Immunogenetic therapy of human melanoma utilizing autologous tumor cells transduced to secrete granulocyte-macrophage

A E Chang1, Q Li, D K Bishop

  • 1Division of Surgical Oncology, University of Michigan, Ann Arbor 48109, USA.

Human Gene Therapy
|April 25, 2000
PubMed

Insights

This study shows that a melanoma vaccine using GM-CSF gene-transduced tumor cells increases dendritic cell infiltration and T cell responses in lymph nodes. One patient achieved a complete remission of metastatic melanoma.

Area of Science:

  • Oncology
  • Immunology
  • Gene Therapy

Background:

  • Melanoma is a significant public health concern.
  • Current treatments for metastatic melanoma have limitations.
  • Autologous tumor cell vaccines are being explored as a therapeutic strategy.

Purpose of the Study:

  • To evaluate the immunobiological effects of retrovirally transduced autologous tumor cells as a vaccine.
  • To compare the effects of wild-type (WT) tumor cells versus granulocyte-macrophage colony-stimulating factor (GM-CSF) gene-transduced tumor cells.
  • To assess the potential for adoptive transfer of vaccine-primed lymph node cells.

Main Methods:

  • A clinical study involving five melanoma patients.
  • Inoculation with both WT and GM-CSF gene-transduced autologous tumor cells in different extremities.
  • Surgical removal of vaccine-primed lymph nodes (VPLNs) approximately 7 days post-inoculation.
  • Ex vivo activation and expansion of GM-CSF-VPLN cells with anti-CD3 MAb and IL-2 for adoptive transfer.
  • Cytokine release assays to assess T cell responses to tumor antigen.

Main Results:

  • Increased infiltration of dendritic cells (DCs) at GM-CSF-secreting vaccine sites compared to WT sites.
  • Greater number of cells harvested from GM-CSF-VPLNs compared to WT-VPLNs.
  • One patient achieved a durable complete remission of metastatic tumor following adoptive transfer.
  • GM-CSF-VPLN T cells showed diverse responses to tumor antigen in vitro, differing from WT-VPLN cells in some patients.

Conclusions:

  • GM-CSF gene-transduced tumor cell vaccines induce measurable immunobiological differences compared to WT tumor cells.
  • The observed increase in DCs and distinct T cell responses suggest enhanced anti-tumor immunity.
  • The complete tumor remission in one patient supports further investigation of this therapeutic approach.

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