Laboratory of Cellular Immunology, La Jolla Institute for Allergy and Immunology, La Jolla, California.
Division of Hematology and Oncology, UCSD Moores Cancer Center, La Jolla, California.
Cancer Immunol Res. 2019 Jan;7(1):40-49. doi: 10.1158/2326-6066.CIR-18-0371. Epub 2018 Nov 27.
Adoptive cellular therapy (ACT) using T-cell receptor (TCR)-engineered lymphocytes holds promise for eradication of disseminated tumors but also an inherent risk of pathologic autoimmunity if targeted antigens or antigenic mimics are expressed by normal tissues. We evaluated whether modulating TCR affinity could allow CD8 T cells to control tumor outgrowth without inducing concomitant autoimmunity in a preclinical murine model of ACT. RIP-mOVA mice express a membrane-bound form of chicken ovalbumin (mOVA) as a self-antigen in kidney and pancreas. Such mice were implanted with OVA-expressing ID8 ovarian carcinoma cells and subsequently treated with CD8 T lymphocytes (CTL) expressing either a high-affinity (OT-I) or low-affinity (OT-3) OVA-specific TCR. The effects on tumor growth versus organ-specific autoimmunity were subsequently monitored. High-affinity OT-I CTLs underwent activation and proliferation in both tumor-draining and pancreatic lymph nodes, leading to both rapid eradication of ID8-OVA tumors and autoimmune diabetes in all treated mice. Remarkably, the low-affinity OT-3 T cells were activated only by tumor-derived antigen and mediated transient regression of ID8-OVA tumors without concomitant autoimmunity. The OT-3 cells eventually upregulated inhibitory receptors PD-1, TIM-3, and LAG-3 and became functionally unresponsive, however, allowing the tumors in treated mice to reestablish progressive growth. Antibody-mediated blockade of the inhibitory receptors prevented exhaustion and allowed tumor clearance, but these mice also developed autoimmune diabetes. The findings reveal that low-affinity TCRs can mediate tumor regression and that functional avidity can discriminate between tumor-derived and endogenous antigen, while highlighting the risks involved in immune-checkpoint blockade on endogenous self-reactive T cells.
采用 T 细胞受体(TCR)工程化淋巴细胞的过继细胞疗法(ACT)有望消除播散性肿瘤,但如果靶向抗原或抗原模拟物由正常组织表达,也存在固有病理自身免疫风险。我们评估了调节 TCR 亲和力是否可以使 CD8 T 细胞在不诱导伴随自身免疫的情况下控制肿瘤生长,这是 ACT 的临床前小鼠模型中的一个问题。RIP-mOVA 小鼠在肾脏和胰腺中表达一种膜结合形式的鸡卵清蛋白(mOVA)作为自身抗原。这些小鼠被植入表达 OVA 的 ID8 卵巢癌细胞,随后用表达高亲和力(OT-I)或低亲和力(OT-3)OVA 特异性 TCR 的 CD8 T 淋巴细胞(CTL)治疗。随后监测对肿瘤生长与器官特异性自身免疫的影响。高亲和力 OT-I CTL 在肿瘤引流和胰腺淋巴结中均被激活和增殖,导致 ID8-OVA 肿瘤的快速消除和所有治疗小鼠的自身免疫性糖尿病。值得注意的是,低亲和力 OT-3 T 细胞仅由肿瘤衍生抗原激活,并介导 ID8-OVA 肿瘤的短暂消退而无伴随自身免疫。然而,OT-3 细胞最终上调抑制性受体 PD-1、TIM-3 和 LAG-3,并变得功能无反应,从而允许治疗小鼠中的肿瘤重新建立进行性生长。抑制性受体的抗体阻断可防止衰竭并允许肿瘤清除,但这些小鼠也发生自身免疫性糖尿病。这些发现表明,低亲和力 TCR 可介导肿瘤消退,并且功能亲和力可区分肿瘤衍生和内源性抗原,同时突出了免疫检查点阻断内源性自身反应性 T 细胞所涉及的风险。
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