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Abstracts for the 25th Annual Scientific Meeting of the International ...

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J Immuno<strong>the</strong>r Volume 33, Number 8, October 2010<br />

<strong>Abstracts</strong><br />

that block high avidity T cell trafficking and activation in neuexpressing<br />

tumors. The results <strong>of</strong> <strong>the</strong>se studies will be discussed. In<br />

addition, data will be presented evaluating <strong>the</strong>se findings in a neoadjuvant<br />

and adjuvant vaccine study in patients with pancreatic<br />

cancer.<br />

References:<br />

1. Thomas AM, Santarsiero LM, Armstrong TD, et al. Meso<strong>the</strong>lin<br />

specific CD8+ T cell responses provide human evidence <strong>of</strong> in<br />

vivo cross-priming by antigen presenting cells in vaccinated<br />

pancreatic cancer patients. J Exp Med. 2004;200:297–306.<br />

2. Ercolini AM, Ladle BH, Manning EA, et al. Recruitment <strong>of</strong><br />

latent pools <strong>of</strong> high avidity CD8+ T cells to <strong>the</strong> antitumor<br />

immune response. Journal <strong>of</strong> Experimental Medicine. 2005;201:<br />

1591–1602.<br />

3. Laheru D, Lutz E, Burke J, et al. Allogeneic granulocyte macrophage<br />

colony-stimulating factor-secreting tumor immuno<strong>the</strong>rapy<br />

alone or in sequence with cyclophosphamide <strong>for</strong><br />

metastatic pancreatic cancer: a pilot study <strong>of</strong> safety, feasibility,<br />

and immune activation. Cancer Therapy: Clin Can Res. 2008;<br />

14:1455–1463. PMC2879140<br />

4. Emens LA, Asquith JM, Lea<strong>the</strong>rman JM, et al. Timed<br />

sequential treatment with cyclophosphamide, doxorubicin, and<br />

an allogeneic granulocyte-macrophage colony-stimulating factor-secreting<br />

breast tumor vaccine: a chemo<strong>the</strong>rapy doseranging<br />

factorial study <strong>of</strong> safety and immune activation. J Clin<br />

Oncol. 2009;27:5911–5918. PMC2793039<br />

5. Lutz E, Yeo CJ, Lillemoe KD, et al. A lethally irradiated<br />

allogeneic granulocyte-macrophage colony stimulating factorsecreting<br />

tumor vaccine in pancreatic adenocarcinoma: a phase<br />

II trial <strong>of</strong> safety, efficacy, and immune activation. Annals <strong>of</strong><br />

Surgery. In press.<br />

Tumor Elimination By Depovaxt Cancer Vaccine Plat<strong>for</strong>m<br />

is Accompanied by Reduced Regulatory/Suppressor Cell<br />

Infiltration<br />

Mohan Karkada*w, Tara Quinton*, Genevieve Weir*,<br />

Drew Debayz, Sarah LeBlancz, Chris Bowenz, Marc Mansour*.<br />

*Cellular Immunology, Immunovaccine Inc.; w Microbiology and<br />

Immunology, Dalhousie University; zBiodiagnostics, National<br />

Research Council, Halifax, NS, Canada.<br />

A successful cancer vaccine needs to overcome tumor-induced<br />

immune suppression while enhancing protective Type1-biased<br />

tumor-specific immune responses. We have developed a novel<br />

liposome-based vaccine plat<strong>for</strong>m called DepoVaxt (DPX) which<br />

increases <strong>the</strong> potency <strong>of</strong> peptide-based cancer vaccines and elicits a<br />

strong cytotoxic T cell response. DPX-0907 is a human DPX based<br />

vaccine containing 7 HLA-A2 restricted peptides indicated <strong>for</strong><br />

breast, ovarian and prostate cancer which has recently entered<br />

Phase I clinical trials. DPX-0907 has shown effective immune<br />

induction in HLA-A2 transgenic mice, even in <strong>the</strong> presence<br />

<strong>of</strong> tumor-induced suppressor cells and cytokines. To investigate<br />

<strong>the</strong> effect DPX vaccines have on <strong>the</strong> regulatory cell population,<br />

we examined <strong>the</strong> induction and distribution <strong>of</strong> CD4+<br />

