[PDF][PDF] Adoptive T cell therapy targeting different gene products reveals diverse and context-dependent immune evasion in melanoma

M Effern, N Glodde, M Braun, J Liebing, HN Boll… - Immunity, 2020 - cell.com
M Effern, N Glodde, M Braun, J Liebing, HN Boll, M Yong, E Bawden, D Hinze…
Immunity, 2020cell.com
Tumor immune escape limits durable responses to T cell therapy. Here, we examined how
regulation and function of gene products that provide the target epitopes for CD8+ T cell anti-
tumor immunity influence therapeutic efficacy and resistance. We used a CRISPR-Cas9-
based method (CRISPitope) in syngeneic melanoma models to fuse the same model CD8+
T cell epitope to the C-termini of different endogenous gene products. Targeting
melanosomal proteins or oncogenic CDK4 R24C (Cyclin-dependent kinase 4) by adoptive …
Summary
Tumor immune escape limits durable responses to T cell therapy. Here, we examined how regulation and function of gene products that provide the target epitopes for CD8+ T cell anti-tumor immunity influence therapeutic efficacy and resistance. We used a CRISPR-Cas9-based method (CRISPitope) in syngeneic melanoma models to fuse the same model CD8+ T cell epitope to the C-termini of different endogenous gene products. Targeting melanosomal proteins or oncogenic CDK4R24C (Cyclin-dependent kinase 4) by adoptive cell transfer (ACT) of the same epitope-specific CD8+ T cells revealed diverse genetic and non-genetic immune escape mechanisms. ACT directed against melanosomal proteins, but not CDK4R24C, promoted melanoma dedifferentiation, and increased myeloid cell infiltration. CDK4R24C antigen persistence was associated with an interferon-high and T-cell-rich tumor microenvironment, allowing for immune checkpoint inhibition as salvage therapy. Thus, the choice of target antigen determines the phenotype and immune contexture of recurrent melanomas, with implications to the design of cancer immunotherapies.
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