van der Waart Anniek B, van de Weem Noortje M P, Maas Frans, Kramer Cynthia S M, Kester Michel G D, Falkenburg J H Frederik, Schaap Nicolaas, Jansen Joop H, van der Voort Robbert, Gattinoni Luca, Hobo Willemijn, Dolstra Harry
Department of Laboratory Medicine-Laboratory of Hematology; Radboud university medical center, Nijmegen, The Netherlands;
Department of Hematology, Laboratory of Experimental Hematology, Leiden University Medical Center, Leiden, The Netherlands;
Blood. 2014 Nov 27;124(23):3490-500. doi: 10.1182/blood-2014-05-578583. Epub 2014 Oct 21.
Effective T-cell therapy against cancer is dependent on the formation of long-lived, stem cell-like T cells with the ability to self-renew and differentiate into potent effector cells. Here, we investigated the in vivo existence of stem cell-like antigen-specific T cells in allogeneic stem cell transplantation (allo-SCT) patients and their ex vivo generation for additive treatment posttransplant. Early after allo-SCT, CD8+ stem cell memory T cells targeting minor histocompatibility antigens (MiHAs) expressed by recipient tumor cells were not detectable, emphasizing the need for improved additive MiHA-specific T-cell therapy. Importantly, MiHA-specific CD8+ T cells with an early CCR7+CD62L+CD45RO+CD27+CD28+CD95+ memory-like phenotype and gene signature could be expanded from naive precursors by inhibiting Akt signaling during ex vivo priming and expansion. This resulted in a MiHA-specific CD8+ T-cell population containing a high proportion of stem cell-like T cells compared with terminal differentiated effector T cells in control cultures. Importantly, these Akt-inhibited MiHA-specific CD8+ T cells showed a superior expansion capacity in vitro and in immunodeficient mice and induced a superior antitumor effect in intrafemural multiple myeloma-bearing mice. These findings provide a rationale for clinical exploitation of ex vivo-generated Akt-inhibited MiHA-specific CD8+ T cells in additive immunotherapy to prevent or treat relapse in allo-SCT patients.
有效的抗癌T细胞疗法依赖于形成具有自我更新能力并能分化为强效效应细胞的长寿、干细胞样T细胞。在此,我们研究了异基因干细胞移植(allo-SCT)患者体内干细胞样抗原特异性T细胞的存在情况及其在移植后作为辅助治疗的体外生成。在allo-SCT早期,无法检测到靶向受体肿瘤细胞表达的次要组织相容性抗原(MiHA)的CD8 + 干细胞记忆T细胞,这强调了改进辅助性MiHA特异性T细胞疗法的必要性。重要的是,在体外启动和扩增过程中通过抑制Akt信号传导,可以从幼稚前体中扩增出具有早期CCR7 + CD62L + CD45RO + CD27 + CD28 + CD95 + 记忆样表型和基因特征的MiHA特异性CD8 + T细胞。与对照培养物中的终末分化效应T细胞相比,这产生了一个含有高比例干细胞样T细胞的MiHA特异性CD8 + T细胞群体。重要的是,这些经Akt抑制的MiHA特异性CD8 + T细胞在体外和免疫缺陷小鼠中表现出优异的扩增能力,并在股骨内荷多发性骨髓瘤小鼠中诱导了优异的抗肿瘤效果。这些发现为在辅助免疫疗法中临床应用体外生成的经Akt抑制的MiHA特异性CD8 + T细胞以预防或治疗allo-SCT患者的复发提供了理论依据。