Method for separating cells using immunorosettes

Abstract

The present invention relates to methods for separating cells using immunorosettes. The method involves contacting a sample containing nucleated cells and red blood cells with an antibody composition which allows immunorosettes of the nucleated cells and the red blood cells to form. The antibody composition preferably contains bifunctional antibodies or tetrameric antibody complexes.

Description

FIELD OF THE INVENTION

[0002] The present invention relates to methods for separating cells using immunorosettes. The invention includes novel antibody compositions for use in the method of the invention.

BACKGROUND OF THE INVENTION

[0003] In many applications it is desirable to enrich or, alternatively, deplete certain cell populations in a biological sample. The fields of hematology, immunology and oncology rely on samples of peripheral blood and cell suspensions from related tissues such as bone marrow, spleen, thymus and fetal liver. The separation of specific cell types from these heterogeneous samples is key to research in these fields and to the diagnostics and therapy for certain malignancies and immune/hematopoietic disorders.

[0004] Purified populations of immune cells such as T cells and antigen presenting cells are necessary for the study of immune function and are used in immunotherapy. Investigation of the cellular, molecular and biochemical processes require analysis of certain cell types in isolation. Numerous techniques have been used to isolate T cell subsets, B cells, basophils, NK cells and dendritic cells.

[0005] The isolation of hematopoietic stem cells has also been an area of great interest. Pure populations of stem cells will facilitate studies of hematopoiesis and transplantation of hematopoietic cells from peripheral blood and/or bone marrow is increasingly used in combination with high-dose chemo- and/or radiotherapy for the treatment of a variety of disorders including malignant, nonmalignant and genetic disorders. Very few cells in such transplants are capable of long-term hematopoietic reconstitution, and thus there is a strong stimulus to develop techniques for purification of hematopoietic stem cells. Furthermore, serious complications and indeed the success of a transplant procedure is to a large degree dependent on the effectiveness of the procedures that are used for the removal of cells in the transplant that pose a risk to the transplant recipient. Such cells include T lymphocytes that are responsible for graft versus host disease (GVHD) in allogenic grafts, and tumor cells in autologous transplants that may cause recurrence of the malignant growth. It is also important to debulk the graft by removing unnecessary cells and thus reducing the volume of cyropreservant to be infused.

[0006] In certain instances it is desirable to remove or deplete tumor cells from a biological sample, for example in bone marrow transplants. Epithelial cancers of the bronchi, mammary ducts and the gastrointestinal and urogenital tracts represent a major type of solid tumors seen today. Micrometastatic tumor cell migration is thought to be an important prognostic factor for patients with epithelial cancer (Braun et al., 2000; Vaughan et al., 1990). The ability to detect such metastatic cells is limited by the effectiveness of tissue or fluid sampling and the sensitivity of tumor detection methods. A technique to enrich circulating epithelial tumor cells in blood samples would increase the ability to detect metastatic disease and facilitate the study of such rare cells and the determination of the biological changes which enable spread of disease.

[0007] Hematopoietic cells and immune cells have been separated on the basis of physical characteristics such as density and on the basis of susceptibility to certain pharmacological agents which kill cycling cells. The advent of monoclonal antibodies against cell surface antigens has greatly expanded the potential to distinguish and separate distinct cell types. There are two basic approaches to separating cell populations from blood and related cell suspensions using monoclonal antibodies. They differ in whether it is the desired or undesired cells which are distinguished/labelled with the antibody(s).

[0008] In positive selection techniques the desired cells are labelled with antibodies and removed from the remaining unlabelled/unwanted cells. In negative selection, the unwanted cells are labelled and removed. Antibody/complement treatment and the use of immunotoxins are negative selection techniques, but FACS sorting and most batch wise immunoadsorption techniques can be adapted to both positive and negative selection. In immunoadsorption techniques cells are selected with monoclonal antibodies and preferentially bound to a surface which can be removed from the remainder of the cells e.g. column of beads, flasks, magnetic particles. Immunoadsorption techniques have won favour clinically and in research because they maintain the high specificity of targeting cells with monoclonal antibodies, but unlike FACSorting, they can be scaled up to deal directly with the large numbers of cells in a clinical harvest and they avoid the dangers of using cytotoxic reagents such as immunotoxins, and complement. They do however, require the use of a “device” or cell separation surface such as a column of beads, panning flask or magnet.

[0009] Current techniques for the isolation of hematopoietic stem cells, immune cells and circulating epithelial tumor cells all involve an initial step to remove red cells then antibody mediated adherence to a device or artificial particle. (Firat et al., 1988; de Wynter et al., 1975; Shpall et al., 1994; Thomas et al., 1994; Miltenyi Biotec Inc., Gladbach, Germany) In the case of positive selection there is yet another step; removal of the cells from the device or particle. All these multiple steps require time and incur cell loss. Slaper-Cortenbach et al. (1990) describes a method for purging bone marrow of common acute leukemic (cALL) cells using immunorosetting. The method requires that the erythrocytes are first removed from the bone marrow sample and are labelled with antibodies that bind to the cALL cells. The labelled erythrocytes are then added back to the sample where the cALL cells are immunorosetted. The depletion method works best when followed by an additional step of complement mediated lysis of the cALL cells.

[0010] Time dependent sedimentation has been used to deplete red cells from peripheral blood. Many agents have been used to accelerate the sedimentation of red cells by causing the red cells to aggregate or agglutinate. The orientation of red cells in such aggregates has been termed “rouleaux” (Roboredo et al 2000; Wintrobe ed., Clinical Hematology, 1975, Lea and Febiger) Density Separations are commonly used to isolate peripheral blood mononuclear cells from granulocytes and erythrocytes. Ficoll Hypaque (Amersham Pharmacia Biotech AB, Uppsala Sweden) is the most popular density solution used for this application. Ficoll Hypaque consists of an aggregating agent (polysucrose) in a density solution (diatrizoate sodium). In a Ficoll Hypaque density separation whole blood is layered over the Ficoll Hypaque solution, and then centrifuged. The erythrocytes and granulocytes settle to the cell pellet and the mononuclear cells remain at the Ficoll Hypaque plasma interface.

[0011] The success of the Ficoll Hypaque density separation technique relies on the difference in density between mononuclear cells and granulocytes. If whole blood is stored for more than 24 hours the granulocytes change density and will not pellet with the red cells. Suspensions of pure mononuclear cells cannot be obtained from stored blood or samples with altered cell density in a single density separation.

[0012] In view of the foregoing, there is a need in the art to provide novel methods for separating desired cells or removing unwanted cells from biological samples.

SUMMARY OF THE INVENTION

[0013] The present inventors have developed a method for separating cells by immunorosetting the cells with red blood cells or erythrocytes already existing in the sample. The method of the invention is a much simpler yet equally efficient immunoaffinity technique as compared to the prior art methods. There is no “device” or need for an artificial separation surface (e.g., magnetic particles, affinity column) not normally present in the cell suspension. There is no need to first remove the erythrocytes from the sample and to then re-introduce them once they have been labelled with antibodies. Specific cell types are cross-linked to autologous erythrocytes found within the sample and subsequent aggregates or rosettes are then removed by sedimentation or centrifugation.

[0014] Accordingly, in one embodiment, the present invention provides a method of separating nucleated cells from a sample comprising the nucleated cells and erythrocytes comprising:

[0015] (1) contacting the sample with an antibody composition comprising (a) at least one antibody that binds to an antigen on the nucleated cells to be separated linked, either directly or indirectly, to (b) at least one antibody that binds to the erythrocytes, under conditions to allow immunorosettes of the nucleated cells and the erythrocytes to form; and

[0016] (2) removing the immunorosettes from the sample.

[0017] The method can be used in both positive and negative selection protocols. The method can be used on any sample that contains red blood cells including whole blood, bone marrow, fetal liver, cord blood, buffy coat suspensions, pleural and peritoneal effusion and samples of thymocytes and splenocytes.

BRIEF DESCRIPTION OF THE DRAWINGS

[0018] The invention will now be described in relation to the drawings in which:

[0019] FIG. 1 is a schematic diagram of a rosette of erythrocytes formed around an unwanted nucleated cell using tetrameric antibody complexes.

DETAILED DESCRIPTION OF THE INVENTION

[0020] I. Method of the Invention

[0021] As hereinbefore mentioned, the present invention relates to a method for separating cells by immunorosetting the cells with red blood cells.

[0022] In its broadest aspect, the present invention provides a method of separating nucleated cells from a sample comprising the nucleated cells and erythrocytes comprising:

[0023] (1) contacting the sample with an antibody composition comprising (a) at least one antibody that binds to an antigen on the nucleated cells to be separated linked, either directly or indirectly, to (b) at least one antibody that binds to the erythrocytes, under conditions to allow immunorosettes of the nucleated cells and the erythrocytes to form; and

[0024] (2) removing the immunorosettes from the sample.

[0025] The term “immunorosette” as used herein means an antibody mediated “rosette” formation.

[0026] The term “rosette” includes forming an aggregate, agglutinate or rouleaux of red blood cells or erythrocytes.

[0027] The term “binds” as used herein includes both specific and non-specific binding of an antibody to an antigen or cell. “Specific binding” means that the antibody has been generated to specifically bind to the antigen through its variable region. “Non specific binding” means that the antibody binds to the antigen or cell through non specific means such as the binding of the Fc portion of an antibody to an Fc receptor.

[0028] The method can be used in both positive and negative selection protocols. In positive selection, the desired cells are rosetted. In such an embodiment, the method would further include the step of lysing the red blood cells in the immunorosettes and separating the desired cells. Accordingly, in a positive selection method the antibody composition will contain (a) at least one antibody specific for the nucleated cells that one wishes to obtain or separate from the sample.

[0029] Preferably, the method of the invention is used in a negative selection protocol. In negative selection, the desired cells are not immunorosetted and would be remaining in the sample once the immunorosettes have been removed. In a negative selection method, the antibody composition will contain (a) at least one antibody specific for the cells that one wishes to remove from the sample. Accordingly, the present invention provides a negative selection method for enriching and recovering desired cells in a sample containing the desired cells, erythrocytes and undesired cells comprising:

[0030] (1) contacting the sample with an antibody composition comprising (a) at least one antibody that binds to an antigen on the undesired cells linked, either directly or indirectly, to (b) at least one antibody that binds to the erythrocytes, under conditions to allow immunorosettes of the undesired cells and the erythrocytes to form; and

[0031] (2),separating the immunorosettes from the remainder of the sample to obtain a sample enriched in the desired cells.

[0032] The immunorosettes between the erythrocytes and the unwanted cells formed in step (1) can be separated from the desired cells using a variety of techniques. Most typically these techniques would include sedimentation in response to gravity (1×g) or centrifugal force created by centrifuging the sample and density separation with either a continuous or discontinuous density gradient.

