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FINAL PROGRAM - Society for Immunotherapy of Cancer

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Oral Presentation Abstracts<br />

antigen-specific manner. Currently, vaccine plat<strong>for</strong>ms that express<br />

the full-length human Brachyury protein are under development<br />

and a Phase I clinical trial <strong>of</strong> a heat-killed yeast-Brachyury vector is<br />

in preparation. We hypothesize that the eradication <strong>of</strong> Brachyuryexpressing<br />

tumor cells via Brachyury-based immunotherapeutic<br />

approaches could be efficient at eliminating tumor cells with<br />

invasive/metastatic potential as well as tumor resistance to<br />

conventional therapies.<br />

Key Words: <strong>Cancer</strong> vaccine, Tumor associated antigen.<br />

IMMUNOLOGICALTARGETING OF EPITHELIALTO<br />

MESENCHYMALTRANSITION AS A STRATEGYTO<br />

PREVENT BREAST CANCER METASTASES<br />

Noriko Kawashima 1 , Baomei Wang 1 , Fabio Santori 1 , Karsten<br />

Pilones 1 , Frank Pajonk 2 , Sandra Demaria 1<br />

1<br />

New York University Scool <strong>of</strong> Medicine, New York, NY<br />

2<br />

David Geffen School <strong>of</strong> Medicine at UCLA, Los Angeles, CA<br />

The identification <strong>of</strong> a subset <strong>of</strong> breast cancer (BC) cells with<br />

properties <strong>of</strong> cancer stem cells (CSCs), that are responsible <strong>for</strong><br />

tumorigenesis, metastasis and recurrence, and are intrinsically<br />

more resistant to chemotherapy and radiation, provides an<br />

unprecedented opportunity to develop new treatment strategies.<br />

The transcription factor Twist plays a key role in induction <strong>of</strong><br />

epithelial to mesenchymal transition (EMT) and acquisition <strong>of</strong><br />

CSCs properties by BC cells. Twist is also a key regulator <strong>of</strong><br />

metastasis in the 4T1 mouse model <strong>of</strong> breast cancer, and has been<br />

implicated in resistance to chemotherapy and radiation, and in<br />

early disease relapse after adjuvant treatment in patients. There<strong>for</strong>e,<br />

strategies to target Twist could be effective <strong>for</strong> the prevention <strong>of</strong><br />

metastatic BC.<br />

Using the SYFPEITHI Epitope Prediction computer-based algorithm<br />

we have identified a Twist-derived peptide (pTw9) that <strong>for</strong>ms<br />

stable complexes with H2-Kd with DC50 <strong>of</strong> >6 hr, and was able<br />

to sensitize P815 cells to lysis by 4T1 tumor-specific CTL isolated<br />

from mice that rejected 4T1 tumor. A pTw9-specific CTL line<br />

established by repeated in vitro re-stimulation specifically killed<br />

4T1 cells, confirming that pTw9 is an endogenously produced CTL<br />

epitope. Immunization experiments with pTw9 confirmed that<br />

this peptide is immunogenic in naïve mice. To determine whether<br />

CTL targeting pTw9 can prevent the generation <strong>of</strong> CSCs in vivo<br />

and inhibit metastases, we have prepared 4T1 cells expressing<br />

ZsGreen-cODC fusion protein, which contains the degron <strong>of</strong><br />

ornithine decarboxylase leading to rapid proteasome-mediated<br />

degradation <strong>of</strong> the reporter protein. Tumor cells that accumulate<br />

ZsGreen-cODC to detectable levels have the characteristics<br />

<strong>of</strong> CSCs and can be imaged in vivo (Vlashi et al., J Natl <strong>Cancer</strong><br />

Inst. 2009, 101:350-9). 4T1-ZsGreen-cODC cells injected s.c.<br />

into RAG2-deficient mice were allowed to spontaneously<br />

metastasize to the lungs. Lungs were harvested 30 days later,<br />

digested, and analyzed by flow cytometry <strong>for</strong> the presence <strong>of</strong><br />

EpCAM+ZsGreen+ tumor cells. ZsGreen+ cells represented on<br />

average 4.4 ± 4.9% <strong>of</strong> EpCAM+ tumor cells in the lung (range<br />

