T cell receptor binding affinity governs the functional profile of cancer-specific CD8+ T cells

Antigen-specific T cell receptor (TCR) gene transfer via patient-derived T cells is an attractive approach to cancer therapy, with the potential to circumvent immune regulatory networks. However, high-affinity tumour-specific TCR clonotypes are typically deleted from the available repertoire during thymic selection because the vast majority of targeted epitopes are derived from autologous proteins. This process places intrinsic constraints on the efficacy of T cell-based cancer vaccines and therapeutic strategies that employ naturally generated tumour-specific TCRs. In this study, we used altered peptide ligands and lentivirus-mediated transduction of affinity-enhanced TCRs selected by phage display to study the functional properties of CD8(+) T cells specific for three different tumour-associated peptide antigens across a range of binding parameters. The key findings were: (i) TCR affinity controls T cell antigen sensitivity and polyfunctionality; (ii) supraphysiological affinity thresholds exist, above which T cell function cannot be improved; and (iii) T cells transduced with very high-affinity TCRs exhibit cross-reactivity with self-derived peptides presented by the restricting human leucocyte antigen. Optimal system-defined affinity windows above the range established for natural tumour-specific TCRs therefore allow the enhancement of T cell effector function without off-target effects. These findings have major implications for the rational design of novel TCR-based biologics underpinned by rigorous preclinical evaluation.

Portable LED fluorescence instrumentation for the rapid assessment of potable water quality

Characterising the organic and microbial matrix of water are key issues in ensuring a safe potable water supply. Current techniques only confirm water quality retrospectively via laboratory analysis of discrete samples. Whilst such analysis is required for regulatory purposes, it would be highly beneficial to monitor water quality in-situ in real time, enabling rapid water quality assessment and facilitating proactive management of water supply systems. A novel LED-based instrument, detecting fluorescence peaks C and T (surrogates for organic and microbial matter, respectively), was constructed and performance assessed. Results from over 200 samples taken from source waters through to customer tap from three UK water companies are presented. Excellent correlation was observed between the new device and a research grade spectrophotometer (r(2)=0.98 and 0.77 for peak C and peak T respectively), demonstrating the potential of providing a low cost, portable alternative fluorimeter. The peak C/TOC correlation was very good (r(2)=0.75) at low TOC levels found in drinking water. However, correlations between peak T and regulatory measures of microbial matter (2 day/3 day heterotrophic plate counts (HPC), E. coli, and total coliforms) were poor, due to the specific nature of these regulatory measures and the general measure of peak T. A more promising correlation was obtained between peak T and total bacteria using flow cytometry. Assessment of the fluorescence of four individual bacteria isolated from drinking water was also considered and excellent correlations found with peak T (Sphingobium sp. (r(2)=0.83); Methylobacterium sp. (r(2)=1.0); Rhodococcus sp. (r(2)=0.86); Xenophilus sp. (r(2)=0.96)). It is notable that each of the bacteria studied exhibited different levels of fluorescence as a function of their number. The scope for LED based instrumentation for in-situ, real time assessment of the organic and microbial matrix of potable water is clearly demonstrated.

CD3ζ-based chimeric antigen receptors mediate T cell activation via cis- and trans-signalling mechanisms: implications for optimization of receptor structure for adoptive cell therapy

Chimeric antigen receptors (CARs) can mediate redirected lysis of tumour cells in a major histocompatibility complex (MHC)-independent manner, thereby enabling autologous adoptive T cell therapy for a variety of malignant neoplasms. Currently, most CARs incorporate the T cell receptor (TCR) CD3ζ signalling chain; however, the precise mechanisms responsible for CAR-mediated T cell activation are unclear. In this study, we used a series of immunoreceptor tyrosine-based activation motif (ITAM)-mutant and transmembrane-modified receptors to demonstrate that CARs activate T cells both directly via the antigen-ligated signalling chain and indirectly via associated chains within the TCR complex. These observations allowed us to generate new receptors capable of eliciting polyfunctional responses in primary human T cells. This work increases our understanding of CAR function and identifies new avenues for the optimization of CAR-based therapeutic interventions.

Velocity gradient as a tool to characterise the link between mixing and biogas production in anaerobic waste digesters

Whilst the importance of mixing in anaerobic digesters to enhance process performance and gas production is well recognised, the specific effects of mixing regime on biogas production are not clear. Here, the velocity gradient is used to demonstrate the importance of minimally mixed zones in a digester, with computational fluid dynamics (CFD) models indicating that 20-85% of a laboratory-scale digester experiences local velocity gradients of less than 10 s⁻¹, dependent on mixing speed. Experimental results indicate that there is a threshold above which increased mixing speed (and hence velocity gradient) becomes counter-productive and biogas production falls. The effects of minimal mixing on digester microbiology are considered with the creation or destruction of localised pockets of high acetate concentration providing a possible explanation for the velocity gradient threshold. The identification of this threshold represents a valuable contribution to the understanding of the effects of mixing on gas production in anaerobic digesters.

Clonotypically similar hybrid αβ T cell receptors can exhibit markedly different surface expression, antigen specificity and cross-reactivity

Emerging data indicate that particular major histocompatibility complex (MHC)‐bound antigenic peptides can be recognized by identical or near‐identical αβ T cell receptors (TCRs) in different individuals. To establish the functional relevance of this phenomenon, we artificially paired α and β chains from closely related TCRs specific for the human leucocyte antigen (HLA)‐B*35:01‐restricted HIV‐1 negative regulatory factor (Nef)‐derived epitope VY8 (VPLRPMTY, residues 74–81). Several hybrid TCRs generated in this manner failed to express at the cell surface, despite near homology with naturally isolated αβ chain combinations. Moreover, a substantial proportion of those αβ TCRs that did express lost specificity for the index VY8 peptide sequence. One such hybrid αβ pair gained neo‐variant specificity in the context of the VY8 backbone. Collectively, these data show that clonotypically similar TCRs can display profound differences in surface expression, antigen specificity and cross‐reactivity with potential relevance for the control of mutable viruses.