[0033] In one embodiment, the sample, containing the immunorosettes, is layered over a buoyant density solution (such as Ficoll Hypaque) and centrifuged. The immunorosettes pellet and the desired cells remain at the interface between the buoyant density solution and the sample. The desired cells are then removed from the interface for further use. Manual recovery of the cells from this interface requires precision of movement to avoid mixing the layers of density solution. Specialized tubes or containers are available to physically separate the lower layer of cells or cell pellet from the upper layers and allow simple recovery of the cells at the interface layer by decanting or pouring off. Examples of such tubes are described in Table 20. In one embodiment, the sample is layered over a buoyant density solution in a specialized container designed to physically separate layers of solution, either before or after step (1). The sample in the container is centrifuged and the immunorosettes pellet and the desired cells remain at the interface between the buoyant density solution and the sample. The cells at the interface layer are recovered by decanting or pouring of the solution in the top section of the container.

[0034] Accordingly, the present invention includes the use of a specialized container to separate the immunorosettes from the sample. The “specialized container” can be any container, preferably a tube, that allows the immunorosettes to be physically separated from the rest of the sample. The container will preferably contain an insert that forms a barrier between the sedimented immunorosettes and the sample. The insert can be a gel, a plug, screen or funnel.

[0035] In a specific embodiment, the specialized container is an evacuated blood collection tube containing anti-coagulant, buoyant density medium and a thixotropic gel; such as a Vacutainer CPT tube.

[0036] In another embodiment, the sample is mixed with an aggregating agent and the antibody composition in step (1). The immunorosettes sediment and the desired cells remain in suspension and are removed for further use. The “aggregating agent” can be any agent that can accelerate the sedimentation of red cells by causing the red cells to aggregate or agglutinate. Examples of aggregating agents that can be used in the method of the invention are listed in Table 19. In a specific embodiment, the aggregating agent is dextran or hetastarch which is demonstrated in Example 3. The aggregating agent can be added before, after or simultaneously with the antibody composition.

[0037] In a further embodiment, the sample containing the immunorosettes obtained in step (1) is allowed to sediment with or without the aid of centrifugation or Counter Flow Elutriation. The desired cells remain in suspension and are removed for further use. Manual recovery of the solution above the cell pellet requires precision of movement to avoid re-suspension of the cells in the pellet. Specialized tubes or containers are available to physically separate the lower layer of cells or cell pellet from the upper layers and allow simple recovery of the cells in suspension by decanting or pouring off. Examples of such tubes are described in Table 20. In one embodiment, the sample is placed in a specialized container designed to physically separate layers of solution (examples of specialized containers given in Table 20) either before or after contacting with the aggregating agent and the antibody composition. The immunorosettes sediment out and the desired cells remain in suspension in the top section of the container. The desired cells are recovered by decanting or pouring of the solution in the top section of the container.

[0038] The antibody compositions for use in the present invention are described in greater detail below.

[0039] The method of the invention may be used in the processing of biological samples that contain erythrocytes including blood (in particular, cord blood and whole blood) bone marrow, fetal liver, buffy coat suspensions, pleural and peritoneal effusions and suspensions of thymocytes and splenocytes. Surprisingly, the inventors have found that the method can be used to remove cells directly from whole blood or whole bone marrow without prior processing. This offers a significant advantage of the method of the invention over the prior art methods. In particular, the erythrocytes do not have to be removed, labelled and added back to the sample.

[0040] The method of the invention can be used to prepare enriched samples of any cell type including, but not limited to, T cells, B cells, NK cells, dendritic cells, monocytes, basophils, mast cells, progenitor cells, stem cells and tumor cells.

[0041] In one embodiment, the method of the invention can be used to enrich for non-hematopoietic cells including normal cells as well as non-hematopoietic tumor cells. Examples of normal non-hematopoietic cells include epithelial cells, endothelial cells, mesenchymal cells or precursors thereof.

[0042] In yet another embodiment, the method of the invention can be used to separate non-hematopoietic tumor cells, such as non-hematopoietic metastatic tumor cells from a sample. The method is useful in the detection of non-hematopoietic tumor cells from blood, bone marrow, and peritoneal and pleural effusions of patients to aid in the diagnosis and detection of metastatic disease, monitoring the progression of metastatic disease, or monitoring the efficacy of a treatment.

[0043] In another embodiment, the method of the invention can be used to prepare hematopoietic progenitor and stem cell preparations from bone marrow samples. For example, the method of the invention may be used in a negative selection protocol to deplete or purge B and T lymphocytes, monocytes, NK cells, granulocytes, and/or tumor cells from samples to prepare hematopoietic progenitor and stem cell preparations for use in transplantation as well as other therapeutic methods that are readily apparent to those of skill in the art. For example, bone marrow or blood can be harvested from a donor in the case of an allogenic transplant and enriched for progenitor and stem cells by the method described herein. Using negative selection the human hematopoietic progenitor and stem cells in the preparation are not coated with antibodies, or modified making them highly suitable for transplantation and other therapeutic uses that are readily apparent to those skilled in the art.

[0044] In another embodiment, the method of the invention can be used to isolate and recover mature dendritic cells and their precursors from blood. Dendritic cells have many useful applications including as antigen presenting cells capable of activating T cells both in vitro and in vivo. As an example, dendritic cells can be loaded (pulsed) in vitro with a tumor antigen and injected in vivo to induce an anti-tumor T cell response.

[0045] In a further embodiment, the method of the invention may also be used to prepare a cell preparation from samples such as blood and bone marrow, which is enriched in a selected differentiated cell type such as T-cells, B-cells, NK cells, monocytes, dendritic cells, basophils and plasma cells. This will enable studies of specific cell to cell interactions including growth factor production and responses to growth factors. It will also allow genetic, molecular and biochemical analysis of specific cells types. Cell preparations enriched in NK cells, dendritic cells and T-cells may also be used in immune therapy against certain malignancies.

[0046] II. Antibody Compositions

[0047] The invention includes the antibody compositions for use in the method of the present invention. The antibody composition will contain (a) at least one antibody that binds to an antigen on nucleated cells linked, either directly or indirectly, to (b) at least one antibody that binds to an antigen on erythrocytes.

[0048] The term “at least one antibody” means that the antibody composition includes at least one type of antibody (as opposed to at least one antibody molecule). One type of antibody means an antibody that binds to a particular antigen. For example, antibodies that bind to the antigen CD2 are considered one type of antibody. Preferably, the antibody compositions of the invention contain (a) more than one antibody type that binds to nucleated cells.

[0049] The two antibodies (a) and (b) may be directly linked by preparing bifunctional or bispecific antibodies. The two antibodies (a) and (b) may be indirectly linked for example, by preparing tetrameric antibody complexes. All of these are described hereinafter.

[0050] In one aspect, the antibody specific for the nucleated cells is linked directly to the antibody specific for the erythrocytes. In one embodiment, the antibody composition of the present invention contains bifunctional antibodies comprising at least one antibody specific for the nucleated cells linked directly to (b) at least one antibody specific for the erythrocytes. Bifunctional antibodies may be prepared by chemically coupling one antibody to the other, for example by using N-succinimidyl-3-(2-pyridyldithio) propionate (SPDP).

[0051] In another embodiment, the antibody composition contains bispecific antibodies. Bispecific antibodies contain a variable region of an antibody specific for erythrocytes and a variable region specific for at least one antigen on the surface of the nucleated cells to be separated. The bispecific antibodies may be prepared by forming hybrid hybridomas. The hybrid hybridomas may be prepared using the procedures known in the art such as those disclosed in Staerz & Bevan, (1986, PNAS (USA) 83: 1453) and Staerz & Bevan, (1986, Immunology Today, 7:241). Bispecific antibodies may also be constructed by chemical means using procedures such as those described by Staerz et al., (1985, Nature, 314:628) and Perez et al., (1985 Nature 316:354), or by expression of recombinant immunoglobulin gene constructs.

[0052] In another aspect, the antibody composition of the present invention comprises (a) at least one antibody specific for a nucleated cell type indirectly linked to (b) at least one antibody specific for the erythrocyte. By “indirectly linked” it is meant that antibody (a) and antibody (b) are not directly covalently linked to each other but are attached through a linking moiety such as an immunological complex, molecule with multiple binding sites, substituted macromolecule or physical substrate such as particles or other prepared surfaces. In a preferred embodiment, the antibody to the nucleated cell type is indirectly linked to the antibody specific for the erythrocytes by preparing a tetrameric antibody complex. A tetrameric antibody complex may be prepared by mixing a first monoclonal antibody which is capable of binding to the erythrocytes, and a second monoclonal antibody capable of binding the nucleated cells to be separated. The first and second monoclonal antibody are from a first animal species. The first and second antibody are reacted with approximately an equimolar amount of monoclonal antibodies of a second animal species which are directed against the Fc-fragments of the antibodies of the first animal species. The first and second antibody may also be reacted with an about equimolar amount of the F(ab′)2 fragments of monoclonal antibodies of a second animal species which are directed against the Fc-fragments of the antibodies of the first animal species. (See U.S. Pat. No. 4,868,109 to Lansdorp, which is incorporated herein by reference for a description of tetrameric antibody complexes and methods for preparing same).

[0053] Preferably, the antibody specific for the erythrocytes is anti-glycophorin A. The anti-glycophorin A antibodies contained in the antibody composition of the invention are used to bind the erythrocytes. Examples of monoclonal antibodies specific for glycophorin A are 10F7MN (U.S. Pat. No. 4,752,582, Cell lines: ATCC accession numbers HB-8162), and D2.10 (Immunotech, Marseille, France).

[0054] Preferably, the antibody specific for the nucleated cells is a combination of antibodies. The combination of antibodies may be specific for a number of cell types so that many cell types may be removed from the sample. When using a combination of antibodies, each antibody will be linked (either directly or indirectly) to an antibody specific for erythrocytes.

[0055] In a preferred embodiment, the antibody composition is a tetrameric complex comprising (a) anti-glycophorin A antibodies to bind the erythrocytes, (b) an antibody that binds to a nucleated cell type that one wishes to immunorosette and (c) antibodies that bind the Fc portion of both (a) and (b), optionally F(ab′)2 antibody fragments. The molar ratio of (a):(b):(c) may be approximately 1:3:4. When several types of cells are to be separated, complexes are made with several anti-nucleated cell antibodies (b). The complexes may then be mixed together to form an antibody composition for use in the method of the invention. FIG. 1 is a schematic diagram of a rosette formed by tetrameric antibody complexes.

[0056] Within the context of the present invention, antibodies are understood to include monoclonal antibodies and polyclonal antibodies, antibody fragments (e.g., Fab, and F(ab′)2), chimeric antibodies, bifunctional or bispecific antibodies and tetrameric antibody complexes. Antibodies are understood to be reactive against a selected antigen on the surface of a nucleated cell or erythrocyte if they bind with an appropriate affinity (association constant), e.g. greater than or equal to 107 M−1.

