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2017 ; 5
(ä): 47
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GITR ligand fusion protein agonist enhances the tumor antigen-specific CD8 T-cell
response and leads to long-lasting memory
#MMPMID28649380
Durham NM
; Holoweckyj N
; MacGill RS
; McGlinchey K
; Leow CC
; Robbins SH
J Immunother Cancer
2017[]; 5
(ä): 47
PMID28649380
show ga
BACKGROUND: The expansion of antigen-specific CD8 T cells is important in
generating an effective and long-lasting immune response to tumors and viruses.
Glucocorticoid-induced tumor necrosis factor receptor family-related receptor
(GITR) is a co-stimulatory receptor that binds the GITR ligand (GITRL). Agonism
of GITR can produce important signals that drive expansion of effector T cell
populations. METHODS: We explored two separate murine tumor models, CT26 and
TC-1, for responsiveness to GITR Ligand Fusion Protein(GITRL-FP) monotherapy. In
TC-1, GITRL-FP was also combined with concurrent administration of an E7-SLP
vaccine. We evaluated tumor growth inhibition by tumor volume measurements as
well as changes in CD8 T cell populations and function including cytokine
production using flow cytometry. Additionally, we interrogated how these
therapies resulted in tumor antigen-specific responses using MHC-I dextramer
staining and antigen-specific restimulations. RESULTS: In this study, we
demonstrate that a GITR ligand fusion protein (GITRL-FP) is an effective
modulator of antigen-specific CD8 T cells. In a CT26 mouse tumor model, GITRL-FP
promoted expansion of antigen-specific T cells, depletion of regulatory T cells
(Tregs), and generation of long-lasting CD8 T cell memory. This memory expansion
was dependent on the dose of GITRL-FP and resulted in complete tumor clearance
and protection from tumor rechallenge. In contrast, in TC-1 tumor-bearing mice,
GITRL-FP monotherapy could not prime an antigen-specific CD8 T cell response and
was unable to deplete Tregs. However, when combined with a vaccine targeting E7,
treatment with GITRL-FP resulted in an augmentation of the vaccine-induced
antigen-specific CD8 T cells, the depletion of Tregs, and a potent antitumor
immune response. In both model systems, GITR levels on antigen-specific CD8 T
cells were higher than on all other CD8 T cells, and GITRL-FP interacted directly
with primed antigen-specific CD8 T cells. CONCLUSIONS: When taken together, our
results demonstrate that the delivery of GITRL-FP as a therapeutic can promote
anti-tumor responses in the presence of tumor-specific CD8 T cells. These
findings support further study into combination partners for GITRL-FP that may
augment CD8 T-cell priming as well as provide hypotheses that can be tested in
human clinical trials exploring GITR agonists including GITRL-FP.