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Enhancing Dendritic Cell-based Immunotherapy with IL-2/Monoclonal Antibody Complexes for Control of Established Tumors
Journal article   Peer reviewed

Enhancing Dendritic Cell-based Immunotherapy with IL-2/Monoclonal Antibody Complexes for Control of Established Tumors

Marie T Kim, Martin J Richer, Brett P Gross, Lyse A Norian, Vladimir P Badovinac and John T Harty
The Journal of immunology (1950), Vol.195(9), pp.4537-4544
11/01/2015
DOI: 10.4049/jimmunol.1501071
PMCID: PMC4610867
PMID: 26408669

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Abstract

U.S. Food and Drug Administration-approved high-dose IL-2 therapy and dendritic cell (DC) immunization offer time-tested treatments for malignancy, but with defined issues of short in vivo t1/2, toxicity, and modest clinical benefit. Complexes of IL-2 with specific mAbs (IL-2c) exhibit improved stability in vivo with reduced toxicity and are capable of stimulating NK cell and memory phenotype CD8 T cell proliferation. In this study, we demonstrate that IL-2c treatment in tumor-bearing mice can enhance NK cell and tumor-specific CD8 T cell numbers. Importantly, DC immunization coupled with stabilized IL-2c infusion drastically improves the tumor-specific effector CD8 T cell response. DC + IL-2c treatment enhances number, 41BB and GITR expression, granzyme B production, CTL/regulatory T cell ratio, and per-cell killing capacity of CD8 T cells without increasing inhibitory molecule expression. Notably, IL-2c treatment of anti-CD3-stimulated human CD8 T cells resulted in higher number and granzyme B production, supporting the translational potential of this immunotherapy strategy for human malignancy. DC + IL-2c treatment enhances both endogenous NK cell and tumor Ag-specific CD8 T cell immunity to provide a marked reduction in tumor burden in multiple models of pre-existing malignancy in B6 and BALB/c mice. Depletion studies reveal contributions from both tumor-specific CD8 T cells and NK cells in control of tumor burden after DC + IL-2c treatment. Together, these data suggest that combination therapy with DC and IL-2c may be a potent treatment for malignancy.
Immunotherapy - methods Dendritic Cells - immunology Granzymes - metabolism Humans Neoplasms, Experimental - pathology Flow Cytometry Interleukin-2 - immunology Melanoma, Experimental - immunology Time Factors Neoplasms, Experimental - immunology CD8-Positive T-Lymphocytes - metabolism Killer Cells, Natural - immunology Granzymes - immunology Antibodies, Monoclonal - immunology Melanoma, Experimental - therapy Mice, Inbred C57BL Cells, Cultured Glucocorticoid-Induced TNFR-Related Protein - metabolism Neoplasms, Experimental - therapy Melanoma, Experimental - pathology Mice, Transgenic Animals Cell Line, Tumor Glucocorticoid-Induced TNFR-Related Protein - immunology Mice, Inbred BALB C Killer Cells, Natural - metabolism CD8-Positive T-Lymphocytes - immunology Tumor Burden - immunology

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