Impaired antigen presentation and effectiveness of combined active/passive immunotherapy for epithelial tumors

Koji Matsumoto1, Graham R Leggatt, Jie Zhong

  • 1Centre for Immunology and Cancer Research, The University of Queensland, Princess Alexandra Hospital, Woolloongabba, Brisbane, Australia.

Abstract

Insights

Immunotherapy using human papillomavirus type 16 (HPV16) E7 antigen-specific CD8+ T cells can eliminate tumors expressing HPV16 E7. However, effective cancer immunotherapy requires both effector and memory T cells for sustained tumor destruction.

Area of Science:

  • Immunology
  • Oncology
  • Cancer Research

Background:

  • Immunization with tumor antigens shows promise in animal models but immune mechanisms for epithelial cancer immunotherapy are not fully understood.
  • The human papillomavirus type 16 (HPV16) E6 and E7 oncoproteins are associated with cervical cancer.

Purpose of the Study:

  • To investigate the immune effector mechanisms involved in the immunotherapy of epithelial cancers expressing HPV16 antigens.
  • To determine if antigen-specific CD8+ T cells can reject tumors expressing HPV16 E7 and to assess the role of memory T cells.

Main Methods:

  • Skin grafts from transgenic mice expressing HPV16 E6 or E7 were used in syngeneic, non-transgenic mice.
  • Immunization with HPV16 E7 and adoptive transfer of antigen-specific CD8+ T cells were performed.
  • Cytokine secretion and HPV16 E7-specific memory CD8+ T cells were analyzed using ELISA, flow cytometry, and ELISPOT.

Main Results:

  • Skin grafts expressing HPV16 E6 or E7 were not spontaneously rejected or rejected after initial E7 immunization.
  • Adoptive transfer of E7-specific CD8+ T cells combined with immunization led to rejection of E7-expressing grafts and generation of memory CD8+ T cells.
  • A second immunization was required to reject a subsequent E7 graft in mice with existing memory T cells.

Conclusions:

  • Antigen-specific CD8+ T cells are capable of destroying epithelial cells expressing the HPV16 E7 tumor antigen.
  • Epithelial antigen presentation alone is insufficient to reactivate memory CD8+ T cells induced by immunotherapy.
  • Effective human cancer immunotherapy may necessitate the induction of both sufficient effector and memory T cell populations.

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