mononuclear cells (PBMCs) by hemapheresis for this anti-CD19-CAR T-cell therapy.
CD3+ T-cells were isolated by Ficoll density gradient centrifugation and elected
by CD3 microbeads (Miltenyi Biotec, Inc., Cambridge, MA, USA), then stimulated
by anti-CD3/anti-CD28 mAb-coated Human T-Expander beads (Cat. no. 11141D; Thermo
Fisher Scientific, Inc., Waltham, MA, USA) and cultured in T-cell medium X-Vivo
15 (Lonza Group, Ltd., Basel, Switzerland) supplemented with 250 IU/mL
interleukin-2 (IL-2; Proluekin; Novartis International AG, Basel, Switzerland).
All CD3+ T-cells (3 × 106) of the 22 donors were transduced with
lentiviral vector encoding humanized CD19 CAR constructs (10 µg,
lenti-CD19-2rd-CAR, 4-1BB costimulatory molecule; Shanghai Genbase Biotechnology
Co., Ltd. Shanghai, China) and cultured in media containing recombinant human
IL-2 (250 IU/mL). On the 12th to 14th day of cultivation, transduction
efficiencies of anti-CD19-CAR were analyzed using FCM (BD Biosciences, San Jose,
CA, USA). Lymphodepletion chemotherapy comprised fludarabine (30
mg/m2) and cyclophosphamide (400 mg/m2) from day 4 to
day 2. All donor-derived anti-CD19-CAR T-cells were infused on day 0 (1 ×
106 cells/kg) in patients with B-ALL.