Cutting Edge: Delay and Reversal of T Cell Tolerance by Intratumoral Injection of Antigen-Loaded Dendritic Cells in an Autochthonous Tumor Model

Similar documents
Supplementary Figure 1. Characterization of basophils after reconstitution of SCID mice

MATERIALS AND METHODS. Neutralizing antibodies specific to mouse Dll1, Dll4, J1 and J2 were prepared as described. 1,2 All

TITLE: MODULATION OF T CELL TOLERANCE IN A MURINE MODEL FOR IMMUNOTHERAPY OF PROSTATIC ADENOCARCINOMA

Dendritic cells in cancer immunotherapy Aimin Jiang

Supplementary Figures

NK cell flow cytometric assay In vivo DC viability and migration assay

SUPPLEMENTARY INFORMATION

Transfer of in vitro expanded T lymphocytes after activation with dendritomas prolonged survival of mice challenged with EL4 tumor cells

Tumor Immunology. Wirsma Arif Harahap Surgical Oncology Consultant

CONTRACTING ORGANIZATION: Johns Hopkins University School of Medicine Baltimore, MD 21205

Therapeutic efficacy of MUC1- specific CTL and CD137 costimulation. mammary cancer model. Pinku Mukherjee & Sandra Gendler

Blocking antibodies and peptides. Rat anti-mouse PD-1 (29F.1A12, rat IgG2a, k), PD-

Cover Page. The handle holds various files of this Leiden University dissertation.

TITLE: Development of Antigen Presenting Cells for adoptive immunotherapy in prostate cancer

Restoring Immune Function of Tumor-Specific CD4 + T Cells during Recurrence of Melanoma

CONTRACTING ORGANIZATION: Johns Hopkins University School of Medicine Baltimore, MD 21205

Supplementary Fig. 1 p38 MAPK negatively regulates DC differentiation. (a) Western blot analysis of p38 isoform expression in BM cells, immature DCs

Dendritic cell subsets and CD4 T cell immunity in Melanoma. Ben Wylie 1 st year PhD Candidate

Supplementary Information. Tissue-wide immunity against Leishmania. through collective production of nitric oxide

Supporting Online Material for

SUPPLEMENTARY INFORMATION

Supplemental Information. Human CD1c + Dendritic Cells Drive. the Differentiation of CD103 + CD8 + Mucosal Effector T Cells via the Cytokine TGF-

COURSE: Medical Microbiology, PAMB 650/720 - Fall 2008 Lecture 16

SUPPLEMENTARY INFORMATION

Supplementary Figure 1. Efficient DC depletion in CD11c.DOG transgenic mice

Immunity and Cancer. Doriana Fruci. Lab di Immuno-Oncologia

Nature Immunology: doi: /ni Supplementary Figure 1. Gene expression profile of CD4 + T cells and CTL responses in Bcl6-deficient mice.

T-cell activation T cells migrate to secondary lymphoid tissues where they interact with antigen, antigen-presenting cells, and other lymphocytes:

T-cell activation T cells migrate to secondary lymphoid tissues where they interact with antigen, antigen-presenting cells, and other lymphocytes:

The Immune System. Innate. Adaptive. - skin, mucosal barriers - complement - neutrophils, NK cells, mast cells, basophils, eosinophils

NKTR-255: Accessing The Immunotherapeutic Potential Of IL-15 for NK Cell Therapies

NIH Public Access Author Manuscript Science. Author manuscript; available in PMC 2008 March 12.

Supporting Information

and follicular helper T cells is Egr2-dependent. (a) Diagrammatic representation of the

The encephalitogenicity of TH17 cells is dependent on IL-1- and IL-23- induced production of the cytokine GM-CSF

B6/COLODR/SPL/11C/83/LAP/#2.006 B6/COLODR/SPL/11C/86/LAP/#2.016 CD11C B6/COLODR/SPL/11C/80/LAP/#2.011 CD11C

Supplementary Figure 1. Example of gating strategy

Nature Medicine: doi: /nm.3922

Differential Requirement for CD70 and CD80/CD86 in Dendritic Cellmediated Activation of Tumor Tolerized CD8 T Cells

NKTR-255: Accessing IL-15 Therapeutic Potential through Robust and Sustained Engagement of Innate and Adaptive Immunity

Hua Tang, Weiping Cao, Sudhir Pai Kasturi, Rajesh Ravindran, Helder I Nakaya, Kousik

Immunology Lecture 4. Clinical Relevance of the Immune System

Determinants of Immunogenicity and Tolerance. Abul K. Abbas, MD Department of Pathology University of California San Francisco

IMMUNOTHERAPY FOR CANCER A NEW HORIZON. Ekaterini Boleti MD, PhD, FRCP Consultant in Medical Oncology Royal Free London NHS Foundation Trust

DCVax Knutson Northwest Biotherapeutics Inc. INT BIOTECH CONV & EXHIB 2002 Suppl June 09-12

Canberra, Australia). CD11c-DTR-OVA-GFP (B6.CD11c-OVA), B6.luc + and. Cancer Research Center, Germany). B6 or BALB/c.FoxP3-DTR-GFP mice were

Supplemental Materials

Antigen Presentation and T Lymphocyte Activation. Abul K. Abbas UCSF. FOCiS

Regulation of anti-tumor immunity through migration of immune cell subsets within the tumor microenvironment Thomas F. Gajewski, M.D., Ph.D.