[0057] Monoclonal antibodies are preferably used in the antibody compositions of the invention. Monoclonal antibodies specific for selected antigens on the surface of nucleated cells may be readily generated using conventional techniques. For example, monoclonal antibodies may be produced by the hybridoma technique originally developed by Kohler and Milstein 1975 (Nature 256, 495-497; see also U.S. Pat. Nos. RE 32,011, 4,902,614, 4,543,439, and 4,411,993 which are incorporated herein by reference; see also Monoclonal Antibodies, Hybridomas: A New Dimension in Biological Analyses, Plenum Press, Kennett, McKearn, and Bechtol (eds.), 1980, and Antibodies: A Laboratory Manual, Harlow and Lane (eds.), Cold Spring Harbor Laboratory Press, 1988). Other techniques may also be utilized to construct monoclonal antibodies (for example, see William D. Huse et al., 1989, “Generation of a Large Combinational Library of the Immunoglobulin Repertoire in Phage Lambda,” Science 246:1275-1281, L. Sastry et al., 1989 “Cloning of the Immunological Repertoire in Escherichia coli for Generation of Monoclonal Catalytic Antibodies: Construction of a Heavy Chain Variable Region-Specific cDNA Library,” Proc Natl. Acad. Sci USA 86:5728-5732; Kozbor et al., 1983 Immunol. Today 4, 72 re the human B-cell hybridoma technique; Cole et al. 1985 Monoclonal Antibodies in Cancer Therapy, Allen R. Bliss, Inc., pages 77-96 re the EBV-hybridoma technique to produce human monoclonal antibodies; and see also Michelle Alting-Mees et al., 1990 “Monoclonal Antibody Expression Libraries: A Rapid Alternative to Hybridomas,” Strategies in Molecular Biology 3:1-9). Hybridoma cells can be screened immunochemically for production of antibodies specifically reactive with an antigen, and monoclonal antibodies can be isolated.

[0058] Antibodies can be fragmented using conventional techniques and the fragments screened for utility in the same manner as described above for whole antibodies. For example, F(ab′)2 fragments can be generated by treating antibody with pepsin. The resulting F(ab′)2 fragment can be treated to reduce disulfide bridges to produce Fab′ fragments.

[0059] The invention also contemplates chimeric antibody derivatives, i.e., antibody molecules that combine a non-human animal variable region and a human constant region. Chimeric antibody molecules can include, for example, the antigen binding domain from an antibody of a mouse, rat, or other species, with human constant regions. A variety of approaches for making chimeric antibodies have been described and can be used to make chimeric antibodies containing the immunoglobulin variable region which recognizes selected antigens on the surface of differentiated cells or tumor cells. See, for example, Morrison et al., 1985; Proc. Natl. Acad. Sci. U.S.A. 81,6851; Takeda et al., 1985, Nature 314:452; Cabilly et al., U.S. Pat. No. 4,816,567; Boss et al., U.S. Pat. No. 4,816,397; Tanaguchi et al., European Patent Publication EP171496; European Patent Publication 0173494, United Kingdom patent GB 2177096B.

[0060] Bifunctional antibodies may be prepared by chemical conjugation, somatic hybridization or genetic engineering techniques.

[0061] Chemical conjugation is based on the use of homo- and heterobifunctional reagents with E-amino groups or hinge region thiol groups. Homobifunctional reagents such as 5,5′-Dithiobis(2-nitrobenzoic acid)(DNTB) generate disulfide bonds between the two Fabs, and 0-phenylenedimaleimide (O-PDM) generate thioether bonds between the two Fabs (Brenner et al., 1985, Glennie et al., 1987). Heterobifunctional reagents such as N-succinimidyl-3-(2-pyridyldithio) propionate (SPDP) combine exposed amino groups of antibodies and Fab fragments, regardless of class or isotype (Van Dijk et al., 1989).

[0062] Somatic hybridization includes fusion of two established hybridomas generating a quadroma (Milstein and Cuello, 1983) or fusion of one established hybridoma with lymphocytes derived from a mouse immunized with a second antigen generating a trioma (Nolan and Kennedy, 1990). Hybrid hybridomas are selected by making each hybridoma cell line resistant to a specific drug-resistant marker (De Lau et al., 1989), or by labeling each hybridoma with a different fluorochrome and sorting out the heterofluorescent cells (Karawajew et al., 1987).

[0063] Genetic engineering involves the use of recombinant DNA based technology to ligate sequences of DNA encoding specific fragments of antibodies into plasmids, and expressing the recombinant protein. Bispecific antibodies can also be made as a single covalent structure by combining two single chains Fv (scFv) fragments using linkers (Winter and Milstein, 1991); as leucine zippers coexpressing sequences derived from the transcription factors fos and jun (Kostelny et al., 1992); as helix-turn-helix coexpressing an interaction domain of p53 (Rheinnecker et al., 1996), or as diabodies (Holliger et al., 1993).

[0064] Table 1 provides examples of antibodies to particular human antigens on nucleated cells that may be used in the method of the present invention. The method of the invention may also be used for other species. The choice of the antibody or antibodies to the nucleated cells will depend on the nature of the sample, the choice of the cells to be enriched or depleted and whether the method is a positive or negative selection protocol. In all cases, the antibody (or antibodies) to the nucleated cells to be immunorosetted will be linked, either directly or indirectly, to the antibody specific for the erythrocytes when used in the method of the invention.

[0065] The methods and antibody compositions of the invention are preferably used in negative selection protocols to prepare a cell preparation which is enriched for a specific cell type. This is achieved by using antibody compositions which lack antibodies to the specific cell type that you wish to isolate. Accordingly, the present invention provides an antibody composition for enriching and recovering desired cells in a sample containing desired cells, erythrocytes and undesired cells comprising (a) at least one antibody that binds to an antigen on the undesired cells linked to (b) at least one antibody that binds to the erythrocytes. Particular embodiments of the antibody compositions that may be used in negative selection protocols of the invention for human cells are set out in Table 2. This Table provides a list or cocktail of antibodies to particular antigens that can be used as antibody (a) in the above method to enrich for a particular cell type. In most cases, several choices for the essential antibodies are provided as well as several optional antibodies. For example, for enriching for T cells antibody (a) may be a cocktail of antibodies to (1) CD16 and/or CD66b and/or CD11b and/or CD15; (2) CD19 and/or CD20 and/or CD21 and/or CD22 and/or CD24 and/or Ig and/or CD72; and (3) CD36 and/or CD14. The cocktail may optionally include antibodies to CD33 and/or CD56 and/or IgE and/or CD41 and/or CD9. As another example, for enriching for non-hematopoietic cells antibody (a) may be a cocktail of antibodies to (1) CD45 and (2) CD66b and optionally CD36 and/or CD2 and/or CD3 and/or CD14 and/or CD16 and/or CD19 and/or CD38 and/or CD56 and/or CD66e. In a specific embodiment, the antibody composition for enriching for non-hematopoietic tumor cells comprises antibodies to CD45, CD66b and CD36 in addition to the antibodies that can bind the erythrocytes. In addition to the antibody combinations listed in Table 2, one skilled in the art will appreciate that other antibody combinations may be used to enrich for specific cell types such as those described in U.S. Pat. No. 5,877,299 which is incorporated herein by reference. As the invention relates to the preparation of immunorosettes to prepare enriched cell preparations, one skilled in the art will appreciate that other antibodies and antibody combinations may be used.

[0066] The methods and antibody compositions of the invention may be used in positive selection protocols to prepare a cell preparation in which the desired cells are immunorosetted. Some examples of antibody combinations useful in positive selection protocols are set out below.

[0067] To separate non-hematopoietic tumor cells in a positive selection protocol, the antibody composition includes antibodies specific for non-hematopoietic antigens expressed on tumor cells, such as antibodies against antigens expressed on the surface of breast and lung carcinoma and neuroblastoma cells. The antibodies to the non-hematopoietic antigens expressed on epithelial tumor cells may be obtained from commercial sources (for example as shown in Table 3) or prepared using techniques known in the art.

[0068] To separate B cells in a positive selection protocol, the antibody composition contains antibodies against CD24 and/or CD19 and/or CD20 and/or CD22.

[0069] To separate T cells in a positive selection protocol, the antibody composition contains antibodies against CD3 and/or CD2 and/or CD5 and/or both CD4 and CD8.

[0070] To separate NK cells in a positive selection protocol, the antibody composition contains antibodies against CD56.

[0071] To separate granulocytes in a positive selection protocol, the antibody composition contains antibodies against CD16 and/or CD66e and/or CD66b.

[0072] To separate monocytes in a positive selection protocol, the antibody composition contains antibodies against CD14.

[0073] III. Kits

[0074] The present invention also includes kits containing the antibody compositions of the invention for use in separating nucleated cells from a sample according to the method of the invention. The kit will include an antibody composition comprising: (a) at least one antibody that binds to an antigen on the nucleated cells linked to be separated; and (b) at least one antibody that binds to erythrocytes.

[0075] Preferably, the antibody specific for the erythrocytes is anti-glycophorin A. Preferably, the antibody specific for the nucleated cells is a combination of antibodies. Examples of combinations of antibodies that can be used are shown in Table 2. The kit will also include instructions for performing the method of the invention and reagents helpful in carrying out the process of the invention.

[0076] In one embodiment, the kit will also include an aggregating agent. Examples of aggregating agents listed in Table 19. In a specific embodiment, the aggregating agent is dextran or hetastarch.

[0077] In another embodiment, the kit will also include a specialized container. Examples of specialized containers are provided in Table 20.

[0078] In a preferred embodiment, the antibody composition is a tetrameric complex comprising: (a) an antibody to bind the erythrocytes (b) an antibody that binds to a nucleated cell type that one wishes to immunorosette and (c) antibodies that bind the Fc portion of both (a) and (b), optionally F(ab′)2 antibody fragments. The molar ratio of (a):(b):(c) may be approximately 1:3:4. When several types of cells are to be separated, complexes are made with several anti-nucleated cell antibodies (b). The complexes may then be mixed together to form an antibody composition for use in the method of the invention. FIG. 1 is a schematic diagram of a rosette formed by tetrameric antibody complexes.

[0079] In a preferred embodiment, the kit is used in a negative selection process wherein the antibodies to the nucleated cell are directed to antigens on the surface of the cell you wish to remove from the sample. This is described in greater detail hereinabove.

[0080] The following non-limiting examples are illustrative of the present invention:

EXAMPLES

Example 1

[0081] Preparation of Tetramers

[0082] In order to prepare a tetrameric antibody complex for use in the method of the present invention, the following protocol may be used: (a) take 1 mg of antibody specific for cells to be rosetted (e.g. anti-CD2, CD3, CD4, CD8, CD14, CD16, CD19 etc.); (b) add 3 mg anti-Glycophorin A antibody (against red blood cells); mix well (c) then add 4.0 mg of P9 antibody or 2.72 mg of the P9 F(ab′)2 antibody fragment. Incubate overnight at 37° C. The P9 antibody binds the Fc portion of the antibodies added in steps (a) and (b) resulting in a tetrameric antibody complex. For more information on the preparation of tetramers see U.S. Pat. No. 4,868,109 to Lansdorp, which is incorporated herein by reference. Tetrameric antibody complexes incorporating different antibodies to antigens expressed on nucleated cells are prepared separately and then mixed.

