Stable, multi-lineage donor chimerism in MHC-matched MCM post-allogeneic HSCT. a Longitudinal white blood cell (WBC), T cell, and platelet absolute counts in recipient macaques 33454 and 34666. Immune conditioning regimens are indicated in top panels (Bu = busulfan, TBI = total body irradiation, CD3-IT = CD3-immunotoxin). Normal WBC reference range = 5,600–184,000/μl; normal platelet reference range = 134,000–564,000/μl. Shaded gray boxes in a, b indicate tacrolimus treatment period. b, c Donor chimerism levels as measured by Illumina sequencing genomic DNA across SNPs differing between donor and recipient. Specific populations were isolated by flow cytometric cell sorting of ACK-treated whole blood prior to genomic DNA extraction. Longitudinal whole blood (WB), granulocyte, and T cell donor chimerism levels shown in b. Timepoints of donor lymphocyte infusions (DLIs) into 33454 are indicated with arrows in b (bottom panel); DLI #1 = 1 × 107 CD3+ cells/kg, DLI #2 = 5 × 107 CD3+ cells/kg, DLI #3 = 5 × 107 CD3+ cells/kg. Comprehensive immune cell subset donor chimerism levels in whole blood (top) and lymph node (bottom) shown in c, measured 428 days (33454) or 193 days (34666) post-HSCT. N.D. = not determined due to insufficient cell numbers. d Mixed lymphocyte reactions assessing levels of CD4+ and CD8+ T cell alloreactivity in recipient macaques 33454 and 34666 post-HSCT (354 and 298 days post-HSCT, respectively). Plots display proliferation of CFSE-labeled recipient T cells in response to irradiated donor or pre-HSCT recipient cells, as measured by frequency of CFSE-lo cells. Plots are gated on live, CD3+ singlets, and either CD4+ or CD8+ cells. Recipient cells cultured alone (no stim) or with SEB served as negative and positive controls, respectively.