A CFD strategy to retrofit an anaerobic digester to improve mixing performance in wastewater treatment

To date, mixing design practice in anaerobic digestion has focussed on biogas production, but no adequate consideration has been given to energy efficiency. A coherent, comprehensive and generalized strategy based on computational fluid dynamics (CFD) modelling is proposed to improve mixing efficiency of a full-scale, unconfined gas-mixed digester for wastewater treatment. The model consists of an Euler-Lagrange (EL) model where biogas bubbles are modelled as the Eulerian dispersed phase, and non-Newtonian sludge as the Lagrangian continuous phase. Robustness tests show that mixing predictions are independent of bubble size. The CFD strategy comprises the assessment of different mixing geometries and a range of input gas flow rates. Quantitative results show that simple retrofitting measures are able to achieve a significant improvement in the degree of mixing with reduced mixing times, and consequently recommendations for best mixing geometry and gas flow rate are given. A generalization to a generic digester is discussed in a form that is readily usable by professionals and consultants.

A combined experimental and numerical approach to the assessment of floc settling velocity using fractal geometry

Sedimentation processes are fundamental to solids/liquid separation in water and wastewater treatment, and therefore a robust understanding of the settlement characteristics of mass fractal aggregates (flocs) formed in the flocculation stage is fundamental to optimized settlement tank design and operation. However, the use of settling as a technique to determine aggregates' traits is limited by current understanding of permeability. In this paper, we combine experimental and numerical approaches to assess settling velocities of fractal aggregates. Using a non-intrusive in situ digital image-based method, three- and two-dimensional fractal dimensions were calculated for kaolin-based flocs. By considering shape and fractal dimension, the porosity, density and settling velocities of the flocs were calculated individually, and settling velocities compared with those of spheres of the same density using Stokes' law. Shape analysis shows that the settling velocities for fractal aggregates may be greater or less than those for perfect spheres. For example, fractal aggregates with floc fractal dimension, D_f = 2.61, floc size, d_f > 320 μm and d_p = 7.5 μm settle with lower velocities than those predicted by Stokes' law; whilst, for D_f = 2.33, all aggregates of d_f > 70 μm and d_p = 7.5 μm settled below the velocity calculated by Stokes' law for spheres. Conversely, fractal settling velocities were higher than spheres for all the range of sizes, when D_f of 2.83 was simulated. The ratio of fractal aggregate to sphere settling velocity (the former being obtained from fractal porosity and density considerations), varied from 0.16 to 4.11 for aggregates in the range of 10 and 1,000 μm, primary particle size of 7.5 μm and a three-dimensional fractal dimension between 2.33 and 2.83. However, the ratio decreases to the range of 0.04-2.92 when primary particle size changes to 1.0 μm for the same fractal dimensions. Using the floc analysis technique developed here, the results demonstrate the difference in settlement behaviour between the approach developed here and the traditional Stokes' law approach using solid spheres. The technique and results demonstrate the improvements in understanding, and hence value to be derived, from an analysis based on fractal, rather than Euclidean, geometry when considering flocculation and subsequent clarification performance.

A Corethane/polyester composite vascular prosthesis for vascular access. Comparison with expanded polytetrafluoroethylene grafts in a canine model

An important need in hemodialysis is a self-sealing prosthesis for vascular access with at least equivalent patency and biostability to expanded polytetrafluoroethylene (ePTFE) alternatives. The authors have developed a Corethane/polyester composite (CPC) graft with an inner blood interfacing layer of spun Corethane fibers (10-15 microns diameter; pore size 30-60 microns) impregnated with a gelatin-heparin complex and an outer soft tissue interfacing warp-knitted polyester sheath. Twenty-six CPC grafts (6 mm internal diameter; 25-30 cm length) and eight Gore-Tex ePTFE grafts (same dimensions) were implanted as femoral artery-to-vein shunts in dogs on low dose (162 mg/day) aspirin, and subjected to weekly dialysis needle punctures for up to 52 weeks. Patency was 73% (19/26 with 15 at 52 weeks) for the CPC grafts and 63% (5/8 at 52 weeks) for the ePTFE controls, with more favorable healing (e.g., less extensive mural thrombi) of the CPC grafts. The hemostasis time per needle pair after removal (3.1 min mean for CPC versus 21.2 min mean for ePTFE) and the blood loss in achieving hemostasis (5.7 g mean for CPC versus 47.9 g for ePTFE) documented the significant (p < 0.0001) performance advantages of the CPC prosthesis.

How do nurses learn about family-centred care?

How do student nurses develop their understanding of the nebulous and ill-defined concept of family-centred care? Semi-structured interviews were used to explore how 10 child branch students described the concept and how they perceived the development of their understanding of it. According to the students, the concept incorporates interaction between the child, family and nurses to provide holistic care. Students learnt through reflection and by applying theory to practice. Although the practice they observed was varied, some of the students used more experienced nurses as role models. These findings emphasize the importance of clarifying the concept of family-centred care, of monitoring and updating the practice of supervisors in clinical areas and of encouraging reflection to help bridge the theory/practice gap.