CD40 activation in vivo overcomes peptide-induced peripheral cytotoxic T-lymphocyte tolerance and augments anti-tumor vaccine efficacy

L Diehl, AT den Boer, SP Schoenberger… - Nature medicine, 1999 - nature.com
L Diehl, AT den Boer, SP Schoenberger, EIH van der Voort, TNM Schumacher, CJM Melief
Nature medicine, 1999nature.com
The outcome of antigen recognition by naive CD8+ cytotoxic T lymphocytes (CTLs) in the
periphery is orchestrated by CD4+ T-helper cells, and can either lead to priming or
tolerization. The presence of T-helper cells favors the induction of CTL immunity, whereas
the absence of T-helper cells can result in CTL tolerance. The action of T helper cells in CTL
priming is mediated by CD40–CD40 ligand interactions. We demonstrate here that
triggering of CD40 in vivo can considerably enhance the efficacy of peptide-based anti …
Abstract
The outcome of antigen recognition by naive CD8+ cytotoxic T lymphocytes (CTLs) in the periphery is orchestrated by CD4+ T-helper cells, and can either lead to priming or tolerization. The presence of T-helper cells favors the induction of CTL immunity, whereas the absence of T-helper cells can result in CTL tolerance. The action of T helper cells in CTL priming is mediated by CD40–CD40 ligand interactions. We demonstrate here that triggering of CD40 in vivo can considerably enhance the efficacy of peptide-based anti-tumor vaccines. The combination of a tolerogenic peptide vaccine containing a minimal essential CTL epitope with an activating antibody against CD40 converts tolerization into strong CTL priming. Moreover, CD40 ligation can provide an already protective tumor-specific peptide vaccine with the capacity to induce therapeutic CTL immunity in tumor-bearing mice. These findings indicate that the CD40–CD40 ligand pair can act as a'switch', determining whether naive peripheral CTLs are primed or tolerized, and support the clinical use of CD40-stimulating agents as components of anti-cancer vaccines.
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