Generation of Tumor-Specific Cytotoxic T Cells From Blood via In Vitro Expansion Using Autologous Dendritic Cells Pulsed With Neoantigen-Coupled Microbeads

For the past decade, adoptive cell therapy including tumor-infiltrating lymphocytes, genetically modified cytotoxic lymphocytes expressing a chimeric antigen receptor, or a novel T-cell receptor has revolutionized the treatment of many cancers. Progress within exome sequencing and neoantigen predict...

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Main Authors: Adela Kiessling, Keerthana Ramanathan, Ola B. Nilsson, Luigi Notari, Stefanie Renken, Rolf Kiessling, Hans Grönlund, Stina L. Wickström
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.866763/full
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author Adela Kiessling
Keerthana Ramanathan
Ola B. Nilsson
Ola B. Nilsson
Luigi Notari
Luigi Notari
Stefanie Renken
Rolf Kiessling
Rolf Kiessling
Hans Grönlund
Hans Grönlund
Stina L. Wickström
Stina L. Wickström
Stina L. Wickström
Stina L. Wickström
author_facet Adela Kiessling
Keerthana Ramanathan
Ola B. Nilsson
Ola B. Nilsson
Luigi Notari
Luigi Notari
Stefanie Renken
Rolf Kiessling
Rolf Kiessling
Hans Grönlund
Hans Grönlund
Stina L. Wickström
Stina L. Wickström
Stina L. Wickström
Stina L. Wickström
author_sort Adela Kiessling
collection DOAJ
description For the past decade, adoptive cell therapy including tumor-infiltrating lymphocytes, genetically modified cytotoxic lymphocytes expressing a chimeric antigen receptor, or a novel T-cell receptor has revolutionized the treatment of many cancers. Progress within exome sequencing and neoantigen prediction technologies provides opportunities for further development of personalized immunotherapies. In this study, we present a novel strategy to deliver in silico predicted neoantigens to autologous dendritic cells (DCs) using paramagnetic beads (EpiTCer beads). DCs pulsed with EpiTCer beads are superior in enriching for healthy donor and patient blood-derived tumor-specific CD8+ T cells compared to DC loaded with whole-tumor lysate or 9mer neoantigen peptides. A dose-dependent effect was observed, with higher EpiTCer bead per DC being favorable. We concluded that CD8+ T cells enriched by DC loaded with EpiTCer beads are tumor specific with limited tumor cross-reactivity and low recognition of autologous non-activated monocytes or CD8+ T cells. Furthermore, tumor specificity and recognition were improved and preserved after additional expansion using our Good Manufacturing Process (GMP)-compatible rapid expansion protocol. Phenotypic analysis of patient-derived EpiTCer DC expanded CD8+ T cells revealed efficient maturation, with high frequencies of central memory and effector memory T cells, similar to those observed in autologous expanded tumor-infiltrating lymphocytes. These results indicate that DC pulsed with EpiTCer beads enrich for a T-cell population with high capacity of tumor recognition and elimination, which are features needed for a T-cell product to be used for personalized adoptive cell therapy.
