A Highly Sensitive Flow Cytometric Approach to Detect Rare Antigen-Specific T Cells: Development and Comparison to Standard Monitoring Tools

Personalized vaccines against patient-unique tumor-associated antigens represent a promising new approach for cancer immunotherapy. Vaccine efficacy is assessed by quantification of changes in the frequency and/or the activity of antigen-specific T cells. Enzyme-linked immunosorbent spot (ELISpot) a...

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Main Authors: Meytal Dror Levinsky, Baruch Brenner, Michal Yalon, Zohar Levi, Zvi Livneh, Zoya Cohen, Tamar Paz-Elizur, Rachel Grossman, Zvi Ram, Ilan Volovitz
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/3/574
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author Meytal Dror Levinsky
Baruch Brenner
Michal Yalon
Zohar Levi
Zvi Livneh
Zoya Cohen
Tamar Paz-Elizur
Rachel Grossman
Zvi Ram
Ilan Volovitz
author_facet Meytal Dror Levinsky
Baruch Brenner
Michal Yalon
Zohar Levi
Zvi Livneh
Zoya Cohen
Tamar Paz-Elizur
Rachel Grossman
Zvi Ram
Ilan Volovitz
author_sort Meytal Dror Levinsky
collection DOAJ
description Personalized vaccines against patient-unique tumor-associated antigens represent a promising new approach for cancer immunotherapy. Vaccine efficacy is assessed by quantification of changes in the frequency and/or the activity of antigen-specific T cells. Enzyme-linked immunosorbent spot (ELISpot) and flow cytometry (FCM) are methodologies frequently used for assessing vaccine efficacy. We tested these methodologies and found that both ELISpot and standard FCM [monitoring CD3/CD4/CD8/IFNγ/Viability+CD14+CD19 (dump)] demonstrate background IFNγ secretion, which, in many cases, was higher than the antigen-specific signal measured by the respective methodology (frequently ranging around 0.05–0.2%). To detect such weak T-cell responses, we developed an FCM panel that included two early activation markers, 4-1BB (CD137) and CD40L (CD154), in addition to the above-cited markers. These two activation markers have a close to zero background expression and are rapidly upregulated following antigen-specific activation. They enabled the quantification of rare T cells responding to antigens within the assay well. Background IFNγ-positive CD4 T cell frequencies decreased to 0.019% ± 0.028% and CD8 T cells to 0.009% ± 0.013%, which are 19 and 13 times lower, respectively, than without the use of these markers. The presented methodology enables highly sensitive monitoring of T-cell responses to tumor-associated antigens in the very low, but clinically relevant, frequencies.
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spelling doaj.art-fc4dec3fa4864a59b8a01538f538dc142023-11-16T16:14:10ZengMDPI AGCancers2072-66942023-01-0115357410.3390/cancers15030574A Highly Sensitive Flow Cytometric Approach to Detect Rare Antigen-Specific T Cells: Development and Comparison to Standard Monitoring ToolsMeytal Dror Levinsky0Baruch Brenner1Michal Yalon2Zohar Levi3Zvi Livneh4Zoya Cohen5Tamar Paz-Elizur6Rachel Grossman7Zvi Ram8Ilan Volovitz9The Cancer Immunotherapy Laboratory, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, IsraelThe Sackler Faculty of Medicine, The Tel Aviv University, Tel Aviv 6997801, IsraelThe Sackler Faculty of Medicine, The Tel Aviv University, Tel Aviv 6997801, IsraelThe Sackler Faculty of Medicine, The Tel Aviv University, Tel Aviv 6997801, IsraelThe Biomolecular Sciences Department, The Weizmann Institute of Science, Rehovot 7610001, IsraelThe Sackler Faculty of Medicine, The Tel Aviv University, Tel Aviv 6997801, IsraelThe Biomolecular Sciences Department, The Weizmann Institute of Science, Rehovot 7610001, IsraelThe Neurosurgery Department, The Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, IsraelThe Neurosurgery Department, The Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, IsraelThe Cancer Immunotherapy Laboratory, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, IsraelPersonalized vaccines against patient-unique tumor-associated antigens represent a promising new approach for cancer immunotherapy. Vaccine efficacy is assessed by quantification of changes in the frequency and/or the activity of antigen-specific T cells. Enzyme-linked immunosorbent spot (ELISpot) and flow cytometry (FCM) are methodologies frequently used for assessing vaccine efficacy. We tested these methodologies and found that both ELISpot and standard FCM [monitoring CD3/CD4/CD8/IFNγ/Viability+CD14+CD19 (dump)] demonstrate background IFNγ secretion, which, in many cases, was higher than the antigen-specific signal measured by the respective methodology (frequently ranging around 0.05–0.2%). To detect such weak T-cell responses, we developed an FCM panel that included two early activation markers, 4-1BB (CD137) and CD40L (CD154), in addition to the above-cited markers. These two activation markers have a close to zero background expression and are rapidly upregulated following antigen-specific activation. They enabled the quantification of rare T cells responding to antigens within the assay well. Background IFNγ-positive CD4 T cell frequencies decreased to 0.019% ± 0.028% and CD8 T cells to 0.009% ± 0.013%, which are 19 and 13 times lower, respectively, than without the use of these markers. The presented methodology enables highly sensitive monitoring of T-cell responses to tumor-associated antigens in the very low, but clinically relevant, frequencies.https://www.mdpi.com/2072-6694/15/3/574cancerpeptide vaccineRNA vaccinepersonalized cancer vaccinecancer testis antigensneoantigens
spellingShingle Meytal Dror Levinsky
Baruch Brenner
Michal Yalon
Zohar Levi
Zvi Livneh
Zoya Cohen
Tamar Paz-Elizur
Rachel Grossman
Zvi Ram
Ilan Volovitz
A Highly Sensitive Flow Cytometric Approach to Detect Rare Antigen-Specific T Cells: Development and Comparison to Standard Monitoring Tools
Cancers
cancer
peptide vaccine
RNA vaccine
personalized cancer vaccine
cancer testis antigens
neoantigens
title A Highly Sensitive Flow Cytometric Approach to Detect Rare Antigen-Specific T Cells: Development and Comparison to Standard Monitoring Tools
title_full A Highly Sensitive Flow Cytometric Approach to Detect Rare Antigen-Specific T Cells: Development and Comparison to Standard Monitoring Tools
title_fullStr A Highly Sensitive Flow Cytometric Approach to Detect Rare Antigen-Specific T Cells: Development and Comparison to Standard Monitoring Tools
title_full_unstemmed A Highly Sensitive Flow Cytometric Approach to Detect Rare Antigen-Specific T Cells: Development and Comparison to Standard Monitoring Tools
title_short A Highly Sensitive Flow Cytometric Approach to Detect Rare Antigen-Specific T Cells: Development and Comparison to Standard Monitoring Tools
title_sort highly sensitive flow cytometric approach to detect rare antigen specific t cells development and comparison to standard monitoring tools
topic cancer
peptide vaccine
RNA vaccine
personalized cancer vaccine
cancer testis antigens
neoantigens
url https://www.mdpi.com/2072-6694/15/3/574
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