Cited by 639Immune Cell Function and InteractionPluripotent Stem Cells ResearchAnimal Genetics and Reproduction

HLA-E-expressing pluripotent stem cells escape allogeneic responses and lysis by NK cells

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Gornalusse, Germán G, Hirata, Roli K, Funk, Sarah E, Riolobos, Laura, Lopes, Vanda S, Manske, Gabriel, Prunkard, Donna, Colunga, Aric G +4 more·2017·Nature Biotechnology

Abstract

Polymorphisms in the human leukocyte antigen (HLA) class I genes can cause the rejection of pluripotent stem cell (PSC)-derived products in allogeneic recipients. Disruption of the Beta-2 Microglobulin (B2M) gene eliminates surface expression of all class I molecules, but leaves the cells vulnerable to lysis by natural killer (NK) cells. Here we show that this 'missing-self' response can be prevented by forced expression of minimally polymorphic HLA-E molecules. We use adeno-associated virus (AAV)-mediated gene editing to knock in HLA-E genes at the B2M locus in human PSCs in a manner that confers inducible, regulated, surface expression of HLA-E single-chain dimers (fused to B2M) or trimers (fused to B2M and a peptide antigen), without surface expression of HLA-A, B or C. These HLA-engineered PSCs and their differentiated derivatives are not recognized as allogeneic by CD8+ T cells, do not bind anti-HLA antibodies and are resistant to NK-mediated lysis. Our approach provides a potential source of universal donor cells for applications where the differentiated derivatives lack HLA class II expression.

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References 53 · Cited by 639