[0083] The antibody compositions are made by combining various tetrameric antibody complexes depending on which cells one wishes to deplete. The concentration of the various tetrameric antibody complexes varies: typically antibodies to antigens expressed on nucleated cells are at 10-30 μg/mL in tetrameric complexes. The composition is then diluted {fraction (1/10)} into the cells so the final concentrations of each anti nucleated cell antibody in the cell suspensions is 1.0-3.0 μg/mL.

Example 2

[0084] Method of Immunorosetting Using Ficoll Hypaque

[0085] A negative selection protocol for immunorosetting cells from whole peripheral blood using Ficoll Hypaque is set out below.

[0086] 1. Add 100 μL antibody composition per mL of whole peripheral blood.

[0087] 2. Incubate 20 minutes at room temperature.

[0088] 3. Dilute sample with an equal volume of phosphate buffered saline (PBS)+2% fetal calf serum (FCS) and mix gently.

[0089] 4. Layer the diluted sample on top of Ficoll Hypaque or layer the Ficoll underneath the diluted sample.

[0090] 5. Centrifuge for 20 minutes at 1200×g, room temperature, with the brake off.

[0091] 6. Remove the enriched cells from the Ficoll Hypaque:plasma interface.

[0092] 7. Wash enriched cells with 5-10× volume of PBS+2% FBS.

[0093] Note: For enrichment of monocytes and other adherent cells, add 1 mM EDTA to the sample of whole blood and to all wash/dilution solutions.

Example 3

[0094] Method of Immunorosetting Using Hetastarch Sedimentation

[0095] A negative selection protocol for immunorosetting cells from whole peripheral blood using hetastarch is set out below. Hetastarch is one of a number of compounds that increases red blood cell sedimentation rates through agglutination.

[0096] 1. Add 1 mL of 6% hetastarch in saline per 5 mL of blood and mix.

[0097] 2. Add antibody composition described in Example 1 to whole blood such that each anti-nucleated cell antibody is at a final concentration of 1.0-2.0 μg/mL.

[0098] 3. Incubate 10 minutes at room temperature.

[0099] 4. Centrifuge for 5 minutes at 50×g, room temperature.

[0100] 5. Remove supernatant. This fraction contains the enriched cells.

[0101] 6. Wash enriched cell fraction with 2-5× volume of PBS+2% fetal bovine serum (FBS).

Example 4

[0102] Method of Immunorosetting Using Hetastarch/Iodixanol Mixture

[0103] A negative selection protocol for immunorosetting cells from whole peripheral blood is set out below.

[0104] 1. Add 1 mL of 6% hetastarch in saline per 5 mL of blood and mix.

[0105] 2. Add 0.6 mL of 60% w/v iodixanol and mix. Iodixanol is one of a number of compounds that increases the aqueous solution density appreciably.

[0106] 3. Add antibody composition described in Example 1 to whole blood such that each anti-nucleated cell antibody is at a final concentration of 1.0-2.0 μg/mL.

[0107] 4. Incubate 10 minutes at room temperature.

[0108] 5. Centrifuge for 5 minutes at 50×g, room temperature.

[0109] 6. Remove supernatant. This fraction contains the enriched cells.

[0110] 7. Wash enriched cell fraction with 2-5× volume of PBS+2% FBS.

Example 5

[0111] Method of Immunorosetting—Positive Selection

[0112] A positive selection protocol for immunorosetting cells from whole peripheral blood is set out below.

[0113] 1. Set aside 1 mL of blood.

[0114] 2. Layer 10 mL of blood over Ficoll Hyaque and centrifuge for 20 minutes at 1200×g, room temperature, brake off.

[0115] 3. Recover the MNC layer at the Ficoll Hypaque:plasma interface, wash with PBS+2% FBS.

[0116] 4. Count cells and resuspend at 1×108/mL.

[0117] 5. Measure sample volume, designated volume A.

[0118] 6. Add 0.2 mL of reserved blood from Step 1.

[0119] 7. Make up total volume to twice volume A with PBS+2% FBS.

[0120] 8. Add a tetrameric antibody complex specific to a given antigen at a final concentration of 1.0 μg/mL, the synthesis of which is described in Example 1.

[0121] 9. Incubate 20 minutes at room temperature.

[0122] 10. Dilute by a factor of 2 with PBS+2% FBS and layer over Percoll prepared at a density of 1.085 g/mL and an osmolarity of 280 mOsm.

[0123] 11. Centrifuge for 20 minutes at 1200×g as in Step 2.

[0124] 12. Discard supernatant and resuspend pellet containing the enriched cells.

[0125] 13. Lyse red blood cells with ammonium chloride solution and wash with PBS+2% FBS.

Example 6

[0126] Enrichment of T Cells—Immunorosetting Using Ficoll

[0127] This example demonstrates the enrichment of T cells from whole peripheral blood using the method described in Example 2. A T cell enrichment cocktail of tetrameric antibody complexes containing antibodies against CD16, CD19, CD36 and CD56 was prepared. The results, shown in Table 4, demonstrate that the method of the invention results in 95% purity of T cells with a recovery of close to 50%.

Example 7

[0128] Enrichment of CD8+ T Cells—Immunorosetting Using Ficoll

[0129] This example demonstrates the enrichment of CD8+ T cells from whole peripheral blood using the method described in Example 2. Two cocktails of tetrameric antibody complexes were tested. One cocktail contained antibodies against CD4, CD16, CD19, CD36 and CD56 the other contained antibodies to CD4, CD16, CD19, CD36, CD56 and IgE. The results, shown in Table 5, demonstrate that the addition of anti IgE to the cocktail improves the purity of CD8+ T cells with no effect on recovery.

Example 8

[0130] Enrichment of CD4+ T Cells—Immunorosetting Using Ficoll

[0131] This example demonstrates the enrichment of CD4+ T cells from whole peripheral blood using the method described in Example 2. Two CD4 T cell enrichment cocktails of tetrameric antibody complexes were prepared. One cocktail contained antibodies to CD8, CD16, CD19, CD36 and CD56. The other cocktail contained antibodies to CD8, CD16, CD19, CD36, CD56 and IgE. The results, shown in Table 6, demonstrate that the method of the invention results in 93% purity of CD4+ T cells with a recovery of 46% and that addition of anti-IgE to the enrichment cocktail improves the purity of CD4+ T cells.

Example 9

[0132] Enrichment of B Cells—Immunorosetting Using Ficoll

[0133] This example demonstrates the enrichment of B cells from whole peripheral blood using the method described in Example 2. Two B cell enrichment cocktails of tetrameric antibody complexes were prepared. One cocktail contained antibodies to CD2, CD3, CD16, CD36 and CD56. The other cocktail contained antibodies to CD2, CD3, CD16, CD36, CD56 and IgE. The results, shown in Table 7, demonstrate that the method of the invention results in 88% purity of B cells with a recovery of 43% and that addition of anti-IgE to the cocktail improves the purity of B cells.

Example 10

[0134] Enrichment of NK Cells—Immunorosetting Using Ficoll

[0135] This example demonstrates the enrichment of NK cells from whole peripheral blood using the method described in Example 2. Two NK cell enrichment cocktails of tetrameric antibody complexes were prepared. One cocktail contained antibodies to CD3, CD4, CD19, CD66b and CD36. The other cocktail contained antibodies to CD3, CD4, CD19, CD66b, CD36 and IgE. The results, shown in Table 8, demonstrate that the method of the invention results in 74% purity of NK cells with a recovery of 44% and that the addition of anti-IgE to the cocktail improves purity but decreases recovery.

Example 11

[0136] Enrichment of Progenitors

[0137] This example demonstrates the enrichment of progenitor cells from whole umbilical cord blood using the method described in Example 2. Two different cocktails of tetrameric antibody complexes were used;

[0138] (a) the progenitor enrichment cocktail containing tetrameric antibody complexes to CD2, CD3, CD14, CD16, CD19, CD24, CD56 and CD66b;

[0139] (b) the de-bulking cocktail containing tetrameric antibody complexes to CD2, CD14, CD19 and CD66b.

[0140] The results, shown in Table 9, demonstrate that the method of the invention results in 29% purity of CD34+ cells with a recovery of 53% for the extensive progenitor enrichment cocktail and only 5% purity and 45% recovery for the four antibody de-bulking cocktail.

Example 12

[0141] Enrichment of Monocytes—Immunorosetting Using Ficoll

[0142] This example demonstrates the enrichment of monocytes from whole peripheral blood using the method described in Example 2. Several monocyte enrichment cocktails of tetrameric antibody were prepared (see Table 10). The results shown in Table 10 demonstrate that the method of the invention results in 76% purity of CD14+ cells with 65% recovery of CD14+ cells and that the addition of anti CD8 or anti-IgE improved the purity of monocytes but adding both anti-CD8 and IgE did not have an additive effect.

Example 13

[0143] Enrichment of Non-Hematopoietic Tumor Cells

[0144] This example demonstrates the enrichment of breast cancer cells from whole peripheral blood using the method described in Example 2. Cells from the CAMA breast cancer cell line were seeded into samples of whole peripheral blood at a frequency of 1/103, 1/104 and 1/105. Four tumor cell enrichment cocktails of tetrameric antibody complexes were prepared. The antibody composition of the cocktails is listed in Table 11. The results, shown in Table 12, demonstrate that the method of the invention results in greater than 2 log enrichment of tumor cells with 20-50% recovery of tumor cells. The more extensive cocktail offers a greater degree of tumor cell enrichment.

[0145] The results shown in Table 13, demonstrate the effect of adding anti-CD36 to the tumor enrichment cocktails. Cells from the CAMA breast cancer cell line were seeded into samples of previously frozen peripheral blood mononuclear cell to a concentration of 1.4 CAMA cells per 1,000 nucleated cells. Addition of anti-CD36 to a cocktail containing anti-CD45 and anti-CD66b improved the log enrichment of CAMA cells from 2.6 log to 2.7 log and the purity of CAMA cells from 58% to 77%. However, neither the log enrichment or purity reached the levels attained with the extensive cocktail.

Example 14

[0146] T Cell Enrichment—Effect of Substituting Anti-CD14 with Anti-CD36

[0147] This example demonstrates the improved T cell enrichment from whole peripheral blood using the method described in Example 2 when the enrichment cocktail is modified by substituting anti-CD36 for anti-CD14. The results in Table 14 show a 24% increase in %purity of CD3+ cells with the antibody substitution.

Example 15

[0148] Enrichment of Specific Cell Populations Using Hetastarch Sedimentation

[0149] This example demonstrates the enrichment of various cell populations from whole peripheral blood using the method described in Example 3.

