Human umbilical cord blood (CB) is increasingly used as an alternative
to bone marrow as a source of stem and progenitor cells for pediatric
patients. We have evaluated the alloreactive potential of cord blood
T cells in vitro. Our findings demonstrate that in a primary mixed leu
kocyte culture CB T cells demonstrate strong proliferative responses t
o allogeneic stimulation but little to no generation of cytotoxic effe
ctor function, Furthermore, restimulation of primary cultures results
in a state of proliferative unresponsiveness. Such diminished cytotoxi
c and proliferative responses may, in part, be related to the low inci
dence of graft vs. host disease thus far noted in human CB transplants
,