Research works printed but not linked: 50

  1. [2]Nishikawa S Goldstein Ra Nierras CR The promise of human induced pluripotent stem cells for research and therapy Nat Rev Mol Cell Biol 9 725 729 2008 18698329
  2. [3]Taylor CJ Banking on human embryonic stem cells: Estimating the number of donor cell lines needed for HLA matching Lancet 366 2019 2025 2005 16338451
  3. [4]Braciale TJ Antigen processing for presentation by MHC class I molecules Curr Opin Immunol 4 59 62 1992 1596368
  4. [5]Arce-Gomez B Jones EA Barnstable CJ Solomon E Bodmer WF The genetic control of HLA-A and B antigens in somatic cell hybrids: requirement for beta2 microglobulin Tissue Antigens 11 96 112 1978 77067
  5. [6]Riolobos L HLA engineering of human pluripotent stem cells Mol Ther 21 1232 1241 2013 23629003 PMC3677304
  6. [7]Lu P Generating hypoimmunogenic human embryonic stem cells by the disruption of beta 2-microglobulin Stem Cell Rev 9 806 13 2013 23934228
  7. [8]Wang D Quan Y Yan Q Morales JE Wetsel RA Targeted Disruption of the β2-Microglobulin Gene Minimizes the Immunogenicity of Human Embryonic Stem Cells Stem Cells Transl Med 4 1234 45 2015 26285657 PMC4572902
  8. [9]Feng Q Scalable generation of universal platelets from human induced pluripotent stem cells Stem Cell Reports 3 817 831 2014 25418726 PMC4235139
  9. [10]Bix M Rejection of class I MHC-deficient haemopoietic cells by irradiated MHC-matched mice Nature 349 329 31 1991 1987491
  10. [11]Liao NS Bix M Zijlstra M Jaenisch R Raulet D MHC class I deficiency: susceptibility to natural killer (NK) cells and impaired NK activity Sci (New York, NY) 253 199 202 1991 1853205
  11. [12]Zarcone D Tilden AB Friedman HM Grossi CE Human leukemia- derived cell lines and clones as models for mechanistic analysis of natural killer cell-mediated cytotoxicity Cancer Res 47 2674 2682 1987 2436754
  12. [13]Pazmany L Protection from natural killer cell-mediated lysis by HLA-G expression on target cells Science 274 792 5 1996 8864122
  13. [14]Braud VM HLA-E binds to natural killer cell receptors CD94/NKG2A, B and C Nature 391 795 799 1998 9486650
  14. [15]Lee N HLA-E is a major ligand for the natural killer inhibitory receptor CD94/NKG2A Proc Natl Acad Sci U S A 95 5199 5204 1998 9560253 PMC20238
  15. [16]Lilienfeld BG Crew MD Forte P Baumann BC Seebach JD Transgenic expression of HLA-E single chain trimer protects porcine endothelial cells against human natural killer cell-mediated cytotoxicity Xenotransplantation 14 126 134 2007 17381687
  16. [17]Miller JD Analysis of HLA-E peptide-binding specificity and contact residues in bound peptide required for recognition by CD94/NKG2 J Immunol 171 1369 75 2003 12874227
  17. [18]Horowitz A Genetic and environmental determinants of human NK cell diversity revealed by mass cytometry Sci Transl Med 5 208ra145 2013 PMC3918221 24154599
  18. [19]Russell DW Hirata RK Human gene targeting by viral vectors Nat Genet 18 325 330 1998 9537413 PMC3010411
  19. [20]Khan IF Hirata RK Russell DW AAV-mediated gene targeting methods for human cells Nat Protoc 6 482 501 2011 21455185 PMC3739714
  20. [21]Chamberlain JR Gene targeting in stem cells from individuals with osteogenesis imperfecta Science 303 1198 1201 2004 14976317
  21. [22]Li LB Trisomy Correction in Down Syndrome Induced Pluripotent Stem Cells Cell Stem Cell 11 615 619 2012 23084023 PMC3705773
  22. [23]Khan IF Engineering of human pluripotent stem cells by AAV-mediated gene targeting Mol Ther 18 1192 9 2010 20407427 PMC2889726
  23. [24]Ichiryu N Fairchild PJ Immune privilege of stem cells Methods Mol Biol 1029 1 16 2013 23756938
  24. [25]Pegram HJ Andrews DM Smyth MJ Darcy PK Kershaw MH Activating and inhibitory receptors of natural killer cells Immunol Cell Biol 89 216 224 2011 20567250
  25. [26]Gong J Maki G Klingemann H Characterization of a human cell line (NK- 92) with phenotypical and functional characteristics of activated natural killer cells Leukemia 8 652 658 1994 8152260
  26. [27]Brooks AG Posch PE Scorzelli CJ Borrego F Coligan JE NKG2A complexed with CD94 defines a novel inhibitory natural killer cell receptor J Exp Med 185 795 800 1997 9034158 PMC2196137
  27. [28]Brodin P Kärre K Höglund P NK cell education: not an on-off switch but a tunable rheostat Trends Immunol 30 143 9 2009 19282243
  28. [29]Huang Y NK cells play a critical role in the regulation of class I-deficient hemopoietic stem cell engraftment: evidence for NK tolerance correlates with receptor editing J Immunol 175 3753 61 2005 16148121
  29. [30]Rouas-Freiss N Gonçalves RM Menier C Dausset J Carosella ED Direct evidence to support the role of HLA-G in protecting the fetus from maternal uterine natural killer cytolysis Proc Natl Acad Sci U S A 94 11520 5 1997 9326642 PMC23525
  30. [31]Zappacosta F Borrego F Brooks AG Parker KC Coligan JE Peptides isolated from HLA-Cw*0304 confer different degrees of protection from natural killer cell-mediated lysis Proc Natl Acad Sci U S A 94 6313 8 1997 9177214 PMC21046
  31. [32]Koller BH Marrack P Kappler JW Smithies O Normal development of mice deficient in beta 2M, MHC class I proteins, and CD8+ T cells Science (80-) 248 1227 1230 1990 2112266
  32. [33]Zijlstra M Beta 2-microglobulin deficient mice lack CD4–8+ cytolytic T cells Nature 344 742 746 1990 2139497
  33. [35]DeSandro A Nagarajan UM Boss JM The bare lymphocyte syndrome: molecular clues to the transcriptional regulation of major histocompatibility complex class II genes Am J Hum Genet 65 279 86 1999 10417269 PMC1377925
  34. [36]Street SEA Innate immune surveillance of spontaneous B cell lymphomas by natural killer cells and gammadelta T cells J Exp Med 199 879 84 2004 15007091 PMC2212720
  35. [37]Gadola SD Moins-Teisserenc HT Trowsdale J Gross WL Cerundolo V TAP deficiency syndrome Clin Exp Immunol 121 173 8 2000 10931128 PMC1905688
  36. [38]Pietra G HLA-E-restricted recognition of cytomegalovirus-derived peptides by human CD8+ cytolytic T lymphocytes Proc Natl Acad Sci U S A 100 10896 901 2003 12960383 PMC196899
  37. [39]Hansen SG Broadly targeted CD8+ T cell responses restricted by major histocompatibility complex E Science 351 714 20 2016 26797147 PMC4769032
  38. [40]Pietra G Romagnani C Manzini C Moretta L Mingari MC The emerging role of HLA-E-restricted CD8+ T lymphocytes in the adaptive immune response to pathogens and tumors J Biomed Biotechnol 2010 907092 2010 20634877 PMC2896910
  39. [41]Eichelberger M Allan W Zijlstra M Jaenisch R Doherty PC Clearance of influenza virus respiratory infection in mice lacking class I major histocompatibility complex-restricted CD8+ T cells J Exp Med 174 875 80 1991 1919440 PMC2118969
  40. [42]Hou S Doherty PC Zijlstra M Jaenisch R Katz JM Delayed clearance of Sendai virus in mice lacking class I MHC-restricted CD8+ T cells J Immunol 149 1319 25 1992 1354233
  41. [43]Spriggs MK Beta 2-microglobulin-, CD8+ T-cell-deficient mice survive inoculation with high doses of vaccinia virus and exhibit altered IgG responses Proc Natl Acad Sci U S A 89 6070 4 1992 1631092 PMC49439
  42. [44]Ware CB Derivation of naive human embryonic stem cells Proc Natl Acad Sci U S A 111 4484 9 2014 24623855 PMC3970494
  43. [45]Thomson JA Embryonic Stem Cell Lines Derived from Human Blastocysts Science (80-) 282 1145 1147 1998 9804556
  44. [46]Kotini AG Functional analysis of a chromosomal deletion associated with myelodysplastic syndromes using isogenic human induced pluripotent stem cells Nat Biotechnol 33 646 55 2015 25798938 PMC4464949
  45. [47]Leach LL Buchholz DE Nadar VP Lowenstein SE Clegg DO Canonical/β-catenin Wnt pathway activation improves retinal pigmented epithelium derivation from human embryonic stem cells Invest Ophthalmol Vis Sci 56 1002 13 2015 25604686
  46. [49]Papapetrou EP Sadelain M Generation of transgene-free human induced pluripotent stem cells with an excisable single polycistronic vector Nat Protoc 6 1251 73 2011 21886095
  47. [50]Lauterbach N Voorter CEM Tilanus MGJ Molecular typing of HLA-E Methods Mol Biol 882 143 58 2012 22665232
  48. [51]Aicheler RJ Stanton RJ Functional NK cell cytotoxicity assays against virus infected cells Methods Mol Biol 1064 275 87 2013 23996265
  49. [52]Teraski PI McClelland JD Mirodroplet assay of human serum cytotoxins Nature 204 998 1000 1964 14248725
  50. [53]Vernon RB Reversal of diabetes in mice with a bioengineered islet implant incorporating a type I collagen hydrogel and sustained release of vascular endothelial growth factor Cell Transplant 21 2099 110 2012 23231959 PMC3829609