[0150] A T cell enrichment cocktail of tetrameric antibody complexes containing antibodies against CD16, CD19, CD36 and CD56 was prepared. The method of the invention results in greater than 95% purity of T cells, with a recovery of 60%.

[0151] A B cell enrichment cocktail of tetrameric antibody complexes containing antibodies against CD2, CD3, CD16, CD36 and CD56 was prepared. The method of the invention results in 75% purity of B cells, with a recovery of 39%.

[0152] A NK cell enrichment cocktail of tetrameric antibody complexes containing antibodies against CD3, CD4, CD19, CD36 and CD66b was prepared. The method of the invention results in 65% purity of NK cells, with a recovery of 27%.

Example 16

[0153] Enrichment of Specific Cell Populations Using Hetastarch/Iodixanol Mixture

[0154] This example demonstrates the enrichment of various cell populations from whole peripheral blood using the method described in Example 4. The results, listed in Table 15, are summarized as follows.

[0155] A T cell enrichment cocktail of tetrameric antibody complexes containing antibodies against CD16, CD19, CD36 and CD56 was prepared. The method of the invention results in 95% purity of T cells, with a recovery of 61%.

[0156] A CD4+ T cell enrichment cocktail of tetrameric antibody complexes containing antibodies against CD8, CD16, CD 19, CD36 and CD56 was prepared. The method of the invention results in 89% purity of CD4+ T cells, with a recovery of 64%.

[0157] A CD8+ T cell enrichment cocktail of tetrameric antibody complexes containing antibodies against CD4, CD16, CD 19, CD36 and CD56 was prepared. The method of the invention results in 80% purity of CD8+ T cells, with a recovery of 43%.

[0158] A B cell enrichment cocktail of tetrameric antibody complexes containing antibodies against CD2, CD3, CD16, CD36 and CD56 was prepared. The method of the invention results in 84% purity of B cells, with a recovery of 58%.

[0159] A NK cell enrichment cocktail of tetrameric antibody complexes containing antibodies against CD3, CD4, CD 19, CD36 and CD66b was prepared. The method of the invention results in 80% purity of NK cells, with a recovery of 50%.

Example 17

[0160] Immunorosetting Using Different Layering Media

[0161] This example demonstrates that the method of Example 2 can be modified by substituting different media for Ficoll-Hypaque in Step 4. The density of Ficoll was 1.077 g/mL and the osmolarity was approximately 300 mOsm. Percoll and lodixanol solutions were prepared with a density of 1.085 g/mL and an osmolarity of 280 mOsm. A B cell enrichment cocktail containing antibody complexes against CD2, CD3, CD16, CD36 and CD56 was prepared.

[0162] The results of B cell enrichments for two separate samples, shown in Table 16, demonstrate that the use of different layering media at a higher density can increase the recovery of B cells without lowering the B cell purity.

Example 18

[0163] Purging of T Cells Using Immunorosettes

[0164] This example demonstrates the removal of T cells from whole peripheral blood using the method described in Example 2. A T cell purging cocktail of tetrameric antibody complexes to CD3 was prepared. The method of the invention resulted in 2.3 log depletion of CD3+ cells.

Example 19

[0165] Purging of B Cells Using Immunorosettes

[0166] This example demonstrates the removal of B cells from whole peripheral blood using the method described in Example 2. A B cell purging cocktail of tetrameric antibody complexes to CD19 was prepared. The method of the invention resulted in 3.0 log depletion of CD19+ cells.

Example 20

[0167] Purging of Breast Carcinoma Cells Using Immunorosetting

[0168] This example demonstrates the removal of breast carcinoma cells from whole peripheral blood seeded with 1-5% CAMA breast carcinoma cells using the method described in Example 2. A purging cocktail of tetrameric antibody complexes containing anti-breast carcinoma antibodies 5E11 and BRST 1 was prepared. The results shown in Table 17 demonstrate the method of the invention results in 1.0-1.4 log depletion of breast carcinoma cells.

Example 21

[0169] Removal of Granulocytes from Previously Stored Whole Peripheral Blood

[0170] The density of granulocytes in samples of whole peripheral blood decreases with >24 hours of storage. Density separation methods commonly used to remove red cells and granulocytes from fresh whole blood do not efficiently remove granulocytes from stored blood samples. The sedimentation rate of stored granulocytes can be increased to allow efficient removal in a standard Ficoll density separation (1.077 g/mL) by immunorosetting. This example demonstrates the removal of granulocytes from stored (48 hour) whole peripheral blood using the method described in Example 2. A granulocyte depletion cocktail containing tetrameric antibody complexes against CD66b was prepared. The results, shown in Table 18, demonstrate that the method of the invention results in 1.8-2.6 log depletion of granulocytes.

Example 22

[0171] Positive Selection of Specific Cell Populations Using Immunorosetting

[0172] This example demonstrates the enrichment of CD8+ cells from whole peripheral blood using the positive selection method described in Example 5. A tetrameric antibody complex against CD8 was prepared. The method of the invention results in the enrichment of CD8+ cells as a percentage of the mononuclear cell fraction from 25% in the start to 32% in the pellet.

Example 23

[0173] Method of Immunorosetting using Dendreon Tube

[0174] A negative selection protocol for immunorosetting cells from whole peripheral blood using density separation with FicollHypaque and a specialized tube (Dendreon) is set out below. The Dendreon tube is a standard 50 mL polypropylene centrifuge tube with an insert specially designed for use with discontinuous density gradient separation that allows the user to remove the cells at the Ficoll Hypaque:plasma interface by pouring off the tube. The tube is described in U.S. Pat. No. 5,840,502.

[0175] 1. Add 15 mL of Ficoll-Paque to the Dendreon tube

[0176] 2. Centrifuge for 5 minutes at 1200 rpm; the Ficoll Hypaque should fill the volume below the insert.

[0177] 3. Add 50 μL antibody composition per mL of whole peripheral blood

[0178] 4. Incubate 20 minutes at room temperature.

[0179] 5. Dilute blood sample with an equal volume of phosphate buffered saline (PBS)+2% fetal bovine serum (FBS) and mix gently.

[0180] 6. Pour or layer the diluted blood sample on top of Ficoll Hypaque.

[0181] 7. Centrifuge for 20 minutes at 1200×g, room temperature, with the brake off.

[0182] 8. Remove the enriched cells from the Ficoll: plasma interface by pipetting off interface or pouring off volume above tube insert.

[0183] 9. Wash enriched cells with 5-10× volume of PBS+2% FBS.

Example 24

[0184] Method of Immunorosetting using Vacutainer CPT

[0185] A negative selection protocol for immunorosetting cells from whole peripheral blood using centrifugation in a specialized blood collection tube (“Vacutainer CPT”) is set out below.

[0186] 1. Add 50 μL antibody composition per mL of whole peripheral blood collected in the Vacutainer CPT.

[0187] 2. Incubate 20 minutes at room temperature.

[0188] 3. Centrifuge for 20 minutes at 1600×g, room temperature, with the brake off.

[0189] 4. Remove the enriched cells from above the gel insert, washing the insert to remove all the enriched cells.

[0190] 5. Wash enriched cells with 5-10× volume of PBS+2% FBS.

[0191] Note: For enrichment of monocytes and other adherent cells, add 1 mM EDTA to the sample of whole blood and to all wash/dilution solutions.

Example 25

[0192] Method of Immunorosetting using Vacutainer CPT and Diluted Peripheral Blood

[0193] A negative selection protocol for immunorosetting cells from whole peripheral blood using centrifugation in a specialized blood collection tube (“Vacutainer CPT”) is set out below.

[0194] 1. Collect a maximum of 4 mL of whole peripheral blood in the Vacutainer CPT.

[0195] 2. Add 50 μL antibody composition per mL of whole peripheral blood collected in the Vacutainer CPT.

[0196] 3. Incubate 20 minutes at room temperature.

[0197] 4. Add a volume of PBS+2% FBS equal to the initial blood volume and invert to mix.

[0198] 5. Centrifuge for 20 minutes at 1600×g, room temperature, with the brake off.

[0199] 6. Remove the enriched cells from above the gel insert, washing the insert to remove all the enriched cells.

[0200] 7. Wash enriched cells with 5-10× volume of PBS+2% FBS.

[0201] Note: For enrichment of monocytes and other adherent cells, add 1 mM EDTA to the sample of whole blood and to all wash/dilution solutions.

Example 26

[0202] Method of Immunorosetting Using Uni-Sep Tubes

[0203] A negative selection protocol for immunorosetting cells from whole peripheral blood using centrifugation in a Uni-Sep tube containing a filter disc and Ficoll Hypaque is set out below.

[0204] 1. Add 50 μL antibody composition per mL of whole peripheral blood.

[0205] 2. Incubate 20 minutes at room temperature.

[0206] 3. Add 4 mL of Ficoll Hypaque to empty Uni-Sep tube and centrifuge it through the filter disc.

[0207] 4. Dilute sample with an equal volume of phosphate buffered saline (PBS)+2% fetal bovine serum (FBS) and mix gently.

[0208] 5. Gently pour the diluted sample into the Uni-Sep tube.

[0209] 6. Centrifuge for 20 minutes at 1200×g, room temperature, with the brake off.

[0210] 7. Pour off the enriched cells.

[0211] 8. Wash enriched cells with 5-10× volume of PBS=2% FBS.

[0212] Note: For enrichment of monocytes and other adherent cells, add 1 mM EDTA to the sample of whole blood and to all wash/dilution solutions.

Example 27

[0213] Enrichment of CD8+ T Cells—Immunorosetting Using Dendreon

[0214] Tubes or Standard Falcon V-bottom Centrifuge Tubes This example compares the enrichment of CD8+ T cells from whole peripheral blood using the methods described in Example 2 and 23. A T cell enrichment cocktail of tetrameric antibody complexes containing antibodies against CD4, CD16, CD19, CD36, and CD56 was prepared. The results, shown in Table 21, demonstrate that the cell separation efficiency was equivalent in the two different types of tubes.

Example 28

[0215] Enrichment of T Cells—Immunorosetting Using Vacutainer CPT or Standard Falcon V-Bottom Centrifuge Tubes

[0216] This example demonstrates the enrichment of T cells from whole peripheral blood using the methods described in Examples 2 and 24. A T cell enrichment cocktail of tetrameric antibody complexes containing antibodies against CD16, CD19, CD36, and CD56 was prepared. The results, shown in Table 22, demonstrate that the cell separation efficiency was equivalent in the two different types of tubes.

Example 29

[0217] Enrichment of B Cells—Immunorosetting Using Uni-Sep Tubes or Standard Falcon V-Bottom Centrifuge Tubes

[0218] This example demonstrates the enrichment of B cells from whole peripheral blood using the methods described in Examples 2 and 26. A B cell enrichment cocktail of tetrameric antibody complexes containing antibodies against CD2, CD3, CD16, CD36, and CD56 was prepared. The results, shown in Table 23, demonstrate that the method of the invention can be performed in either type of tube. The recovery of CD19+ cells was higher with the standard tube.

