Systemic and intravesical adoptive cell therapy of tumor-reactive T cells can decrease bladder tumor growth in vivo

Brittany L Bunch1, Jennifer Morse1, Sarah Asby1

  • 1Department of Immunology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.

Abstract

Insights

Adoptive cellular therapy (ACT) using tumor-infiltrating lymphocytes (TILs) shows promise for bladder cancer treatment. Intravesical TIL therapy effectively controlled tumor growth in mice, offering a new therapeutic avenue.

Area of Science:

  • Oncology
  • Immunology
  • Cell Therapy

Background:

  • Bladder cancer therapies, including immune checkpoint inhibitors and antibody drug conjugates, show limited response duration.
  • Adoptive cellular therapy (ACT) using tumor-infiltrating lymphocytes (TILs) presents a potential treatment strategy for bladder cancer.
  • Successful expansion of tumor-reactive T cells from human bladder tumors supports TIL therapy's potential.

Purpose of the Study:

  • To investigate the efficacy of ACT with TILs in a preclinical bladder cancer model.
  • To compare systemic versus intravesical delivery of TILs for bladder cancer treatment.
  • To elucidate the role of CXCR3 in TIL-mediated anti-tumor responses.

Main Methods:

  • Developed a model using OT-I T cells and MB49OVA tumor cells for ACT studies.
  • Administered systemic ACT intravenously post-chemotherapy with IL-2, and intravesical ACT directly into the bladder without chemotherapy or IL-2.
  • Isolated and expanded TILs from MB49 tumors ex vivo, analyzed immune infiltrates via flow cytometry, and blocked CXCR3 to study T cell infiltration.

Main Results:

  • Systemic ACT reduced tumor growth, increased T cell infiltration, and provided long-term immunity.
  • Intravesical ACT controlled tumor growth in MB49OVA tumors without chemotherapy or IL-2.
  • Intravesical delivery of expanded TILs also decreased tumor growth in MB49 tumors.
  • Blocking CXCR3 on T cells reduced tumor infiltration and impaired tumor growth control.

Conclusions:

  • TIL therapy demonstrates potential for treating various stages of bladder cancer.
  • Intravesical delivery of TILs is an effective strategy for bladder cancer treatment.
  • CXCR3 plays a crucial role in TIL trafficking and anti-tumor efficacy.

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