Authors
Gornalusse, G. G., Hirata, R. K., Funk, S. E., Riolobos, L., Lopes, V. S., Manske, G., Prunkard, D., Colunga, A. G., Hanafi, L.-A., Clegg, D. O., Turtle, C., & Russell, D. W.
Affiliations
  • University of Washington (US)
  • University of California, Santa Barbara (US)
  • Fred Hutch Cancer Center (US)
Corresponding author
Russell, David W
Venue
Nature Biotechnology
Published
2017-05-15
Volume
35
Issue
8
Pages
765-772
ISSN
  • 0733-222X (ISSN-L)
  • 1087-0156
  • 1546-1696
OpenAlex
W2616215756
Cited by
639
References
53
Citations by year
2026: 64 · 2025: 74 · 2024: 79 · 2023: 81 · 2022: 81 · 2021: 71 · 2020: 83 · 2019: 64 · 2018: 35 · 2017: 7
FWCI
23.39
Type
journal article
Language
en
Open access
Locations
  • Nature Biotechnology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Heart, Lung, and Blood Institute (R01HL130770, T32HL007093)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK055759, U54DK106829)
Topics
  • Life Sciences › Immunology and Microbiology › Immunology › Immune Cell Function and Interaction
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Animal Genetics and Reproduction
Keywords
HLA-E, pluripotent stem cells, natural killer cells, allogeneic rejection, beta2-microglobulin, HLA class I, NK cell-mediated lysis, CD8+ T cell recognition, HLA antibodies, HLA class II
MeSH terms
Animals, Female, Graft Rejection, HLA Antigens, Humans, Killer Cells, Natural, Transplants, Pluripotent Stem Cells, Mice

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