Ex Parte Lamb - Page 5


                 Appeal No. 2005-1511                                                                                  
                 Application No. 09/879,398                                                                            
                        only recognize foreign antigens that are bound to specialized molecules                        
                        found on virtually all cells.  Thus, most infected cells of the body may                       
                        serve as CTL targets [Bell, p. 3].                                                             
                                                          ***                                                          
                               Leukocytes express a variety of surface molecular markers that                          
                        provide a basis for distinguishing progenitor and mature cells.  The                           
                        clusters of differentiation (CD) numbering system has been devised to                          
                        provide a universal means for identifying various types of leukocytes.                         
                        Surface markers on leukocytes are antigenic and can be bound by                                
                        monoclonal antibodies.  By agreement, CD numbers have been assigned                            
                        to those surface markers to which are bound antibodies having similar                          
                        specificity characteristics.  For example, T cells were found to be                            
                        distinguished from B cells by their ability to bind to sheep erythrocytes via                  
                        the CD2 surface marker.  Thus, CD2 is a marker for T cells.  Of course,                        
                        the primary surface marker distinguishing T cells is the T cell antigen                        
                        receptor (TcR), which forms a complex with another T cell specific surface                     
                        marker, CD3.  Most T cells express a T cell receptor composed of an                            
                        alpha (α) chain and a beta (β) chain (TcRαβ), while a small subset                             
                        express a TcR composed of gamma (γ) chain and a delta (δ) chain                                
                        (TcRγδ) [Bell, p. 7].                                                                          
                               With regard to T cells specifically, the vast majority of T cells can be                
                        subdivided into either CD4+ or CD8+ cells, i.e., T cells which express                         
                        either the CD4 or CD8 marker.  CD4+ T cells are also known as helper T                         
                        cells, and function to positively or negatively influence the immune                           
                        response of B cells and other T cells.  CD8+ T cells are called cytotoxic or                   
                        killer T cells.  Suppressor T cells, which are activated by CD4+ cells, also                   
                        are CD8+.  Other lymphocytes which exhibit a cytotoxic function include                        
                        natural killer (NK) cells and lymphokine activated killer (LAK) cells, which                   
                        cells are both CD4- and CD8-, cytokine induced killer cells (CIK) which co-                    
                        express CD56, CD3, TcRαβ and CD8, and TcRγδ+ cells which are either                            
                        CD4-/CD8- or CD4-/CD8+ [Bell, para. bridging pp. 7-8].                                         
                        According to the appellant, he                                                                 
                        . . . previously reported an improved survival advantage for patients who                      
                        develop an increased number of γδ+ T cells following allogenic BMT [bone                       
                        marrow transplant].  (Lamb, et al., J Hematotherapy, 1996 - of record).                        
                        Appellant posited that this increase played a role in graft-versus-leukemia                    
                        effect.  Accordingly, he isolated the leukemia cells and phenotypically                        
                        characterized them.  He was then able to replicate in vitro the process                        
                        which presumably occurs in vivo: intentionally selecting for γδ+ T cells in                    
                        the donor material and subsequently activating them through exposure to                        
                        the recipient’s own leukemia blast cells so as to render the activated γδ+ T                   


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