CD25+Foxp3+ (Treg) lymphocytes, immune-suppressive cytokine-secreting<br />

Tr1 cells and myeloid derived suppressor cells<br />

(MDSC) using a HPV16 tumor model. C57BL/6 mice bearing<br />

established C3 tumors were immunized with DPX- or emulsionbased<br />

vaccines and regulatory/suppressor cells were examined in<br />

<strong>the</strong> blood, spleen and tumor tissue using flow cytometry and<br />

fluorescent microscopy. While emulsion-vaccinated mice showed<br />

an increase in Treg cells in both spleen and blood, particularly after<br />

repeat immunizations, mice treated with DPX vaccine showed no<br />

such increase and <strong>the</strong> levels remained similar to tumor free naı¨ ve<br />

mice. Similarly, MDSC levels were significantly lower in DPXtreated<br />

mice compared to control mice in spleen, blood and also<br />

within <strong>the</strong> tumor tissue. Production <strong>of</strong> Tr1-type cytokines IL-10<br />

and TGF-b by CD4+ and CD8+ T cells was significantly<br />

increased in untreated and mice treated with emulsion vaccine<br />

compared to DPX-treated mice. Analysis <strong>of</strong> tumor infiltrating<br />

T cells revealed DPX vaccinated mice had lower levels <strong>of</strong> Tregs and<br />

higher levels <strong>of</strong> CD8+ T cells. Fur<strong>the</strong>rmore, C3 tumor bearing<br />

mice vaccinated with a single dose <strong>of</strong> DPX-based vaccine containing<br />

<strong>the</strong> H-2Db-restricted HPV16E7 (49 to 57) peptide conjugated<br />

to <strong>the</strong> universal T helper peptide exhibited compete tumor<br />

regression two weeks later, which was confirmed by MRI scanning.<br />

These findings provide insight into <strong>the</strong> mechanisms <strong>of</strong> DepoVaxtbased<br />

cancer vaccines which may prove advantageous <strong>for</strong><br />

immuno<strong>the</strong>rapy <strong>of</strong> immune-suppressed cancer patients.<br />

Proportion <strong>of</strong> Tregs and Th17 Cells in Peripheral Blood<br />

<strong>of</strong> Patients with Gynecologic Cancer<br />

Yong-Man Kim, Shin Wha Lee, Dae-Yeon Kim, Jong-Hyeok Kim,<br />

Joo-Hyun Nam, Young-Tak Kim. Department <strong>of</strong> Obstetrics and<br />

Gynecology, University <strong>of</strong> Ulsan, Asan Medical Center, Seoul,<br />

Republic <strong>of</strong> Korea.<br />

Objectives: Regulatory T lymphocytes (Tregs) and T helper type 17<br />

(Th17) cells were known to have a reciprocal function in tumor<br />

microenvironment. However, <strong>the</strong> proportions <strong>of</strong> Tregs and Th17<br />

cells have not been identified in gynecologic cancer. The aim <strong>of</strong> this<br />

study is to investigate and compare <strong>the</strong> proportions <strong>of</strong> Tregs and<br />

Th17 cells.<br />

Materials and Methods: Peripheral blood samples were obtained<br />

from 50 patients treated with gynecologic cancer and 16 healthy<br />

donors in Asan Medical Center from July 2009 to October 2009.<br />

Blood samples were stimulated <strong>for</strong> 4 hours with PMA/ionomycin<br />

according to <strong>the</strong> manufacturer’s directions (BD) be<strong>for</strong>e intracellular<br />

cytokine staining. Cell surfaces were stained with anti CD4<br />

Abs and anti CD25Abs. And <strong>the</strong>n, cells were fixed with fix/perm kit<br />

and intracellularly stained with anti Foxp3 Abs and anti IL-17a<br />

Abs. The phenotype <strong>of</strong> lymphocytes was analyzed through <strong>the</strong> flow<br />

cytometry.<br />

Results: Mean age was 50.5 years in cancer patients and 34.8 years<br />

in healthy individuals. Cancer patients were composed with 16<br />

cervical cancer, 15 ovarian cancer, 16 uterine cancer and 3 ano<strong>the</strong>r<br />

cancer, and <strong>the</strong>y were all at diagnostic states. We observed <strong>the</strong><br />

proportion <strong>of</strong> Tregs and Th17 cells in total CD4+ T lymphocytes.<br />

Proportion <strong>of</strong> CD4+CD25high+FoxP3+ Tregs was 0.64 ±<br />

0.11% in cancer patients and 0.20 ± 0.06% in healthy individuals(P

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