Abstract

Dendritic cell (DC) vaccination can be an effective post-remission therapy for acute myeloid leukemia (AML). Yet, current DC vaccines do not encompass the ideal stimulatory triggers for innate gamma delta (γδ) T cell anti-tumor activity. Promoting type 1 cytotoxic γδ T cells in patients with AML is, however, most interesting, considering these unconventional T cells are primed for rapid function and exert meaningful control over AML. In this work, we demonstrate that interleukin (IL)-15 DCs have the capacity to enhance the anti-tumoral functions of γδ T cells. IL-15 DCs of healthy donors and of AML patients in remission induce the upregulation of cytotoxicity-associated and co-stimulatory molecules on the γδ T cell surface, but not of co-inhibitory molecules, incite γδ T cell proliferation and stimulate their interferon-γ production in the presence of blood cancer cells and phosphoantigens. Moreover, the innate cytotoxic capacity of γδ T cells is significantly enhanced upon interaction with IL-15 DCs, both towards leukemic cell lines and allogeneic primary AML blasts. Finally, we address soluble IL-15 secreted by IL-15 DCs as the main mechanism behind the IL-15 DC-mediated γδ T cell activation. These results indicate that the application of IL-15-secreting DC subsets could render DC-based anti-cancer vaccines more effective through, among others, the involvement of γδ T cells in the anti-leukemic immune response.

Highlights

  • Acute myeloid leukemia (AML) is a clonal neoplasm derived from myeloid progenitor cells with a high mortality rate [1, 2]

  • Phenotypic characterization of γδ T cells was performed after a 48-hour culture period, either unstimulated or with the addition of isopentenyl pyrophosphate (IPP) and/or IL-15 Dendritic cell (DC) (Table 2; % and ΔMFI, Figure S2 in Supplementary Material; histogram overlays). γδ T cells exposed to IL-15 DCs were found to express higher levels of markers related with γδ T cell cytotoxicity (CD16) and co-stimulatory molecules (CD80, CD86)

  • A similar degree of γδ T cell proliferation was observed after 5 days, irrespective of whether IL–15 DCs were separated from the Peripheral blood mononuclear cells (PBMCs) by a transwell membrane or not

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Summary

Introduction

Acute myeloid leukemia (AML) is a clonal neoplasm derived from myeloid progenitor cells with a high mortality rate [1, 2]. Most AML patients will achieve remission with induction chemotherapy, the majority of them will eventually relapse within 2 years. This is due to the persistence of residual leukemic (stem) cells, known as minimal residual disease (MRD) [3, 4]. Eradication of MRD is a therapeutic priority in the treatment of AML. Despite recent advances in the biologic characterization of AML, standard treatment has remained largely unchanged. Given the high suitability of AML cells for immune intervention, dendritic

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