Positive conversion of negative signaling of CTLA4 potentiates antitumor efficacy of adoptive T-cell therapy in murine tumor models

Blood - Tập 119 Số 24 - Trang 5678-5687 - 2012
Jae Hun Shin1, Hyung Bae Park2, Yu Mi Oh1, Dong Pyo Lim1, Ji Eun Lee1, Hae Hyun Seo3, Sang Jin Lee3, Hyeon Seok Eom2, In-Hoo Kim4, Seung Hoon Lee1, Kyungho Choi1
1Specific Organs Cancer Branch,
2Hematologic Malignancy Branch,
3Genitourinary Cancer Branch, and
4Molecular Imaging and Therapy branch, Research Institute National Cancer Center, Gyeonggi-do, Korea

Tóm tắt

AbstractCytotoxic T lymphocyte–associated antigen 4 (CTLA4) has been known to be a strong tolerance-inducing inhibitory receptor on T-cell surface. Systemic blocking of CTLA4 function with blocking antibodies has been regarded as an attractive strategy to enhance antitumor immunity. However, this strategy accompanies systemic autoimmune side effects that are sometimes problematic. Therefore, we developed a novel CTLA4 mutant that could be expressed in tumor antigen-specific T cells to enhance antitumor effect without systemic autoimmunity. This mutant, named CTLA4-CD28 chimera, consists of extracellular and transmembrane domains of CTLA4, linked with cytoplasmic CD28 domain. Overexpression of CTLA4-CD28 chimera in T cells delivered stimulatory signals rather than inhibitory signals of CTLA4 and significantly enhanced T-cell reactivity. Although this effect was observed in both CD4 and CD8 T cells, the effect on CD4 T cells was predominant. CTLA4-CD28 chimera gene modification of CD4 T cells significantly enhanced antitumor effect of unmodified CD8 T cells. Nonetheless, the gene modification of CD8 T cells along with CD4 T cells further maximized antitumor effect of T cells in 2 different murine tumor models. Thus, CTLA4-CD28 chimera gene modification of both tumor antigen-specific CD4 and CD8 T cells would be an ideal way of modulating CTLA4 function to enhance tumor-specific T-cell reactivity.

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