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Cancer Immune Therapy Edited by G. Stuhler and P. Walden ...

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tivation of naive T cells requires two independent signals. First, binding of the peptide/MHC<br />

complex <strong>by</strong> the TCR which transmits signals to T cells indicating antigen<br />

recognition <strong>and</strong> second, ligation of CD28 with B7±1 or B7±2 which produces a second<br />

signal <strong>and</strong> there<strong>by</strong> initiates T cell responses <strong>and</strong> production of armed effector T<br />

cells [37, 38].<br />

A marked increase over controls observed in expression of CD25, i. e. the high-affinity<br />

IL-2 receptor a chain, <strong>and</strong> CD69, an early T cell activation antigen, indicated that<br />

T cell activation took place in secondary lymphoid tissues following vaccination <strong>and</strong><br />

tumor cell challenge. Furthermore, we observed a specific <strong>and</strong> decisive elevation in<br />

the production of pro-inflammatory cytokines, interferon (IFN)-g <strong>and</strong> IL-12 <strong>by</strong> such<br />

T cells as shown in Fig. 16.1 which is known to be a key feature of their activation<br />

[17]. The notion that secondary lymphoid tissue of mice that exhibited protective tumor<br />

immunity contained tumor-specific CD8 + T cells was further supported <strong>by</strong> the<br />

finding that splenocytes isolated from such mice specifically lysed MC38-CEA-KSA<br />

tumor target cells in vitro in an MHC class I antigen-restricted manner. In contrast,<br />

splenocytes isolated from mice in all control groups failed to lyse these tumor target<br />

cells.<br />

As mentioned above, the rationale for using small boosts with huKS1/4±IL-2 fusion<br />

protein to improve tumor-protective immune responses induced <strong>by</strong> our CEA-based<br />

DNA vaccine was based on results of our prior work where this approach completely<br />

eradicated CT26 lung tumor metastases in 100% of syngeneic BALB/c mice [11, 12].<br />

In fact, injection of small, non-curative doses of huKS1/4±IL-2 fusion protein shortly<br />

Fig. 16.1 Induction of pro-inflammatory<br />

cytokines. C57BL/6J mice transgenic<br />

for CEA were immunized, challenged<br />

with MC38-CEA-KSA tumor cells<br />

<strong>and</strong> boosted with huKS1/4±IL-2 fusion<br />

protein. Splenocytes were obtained 1<br />

week after tumor cell challenge <strong>and</strong> cells<br />

were plated in the presence of irradiated<br />

MC38 cells; cultured supernatants were<br />

harvested after 24 h <strong>and</strong> either analyzed<br />

for release of IFN-g (A) or IL-12 (B) <strong>by</strong> a<br />

solid-phase s<strong>and</strong>wich ELISA. Each value<br />

represents the mean for four animals;<br />

bars, SD.<br />

16.2 Treatment of Tumor Metastases with Immunocytokines<br />

321

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