Vaccination with Irradiated Autologous Melanoma Cells Engineered to Secrete Human Granulocyte--Macrophage Colony-Stimulating Factor Generates Potent Antitumor Immunity in Patients with Metastatic Melanoma

We conducted a Phase I clinical trial investigating the biologic activity of vaccination with irradiated autologous melanoma cells engineered to secrete human granulocyte--macrophage colony-stimulating factor in patients with metastatic melanoma. Immunization sites were intensely infiltrated with T...

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Veröffentlicht in:Proceedings of the National Academy of Sciences - PNAS 1998-10, Vol.95 (22), p.13141-13146
Hauptverfasser: Soiffer, Robert, Lynch, Thomas, Mihm, Martin, Jung, Ken, Rhuda, Catherine, Schmollinger, Jan C., Hodi, F. Stephen, Liebster, Laura, Lam, Prudence, Mentzer, Steven, Singer, Samuel, Tanabe, Kenneth K., Cosimi, A. Benedict, Duda, Rosemary, Sober, Arthur, Bhan, Atul, Daley, John, Neuberg, Donna, Parry, Gordon, Rokovich, Joseph, Richards, Laurie, Drayer, Jan, Berns, Anton, Clift, Shirley, Cohen, Lawrence K., Mulligan, Richard C., Dranoff, Glenn
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container_end_page 13146
container_issue 22
container_start_page 13141
container_title Proceedings of the National Academy of Sciences - PNAS
container_volume 95
creator Soiffer, Robert
Lynch, Thomas
Mihm, Martin
Jung, Ken
Rhuda, Catherine
Schmollinger, Jan C.
Hodi, F. Stephen
Liebster, Laura
Lam, Prudence
Mentzer, Steven
Singer, Samuel
Tanabe, Kenneth K.
Cosimi, A. Benedict
Duda, Rosemary
Sober, Arthur
Bhan, Atul
Daley, John
Neuberg, Donna
Parry, Gordon
Rokovich, Joseph
Richards, Laurie
Drayer, Jan
Berns, Anton
Clift, Shirley
Cohen, Lawrence K.
Mulligan, Richard C.
Dranoff, Glenn
description We conducted a Phase I clinical trial investigating the biologic activity of vaccination with irradiated autologous melanoma cells engineered to secrete human granulocyte--macrophage colony-stimulating factor in patients with metastatic melanoma. Immunization sites were intensely infiltrated with T lymphocytes, dendritic cells, macrophages, and eosinophils in all 21 evaluable patients. Although metastatic lesions resected before vaccination were minimally infiltrated with cells of the immune system in all patients, metastatic lesions resected after vaccination were densely infiltrated with T lymphocytes and plasma cells and showed extensive tumor destruction (at least 80%), fibrosis, and edema in 11 of 16 patients examined. Antimelanoma cytotoxic T cell and antibody responses were associated with tumor destruction. These results demonstrate that vaccination with irradiated autologous melanoma cells engineered to secrete granulocyte--macrophage colony-stimulating factor stimulates potent antitumor immunity in humans with metastatic melanoma.
doi_str_mv 10.1073/pnas.95.22.13141
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Although metastatic lesions resected before vaccination were minimally infiltrated with cells of the immune system in all patients, metastatic lesions resected after vaccination were densely infiltrated with T lymphocytes and plasma cells and showed extensive tumor destruction (at least 80%), fibrosis, and edema in 11 of 16 patients examined. Antimelanoma cytotoxic T cell and antibody responses were associated with tumor destruction. 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Stephen ; Liebster, Laura ; Lam, Prudence ; Mentzer, Steven ; Singer, Samuel ; Tanabe, Kenneth K. ; Cosimi, A. 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source Jstor Complete Legacy; MEDLINE; PubMed Central; Alma/SFX Local Collection; Free Full-Text Journals in Chemistry
subjects Biological Sciences
Cancer
Cancer Vaccines - adverse effects
Cytokines - biosynthesis
Cytokines - blood
Dendritic Cells - immunology
Dendritic Cells - pathology
Eosinophils
Eosinophils - immunology
Eosinophils - pathology
Genetic Engineering
Granulocyte-Macrophage Colony-Stimulating Factor - biosynthesis
Granulocyte-Macrophage Colony-Stimulating Factor - genetics
Humans
Hypersensitivity, Delayed
Immunization
Immunology
Lesions
Lymphocytes
Lymphocytes - immunology
Lymphocytes, Tumor-Infiltrating - immunology
Lymphocytes, Tumor-Infiltrating - pathology
Macrophages - immunology
Macrophages - pathology
Melanoma
Melanoma - immunology
Melanoma - pathology
Melanoma - therapy
Metastasis
Neoplasm Metastasis
Plasma cells
T lymphocytes
T-Lymphocytes - immunology
T-Lymphocytes - pathology
Transplantation, Autologous
Tumors
Vaccination
Vaccines
title Vaccination with Irradiated Autologous Melanoma Cells Engineered to Secrete Human Granulocyte--Macrophage Colony-Stimulating Factor Generates Potent Antitumor Immunity in Patients with Metastatic Melanoma
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