Supplementary information. Characterization of c-maf + Foxp3 - Regulatory T Cells Induced by. Repeated Stimulation of Antigen-Presenting B Cells

Supplementary appendix

Absence of mouse 2B4 promotes NK cell mediated killing of activated CD8 + T cells, leading to prolonged viral persistence and altered pathogenesis

Supplementary Figure 1. mrna expression of chitinase and chitinase-like protein in splenic immune cells. Each splenic immune cell population was

Supplemental Information. CD4 + CD25 + Foxp3 + Regulatory T Cells Promote. Th17 Cells In Vitro and Enhance Host Resistance

L-selectin Is Essential for Delivery of Activated CD8 + T Cells to Virus-Infected Organs for Protective Immunity

Cancer Immunotherapy. What is it? Immunotherapy Can Work! 4/15/09. Can the immune system be harnessed to fight cancer? T CD4 T CD28.

Oncolytic Immunotherapy: A Local and Systemic Antitumor Approach

08/02/59. Tumor Immunotherapy. Development of Tumor Vaccines. Types of Tumor Vaccines. Immunotherapy w/ Cytokine Gene-Transfected Tumor Cells

Peli1 negatively regulates T-cell activation and prevents autoimmunity

Exploring Immunotherapies: Beyond Checkpoint Inhibitors

Tumor responses (patients responding/ patients treated)

General Overview of Immunology. Kimberly S. Schluns, Ph.D. Associate Professor Department of Immunology UT MD Anderson Cancer Center

Ex vivo Human Antigen-specific T Cell Proliferation and Degranulation Willemijn Hobo 1, Wieger Norde 1 and Harry Dolstra 2*

Tumors arise from accumulated genetic mutations. Tumor Immunology (Cancer)

Activation of tolerogenic dendritic cells in the tumor draining lymph CD8+ T cells engineered to express CD40 ligand

Resolution of a chronic viral infection after interleukin-10 receptor blockade

Supplemental Figure 1

Conventional anti-cancer therapies (surgery and radio- and

TITLE: A direct synergistic effect of immunotherapy and chemotherapy as a new paradigm in treatment of breast cancer

Supplemental Materials for. Effects of sphingosine-1-phosphate receptor 1 phosphorylation in response to. FTY720 during neuroinflammation

Supplementary Figures

Excerpt from MACS&more Vol 17 1/2016. Kenji Miki¹, Koji Nagaoka¹, Hermann Bohnenkamp², Takayuki Yoshimoto³, Ryuji Maekawa¹*, and Takashi Kamigaki⁴

Personalized medicine - cancer immunotherapy

Memory NK cells during mousepox infection. Min Fang, Ph.D, Professor Institute of Microbiology, Chinese Academy of Science

Supporting Information

of whole cell cultures in U-bottomed wells of a 96-well plate are shown. 2

Interferon γ regulates idiopathic pneumonia syndrome, a. Th17 + CD4 + T-cell-mediated GvH disease

Detailed step-by-step operating procedures for NK cell and CTL degranulation assays

W/T Itgam -/- F4/80 CD115. F4/80 hi CD115 + F4/80 + CD115 +

Altered Immune Function during Long-Term Host-Tumor Interactions Can Be Modulated to Retard Autochthonous Neoplastic Growth

Therapeutic PD L1 and LAG 3 blockade rapidly clears established blood stage Plasmodium infection

Attribution: University of Michigan Medical School, Department of Microbiology and Immunology

TITLE: Modulation of T Cell Tolerance in a Murine Model for Immunotheraphy of Prostatic Adenocarcinoma

Approved for Public Release; Distribution Unlimited

Releasing the Brakes on Tumor Immunity: Immune Checkpoint Blockade Strategies

IMO-8400, a novel TLR7, TLR8 and TLR9 antagonist, psoriasis

SUPPLEMENTARY INFORMATION

Supporting Information

Signal 3 Availability Limits the CD8 T Cell Response to a Solid Tumor

Dendritic Cell Based Immunotherapy for Cancer. Edgar G. Engleman, M.D.