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spelling doaj.art-180142d7736a41b9b9a4d5ba34bef9332022-12-22T03:13:42ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-03-011210.3389/fonc.2022.866763866763Generation of Tumor-Specific Cytotoxic T Cells From Blood via In Vitro Expansion Using Autologous Dendritic Cells Pulsed With Neoantigen-Coupled MicrobeadsAdela Kiessling0Keerthana Ramanathan1Ola B. Nilsson2Ola B. Nilsson3Luigi Notari4Luigi Notari5Stefanie Renken6Rolf Kiessling7Rolf Kiessling8Hans Grönlund9Hans Grönlund10Stina L. Wickström11Stina L. Wickström12Stina L. Wickström13Stina L. Wickström14Department of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, SwedenNEOGAP Therapeutics AB, Stockholm, SwedenDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, SwedenNEOGAP Therapeutics AB, Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenTheme Cancer, Patient Area Head and Neck, Lung and Skin, Karolinska University Hospital, Stockholm, SwedenDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, SwedenNEOGAP Therapeutics AB, Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, SwedenNEOGAP Therapeutics AB, Stockholm, SwedenTheme Cancer, Patient Area Head and Neck, Lung and Skin, Karolinska University Hospital, Stockholm, SwedenFor the past decade, adoptive cell therapy including tumor-infiltrating lymphocytes, genetically modified cytotoxic lymphocytes expressing a chimeric antigen receptor, or a novel T-cell receptor has revolutionized the treatment of many cancers. Progress within exome sequencing and neoantigen prediction technologies provides opportunities for further development of personalized immunotherapies. In this study, we present a novel strategy to deliver in silico predicted neoantigens to autologous dendritic cells (DCs) using paramagnetic beads (EpiTCer beads). DCs pulsed with EpiTCer beads are superior in enriching for healthy donor and patient blood-derived tumor-specific CD8+ T cells compared to DC loaded with whole-tumor lysate or 9mer neoantigen peptides. A dose-dependent effect was observed, with higher EpiTCer bead per DC being favorable. We concluded that CD8+ T cells enriched by DC loaded with EpiTCer beads are tumor specific with limited tumor cross-reactivity and low recognition of autologous non-activated monocytes or CD8+ T cells. Furthermore, tumor specificity and recognition were improved and preserved after additional expansion using our Good Manufacturing Process (GMP)-compatible rapid expansion protocol. Phenotypic analysis of patient-derived EpiTCer DC expanded CD8+ T cells revealed efficient maturation, with high frequencies of central memory and effector memory T cells, similar to those observed in autologous expanded tumor-infiltrating lymphocytes. These results indicate that DC pulsed with EpiTCer beads enrich for a T-cell population with high capacity of tumor recognition and elimination, which are features needed for a T-cell product to be used for personalized adoptive cell therapy.https://www.frontiersin.org/articles/10.3389/fonc.2022.866763/fullneoantigentumor-specific antigensautologous tumor recognitiondendritic cell-mediated activationpersonalized cancer immunotherapy
spellingShingle Adela Kiessling
Keerthana Ramanathan
Ola B. Nilsson
Ola B. Nilsson
Luigi Notari
Luigi Notari
Stefanie Renken
Rolf Kiessling
Rolf Kiessling
Hans Grönlund
Hans Grönlund
Stina L. Wickström
Stina L. Wickström
Stina L. Wickström
Stina L. Wickström
Generation of Tumor-Specific Cytotoxic T Cells From Blood via In Vitro Expansion Using Autologous Dendritic Cells Pulsed With Neoantigen-Coupled Microbeads
Frontiers in Oncology
neoantigen
tumor-specific antigens
autologous tumor recognition
dendritic cell-mediated activation
personalized cancer immunotherapy
title Generation of Tumor-Specific Cytotoxic T Cells From Blood via In Vitro Expansion Using Autologous Dendritic Cells Pulsed With Neoantigen-Coupled Microbeads
title_full Generation of Tumor-Specific Cytotoxic T Cells From Blood via In Vitro Expansion Using Autologous Dendritic Cells Pulsed With Neoantigen-Coupled Microbeads
title_fullStr Generation of Tumor-Specific Cytotoxic T Cells From Blood via In Vitro Expansion Using Autologous Dendritic Cells Pulsed With Neoantigen-Coupled Microbeads
title_full_unstemmed Generation of Tumor-Specific Cytotoxic T Cells From Blood via In Vitro Expansion Using Autologous Dendritic Cells Pulsed With Neoantigen-Coupled Microbeads
title_short Generation of Tumor-Specific Cytotoxic T Cells From Blood via In Vitro Expansion Using Autologous Dendritic Cells Pulsed With Neoantigen-Coupled Microbeads
title_sort generation of tumor specific cytotoxic t cells from blood via in vitro expansion using autologous dendritic cells pulsed with neoantigen coupled microbeads
topic neoantigen
tumor-specific antigens
autologous tumor recognition
dendritic cell-mediated activation
personalized cancer immunotherapy
url https://www.frontiersin.org/articles/10.3389/fonc.2022.866763/full
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