Enhancing adoptive CD8 T cell therapy by systemic delivery of tumor associated antigens

Sci Rep. 2021 Oct 5;11(1):19794. doi: 10.1038/s41598-021-99347-0.

Abstract

Adoptive T-cell transfer (ACT) offers a curative therapeutic option for subsets of melanoma and hematological cancer patients. To increase response rates and broaden the applicability of ACT, it is necessary to improve the post-infusion performance of the transferred T cells. The design of improved treatment strategies includes transfer of cells with a less differentiated phenotype. Such T cell subsets have high proliferative potential but require stimulatory signals in vivo to differentiate into tumor-reactive effector T cells. Thus, combination strategies are needed to support the therapeutic implementation of less differentiated T cells. Here we show that systemic delivery of tumor-associated antigens (TAAs) facilitates in vivo priming and expansion of previously non-activated T cells and enhance the cytotoxicity of activated T cells. To achieve this in vivo priming, we use flexible delivery vehicles of TAAs and a TLR7/8 agonist. Contrasting subcutaneous delivery systems, these vehicles accumulate TAAs in the spleen, thereby achieving close proximity to both cross-presenting dendritic cells and transferred T cells, resulting in robust T-cell expansion and anti-tumor reactivity. This TAA delivery platform offers a strategy to safely potentiate the post-infusion performance of T cells using low doses of antigen and TLR7/8 agonist, and thereby enhance the effect of ACT.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antigen Presentation
  • Antigens, Neoplasm / administration & dosage
  • Antigens, Neoplasm / immunology*
  • Biomarkers
  • CD8-Positive T-Lymphocytes / immunology*
  • CD8-Positive T-Lymphocytes / metabolism*
  • Combined Modality Therapy
  • Cytokines / metabolism
  • Dendritic Cells / immunology
  • Dendritic Cells / metabolism
  • Disease Models, Animal
  • Drug Delivery Systems
  • Epitopes / administration & dosage
  • Epitopes / immunology
  • Humans
  • Immune Checkpoint Inhibitors / pharmacology
  • Immune Checkpoint Inhibitors / therapeutic use
  • Immunomodulation
  • Immunotherapy, Adoptive* / methods
  • Interferon Type I / biosynthesis
  • Liposomes
  • Lymphocyte Activation / immunology
  • Neoplasms / diagnosis
  • Neoplasms / immunology*
  • Neoplasms / mortality
  • Neoplasms / therapy*
  • T-Cell Antigen Receptor Specificity
  • T-Lymphocyte Subsets / immunology
  • T-Lymphocyte Subsets / metabolism
  • Treatment Outcome
  • Tumor Escape / immunology

Substances

  • Antigens, Neoplasm
  • Biomarkers
  • Cytokines
  • Epitopes
  • Immune Checkpoint Inhibitors
  • Interferon Type I
  • Liposomes