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A therapeutic cancer vaccine delivers antigens and adjuvants to lymphoid tissues using genetically modified T cells
Joshua R. Veatch, Naina Singhi, Shivani Srivastava, Julia L. Szeto, Brenda Jesernig, Sylvia M. Stull, Matthew Fitzgibbon, Megha Sarvothama, Sushma Yechan-Gunja, Scott E. James, Stanley R. Riddell
Joshua R. Veatch, Naina Singhi, Shivani Srivastava, Julia L. Szeto, Brenda Jesernig, Sylvia M. Stull, Matthew Fitzgibbon, Megha Sarvothama, Sushma Yechan-Gunja, Scott E. James, Stanley R. Riddell
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Research Article Immunology

A therapeutic cancer vaccine delivers antigens and adjuvants to lymphoid tissues using genetically modified T cells

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Abstract

Therapeutic vaccines that augment T cell responses to tumor antigens have been limited by poor potency in clinical trials. In contrast, the transfer of T cells modified with foreign transgenes frequently induces potent endogenous T cell responses to epitopes in the transgene product, and these responses are undesirable, because they lead to rejection of the transferred T cells. We sought to harness gene-modified T cells as a vaccine platform and developed cancer vaccines composed of autologous T cells modified with tumor antigens and additional adjuvant signals (Tvax). T cells expressing model antigens and a broad range of tumor neoantigens induced robust and durable T cell responses through cross-presentation of antigens by host DCs. Providing Tvax with signals such as CD80, CD137L, IFN-β, IL-12, GM-CSF, and FLT3L enhanced T cell priming. Coexpression of IL-12 and GM-CSF induced the strongest CD4+ and CD8+ T cell responses through complimentary effects on the recruitment and activation of DCs, mediated by autocrine IL-12 receptor signaling in the Tvax. Therapeutic vaccination with Tvax and adjuvants showed antitumor activity in subcutaneous and metastatic preclinical mouse models. Human T cells modified with neoantigens readily activated specific T cells derived from patients, providing a path for clinical translation of this therapeutic platform in cancer.

Authors

Joshua R. Veatch, Naina Singhi, Shivani Srivastava, Julia L. Szeto, Brenda Jesernig, Sylvia M. Stull, Matthew Fitzgibbon, Megha Sarvothama, Sushma Yechan-Gunja, Scott E. James, Stanley R. Riddell

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Figure 2

Syngeneic Tvax cells traffic to secondary lymphoid tissues and prime CD8+ T cell responses by cross-presentation on host DCs.

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Syngeneic Tvax cells traffic to secondary lymphoid tissues and prime CD8...
(A) Immunohistochemistry of spleens and lymph nodes from control mice and mice that received Tvax expressing GFP. T cells were injected i.v., and 48 hours later, spleens and lymph nodes were harvested and stained for GFP by immunohistochemistry. Original magnification, ×20. (B) Tvax cells were created from WT (no antigen) or full-length OVA-expressing donor mice and labeled with CellTrace Violet (CTV), and 2 × 106 cells were transferred i.v. into mice. The percentage Tvax cells as a fraction of CD3+ T cells in spleen and lymph nodes was measured by flow cytometry in mice sacrificed at the indicated time points (n = 4 per group). Error bars represent the SEM. (C) Staining of tCD19 and SIINFEKL-H-2Kb on T cells from WT and B2m–/– donor mice transduced with tCD19-OVA-LLO190. (D) Tvax cells from WT and B2m–/– donors were injected into mice, and the percentage of antigen-specific cells in the blood was measured by tetramer staining. (n = 10). (E) Schematic of dye transfer experiment to determine DC uptake of Tvax cells. (F) Splenic DCs were enriched by negative immunomagnetic selection 48 hours after injection of DiI-labeled Tvax cells, and DiI uptake by CD11chiPDCA– cells was measured in CD8a+ and CD8a– cell subsets by flow cytometry. (G) Naive OT-I CD8+ T cells were labeled with CFSE and incubated with CD11chiDiI+ and DiI– cells sorted by FACS from mice 48 hours after vaccination. CFSE dilution (left panel) and CD44 expression (right panel) in OT-I T cells was measured 4 days later by flow cytometry. Results are representative of 3 biological replicates from 2 independent experiments. *P < 0.0001, by Mann-Whitney U test.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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