Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
J Immunother. 2011 Jun;34(5):409-18. doi: 10.1097/CJI.0b013e31821ca6ce.
We have developed a cancer vaccine in which autologous tumor is fused with dendritic cells (DCs) resulting in the presentation of tumor antigens in the context of DC-mediated costimulation. In clinical trials, immunologic responses have been observed, however responses may be muted by inhibitory pathways. The PD1/PDL1 pathway is an important element contributing to tumor-mediated immune suppression. In this study, we demonstrate that myeloma cells and DC/tumor fusions strongly express PD-L1. Compared with a control population of normal volunteers, increased PD-1 expression was observed on T cells isolated from patients with myeloma. It is interesting to note that after autologous transplantation, T-cell expression of PD-1 returned to levels seen in normal controls. We examined the effect of PD-1 blockade on T-cell response to DC/tumor fusions ex vivo. Presence of CT-011, an anti-PD1 antibody, promoted the vaccine-induced T-cell polarization towards an activated phenotype expressing Th1 compared with Th2 cytokines. A concomitant decrease in regulatory T cells and enhanced killing in a cytotoxicity assay was observed. In summary, we demonstrate that PD-1 expression is increased in T cells of patients with active myeloma, and that CT-011 enhances activated T-cell responses after DC/tumor fusion stimulation.
我们开发了一种癌症疫苗,其中自体肿瘤与树突状细胞(DCs)融合,导致 DC 介导的共刺激下呈现肿瘤抗原。在临床试验中,已经观察到免疫反应,但是抑制途径可能会使反应减弱。PD1/PDL1 途径是导致肿瘤介导免疫抑制的重要因素。在这项研究中,我们证明骨髓瘤细胞和 DC/肿瘤融合物强烈表达 PD-L1。与正常志愿者的对照人群相比,从骨髓瘤患者中分离的 T 细胞观察到 PD-1 表达增加。有趣的是,在自体移植后,T 细胞表达的 PD-1 恢复到正常对照中所见的水平。我们检查了 PD-1 阻断对 DC/肿瘤融合物体外 T 细胞反应的影响。存在 CT-011,一种抗 PD1 抗体,促进了疫苗诱导的 T 细胞向表达 Th1 细胞因子而非 Th2 细胞因子的激活表型极化。同时观察到调节性 T 细胞减少和细胞毒性测定中的杀伤增强。总之,我们证明了在活动性骨髓瘤患者的 T 细胞中 PD-1 表达增加,并且 CT-011 增强了 DC/肿瘤融合刺激后激活的 T 细胞反应。