Th17 cells are refractory to senescence and retain robust antitumor activity after long-term ex vivo expansion

JCI Insight. 2017 Mar 9;2(5):e90772. doi: 10.1172/jci.insight.90772.

Abstract

Adoptive immunotherapy for solid tumors relies on infusing large numbers of T cells to mediate successful antitumor responses in patients. While long-term rapid-expansion protocols (REPs) produce sufficient numbers of CD8+ T cells for treatment, they also cause decline in the cell's therapeutic fitness. In contrast, we discovered that IL-17-producing CD4+ T cells (Th17 cells) do not require REPs to expand 5,000-fold over 3 weeks. Also, unlike Th1 cells, Th17 cells do not exhibit hallmarks of senescence or apoptosis, retaining robust antitumor efficacy in vivo. Three-week-expanded Th17 cells eliminated melanoma as effectively as Th17 cells expanded for 1 week when infused in equal numbers into mice. However, treating mice with large recalcitrant tumors required the infusion of all cells generated after 2 or 3 weeks of expansion, while the cell yield obtained after 1-week expansion was insufficient. Long-term-expanded Th17 cells also protected mice from tumor rechallenge including lung metastasis. Importantly, 2-week-expanded human chimeric antigen receptor-positive (CAR+) Th17 cells also retained their ability to regress human mesothelioma, while CAR+ Th1 cells did not. Our results indicate that tumor-reactive Th17 cells are an effective cell therapy for cancer, remaining uncompromised when expanded for a long duration owing to their resistance to senescence.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Line, Tumor
  • Cellular Senescence*
  • Humans
  • Immunologic Memory
  • Immunotherapy, Adoptive*
  • Lung Neoplasms / immunology*
  • Lung Neoplasms / therapy
  • Melanoma, Experimental / immunology*
  • Melanoma, Experimental / therapy
  • Mesothelioma / immunology*
  • Mesothelioma / therapy
  • Mesothelioma, Malignant
  • Mice
  • Mice, Inbred C57BL
  • Th17 Cells / cytology*
  • Th17 Cells / immunology*