[0219] While the present invention has been described with reference to what are presently considered to be the preferred examples, it is to be understood that the invention is not limited to the disclosed examples. To the contrary, the invention is intended to cover various modifications and equivalent arrangements included within the spirit and scope of the appended claims.

[0220] All publications, patents and patent applications are herein incorporated by reference in their entirety to the same extent as if each individual publication, patent or patent application was specifically and individually indicated to be incorporated by reference in its entirety.

TABLE 1
Antibodies used in Cell Separation
Antigen	Antibody	Source
CCR5	BLR-7	R&D, Minneapolis, MN
CD2	6F10.3	IMMUNOTECH, Marseille, France
	MT910	Dako, Carpinteria, CA
CD3	UCHT1	IMMUNOTECH, Marseille, France
	SK7	Becton Dickinson Immunocytometry,
		Mountain View, Calif.
CD4	13B8.2	Becton Dickinson Immunocytometry,
		Mountain View, Calif.
CD5	UCHT2	Serotec, Raleigh, NC
CD8	B911	Becton Dickinson Immunocytometry,
	OKT3	Mountain View, Calif.
		BioDesigns
CD9	M-L13	Becton Dickinson Immunocytometry,
		Mountain View, Calif.
CD10	ALB1	IMMUNOTECH, Marseille, France
CD11b	ICRF44	Pharmingen, San Diego, CA
CD14	MEM 15	Exbio, Praha, Czech Republic
	MEM 18
CD15	DU-HL60-3	Sigma, St. Louis, MO
CD16	MEM 154	Exbio, Praha, Czech Republic
	3G8	IMMUNOTECH, Marseille, France
	NKP15	Becton Dickinson Immunocytometry,
		Mountain View, Calif.
CD19	J4.119	IMMUNOTECH, Marseille, France
	4G7	Becton Dickinson Immunocytometry,
	HD37	Mountain View, Calif.
		Dako, Carpinteria, CA
CD20	MEM97	Exbio, Praha, Czech Republic
	L27	Becton Dickinson Immunocytometry,
		Mountain View, Calif.
CD21	B-Ly4	Pharmingen, San Diego, CA
CD22	HIB22	Pharmingen, San Diego, CA
CD24	32D 12	Dr. Steinar Funderud, Institute for Cancer
	ALB9	Research, Dept. of Immunology, Oslo,
		Norway IMMUNOTECH, Marseille, France
CD25	3G10	Caltag, Burlingame, CA
CD27	1A4CD27	IMMUNOTECH, Marseille, France
CD29	Lia1.2	IMMUNOTECH, Marseille, France
CD33	D3HL60.251	IMMUNOTECH, Marseille, France
CD34	581	IMMUNOTECH, Marseille, France
CD36	FA6.152	IMMUNOTECH, Marseille, France
	IVC7	CLB, Central Laboratory of the Netherlands,
		Red Cross Blood Transfusion Service
CD38	T16	IMMUNOTECH, Marseille, France
CD41	PI1.64	Kaplan, 5th International
		Workshop on Human
		Leukocyte Differentiation Antigens
	SZ22	IMMUNOTECH, Marseille, France
CD42a	BebI	Becton Dickinson Immunocytometry,
		Mountain View, Calif.
CD45	J33	IMMUNOTECH, Marseille, France
	MEM28	Exbio, Praha, Czech Republic
CD45RA	8D2.2	Craig et al. 1994, StemCell Technologies,
	L48	Vancouver, Canada
		Becton Dickinson Immunocytometry,
		Mountain View, Calif.
CD45RO	UCHL1	Dako, Carpinteria, CA
CD56	T199	IMMUNOTECH, Marseille, France
	MY31	Becton Dickinson Immunocytometry,
		Mountain View, Calif.
CD66e	CLB/gran10	CLB, Central Laboratory of the Netherlands,
		Red Cross Blood Transfusion Service
CD66b	B13.9	CLB, Central Laboratory of the Netherlands,
		Red Cross Blood Transfusion Service
	80H3	IMMUNOTECH, Marseille, France
CD69	L78	BD Biosciences, San Jose, CA
CD71	My29	Zymed Laboratories, San Francisco, CA
CD72	J4-117	Becton Dickinson Immunocytometry,
		Mountain View, Calif.
CD124	S456C9	IMMUNOTECH, Marseille, France
HLADR	IMMU357.12	IMMUNOTECH, Marseille, France
IgA1	NiF2	IMMUNOTECH, Marseille, France
IgE	G7-18	Pharmingen, San Diego, CA
IgG	8A4	IMMUNOTECH, Marseille, France
TCRαβ	WT31	BD Biosciences, San Jose, CA
TCRγδ	Immu510	IMMUNOTECH, Marseille, France

[0221]

TABLE 2
Immunorosetting Cocktails of Antibodies
for Negative Selection of Human Cells
T Cell Enrichment
Anti-
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
Resting T Cell Enrichment
Anti-
HLA-DR and/or CD25, CD69
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
γδ T Cell Enrichment
Anti-
αβTCR
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
αβT Cell Enrichment
Anti-
γδTCR
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
CD4+ T Cell Enrichment
Anti-
CD8
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
Naïve CD4+ T Cell Enrichment
Anti-
CD8
CD45RO and/or CD29
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
Memory CD4+ T Cell Enrichment
Anti-
CD8
CD45RA
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
Resting CD4+ T Cell Enrichment
Anti-
CD8
HLA-DR and/or CD25, CD69
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
CD4+ αβT Cell Enrichment
Anti-
γδTCR
CD8
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
TH1 CD4+ T Cell Enrichment
Anti-
CD8
CD124
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
TH2 CD4+ T Cell Enrichment
Anti-
CD8
CCR5
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
CD8+ T Cell Enrichment
Anti-
CD4
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
Naïve CD8+ T Cell Enrichment
Anti-
CD4
CD45RO and/or CD29
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
Memory CD8+ T Cell Enrichment
Anti-
CD4
CD45RA
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
Resting CD8+ T Cell Enrichment
Anti-
CD4
HLA-DR and/or CD25, CD69, CD27
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
CD8+ αβT Cell Enrichment
Anti-
γδTCR
CD4
CD16 and/or CD66b, CD11b, CD15
CD19 and/or CD20, CD21, CD22, CD24, Ig, CD72
CD36 and/or CD14
and optionally anti-CD33, CD56, IgE, CD41, CD9
B Cell Enrichment
Anti-
CD2 and/or CD3, both CD4 and CD8
CD16 and/or CD66b, CD11b, CD15
CD36 and/or CD14
and optionally anti-CD33, CD56, CD41
NK Cell Enrichment
Anti-
CD3
CD66b and/or CD15
CD19 and/or CD20, CD21, CD22, CD24,CD72
CD36 and/or CD14
and optionally anti-CD33, CD4, IgE, CD41, CD9
Monocyte Enrichment
Anti-
CD2 and/or CD3, CD5
CD19 and/or CD20, CD21, CD22, CD24, CD72
CD66b and/or CD16
and optionally anti-CD8, CD56
Dendritic Cell Enrichment
Anti-
CD3
CD14
CD16
CD19
CD34
CD56
CD66b
Basophil Enrichment
Anti-
CD2
CD3
CD14
CD15
CD16
CD19
CD24
CD34
CD36
CD56
CD45RA
Progenitor Enrichment
Anti-
CD2 and/or CD3
CD16 and/or CD66b
CD19 and/or CD24
CD14
and optionally anti- CD56, CD10, CD45RA, CD38, CD36, CD33,
CD71, CD72, CD9
Erythroid Progenitor Enrichment
Anti-
CD2 and/or CD3
CD16 and/or CD66b
CD19 and/or CD24
CD14
CD45RA
CD33
CD10
and optionally anti- CD56
Myeloid Progenitor Enrichment
Anti-
CD2 and/or CD3
CD16 and/or CD66b
CD19 and/or CD24
CD14
CD71
CD10
and optionally anti- CD56
Megakaryocyte Progenitor Enrichment
Anti-
CD2 and/or CD3
CD16 and/or CD66b
CD19 and/or CD24
CD14
CD45RA
CD10
and optionally anti- CD56
Epithelial Tumor Cell Enrichment
Anti-
CD45
CD66b
and optionally CD36, CD2, CD3, CD14, CD16, CD19, CD38, CD56,
CD66e

[0222]

TABLE 3
Antibodies Recognizing Non-Hematopoietic
Antigens Expressed on Epithelial Tumor Cells
Specificity	Antibody	Antigen	Supplier/Developer
Epithelial cell	BerEp4	ESA, (Epithelial	DAKO
markers		Specific Antigen) (also
		known as HEA)
	HEA125	ESA	Serotec, Cymbus,
			Pierce, RDI,
			Biodesign
	VU-1D9	ESA	Cymbus
	GP1.4	EMA, (Epithelial	IMMUNOTECH,
		Membrane	Marseille, France
		Antigen)(also known
		as PEM/Episialin, a
		sialomucin)
	VU-4H5	EMA	Neomarkers
	MC.5	EMA	Biogenex, also
			Biodesign
	B24.1	EMA	Biomeda
	E29	EMA	DAKO
	H11	EGFR	DAKO
	RAR9941	epithelial glycoprotein	Baxter, Germany
	RAR9948	epithelial glycoprotein	Baxter, Germany
Carcinoma	CU-18	BCA 225 (Breast	ID Labs
(breast,		carcinoma associated
cervical,		antigen)
ovarian, lung,
endometrial)
Carcinoma	115D8	Carcinoma	Biogenex,
		associated antigen	Biodesign
Adenocarcin	B72.3	TAG-72 (Tumour	ID Labs, Biogenex,
omas		associated	Signet
		glycoprotein)
Adenocarcin	B6.2	Unknown, breast	Biogenex
omas,		cancer marker
mammary &
lung
carcinomas
Breast	5E11	unknown, breast	STI
Carcinoma		carcinoma
	6E7	unknown, breast	STI
		carcinoma
	H23A	unknown, breast	STI
		carcinoma
	CA27.29	MAM-6, mucin	Cedarlane
	SM-3	milk mucin core	Cymbus, Biodesign,
		antigen	Imperial Cancer
			Research Fund
	DF3	CA 15-3 (breast	ID Labs
		tumour marker)
	552	CA 15-3	Biodesign
	695	CA 15-3	Biodesign
	RAR9938	c-erb B2	Baxter, Germany
	C13B5	c-erb B2	IMMUNOTECH,
			Marseille, France,
			also Biogenex
Lung	MOC-1	Small cell lung	ICN Biomed, also
		carcinoma	Biodesign
	MOC-21	Small cell lung	ICN Biomed, also
		carcinoma	Biodesign
	MOC-31	Small cell lung	ICN Biomed, also
		carcinoma	Biodesign
	MOC-32	Small cell lung	ICN Biomed, also
		carcinoma	Biodesign
	MOC-52	Small cell lung	ICN Biomed, also
		carcinoma	Biodesign
	TFS-4	Small cell lung	Biodesign
		carcinoma
Melanoma	NKI/C3	Melanoma associated	ICN Biomed, also
		antigen	Biodesign
	NKI/M6	Melanoma associated	Biodesign
		antigen
	PAL-MI	Melanoma associated	ICN Biomed, also
		antigen	Biodesign
	HMB45	Melanoma cells	Biodesign
Ovarian	185	CA-125 (ovarian	ICN Biomed, also
tumour		tumour marker)	Biodesign
	OV-632	Ovarian cancinoma	ICN Biomed, also
		marker	Biodesign
Gastro-	CA 19-9	GI tumour marker	ICN Biomed, also
Intestinal			Biodesign
Cancer
	CA 242	GI cancer	BioDesign
Renal Cell	RC38	Renal Cell Carcinoma	Biodesign
Carcinoma
Ewing's	O13		Signet
Sarcoma
Ewing's	CC49	on human	Signet
Sarcoma		adenocarcinomas
Neuroblastoma	UJ13A	unknown	Hurko and Walsh
			(1983)
			Neurology 33:734
	UJ181.4	unknown	Hurko and Walsh
			(1983)
			Neurology 33:734
	UJ223.8	unknown	Hurko and Walsh
			(1983)
			Neurology 33:734
	UJ127.11	unknown	Hurko and Walsh
			(1983)
			Neurology 33:734
	5.1.H11	unknown	Hurko and Walsh
			(1983)
			Neurology 33:734
	390,459	unknown	R.C. Seeger, L. A.
			Children's Hospital,
			Calif.
	BA-1.2	unknown	R.C. Seeger, L. A.
			Children's Hospital,
			Calif.
	HSAN 1.2	unknown	Reynolds and Smith
			(1982)
			Hybridomas in
			Cancer p235

