Vaccine Increases the Diversity and Activation of Intratumoral T Cells in the Context of Combination Immunotherapy

Resistance to immune checkpoint blockade therapy has spurred the development of novel combinations of drugs tailored to specific cancer types, including non-inflamed tumors with low T-cell infiltration. Cancer vaccines can potentially be utilized as part of these combination immunotherapies to enhan...

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Main Authors: Lucas A. Horn, Kristen Fousek, Duane H. Hamilton, James W. Hodge, John A. Zebala, Dean Y. Maeda, Jeffrey Schlom, Claudia Palena
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/5/968
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author Lucas A. Horn
Kristen Fousek
Duane H. Hamilton
James W. Hodge
John A. Zebala
Dean Y. Maeda
Jeffrey Schlom
Claudia Palena
author_facet Lucas A. Horn
Kristen Fousek
Duane H. Hamilton
James W. Hodge
John A. Zebala
Dean Y. Maeda
Jeffrey Schlom
Claudia Palena
author_sort Lucas A. Horn
collection DOAJ
description Resistance to immune checkpoint blockade therapy has spurred the development of novel combinations of drugs tailored to specific cancer types, including non-inflamed tumors with low T-cell infiltration. Cancer vaccines can potentially be utilized as part of these combination immunotherapies to enhance antitumor efficacy through the expansion of tumor-reactive T cells. Utilizing murine models of colon and mammary carcinoma, here we investigated the effect of adding a recombinant adenovirus-based vaccine targeting tumor-associated antigens with an IL-15 super agonist adjuvant to a multimodal regimen consisting of a bifunctional anti-PD-L1/TGF-βRII agent along with a CXCR1/2 inhibitor. We demonstrate that the addition of vaccine induced a greater tumor infiltration with T cells highly positive for markers of proliferation and cytotoxicity. In addition to this enhancement of cytotoxic T cells, combination therapy showed a restructured tumor microenvironment with reduced T<sub>regs</sub> and CD11b<sup>+</sup>Ly6G<sup>+</sup> myeloid cells. Tumor-infiltrating immune cells exhibited an upregulation of gene signatures characteristic of a Th1 response and presented with a more diverse T-cell receptor (TCR) repertoire. These results provide the rationale for the addition of vaccine-to-immune checkpoint blockade-based therapies being tested in the clinic.
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spelling doaj.art-2970619c774248aa9994464bbc9b217f2023-12-11T18:28:40ZengMDPI AGCancers2072-66942021-02-0113596810.3390/cancers13050968Vaccine Increases the Diversity and Activation of Intratumoral T Cells in the Context of Combination ImmunotherapyLucas A. Horn0Kristen Fousek1Duane H. Hamilton2James W. Hodge3John A. Zebala4Dean Y. Maeda5Jeffrey Schlom6Claudia Palena7Laboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USALaboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USALaboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USALaboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USASyntrix Pharmaceuticals, Auburn, WA 98001, USASyntrix Pharmaceuticals, Auburn, WA 98001, USALaboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USALaboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USAResistance to immune checkpoint blockade therapy has spurred the development of novel combinations of drugs tailored to specific cancer types, including non-inflamed tumors with low T-cell infiltration. Cancer vaccines can potentially be utilized as part of these combination immunotherapies to enhance antitumor efficacy through the expansion of tumor-reactive T cells. Utilizing murine models of colon and mammary carcinoma, here we investigated the effect of adding a recombinant adenovirus-based vaccine targeting tumor-associated antigens with an IL-15 super agonist adjuvant to a multimodal regimen consisting of a bifunctional anti-PD-L1/TGF-βRII agent along with a CXCR1/2 inhibitor. We demonstrate that the addition of vaccine induced a greater tumor infiltration with T cells highly positive for markers of proliferation and cytotoxicity. In addition to this enhancement of cytotoxic T cells, combination therapy showed a restructured tumor microenvironment with reduced T<sub>regs</sub> and CD11b<sup>+</sup>Ly6G<sup>+</sup> myeloid cells. Tumor-infiltrating immune cells exhibited an upregulation of gene signatures characteristic of a Th1 response and presented with a more diverse T-cell receptor (TCR) repertoire. These results provide the rationale for the addition of vaccine-to-immune checkpoint blockade-based therapies being tested in the clinic.https://www.mdpi.com/2072-6694/13/5/968cancer vaccinecombination immunotherapyTCR diversity
spellingShingle Lucas A. Horn
Kristen Fousek
Duane H. Hamilton
James W. Hodge
John A. Zebala
Dean Y. Maeda
Jeffrey Schlom
Claudia Palena
Vaccine Increases the Diversity and Activation of Intratumoral T Cells in the Context of Combination Immunotherapy
Cancers
cancer vaccine
combination immunotherapy
TCR diversity
title Vaccine Increases the Diversity and Activation of Intratumoral T Cells in the Context of Combination Immunotherapy
title_full Vaccine Increases the Diversity and Activation of Intratumoral T Cells in the Context of Combination Immunotherapy
title_fullStr Vaccine Increases the Diversity and Activation of Intratumoral T Cells in the Context of Combination Immunotherapy
title_full_unstemmed Vaccine Increases the Diversity and Activation of Intratumoral T Cells in the Context of Combination Immunotherapy
title_short Vaccine Increases the Diversity and Activation of Intratumoral T Cells in the Context of Combination Immunotherapy
title_sort vaccine increases the diversity and activation of intratumoral t cells in the context of combination immunotherapy
topic cancer vaccine
combination immunotherapy
TCR diversity
url https://www.mdpi.com/2072-6694/13/5/968
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