0.6 to 15.0%). Since the injected population did not contain<br />

detectable ZsGreen+ cells, results suggest that 4T1 cells with<br />

CSC characteristics are generated in vivo and enriched in the<br />

spontaneous lung metastases.<br />

Use <strong>of</strong> 4T1-ZsGreen-cODC cells will allow the tracking <strong>of</strong> tumor<br />

cells with CSCs properties in vivo. This system provides a unique<br />

tool to test the hypothesis that immunological targeting <strong>of</strong> Twist<br />

can inhibit EMT and the generation <strong>of</strong> tumor cells with breast<br />

CSCs properties.<br />

Key Words: Breast cancer, CD8+ T cells, Tumor associated antigen.<br />

POTENTIAL FOR IMMUNOTHERAPEUTIC<br />

CONTROL OF CSC-LIKE CELLS THROUGH THEIR<br />

EXPRESSION OF FAS AND DR5 DEATH RECEPTORS<br />

Fransisca Go, Deborah A. Knight, Mark J. Smyth, Trina J. Stewart<br />

<strong>Cancer</strong> Immunology Research Program, Peter MacCallum <strong>Cancer</strong><br />

Centre, Melbourne, VIC, Australia<br />

There is accumulating evidence <strong>for</strong> a role <strong>for</strong> cancer stem cells<br />

(CSC) in the recurrence <strong>of</strong> cancer and in the development <strong>of</strong><br />

metastatic disease. There<strong>for</strong>e, although CSC comprise only a small<br />

proportion <strong>of</strong> cells within a tumor, they should be considered<br />

an important population <strong>for</strong> therapeutic targeting. Since CSC<br />

are resistant to standard radiotherapy and chemotherapeutic<br />

treatments, identification <strong>of</strong> alternative treatment strategies, such<br />

as immunotherapeutic modalities, is required. Given the growing<br />

number <strong>of</strong> immunotherapies being used to treat cancer and<br />

the fact that some chemotherapies may actually prime immune<br />

responses, it is important that a better understanding <strong>of</strong> the<br />

susceptibility <strong>of</strong> CSC to various immunotherapeutic modalities is<br />

investigated. There<strong>for</strong>e, the immunological characterization <strong>of</strong> CSC<br />

becomes essential <strong>for</strong> the identification <strong>of</strong> immune-associated<br />

molecules expressed by CSC, which can be potentially exploited<br />

as an immunotherapy. The majority <strong>of</strong> studies on CSC have utilized<br />

cells from patient samples or human cell lines. However, these<br />

xenograft models are conducted in immunocompromised mice,<br />

which limits our ability to investigate immune interactions and<br />

immunotherapeutic responses. There<strong>for</strong>e, a CD44+CD24-/low<br />

subpopulation <strong>of</strong> cells within the murine AT-3 mammary carcinoma<br />

cell line was identified that had CSC-like characteristics, including<br />

an ability to differentiate and repopulate the line, and a resistance<br />

to chemo- and radiotherapy. These cells can then be used as a<br />

model system to study interactions between breast CSC and a<br />

competent immune system and to investigate their susceptibility<br />

to immunotherapeutic strategies. This AT-3 CSC-like subpopulation<br />

was immunologically characterized through their surface molecule<br />

expression pr<strong>of</strong>ile and their susceptibility to a range <strong>of</strong> cell death<br />

pathways. Similar levels <strong>of</strong> the surface molecules Rae-1, CD155,<br />

CD54 (NK cell-killing); and higher levels <strong>of</strong> Fas (Fas-killing) and<br />

DR5 (TRAIL-killing) were expressed on AT-3.CSC compared to<br />

other non-CSC tumor cells. This expression pr<strong>of</strong>ile correlated with<br />

an in vitro sensitivity to cell death by NK cells; and through the<br />

recognition <strong>of</strong> the death receptors, Fas or DR5, by either FasL- or<br />

TRAIL-expressing cells; or anti-Fas and anti-DR5 mAbs. Indeed,<br />

the AT-3.CSC were actually shown to be more sensitive to both<br />

ABSTRACTS AND<br />

POSTER LISTINGS<br />

<strong>FINAL</strong> <strong>PROGRAM</strong> • SITC 26 TH ANNUAL MEETING<br />

November 4-6, 2011 • North Bethesda, MD • www.sitcancer.org<br />

39

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