MHC-restricted fratricide of human lymphocytes expressing survivin-specific transgenic T cell receptors

Matthias Leisegang1, Susanne Wilde, Stefani Spranger

  • 1Max-Delbrück-Center for Molecular Medicine, Berlin, Germany.

Insights

Survivin-targeted T cell therapy faces a challenge: survivin expression in T cells causes self-destruction (fratricide) in an HLA-A2 restricted manner, limiting its use in cancer immunotherapy.

Area of Science:

  • Immunology
  • Cancer Biology
  • Molecular Medicine

Background:

  • Survivin, an apoptosis inhibitor, is highly expressed in numerous tumors, presenting a potential target for immunotherapy.
  • Adoptive T cell therapy using T cells engineered with specific T cell receptors (TCRs) is a promising cancer treatment strategy.

Purpose of the Study:

  • To investigate survivin as a target antigen for adoptive T cell therapy using survivin-specific transgenic T cell receptors (Tg-TCRs).
  • To assess the efficacy and potential limitations of survivin-targeted T cell therapy.

Main Methods:

  • Isolation of HLA-A2-allorestricted survivin-specific T cells with high functional avidity.
  • Generation of lymphocytes expressing survivin-specific Tg-TCRs.
  • Evaluation of T cell recognition of tumor cells and self-lymphocytes.

Main Results:

  • Survivin-specific Tg-TCR-expressing lymphocytes recognized and killed HLA-A2+ survivin+ tumor cells.
  • HLA-A2+ lymphocytes expressing Tg-TCRs underwent significant apoptosis due to HLA-A2-restricted fratricide, caused by survivin expression in lymphocytes.
  • Survivin-specific Tg-TCR-expressing lymphocytes also eliminated other T cell clones from HLA-A2+ donors, but not HLA-A2- donors.

Conclusions:

  • Survivin-specific TCR gene therapy is limited by self-MHC-restricted fratricide and may be restricted to HLA-A2-mismatched stem cell transplantation.
  • Targeting self-proteins like survivin, which are also expressed in activated lymphocytes, raises concerns for cancer vaccine development due to potential self-destruction of therapeutic T cells and bystander T cells.