HLA-E-expressing pluripotent stem cells escape allogeneic responses and lysis by NK cells
Open accessAbstract
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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HLA-E expression in hPSCs has been demonstrated to inhibit killing by NK cells.
“Importantly, HLA-E expression in hPSCs has been demonstrated to inhibit killing by NK cells.”
From Developments in stem cell-derived islet replacement therapy for treating type 1 diabetes (2023) · cites this paper as [120]
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- 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
- ORCID
- Venue
- Nature Biotechnology
- Published
- 2017-05-15
- Volume
- 35
- Issue
- 8
- Pages
- 765-772
- ISSN
- 0733-222X (ISSN-L)
- 1087-0156
- 1546-1696
- PMC
- PMC5548598
- 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
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- 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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