Dendritic Cells Enhance Polyfunctionality of Adoptively Transferred T Cells That Target Cytomegalovirus in Glioblastoma

Median survival for glioblastoma (GBM) remains

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Veröffentlicht in:Cancer research (Chicago, Ill.) Ill.), 2018-01, Vol.78 (1), p.256-264
Hauptverfasser: Reap, Elizabeth A, Suryadevara, Carter M, Batich, Kristen A, Sanchez-Perez, Luis, Archer, Gary E, Schmittling, Robert J, Norberg, Pamela K, Herndon, 2nd, James E, Healy, Patrick, Congdon, Kendra L, Gedeon, Patrick C, Campbell, Olivia C, Swartz, Adam M, Riccione, Katherine A, Yi, John S, Hossain-Ibrahim, Mohammed K, Saraswathula, Anirudh, Nair, Smita K, Dunn-Pirio, Anastasie M, Broome, Taylor M, Weinhold, Kent J, Desjardins, Annick, Vlahovic, Gordana, McLendon, Roger E, Friedman, Allan H, Friedman, Henry S, Bigner, Darell D, Fecci, Peter E, Mitchell, Duane A, Sampson, John H
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container_issue 1
container_start_page 256
container_title Cancer research (Chicago, Ill.)
container_volume 78
creator Reap, Elizabeth A
Suryadevara, Carter M
Batich, Kristen A
Sanchez-Perez, Luis
Archer, Gary E
Schmittling, Robert J
Norberg, Pamela K
Herndon, 2nd, James E
Healy, Patrick
Congdon, Kendra L
Gedeon, Patrick C
Campbell, Olivia C
Swartz, Adam M
Riccione, Katherine A
Yi, John S
Hossain-Ibrahim, Mohammed K
Saraswathula, Anirudh
Nair, Smita K
Dunn-Pirio, Anastasie M
Broome, Taylor M
Weinhold, Kent J
Desjardins, Annick
Vlahovic, Gordana
McLendon, Roger E
Friedman, Allan H
Friedman, Henry S
Bigner, Darell D
Fecci, Peter E
Mitchell, Duane A
Sampson, John H
description Median survival for glioblastoma (GBM) remains
doi_str_mv 10.1158/0008-5472.CAN-17-0469
format Article
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Human cytomegalovirus (CMV) antigens have been identified in GBM but not normal brain, providing an unparalleled opportunity to subvert CMV antigens as tumor-specific immunotherapy targets. A recent trial in recurrent GBM patients demonstrated the potential clinical benefit of adoptive T-cell therapy (ATCT) of CMV phosphoprotein 65 (pp65)-specific T cells. However, analyses from this study found no change in the capacity of CMV pp65-specific T cells to gain multiple effector functions or polyfunctionality, which has been associated with superior antitumor efficacy. Previous studies have shown that dendritic cells (DC) could further enhance tumor-specific CD8 T-cell polyfunctionality when administered as a vaccine. Therefore, we hypothesized that vaccination with CMV pp65 RNA-loaded DCs would enhance the frequency of polyfunctional CMV pp65-specific CD8 T cells after ATCT. Here, we report prospective results of a pilot trial in which 22 patients with newly diagnosed GBM were initially enrolled, of which 17 patients were randomized to receive CMV pp65-specific T cells with CMV-DC vaccination (CMV-ATCT-DC) or saline (CMV-ATCT-saline). Patients who received CMV-ATCT-DC vaccination experienced a significant increase in the overall frequencies of IFNγ , TNFα , and CCL3 polyfunctional, CMV-specific CD8 T cells. These increases in polyfunctional CMV-specific CD8 T cells correlated ( = 0.7371, = 0.0369) with overall survival, although we cannot conclude this was causally related. Our data implicate polyfunctional T-cell responses as a potential biomarker for effective antitumor immunotherapy and support a formal assessment of this combination approach in a larger randomized study. 