM, TCM and TEM from
HD (n=3), HSC-GT (n=2) and PBL-GT+ERT (n=3) individuals after 6 hours of stimulation with
PMA/Ionomycin. (B) Dot plot displaying the percentage of IFNγ+ cells in sorted T-cell
subpopulations upon PMA/Ionomycin stimulation in HD and GT treated patients. (Statistical