Abstract

BackgroundMalignant melanoma is the deadliest form of skin cancer and is refractory to conventional chemotherapy and radiotherapy. Therefore alternative approaches to treat this disease, such as immunotherapy, are needed. Melanoma vaccine design has mainly focused on targeting CD8+ T cells. Activation of effector CD8+ T cells has been achieved in patients, but provided limited clinical benefit, due to immune-escape mechanisms established by advanced tumors. We have previously shown that alphavirus-based virus-like replicon particles (VRP) simultaneously activate strong cellular and humoral immunity against the weakly immunogenic melanoma differentiation antigen (MDA) tyrosinase. Here we further investigate the antitumor effect and the immune mechanisms of VRP encoding different MDAs.Methodology/Principal FindingsVRP encoding different MDAs were screened for their ability to prevent the growth of the B16 mouse transplantable melanoma. The immunologic mechanisms of efficacy were investigated for the most effective vaccine identified, focusing on CD8+ T cells and humoral responses. To this end, ex vivo immune assays and transgenic mice lacking specific immune effector functions were used. The studies identified a potent therapeutic VRP vaccine, encoding tyrosinase related protein 2 (TRP-2), which provided a durable anti-tumor effect. The efficacy of VRP-TRP2 relies on a novel immune mechanism of action requiring the activation of both IgG and CD8+ T cell effector responses, and depends on signaling through activating Fcγ receptors.Conclusions/SignificanceThis study identifies a VRP-based vaccine able to elicit humoral immunity against TRP-2, which plays a role in melanoma immunotherapy and synergizes with tumor-specific CD8+ T cell responses. These findings will aid in the rational design of future immunotherapy clinical trials.

Highlights

  • Melanoma differentiation antigens (MDAs) include tyrosinase, pMEL17/gp100, gp75/tyrosinase related protein (TRP)-1, MART-1/melan-A and dopachrome tautomerase/tyrosinase related protein 2 (TRP-2) and represent ideal target antigens for melanoma immunotherapy, due to preferential expression in melanocytes and melanoma cells [1]

  • Depigmentation was observed in only in 5–10% of immunized animals. These results suggested that TRP2 is the most relevant antigen to target with virus-like replicon particles (VRP) in a prophylactic setting; we focused on this vaccine and further characterized its preclinical potential by testing it in more stringent therapeutic experimental conditions

  • We have evaluated the efficacy of non replicative alphavirus-based as vaccines for melanoma and we have shown that (1) the choice of the target antigen determines the therapeutic outcome and (2) the mobilization of humoral immunity is an important step in optimizing the efficacy of TRP-2 specific melanoma vaccines

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Summary

Introduction

Melanoma differentiation antigens (MDAs) include tyrosinase, pMEL17/gp100, gp75/tyrosinase related protein (TRP)-1, MART-1/melan-A and dopachrome tautomerase/TRP-2 and represent ideal target antigens for melanoma immunotherapy, due to preferential expression in melanocytes and melanoma cells [1]. Established tumors develop an array of immune-escape mechanisms that inhibit effector T cells and/or prevent full T cell activation [3,4], limiting the clinical benefit. It has recently been shown that targeting regulatory T cells or effector CD4+ T cells is therapeutic [5,6,7] suggesting that combined activation/deactivation of different T cell populations might be beneficial. Activation of effector CD8+ T cells has been achieved in patients, but provided limited clinical benefit, due to immune-escape mechanisms established by advanced tumors. We have previously shown that alphavirus-based virus-like replicon particles (VRP) simultaneously activate strong cellular and humoral immunity against the weakly immunogenic melanoma differentiation antigen (MDA) tyrosinase. We further investigate the antitumor effect and the immune mechanisms of VRP encoding different MDAs

Methods
Results
Conclusion

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