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

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334 16 Immunocytokines: Versatile Molecules for Biotherapy of Malignant Disease<br />

jection was not coupled to the presence of higher numbers of clonotypic T cells [71].<br />

Moreover the last tumor samples for TCR clonotype mapping were obtained at day<br />

21, a time when the progressive growth of the tumor just started to level off; thus,<br />

the presence of clonally exp<strong>and</strong>ed T cells was at least not caused <strong>by</strong> tumor necrosis<br />

but rather was a therapy-induced immune response.<br />

The finding that almost no clones were discovered in the draining lymph nodes<br />

further suggested that priming occurred in the tumor <strong>and</strong> not in the lymph node.<br />

Furthermore, even when we were able to detect an occasional clonal expansion<br />

within these lymph nodes, none of these were identical to those present in the tumor.<br />

The induction of lymphoid tissues at the tumor site will overcome two of the<br />

major obstacles to prolonged immune responses to weakly immunogenic tumors,<br />

i. e. clonal anergy <strong>and</strong> clonal exhaustion [72]. Thus it may avoid T cell anergy <strong>by</strong> providing<br />

a suitable cytokine <strong>and</strong> cellular environment together with a high antigen<br />

load. Clonal exhaustion may also be prevented, since naive T cells can be continuously<br />

primed. Actually, immunocytokine LT-a-dependent lymphoid neogenesis may<br />

improve antitumor responses in several ways <strong>and</strong> the possibility that naive T cells<br />

can be primed next to the tumor <strong>by</strong> a tertiary lymphoid organ has several advantages<br />

for immunotherapy. First, a larger number of primed tumor-specific T cells will become<br />

available since tumor-specific antigens predominate [73]. Second, a reduction<br />

will occur in the time between priming <strong>and</strong> expansion thus decreasing the risk of<br />

primed T cells not reaching the tumor. Third, ongoing T cell responses will react<br />

more readily <strong>and</strong> quickly to changes in the antigen expression profile of the tumor.<br />

In addition, this may stop lymphocytes from leaving the tumor microenvironment,<br />

which is beneficial since effective immunotherapy depends more on sustaining an<br />

immune response at the appropriate location than on its initiation [74]. Taken together,<br />

our results suggested that the effectiveness of tumor-targeted LT-a therapy<br />

was due to direct clonal expansion of tumor-specific T cells through the formation of<br />

peritumoral lymphoid tissue [69].<br />

16.5.3<br />

ch14.18±IL-2 Immunocytokine Boosts Protective Immunity Induced <strong>by</strong> an Autologous<br />

Oral DNAVaccine against Murine Melanoma<br />

Initial experiments designed to develop an autologous oral DNA vaccine protecting<br />

against murine melanoma indicated that peripheral tolerance toward melanoma selfantigens<br />

gp100 <strong>and</strong> TRP-2 could be broken <strong>by</strong> such a vaccine in CD57BL/6J mice.<br />

Specifically, this was accomplished <strong>by</strong> a DNA vaccine containing the murine ubiquitin<br />

gene fused to minigenes encoding peptide epitopes gp100 25±33 <strong>and</strong> TRP-2 181±188.<br />

Characteristically, these epitopes contained dominant anchor residues for MHC class I<br />

antigen alleles H-2D b <strong>and</strong> H-2K b , respectively. Delivery of this vaccine was <strong>by</strong> oral gavage<br />

using an attenuated strain of S. typhimurium as carrier that delivered the DNA to<br />

a secondary lymphoid tissues, i. e. the Peyer's patch. Three vaccinations with 10 8 bacteria<br />

at 2-week intervals induced effective tumor-protective immunity in a prophylactic<br />

setting since a lethal s.c. challenge of wild-type B16 melanoma cells 1 week after the<br />

last vaccination, resulted in complete tumor rejection in 25% of experimental mice.

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