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Human cytomegalovirus (CMV) antigens have been identified in GBM but not normal brain, providing an unparalleled opportunity to subvert CMV antigens as tumor-specific immunotherapy targets. A recent trial in recurrent GBM patients demonstrated the potential clinical benefit of adoptive T-cell therapy (ATCT) of CMV phosphoprotein 65 (pp65)-specific T cells. However, analyses from this study found no change in the capacity of CMV pp65-specific T cells to gain multiple effector functions or polyfunctionality, which has been associated with superior antitumor efficacy. Previous studies have shown that dendritic cells (DC) could further enhance tumor-specific CD8 T-cell polyfunctionality when administered as a vaccine. Therefore, we hypothesized that vaccination with CMV pp65 RNA-loaded DCs would enhance the frequency of polyfunctional CMV pp65-specific CD8 T cells after ATCT. Here, we report prospective results of a pilot trial in which 22 patients with newly diagnosed GBM were initially enrolled, of which 17 patients were randomized to receive CMV pp65-specific T cells with CMV-DC vaccination (CMV-ATCT-DC) or saline (CMV-ATCT-saline). Patients who received CMV-ATCT-DC vaccination experienced a significant increase in the overall frequencies of IFNγ , TNFα , and CCL3 polyfunctional, CMV-specific CD8 T cells. These increases in polyfunctional CMV-specific CD8 T cells correlated ( = 0.7371, = 0.0369) with overall survival, although we cannot conclude this was causally related. Our data implicate polyfunctional T-cell responses as a potential biomarker for effective antitumor immunotherapy and support a formal assessment of this combination approach in a larger randomized study. A randomized pilot trial in patients with GBM implicates polyfunctional T-cell responses as a biomarker for effective antitumor immunotherapy. .</description><subject>Adoptive Transfer</subject><subject>Adult</subject><subject>Aged</subject><subject>Antigen (tumor-associated)</subject><subject>Antigens</subject><subject>Antitumor activity</subject><subject>Biomarkers</subject><subject>Brain cancer</subject><subject>Brain Neoplasms - therapy</subject><subject>Cancer</subject><subject>CCL3 protein</subject><subject>CD8 antigen</subject><subject>CD8-Positive T-Lymphocytes - immunology</subject><subject>Cytomegalovirus</subject><subject>Dendritic cells</subject><subject>Dendritic Cells - immunology</subject><subject>Dendritic Cells - metabolism</subject><subject>Effector cells</subject><subject>Female</subject><subject>Glioblastoma</subject><subject>Glioblastoma - therapy</subject><subject>Humans</subject><subject>Immunization</subject><subject>Immunotherapy</subject><subject>Immunotherapy, Adoptive - methods</subject><subject>Lymphocytes</subject><subject>Lymphocytes T</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Phosphoproteins - metabolism</subject><subject>Pp65 protein</subject><subject>Randomization</subject><subject>Ribonucleic acid</subject><subject>RNA</subject><subject>T cell receptors</subject><subject>T-Lymphocytes - immunology</subject><subject>T-Lymphocytes - transplantation</subject><subject>Treatment Outcome</subject><subject>Tumor necrosis factor-α</subject><subject>Vaccination</subject><subject>Viral Matrix Proteins - metabolism</subject><subject>γ-Interferon</subject><issn>0008-5472</issn><issn>1538-7445</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1P3DAQhi1EBQvtT2hliQuXUH_EsX1chU8JtRzC2XJiB4y88dZ2QPn3eMWWA6fRq3ne0cy8APzE6AJjJn4jhETFak4u2vWfCvMK1Y08ACvMqKh4XbNDsPpkjsFJSi9FMozYETgmEkla1Aq8XdrJRJfdAFvrfYJX07OeBgsfgl_GeRqyC5P2Li8wjHBtwja7V-sX2EU9pdHGaA3s9t7uWWfY6fhkM2yXHDb2Sfvw6uKcoJvgjXeh9zqVhv4Ovo3aJ_tjX0_B4_VV195W939v7tr1fTVQUeeKN4b0yHCpDaWyGQ3hdCSWCmb7QdqhJ7xBWkpGtG4wNXqUXNS4ZgWoMW3oKTj_mLuN4d9sU1Ybl4ayrZ5smJPCkklKGMWyoGdf0Jcwx3J8UgShRgiBG1Qo9kENMaQU7ai20W10XBRGapeM2n1d7b6uSjIKc7VLpvh-7afP_caaT9f_KOg7mBeKRw</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Reap, Elizabeth A</creator><creator>Suryadevara, Carter M</creator><creator>Batich, Kristen A</creator><creator>Sanchez-Perez, Luis</creator><creator>Archer, Gary E</creator><creator>Schmittling, Robert J</creator><creator>Norberg, Pamela K</creator><creator>Herndon, 2nd, James E</creator><creator>Healy, Patrick</creator><creator>Congdon, Kendra L</creator><creator>Gedeon, Patrick C</creator><creator>Campbell, Olivia C</creator><creator>Swartz, Adam M</creator><creator>Riccione, Katherine A</creator><creator>Yi, John S</creator><creator>Hossain-Ibrahim, Mohammed