[HTML][HTML] Endogenous T cells prevent tumor immune escape following adoptive T cell therapy

SR Walsh, B Simovic, L Chen, D Bastin… - The Journal of …, 2019 - Am Soc Clin Investig
SR Walsh, B Simovic, L Chen, D Bastin, A Nguyen, K Stephenson, TS Mandur, JL Bramson
The Journal of clinical investigation, 2019Am Soc Clin Investig
While the outcome of adoptive T cell therapy (ACT) is typically correlated with the
functionality of the inoculated T cells, the role of the endogenous T cells is unknown. The
success of checkpoint blockade therapy has demonstrated the potentially curative value of
preexisting tumor-primed T cells in cancer treatment. Given the results from checkpoint
blockade therapy, we hypothesized that endogenous T cells contribute to long-term survival
following ACT. Here, we describe a therapeutic approach combining ACT with an oncolytic …
While the outcome of adoptive T cell therapy (ACT) is typically correlated with the functionality of the inoculated T cells, the role of the endogenous T cells is unknown. The success of checkpoint blockade therapy has demonstrated the potentially curative value of preexisting tumor-primed T cells in cancer treatment. Given the results from checkpoint blockade therapy, we hypothesized that endogenous T cells contribute to long-term survival following ACT. Here, we describe a therapeutic approach combining ACT with an oncolytic vaccine that allows simultaneous analysis of antitumor immunity mediated by transferred and endogenous T cells. We found that, in addition to promoting the expansion and tumor infiltration of the transferred T cells, oncolytic vaccines boosted tumor-primed host T cells. We determined that transferred T cells contributed to rapid destruction of large tumor masses while endogenous T cells concurrently prevented the emergence of antigen-loss variants. Moreover, while transferred T cells disappeared shortly after tumor regression, endogenous T cells secured long-term memory with a broad repertoire of antigen specificity. Our findings suggest that this combination strategy may exploit the full potential of ACT and tumor-primed host T cells to eliminate the primary tumor, prevent immune escape, and provide long-term protective memory.
The Journal of Clinical Investigation