Enhanced efficacy and reduced toxicity of multifactorial adjuvants compared with unitary adjuvants as cancer vaccines

CL Ahonen, A Wasiuk, S Fuse, MJ Turk… - Blood, The Journal …, 2008 - ashpublications.org
CL Ahonen, A Wasiuk, S Fuse, MJ Turk, MS Ernstoff, AA Suriawinata, JD Gorham, RM Kedl
Blood, The Journal of the American Society of Hematology, 2008ashpublications.org
Identification of Toll-like receptors (TLRs) and their ligands, and tumor necrosis factor–tumor
necrosis factor receptor (TNF-TNFR) pairs have provided the first logical, hypothesis-based
strategies to molecularly concoct adjuvants to elicit potent cell-mediated immunity via
activation of innate and adaptive immunity. However, isolated activation of one immune
pathway in the absence of others can be toxic, ineffective, and detrimental to long-term,
protective immunity. Effective engineered vaccines must include agents that trigger multiple …
Abstract
Identification of Toll-like receptors (TLRs) and their ligands, and tumor necrosis factor–tumor necrosis factor receptor (TNF-TNFR) pairs have provided the first logical, hypothesis-based strategies to molecularly concoct adjuvants to elicit potent cell-mediated immunity via activation of innate and adaptive immunity. However, isolated activation of one immune pathway in the absence of others can be toxic, ineffective, and detrimental to long-term, protective immunity. Effective engineered vaccines must include agents that trigger multiple immunologic pathways. Here, we report that combinatorial use of CD40 and TLR agonists as a cancer vaccine, compared with monotherapy, elicits high frequencies of self-reactive CD8+ T cells, potent tumor-specific CD8+ memory, CD8+ T cells that efficiently infiltrate the tumor-burdened target organ; therapeutic efficacy; heightened ratios of CD8+ T cells to FoxP3+ cells at the tumor site; and reduced hepatotoxicity. These findings provide intelligent strategies for the formulation of multifactorial vaccines to achieve maximal efficacy in cancer vaccine trials in humans.
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