K</creator><creator>Saraswathula, Anirudh</creator><creator>Nair, Smita K</creator><creator>Dunn-Pirio, Anastasie M</creator><creator>Broome, Taylor M</creator><creator>Weinhold, Kent J</creator><creator>Desjardins, Annick</creator><creator>Vlahovic, Gordana</creator><creator>McLendon, Roger E</creator><creator>Friedman, Allan H</creator><creator>Friedman, Henry S</creator><creator>Bigner, Darell D</creator><creator>Fecci, Peter E</creator><creator>Mitchell, Duane A</creator><creator>Sampson, John H</creator><general>American Association for Cancer Research, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>20180101</creationdate><title>Dendritic Cells Enhance Polyfunctionality of Adoptively Transferred T Cells That Target Cytomegalovirus in Glioblastoma</title><author>Reap, Elizabeth A ; Suryadevara, Carter M ; Batich, Kristen A ; Sanchez-Perez, Luis ; Archer, Gary E ; Schmittling, Robert J ; Norberg, Pamela K ; Herndon, 2nd, James E ; Healy, Patrick ; Congdon, Kendra L ; Gedeon, Patrick C ; Campbell, Olivia C ; Swartz, Adam M ; Riccione, Katherine A ; Yi, John S ; Hossain-Ibrahim, Mohammed K ; Saraswathula, Anirudh ; Nair, Smita K ; Dunn-Pirio, Anastasie M ; Broome, Taylor M ; Weinhold, Kent J ; Desjardins, Annick ; Vlahovic, Gordana ; McLendon, Roger E ; Friedman, Allan H ; Friedman, Henry S ; Bigner, Darell D ; Fecci, Peter E ; Mitchell, Duane A ; Sampson, John H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-76d2b0d79ad3396fd273f2e385ebc9ecb2760a9952aa613daf978414585e41363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adoptive Transfer</topic><topic>Adult</topic><topic>Aged</topic><topic>Antigen (tumor-associated)</topic><topic>Antigens</topic><topic>Antitumor activity</topic><topic>Biomarkers</topic><topic>Brain cancer</topic><topic>Brain Neoplasms - 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Here, we report prospective results of a pilot trial in which 22 patients with newly diagnosed GBM were initially enrolled, of which 17 patients were randomized to receive CMV pp65-specific T cells with CMV-DC vaccination (CMV-ATCT-DC) or saline (CMV-ATCT-saline). Patients who received CMV-ATCT-DC vaccination experienced a significant increase in the overall frequencies of IFNγ , TNFα , and CCL3 polyfunctional, CMV-specific CD8 T cells. These increases in polyfunctional CMV-specific CD8 T cells correlated ( = 0.7371, = 0.0369) with overall survival, although we cannot conclude this was causally related. Our data implicate polyfunctional T-cell responses as a potential biomarker for effective antitumor immunotherapy and support a formal assessment of this combination approach in a larger randomized study. A randomized pilot trial in patients with GBM implicates polyfunctional T-cell responses as a biomarker for effective antitumor immunotherapy. .</abstract><cop>United States</cop><pub>American Association for Cancer Research, Inc</pub><pmid>29093005</pmid><doi>10.1158/0008-5472.CAN-17-0469</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Association for Cancer Research; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adoptive Transfer
Adult
Aged
Antigen (tumor-associated)
Antigens
Antitumor activity
Biomarkers
Brain cancer
Brain Neoplasms - therapy
Cancer
CCL3 protein
CD8 antigen
CD8-Positive T-Lymphocytes - immunology
Cytomegalovirus
Dendritic cells
Dendritic Cells - immunology
Dendritic Cells - metabolism
Effector cells
Female
Glioblastoma
Glioblastoma - therapy
Humans
Immunization
Immunotherapy
Immunotherapy, Adoptive - methods
Lymphocytes
Lymphocytes T
Male
Middle Aged
Phosphoproteins - metabolism
Pp65 protein
Randomization
Ribonucleic acid
RNA
T cell receptors
T-Lymphocytes - immunology
T-Lymphocytes - transplantation
Treatment Outcome
Tumor necrosis factor-α
Vaccination
Viral Matrix Proteins - metabolism
γ-Interferon
title Dendritic Cells Enhance Polyfunctionality of Adoptively Transferred T Cells That Target Cytomegalovirus in Glioblastoma
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