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Download File - JOHN J. HADDAD, Ph.D.

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Factoring in Antigen Processing in Designing Antitumor T-Cell Vaccines 19<br />

This process eliminates most potentially autoreactive T cells and is of central<br />

importance for the development of tolerance to self-antigens, including those<br />

expressed by tumor cells. Analyses of the T cells of b1i/LMP2 / mice indicated<br />

a 50% reduction in the frequency of CD8 þ T cells in the periphery (147). Also,<br />

the T-cell repertoire against several epitopes was drastically altered (52). Thus,<br />

the processing of antigens by immunoproteasomes in the thymus shapes the<br />

peripheral T-cell repertoire that can be mobilized by T-cell vaccines.<br />

Impact of Processing on T-Cell Responses<br />

It is accepted that CD8 þ T-cell priming and cross-priming are primarily mediated<br />

by DCs. Both priming and cross-priming of CD8 þ T cells depend on the<br />

processing of MHC class I–restricted antigens by the proteasomes of DCs (122).<br />

DCs exist in at least two states: the immature and mature states. Immature DCs<br />

reside in tissues, have the capacity of capturing antigens, and express both<br />

standard and immunoproteasomes. Upon stimulation, tissue-resident DCs mature<br />

and migrate to the draining lymph node. Mature DCs lose endocytic capacity,<br />

upregulate co-stimulatory molecules, process antigens efficiently, and express<br />

only immunoproteasomes. Given that some tumor-associated peptide antigens<br />

(but not all) are produced by standard proteasomes of tumors but not by<br />

immunoproteasomes of DCs, vaccines exploiting the recipients’ DCs to elicit<br />

T-cell responses should primarily incorporate target antigens that are efficiently<br />

processed by both types of proteasomes. In the context of the HLA-A2-restricted<br />

peptide Melan-A26–35, which is inefficiently produced by immunoproteasome,<br />

the efficacy of protein-based vaccines at eliciting specific CD8 þ T cells in<br />

HLA-A2 transgenic mice was low (55). In contrast, the same vaccine administered<br />

to immunoproteasome-deficient mice elicited a high frequency of specific<br />

CD8 þ T cells. Further analyses confirmed that the in vivo anti-Melan-A T-cell<br />

response was controlled by the proteasomal processing of DCs.<br />

It has been shown that particular DC subsets (CD8 þ DCs) stimulate T cells<br />

owing to their capacities of acquiring and processing exogenous antigens<br />

(148–150). Interestingly, it was recently reported that a CD8 þ DC subset, which<br />

stimulated efficiently CD8 þ T cells and to some extent CD4 þ T cells, contained<br />

higher levels of several gene products involved in antigen processing (including<br />

ERAAP, cathepsins, Gilt, AEP, and cystatins) than CD8 DCs, which stimulated<br />

primarily CD4 þ T cells but not CD8 þ T cells (151). Differences in enzymes<br />

involved in antigen processing have also been documented in the context of<br />

human DCs (152). Thus, the effectiveness of protein-based antitumor T-cell<br />

vaccines is not only influenced by the type of proteasomes expressed by the DCs<br />

but also by the differential expression of a large variety of other processing<br />

enzymes.<br />

It was originally postulated that immature DCs residing at different anatomical<br />

sites captured antigens and, upon maturation and migration to draining<br />

lymph nodes, processed and presented them to activate antigen-specific T cells

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