A phase I vaccination study with dendritic cells loaded with NY-ESO-1 and α-galactosylceramide: induction of polyfunctional T cells in high-risk melanoma patients

Springer Science and Business Media LLC - Tập 67 - Trang 285-298 - 2017
Olivier Gasser1, Katrina J. Sharples2,3, Catherine Barrow4, Geoffrey M. Williams5, Evelyn Bauer1, Catherine E. Wood1,4, Brigitta Mester1, Marina Dzhelali4, Graham Caygill6, Jeremy Jones6, Colin M. Hayman7, Victoria A. Hinder3, Jerome Macapagal3, Monica McCusker3, Robert Weinkove1,4, Gavin F. Painter7, Margaret A. Brimble5, Michael P. Findlay3, P. Rod Dunbar5,8, Ian F. Hermans1,5,9
1Malaghan Institute of Medical Research, Wellington, New Zealand
2Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
3Cancer Trials New Zealand, University of Auckland, Auckland, New Zealand
4Capital and Coast District Health Board, Wellington, New Zealand
5Maurice Wilkins Centre for Molecular Biodiscovery, Auckland, New Zealand
6GlycoSyn, Lower Hutt, New Zealand
7The Ferrier Research Institute, Victoria University of Wellington, Lower Hutt, New Zealand
8School of Biological Sciences, University of Auckland, Auckland, New Zealand
9School of Biological Sciences, Victoria University of Wellington, Wellington, New Zealand

Tóm tắt

Vaccines that elicit targeted tumor antigen-specific T-cell responses have the potential to be used as adjuvant therapy in patients with high risk of relapse. However, the responses induced by vaccines in cancer patients have generally been disappointing. To improve vaccine function, we investigated the possibility of exploiting the immunostimulatory capacity of type 1 Natural killer T (NKT) cells, a cell type enriched in lymphoid tissues that can trigger improved antigen-presenting function in dendritic cells (DCs). In this phase I dose escalation study, we treated eight patients with high-risk surgically resected stage II–IV melanoma with intravenous autologous monocyte-derived DCs loaded with the NKT cell agonist α-GalCer and peptides derived from the cancer testis antigen NY-ESO-1. Two synthetic long peptides spanning defined immunogenic regions of the NY-ESO-1 sequence were used. This therapy proved to be safe and immunologically effective, inducing increases in circulating NY-ESO-1-specific T cells that could be detected directly ex vivo in seven out of eight patients. These responses were achieved using as few as 5 × 105 peptide-loaded cells per dose. Analysis after in vitro restimulation showed increases in polyfunctional CD4+ and CD8+ T cells that were capable of manufacturing two or more cytokines simultaneously. Evidence of NKT cell proliferation and/or NKT cell-associated cytokine secretion was seen in most patients. In light of these strong responses, the concept of including NKT cell agonists in vaccine design requires further investigation.

Tài liệu tham khảo

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