PD-1 and Tim-3 Regulate the Expansion of Tumor Antigen–Specific CD8+ T Cells Induced by Melanoma Vaccines

J Fourcade, Z Sun, O Pagliano, JM Chauvin, C Sander… - Cancer research, 2014 - AACR
J Fourcade, Z Sun, O Pagliano, JM Chauvin, C Sander, B Janjic, AA Tarhini, HA Tawbi…
Cancer research, 2014AACR
Although melanoma vaccines stimulate tumor antigen–specific CD8+ T cells, objective
clinical responses are rarely observed. To investigate this discrepancy, we evaluated the
character of vaccine-induced CD8+ T cells with regard to the inhibitory T-cell coreceptors PD-
1 and Tim-3 in patients with metastatic melanoma who were administered tumor vaccines.
The vaccines included incomplete Freund's adjuvant, CpG oligodeoxynucleotide (CpG), and
the HLA-A2–restricted analog peptide NY-ESO-1 157-165V, either by itself or in combination …
Abstract
Although melanoma vaccines stimulate tumor antigen–specific CD8+ T cells, objective clinical responses are rarely observed. To investigate this discrepancy, we evaluated the character of vaccine-induced CD8+ T cells with regard to the inhibitory T-cell coreceptors PD-1 and Tim-3 in patients with metastatic melanoma who were administered tumor vaccines. The vaccines included incomplete Freund's adjuvant, CpG oligodeoxynucleotide (CpG), and the HLA-A2–restricted analog peptide NY-ESO-1 157-165V, either by itself or in combination with the pan-DR epitope NY-ESO-1 119-143. Both vaccines stimulated rapid tumor antigen–specific CD8+ T-cell responses detected ex vivo, however, tumor antigen–specific CD8+ T cells produced more IFN-γ and exhibited higher lytic function upon immunization with MHC class I and class II epitopes. Notably, the vast majority of vaccine-induced CD8+ T cells upregulated PD-1 and a minority also upregulated Tim-3. Levels of PD-1 and Tim-3 expression by vaccine-induced CD8+ T cells at the time of vaccine administration correlated inversely with their expansion in vivo. Dual blockade of PD-1 and Tim-3 enhanced the expansion and cytokine production of vaccine-induced CD8+ T cells in vitro. Collectively, our findings support the use of PD-1 and Tim-3 blockades with cancer vaccines to stimulate potent antitumor T-cell responses and increase the likelihood of clinical responses in patients with advanced melanoma. Cancer Res; 74(4); 1045–55. ©2013 AACR.
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