Abstract

Vaccination can synergize with transplantation of allogeneic hematopoietic stem cells to cure hematologic malignancies, but the basis for this synergy is not understood to the degree where such approaches could be effective for treating solid tumors. We investigated this issue in a transgenic mouse model of prostate cancer treated by transplantation of a nonmyeloablative MHC-matched, single Y chromosome-encoded, or multiple minor histocompatibility antigen-mismatched hematopoietic cell preparation. Here, we report that tumor-directed vaccination after allogeneic hematopoietic stem cell transplantation and donor lymphocyte infusion is essential for acute graft versus tumor responses, tumor regression, and prolonged survival. Vaccination proved essential for generation of CD8(+) IFN-γ(+) tumor-directed effector cells in secondary lymphoid organs and also for IFN-γ(+) upregulation at the tumor site, which in turn instructed local expression of proinflammatory chemokines and intratumoral recruitment of donor-derived T cells for disease regression. Omitting vaccination, transplanting IFN-γ-deficient donor T cells, or depleting alloreactive T cells all compromised intratumoral IFN-γ-driven inflammation and lymphocyte infiltration, abolishing antitumor responses and therapeutic efficacy of the combined approach. Our findings argue that posttransplant tumor-directed vaccination is critical to effectively direct donor T cells to the tumor site in cooperation with allogeneic hematopoietic cell transplantation.

Highlights

  • Major limitations to efficacious immunotherapy are mechanisms of central and peripheral T-cell tolerance, which weaken tumor immunogenicity [1]

  • Tumor-directed vaccination is critical for therapeutic efficacy of hematopoietic cell transplantation against autochthonous prostate cancer in TRAMP mice

  • We found that combining transplantation of HSCT and DLI from female mice presensitized to male antigens and tumor-directed vaccination promoted long-term survival of tumor-prone TRAMP mice

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Summary

Introduction

Major limitations to efficacious immunotherapy are mechanisms of central and peripheral T-cell tolerance, which weaken tumor immunogenicity [1]. Several strategies have been attempted to break such tolerance with variable degrees of success in preclinical mouse models and in clinical trials [2]. Active immunotherapy in the form of vaccines targeted to tumor-associated antigens have led to promising results [3], Authors' Affiliations: 1Lymphocyte Activation Unit, 2Cellular Immunology Unit, Division of Immunology, Transplantation and Infectious Disease, 3Department of Pathology, San Raffaele Scientific Institute; 4Universita Vita-Salute San Raffaele, Milan, Italy; and 5Max-Delbru€ck Center for Molecular Medicine and Institute for Immunology, Charite, Berlin, Germany. Note: Supplementary data for this article are available at Cancer Research Online (http://cancerres.aacrjournals.org/).

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