[0223]

TABLE 4
T Cell Enrichment - Immunorosetting Using Ficoll
	Purity	mean	95
		SD	4
		n	19
	Recovery	mean	46
		SD	12
		n	19
	SD = Standard deviation from the mean
	Purity = % CD3+ cells
	Recovery = Recovery of CD3+ cells

[0224]

TABLE 5
CD8+ T Cell Enrichment - Immunorosetting Using Ficoll
			% Purity ±	% Recovery ±
	Cocktail	n	1SD	1SD
	CD4, CD16, CD19,	19	76 ± 8	44 ± 19
	CD36, CD56
	CD4, CD16, CD19,	5	81 ± 4	45 ± 37*
	CD36, CD56, IgE
	SD = Standard Deviation from the mean
	Purity = % CD8+ cells
	Recovery = % Recovery of CD8+ cells
	*n = 4

[0225]

TABLE 6
CD4+ T Cell Enrichment - Immunorosetting Using Ficoll
			% Purity ±	% Recovery ±
	Cocktail	n	1SD	1SD
	CD8, CD16, CD19,	19	89 ± 4	57 ± 22
	CD36, CD56
	CD8, CD16, CD19,	7	93 ± 3	46 ± 10*
	CD36, CD56, IgE
	SD = Standard Deviation from the mean
	Purity = % CD4+ cells
	Recovery = % Recovery of CD4+ cells
	*n = 5

[0226]

TABLE 7
B Cell Enrichment - Immunorosetting Using Ficoll
			% Purity ±	% Recovery ±
	Cocktail	n	1SD	1SD
	CD2, CD3, CD16,	22	72 ± 15	61 ± 27
	CD36, CD56
	CD2, CD3, CD16,	5	88 ± 7	43 ± 18
	CD36, CD56, IgE
	SD = Standard Deviation from the mean
	Purity = % CD19+ cells
	Recovery = % Recovery of CD19+ cells

[0227]

TABLE 8
NK Cell Enrichment - Immunorosetting Using Ficoll
			% Purity ±	% Recovery ±
	Cocktail	n	1SD	1SD
	CD3, CD4, CD19,	15	74 ± 10	44 ± 19
	CD66b, CD36
	CD3, CD4, CD19,	6	88 ± 4	27 ± 20
	CD66b, CD36, IgE
	SD = Standard Deviation from the mean.
	Purity = % CD56+ cells
	Recovery = % recovery CD56+ cells

[0228]

TABLE 9
Enrichment of CD34+ cells from Whole Cord Blood -
Immunorosetting Using Ficoll
			% Purity ±	% Recovery ±
	Cocktail	n	1SD	1SD
	Progenitor	15	29 ± 9	53 ± 29
	Enrichment
	Debulking	8	5 ± 1	45 ± 20
	Purity = % CD34+ cells
	Recovery = % recovery CD34+ cells
	SD = Standard Deviation from the mean

[0229]

TABLE 10
Monocyte Enrichment - Immunorosetting Using Ficoll
			% Purity ±	% Recovery ±
	Cocktail	n	1SD	1SD
	CD2, CD3, CD19,	8	71 ± 7	63 ± 28
	CD56, CD66b
	CD2, CD3, CD19,	5	76 ± 1.5	65 ± 28
	CD56, CD66b, CD8
	CD2, CD3, CD19,	6	77 ± 4	58 ± 24
	CD56, CD66b, IgE
	CD2, CD3, CD19,	4	76 ± 3	64 ± 26
	CD56, CD66b, IgE,
	CD8
	CD2, CD3, CD19,	1	76	64
	CD56, CD66b,
	CD16
	CD2, CD3,	1	73	41
	CD19, CD56,
	CD66b, CD20
	Purity = % Purity CD14+ cells
	Recovery = % Recovery CD14+ cells

[0230]

TABLE 11
Antibody Composition of Tumor Enrichment Cocktails
Cocktail           Antibodies in Cocktail
CD45 alone         CD45
CD45 and CD66b     CD45, CD66b
CD45, CD66b and    CD45, CD66b, CD36
CD36
Extensive cocktail CD45, CD2, CD16, CD19, CD36, CD38,
                   CD66b

[0231]

TABLE 12
Enrichment of CAMA Breast Cancer Cells from Whole Blood
	Starting frequency (CAMA)
	1/103	1/104	1/105	1/103	1/104	1/105	1/103	1/104	1/105
	% Purity of CAMA	Log Enrichment of	% Recovery of CAMA
Enriched	Cells	CAMA Cells	Cells
CD45	4 ± 2	5 ± 2	0.5 ± 0.4	1.4 ± 0.3	2.2 ± 0.3	2.3 ± 0.4	10 ± 3	26 ± 7	55 ± 36
alone	(n = 4)	(n = 7)	(n = 3)	(n = 4)	(n = 7)	(n = 3)	(n = 4)	(n = 5)	(n = 2)
CD45	27 ± 4	3.2 ± 0.6	0.5 ± 0.1	2.4 ± 0.1	2.5 ± 0.1	2.7 ± 0.1	15 ± 2	12 ± 1	22 ± 4
and 66b	(n = 6)	(n = 6)	(n = 5)	(n = 6)	(n = 6)	(n = 5)	(n = 6)	(n = 5)	(n = 5)
Extensive	65 ± 8	26 ± 8	3 ± 1	2.8 ± 0.1	3.2 ± 0.2	3.2 ± 0.3	38 ± 8	49 ± 14	33 ± 7
Cocktail	(n = 9)	(n = 9)	(n = 6)	(n = 9)	(n = 9)	(n = 6)	(n = 7)	(n = 5)	(n = 5)

[0232]

TABLE 13
The Effects of Anti-CD36 Antibody in the Epithelial
Tumour Enrichment Cocktail
	% Purity CAMA	% Recovery CAMA	Log Enrichment
Cocktail	Cells	Cells	CAMA cells
none - Ficoll	0.6	20	0.6
alone
CD45,	58	11	2.6
CD66b
CD45,	77	18	2.7
CD66b,
CD36
Extensive	90	17	2.8
Cocktail

[0233]

TABLE 14
T Cell Enrichment - Immunorosetting Using Ficoll
			Cocktail with	Cocktail with
		n	CD14 ± 1SD	CD36 ± 1SD
Purity	3	80 ± 10	94 ± 5
Recovery	3	56 ± 12	42 ± 10
SD = Standard Deviation from the mean
Purity = % Purity CD3+ cells
Recovery = % Recovery CD3+ cells

[0234]

TABLE 15
Immunorosetting Using Hetastarch/Iodixanol Mixture
	Cell Type	Purity	Recovery
	Enriched	mean	SD	n	mean	SD	n
	T cells	95%	3%	3	61%	9%	3
	CD4+ cells	89%	5%	2	64%	5%	2
	CD8+ cells	80%	8%	2	43%	1%	2
	B cells	84%	8%	5	58%	26%	5
	NK cells	80%	15%	4	50%	23%	4
	SD = Standard Deviation from the mean
	Purity = % Purity desired cell type (T cells = CD3+ cells, CD4+ cells, CD8+ cells, B cells = CD19+ cells, NK cells = CD56+ cells)
	Recovery = % Recovery of desired cells

[0235]

TABLE 16
Immunorosetting Using Different Layering Media
B Cell Enrichment
Media	Ficoll	Percoll	Iodixanol
Sample 1 (in triplicate)
Purity ± 1SE	82 ± 2.9	81 ± 1.4	86 ± 2.7
Recovery ± 1SE	78 ± 6.0	110 ± 3	104 ± 10
Sample 2 (in triplicate)
Purity ± 1SE	71 ± 1.2	77 ± 1.5	81 ± 2.4
Recovery ± 1SE	49 ± 8	78 ± 3	64 ± 1
SE = Standard Error of the mean
Purity = % Purity of CD19+ cells
Recovery = % Recovery of CD19+ cells

[0236]

TABLE 17
Purging of Breast Carcinoma Cells Using Immunorosetting
	Sample 1	Sample 2
	Log depletion of CAMA	1.4, 1.4	1.1, 1.0
	cells

[0237]

TABLE 18
Removal of Granulocytes from Stored Whole Peripheral Blood
	Immunorosetting	Ficoll alone
	% Granulocytes in light	1.1, 1.4, 0.7, 0.4	20.9, 18.0
	density fraction
	Immunorosetting = Method outlined in Example 2, with depletion cocktail containing anti-CD66b
	Ficoll alone = Standard Ficoll density separation without immunorosetting

[0238]

TABLE 19
Examples of Red Cell Aggregating Agents
	Product
Compound	Name	Supplier
Dextran	Dextran	Pharmacia Corporation, North Peapak,
		NJ
Hetastarch	Hespan	Biotime, Berkely, CA
Penta starch	Pentaspan	Bristol Myers Squibb Pharma Co. New
		York, NY
Polysucrose	Ficoll	Pharmacia Corporation, North Peapack,
		NJ
Methycellulose	Methocel	Sigma, St. Louis, NO

