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Tumor-reactive CD4+ T cells develop cytotoxic activity and eradicate large established melanoma after transfer into lymphopenic hosts

2010· article· en· 887 citations· W2053967595 on OpenAlex· 10.1084/jem.20091918

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Abstract

Adoptive transfer of large numbers of tumor-reactive CD8(+) cytotoxic T lymphocytes (CTLs) expanded and differentiated in vitro has shown promising clinical activity against cancer. However, such protocols are complicated by extensive ex vivo manipulations of tumor-reactive cells and have largely focused on CD8(+) CTLs, with much less emphasis on the role and contribution of CD4(+) T cells. Using a mouse model of advanced melanoma, we found that transfer of small numbers of naive tumor-reactive CD4(+) T cells into lymphopenic recipients induces substantial T cell expansion, differentiation, and regression of large established tumors without the need for in vitro manipulation. Surprisingly, CD4(+) T cells developed cytotoxic activity, and tumor rejection was dependent on class II-restricted recognition of tumors by tumor-reactive CD4(+) T cells. Furthermore, blockade of the coinhibitory receptor CTL-associated antigen 4 (CTLA-4) on the transferred CD4(+) T cells resulted in greater expansion of effector T cells, diminished accumulation of tumor-reactive regulatory T cells, and superior antitumor activity capable of inducing regression of spontaneous mouse melanoma. These findings suggest a novel potential therapeutic role for cytotoxic CD4(+) T cells and CTLA-4 blockade in cancer immunotherapy, and demonstrate the potential advantages of differentiating tumor-reactive CD4(+) cells in vivo over current protocols favoring in vitro expansion and differentiation.

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The record

Venue
The Journal of Experimental Medicine
Topic
CAR-T cell therapy research
Field
Medicine
Canadian institutions
Funders
Canadian Institutes of Health ResearchHoward Hughes Medical InstituteUniversity College LondonSwim Across AmericaMemorial Sloan-Kettering Cancer CenterCancer Research Institute
Keywords
Cytotoxic T cellAdoptive cell transferCancer researchBiologyCD8MelanomaInterleukin 21ImmunologyAntigenIn vitroBiochemistry
Has abstract in OpenAlex
yes