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The handle http://hdl.handle.net/1887/19160 holds various files of this Leiden University dissertation.

Author: Amir, Avital

Title: Biology and clinical relevance of T-cell allo-HLA reactivity Date: 2012-06-28

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Biology and clinical relevance of T-cell allo-Hla reacTiviTy

AvitAl Amir

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Financial support

The work described in this thesis was financially supported by the Landsteiner Foundation for Blood Transfusion and the Dutch Cancer Society (KWF). Printing of this thesis was financially supported by the Dutch Cancer Society and the J.E. Jurriaanse Stichting.

coloFon

© A. Amir, 2012

Cover Design by Joshua Verheijen, De Huurlingen

Thesis Layout and Print by Optima Grafische Communicatie, Rotterdam

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Biology and clinical relevance of t-cell allo-Hla reactivity

proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof.mr. P.F. van der Heijden,

volgens besluit van het College voor Promoties te verdedigen op donderdag 28 juni 2012

klokke 13.45 uur door

avital amir geboren te Hadera (Israël)

in 1979

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promotiecommissie

Promotor Prof. Dr. J.H.F. Falkenburg Co-promotor Dr. M.H.M. Heemskerk

Overige leden Prof. Dr. C.J.M. Melief Prof. Dr. F.H.J. Claas

Prof. Dr. R.A.W. van Lier (Sanquin)

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contents

1. Introduction 7

2. Identification of a coordinated CD8 and CD4 T-cell response directed against mismatched HLA class I causing severe acute GVHD

29

3. Allo-HLA reactivity of virus-specific memory T-cells is common 47

4. Allo-HLA reactive T-cells inducing graft versus host disease are single

peptide specific 71

5. PRAME-specific allo-HLA-restricted T-cells with potent antitumor reactivity useful for therapeutic T-cell receptor gene transfer

93

6. Summary and general discussion 119

Nederlandse Samenvatting 135

Nawoord 141

Curriculum Vitae 143

List of publications 145

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The work presented in this thesis was performed at the department of Immunohematology and Blood Transfusion of the Leiden University Medical Center and was financially supported