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Experimental Melanoma Immunotherapy Model Using Tumor Vaccination with a Hematopoietic Cytokine
Published on: February 24, 2023
Tumor vaccines expressing flt3 ligand synergize with ctla-4 blockade to reject preimplanted tumors
Michael A Curran1, James P Allison
1Howard Hughes Medical Institute, Department of Immunology, Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA.
Abstract:
The transformation of a healthy cell into a malignant neoplasm involves numerous genetic mutations and aberrations in gene expression. As few of these changes are shared between individuals or types of cancer, the best source for eliciting broad-spectrum tumor immunity remains each patient's own tumor. Previously, we have shown that combining blockade of the T-cell-negative costimulatory molecule CTL-associated antigen 4 (CTLA-4) and vaccination with irradiated B16 tumor expressing granulocyte macrophage colony-stimulating factor (GM-CSF; Gvax) promotes rejection of established murine melanomas. Here we show that, like GM-CSF, the cytokine Flt3 ligand (Flt3L) expressed in B16 and coupled with CTLA-4 blockade promotes both prophylactic and therapeutic rejection of B16. When administered at the site of growing tumor, Gvax fails to prevent tumor outgrowth in any mice, whereas the B16-Flt3L vaccine (Fl3vax) induces the rejection of 75% of melanomas implanted 3 days before vaccination. Relative to Gvax, Fl3vax promotes greater infiltration of both the vaccine site and the tumor site by CD8+ T cells and "sentinel" and plasmacytoid dendritic cells. Gvax and Fl3vax did not synergize when used in combination in treating B16 melanoma even in the context of CD25+ regulatory T-cell depletion. Further, we show that a combination of Flt3L expression and CTLA-4 blockade can also promote the rejection of established TRAMP prostate adenocarcinomas, proving that the utility of this treatment extends beyond melanoma. Engineering Flt3L to be constitutively secreted and attaching an IgG2a tail yielded a B16 vaccine that, when combined with CTLA-4 blockade, prevented the outgrowth of significantly more 5-day implanted B16-BL6 tumors than did Gvax.
Insights
Combining Flt3 ligand (Flt3L) with CTLA-4 blockade effectively rejects melanoma and prostate cancer in mice. This novel vaccine strategy, Fl3vax, shows promise for broad-spectrum tumor immunity by enhancing T-cell and dendritic cell infiltration.
Area of Science:
- Immunology
- Oncology
- Cancer Research
Background:
- Cancer development involves genetic mutations and gene expression changes, with limited shared alterations between patients.
- Harnessing individual tumor-specific immunity is crucial for broad-spectrum cancer treatment.
- Previous studies showed combining CTLA-4 blockade with GM-CSF-expressing tumor vaccines (Gvax) rejected murine melanomas.
Purpose of the Study:
- To investigate the efficacy of Flt3 ligand (Flt3L) expressed in B16 melanoma cells, combined with CTLA-4 blockade, for cancer rejection.
- To compare the effectiveness of Flt3L-expressing vaccines (Fl3vax) with GM-CSF-expressing vaccines (Gvax).
- To determine if this therapeutic approach extends beyond melanoma to other cancer types, such as prostate adenocarcinoma.
Main Methods:
- Mice were vaccinated with irradiated B16 melanoma cells engineered to express Flt3L (Fl3vax) or GM-CSF (Gvax).
- Vaccines were administered in combination with blockade of cytotoxic T-lymphocyte-associated protein 4 (CTLA-4).
- Tumor rejection, immune cell infiltration (CD8+ T cells, dendritic cells), and therapeutic effects on established B16 melanoma and TRAMP prostate tumors were assessed.
Main Results:
- Fl3vax, combined with CTLA-4 blockade, induced prophylactic and therapeutic rejection of B16 melanoma in 75% of mice.
- Fl3vax demonstrated superior efficacy compared to Gvax, preventing tumor outgrowth in more mice.
- Fl3vax enhanced infiltration of CD8+ T cells and dendritic cells into tumors and vaccine sites.
- The combination therapy also promoted rejection of established TRAMP prostate adenocarcinomas.
- Engineered Flt3L vaccine with an IgG2a tail further improved tumor rejection rates.
Conclusions:
- Flt3L-expressing tumor vaccines combined with CTLA-4 blockade represent a potent strategy for inducing tumor rejection.
- This approach enhances anti-tumor immunity by increasing T-cell and dendritic cell presence.
- The therapeutic utility of Flt3L and CTLA-4 blockade extends to various cancer types, including prostate cancer.
- Optimized Flt3L vaccines offer improved efficacy in preventing tumor outgrowth.
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