[0239]

TABLE 20
Specialized Containers for the Density Separation or Selective
Sedimentation of Cells
Vacutainer CPT
Supplier:    Becton-Dickinson
Location:    Franklin Lakes, NJ
Cat No:      362753
Description: evacuated blood collection tube containing an anti-
             coagulant (sodium Heparin in this case) with a Ficoll
             Hypaque density fluid and a thixotropic polyester gel
             barrier which separates the two liquids.
Uni-Sep
Distributor: Accurate Chemical and Scientific Corporation
Location:    Westbury NY
Producer:    NovaMed Ltd.
Location:    Jerusalem, Israel
Cat No.:     NVU-03
Description: plastic centrifuge tube containing a plastic filter disk,
             called “separation device”, partway up the tube.
             Available containing a buoyant density solution or
             unfilled. Unfilled tubes must first be centrifuged with a
             buoyant density medium to fill them, prior to layering on
             the blood.
Dendreon Tubes and Containers
Supplier:    Dendreon
Location:    Seattle WA
50 mL Dendreon Tube
Description: standard 50 mL centrifuge tube with a funnel-shaped
             insert with a central orifice. The tube is partially filled
             with a buoyant density medium to a level above the
             insert. “During centrifugation, cells of high density
             migrate through the density solution and roll down the
             slope of the insert into the lower compartment where
             they collect in the pellet. After centrifugation, the cells at
             the interface are collected by inverting the centrifugation
             tube. During inversion, an air-lock established tat the
             orifice due to the surface tension of the density medium.
             This air-lock is sufficiently strong to retain the cells in the
             lower compartment of the tube and to prevent the mixing
             of the cells from the pellet with those from the interface
             during collection.” (typed verbatim from “Cell Separation
             Methods and Applications, Eds. Diether Recktenwald,
             AmCell Corporation, Sunnyvale, CA, and Andreas
             Radbruch, Deutsches Rheuma-Forschungszentrum
             Berlin, Berlin c. 1998).
Clinical device called DACS ® SC or DACS ™ 300
Buoyant Density Solution 60 (BDS60) Stem Cell Enrichment Device
Supplier:    Charter Medical, Winston-Salem, NC
Description: A sealed cylindrical container with in-put and exit ports
             with a funnel-shaped insert with a central orifice. The
             container is partially filled with a buoyant density
             medium to a level above the insert. The device consists
             of a two-chamber separation container with two ports
             and a filtered air vent. The device is sold as a product
             containing a buoyant density solution and also includes
             three tubing sets for transfer of samples to and from the
             separation container. The cell suspension is layered
             over the buoyant density solution and centrifuged to
             separate cells based upon their relative buoyant
             densities. After centrifugation, desired cells (CD34+
             cells) are found in the interface in the upper chamber
             whereas cells with a higher density sediment to the
             bottom in the lower chamber. The upper and lower
             chambers are separated by an airlock that prevents
             drainage of the pellet when the device is inverted to
             recover the desired cells after centrifugation. D
             Przepiorka et al., Cytotherapy (1999) Vol. 2, 111-117.

[0240]

TABLE 21
CD8+ T Cell Enrichment - Immunorosetting Using
Dendreon Tubes or Standard Falcon Centrifuge Tubes
	Dendreon	Dendreon	Standard	Standard
	purity	recovery	purity	recovery
	49	88	49	87
	Purity = % CD8+ cells
	Recovery = % Recovery of CD8+ cells

[0241]

TABLE 22
T Cell Enrichment - Immunorosetting Using Vacutainer CPT or
Standard Falcon Centrifuge Tubes
	CPT	CPT	Standard	Standard
	Purity	Recovery	Purity	Recovery
Mean	93	62	96	50
SD	4	18	2	8
n = 6
SD = standard deviation from the mean
Purity = % CD3+ cells
Recovery = % Recovery of CD3+ cells

[0242]

TABLE 23
B Cell Enrichment - Immunorosetting Using Uni-Sep Tubes or
Standard Falcon Centrifuge Tubes
	Uni-Sep	Uni-Sep	Standard	Standard
	purity	recovery	Purity	recovery
	98	45	97	97
	Purity = % CD19+ cells
	Recovery = % Recovery of CD19+ cells

FULL CITATIONS FOR REFERENCES REFERRED TO IN THE SPECIFICATION

[0243] 1. Braun et al., N. Engl. J. Med., 342:525-533.

[0244] 2. Brenner, M. B., Trowbridge, I. S., Strominger, J. L., 1985, Cell 40:183-190.

[0245] 3. De Lau, W. B., Van Loon, A. E., Heije, K., Valerio, D., Bast, B. J., 1989, J. Immunol. Methods, 117:1-8.

[0246] 4. deWynter, E. A. et al., 1975, Stem Cells, Vol. 13:524-532.

[0247] 5. Firat et al., 1988, Bone Marrow Transplantation, Vol. 21:933-938.

[0248] 6. Glennie, M. J., McBride, H. M., Worth, A. T., Stevenson, G. T., 1987, J. Immunol., 139:2367-2375.

[0249] 7. Holliger, P., Prospero, T., Winter, G., 1993, Proc. Natl. Acad. Sci. USA, 90:6444-6448.

[0250] 8. Karawajew, L., Micheel, B., Behrsing, O., Gaestel, M., 1987, J. Immunol. Methods 96:265-270.

[0251] 9. Kostelny, S. A., Cole, M. S., Tso, J. Y., 1992, J. Immunol. 148:1547-1553.

[0252] 10. Kohler and Milstein, 1975, Nature 256, 495-497.

[0253] 11. Milstein, C., Cuello, A. C., 1983, Nature, 305:537-540.

[0254] 12. Nolan, O., Kennedy, O. R., 1990, Biochem. Biophys. Acta, 1040:1-11.

[0255] 13. Perez et al., 1985, Nature 316:354.

[0256] 14. Przepiorka, D., et al. 1999, Cytotherapy. 2:111-117.

[0257] 15. Rheinnecker et al., 1996, J. Immunol. 157:2989-2997.

[0258] 16. Roboredo, N. M. et al., 2000, Bone Marrow Transplantation. 26:1263-1270

[0259] 17. Shpall, E. J., et al. 1994, J. of Clinical Oncology 12:28-36.

[0260] 18. Slaper-Cortenbach, Ineke C. M., et al., 1990, Exp. Hematol. 18:49-54.

[0261] 19. Staerz & Bevan, 1986, PNAS (USA) 83: 1453.

[0262] 20. Staerz & Bevan, 1986, Immunology Today, 7:241.

[0263] 21. Staerz et al., 1985, Nature, 314:628.

[0264] 22. Thomas, T. E., 1994, Cancer Research, Therapy and Control 4(2): 119-128.

[0265] 23. Van Dijk, J. et al., 1989, Int. J. Cancer 44:738-743.

[0266] 24. Vaughan et al., 1990, Proc. Am. Soc. Clin. Oncol. 9:9.

[0267] 25. Winter, G., Milstein, C., 1991, Nature, 349:293-299.

Claims

1. A negative selection method for enriching and recovering desired cells in a sample containing the desired cells, erythrocytes and undesired cells comprising: (1) contacting the sample with an antibody composition comprising (a) at least one antibody that binds to an antigen on the undesired cells linked, either directly or indirectly, to (b) at least one antibody that binds to the erythrocytes, under conditions to allow immunorosettes of the undesired cells and the erythrocytes to form; and (2) separating the immunorosettes from the sample to obtain a sample enriched in the desired cells.

2. A method according to claim 1 further comprising adding an aggregating agent in step (1).

3. A method according to claim 2 wherein the aggregating agent is dextran.

4. A method according to claim 2 wherein the aggregating agent is hetastarch.

5. A method according to claim 1 wherein antibody (b) comprises anti-glycophorin A antibody.

6. A method according to claim 1 wherein the immunorosettes are separated in step (2) in a specialized container.

7. A method according to claim 6 wherein the specialized container contains an insert which forms a barrier between sedimented immunorosettes and the rest of the sample.

8. A method according to claim 7 wherein the insert is a gel, plug, screen or funnel.

9. A method according to claim 6 wherein the specialized container is an evacuated blood collection tube containing anti-coagulant, buoyant density medium and a thixotropic gel.

10. A method according to claim 2 wherein the antibody (b) that binds to the erythrocyte is anti-glycophorin A.

11. A method according to claim 2 wherein the antibody composition comprises tetrameric antibody complexes comprising (a) an antibody that binds to the antigen on the undesired cells; and (b) an antibody that binds to the erythrocytes; and (c) two antibodies that bind to the Fc fragment of the antibodies defined in (a) and (b), wherein the antibodies in (a) and (b) are of the same animal species and the antibodies in (c) are of a different animal species from the antibodies in (a) and (b).

12. A method according to claim 6 wherein the antibody composition comprises tetrameric antibody complexes comprising (a) an antibody that binds to the antigen on the undesired cells; and (b) an antibody that binds to the erythrocytes; and (c) two antibodies that bind to the Fc fragment of the antibodies defined in (a) and (b), wherein the antibodies in (a) and (b) are of the same animal species and the antibodies in (c) are of a different animal species from the antibodies in (a) and (b).

13. An antibody composition for separating nucleated cells in a sample comprising (a) at least one antibody that binds to an antigen on the nucleated cells linked, either directly or indirectly to (b) at least one antibody that binds to erythrocytes.

14. An antibody composition according to claim 13, further comprising an aggregating agent.

15. An antibody composition according to claim 14 wherein the aggregating agent comprises dextran.

16. An antibody composition according to claim 14 wherein the aggregating agent comprises hetastarch.

17. An antibody composition according to claim 14 wherein antibody (b) comprises anti-glycophorin A antibody.

18. An antibody composition according to claim 14 wherein the antibody composition comprises tetrameric antibody complexes comprising (a) an antibody that binds to the antigen on the undesired cells; and (b) an antibody that binds to the erythrocytes; and (c) two antibodies that bind to the Fc fragment of the antibodies defined in (a) and (b), wherein the antibodies in (a) and (b) are of the same animal species and the antibodies in (c) are of a different animal species from the antibodies in (a) and (b).

19. A kit for separating nucleated cells from a sample comprising: (1) an antibody composition comprising (a) at least one antibody that binds to an antigen on the nucleated cells to be separated, and (b) at least one antibody that binds to erythrocytes.

20. A kit according to claim 19 further comprising an aggregating agent.

21. A kit according to claim 20 wherein the aggregating agent is dextran or hetastarch.

22. A kit according to claim 19 further comprising a specialized tube.

23. A kit according to claim 22 wherein the specialized tube contains an insert which forms a barrier between sedimented immunorosettes and the rest of the sample.

24. A kit according to claim 23 wherein the insert is a gel, plug, screen or funnel.

25. A kit according to claim 24 wherein the specialized tube is an evacuated blood collection tube containing anti-coagulant, buoyant density medium and a thixotropic gel.