Cell isolation. Spleen and lymph nodes (axillary, inguinal) were removed from mice

New insights into CD8+ T cell function and regulation. Pam Ohashi Princess Margaret Cancer Centre

Generation of monocytederived Dendritic Cells (modcs)

1. Overview of Adaptive Immunity

RXi Pharmaceuticals. Immuno-Oncology World Frontiers Conference. January 23, 2018 NASDAQ: RXII. Property of RXi Pharmaceuticals

Supplementary Materials for

Tolerance, autoimmunity and the pathogenesis of immunemediated inflammatory diseases. Abul K. Abbas UCSF

TITLE: Development of Antigen Presenting Cells for adoptive immunotherapy in prostate cancer

Supplementary Figure S1. PTPN2 levels are not altered in proliferating CD8+ T cells. Lymph node (LN) CD8+ T cells from C57BL/6 mice were stained with

CD4 + T cells recovered in Rag2 / recipient ( 10 5 ) Heart Lung Pancreas

Transcription:

Cutting Edge: Delay and Reversal of T Cell Tolerance by Intratumoral Injection of Antigen-Loaded Dendritic Cells in an Autochthonous Tumor Model The MIT Faculty has made this article openly available. Please share how this access benefits you. Your story matters. Citation As Published Publisher Higham, E. M. et al. Cutting Edge: Delay and Reversal of T Cell Tolerance by Intratumoral Injection of Antigen-Loaded Dendritic Cells in an Autochthonous Tumor Model. The Journal of Immunology 184.11 (2010): 5954 5958. http://dx.doi.org/10.4049/jimmunol.1000265 The American Association of Immunologists Version Author's final manuscript Accessed Mon Mar 05 08:45:55 EST 2018 Citable Link http://hdl.handle.net/1721.1/73448 Terms of Use Creative Commons Attribution-Noncommercial-Share Alike 3.0 Detailed Terms http://creativecommons.org/licenses/by-nc-sa/3.0/

NIH Public Access Author Manuscript Published in final edited form as: J Immunol. 2010 June 1; 184(11): 5954 5958. doi:10.4049/jimmunol.1000265. Cutting Edge: Delay and Reversal of T Cell Tolerance by Intratumoral Injection of Antigen-Loaded Dendritic Cells in an Autochthonous Tumor Model Eileen M. Higham *,, Ching-Hung Shen,, K. Dane Wittrup *,,, and Jianzhu Chen, * Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139 Department of Chemical Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139 Department of Biology, Massachusetts Institute of Technology, Cambridge, MA 02139 Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA 02139 Abstract The tumor environment exerts a powerful suppressive influence on infiltrating tumor-reactive T cells. It induces tolerance of adoptively transferred effector T cells as they enter tumors and maintains the tolerance of persisting tumor-infiltrating T cells. In an autochthonous prostate cancer model, in which tumor-reactive CD8 T cells are trackable, we demonstrate that both depletion of endogenous dendritic cells (DCs) and intratumoral injection of Ag-loaded mature DCs delayed the tolerization of tumor-infiltrating effector CD8 T cells. Intratumoral injection of Ag-loaded DCs also reactivated tolerized CD8 T cells in the tumor tissue. The observed effects lasted as long as the injected DCs persisted. These findings are consistent with a critical role of DCs in modulating T cell reactivity in the tumor environment. They also suggest new potential strategies to extend the functionality of transferred effector T cells and to restore function to tolerized tumor-infiltrating T cells for cancer immunotherapy. Tumor-infiltrating lymphocytes (TILs) are found in many solid tumors in patients. Although a significant fraction of TILs recognize tumor-derived Ags, they are usually nonfunctional (tolerized), as they lack cytolytic activity and/or effector cytokine production (1). A major objective of cancer immunotherapy is to reactivate TILs so that they can kill cancer cells. One such approach has been adoptive cell transfer (ACT), in which TILs are isolated from patients, expanded ex vivo, and reintroduced into patients. ACT has been effective in treating metastatic melanoma, achieving response rates of over 50% when combined with patient-preconditioning strategies (2,3). However, a limit to the effectiveness of ACT is that activated T cells can lose their function through tumor-induced tolerance, so additional strategies are needed to help maintain the function of activated TILs in the tumor environment. Address correspondence and reprint requests to Dr. Jianzhu Chen, Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, 77 Massachusetts Avenue, E17-131, Cambridge, MA 02139. jchen@mit.edu. The online version of this article contains supplemental material. Disclosures: The authors have no financial conflicts of interest.

Higham et al. Page 2 Another potential approach to induce antitumor T cell responses is through intratumoral injection of dendritic cells (DCs). DCs are specialized APCs that capture, process, and present Ags and subsequently direct T cell function (4). Although functional mature DCs can initiate robust antitumor T cell responses, DCs acted on by tumor-derived factors are generally suppressive (5). It is anticipated that functional DCs injected into tumors could overcome the effects of resident suppressive DCs. Indeed, intratumoral administration of either Ag-loaded or plain DCs has induced antitumor responses in transplanted tumor models in mice and rats (6,7). In humans, intratumoral injection of autologous DCs induced tumor regression in 6 out of 10 patients with melanoma and breast cancer (8,9). Similarly, intratumoral and intradermal administration of tumor lysate-pulsed autologous DCs promoted longer survival in patients with glioma than intradermal administration alone (9). Despite the successes of inducing antitumor immunity and tumor regression, it has not been directly demonstrated whether intratumoral injection of DCs can reactivate persisting TILs in situ. In previous studies with intratumoral DC administration, antitumor immunity has generally been evaluated through gross measurements of tumor regression, with minimal analysis of the function of tumor-reactive T cells in the tumor tissue. In studies that analyzed antitumor T cell immunity, CD8 and/or CD4 T cells from the spleens, lymph nodes, or peripheral blood of tumor-bearing animals were assayed for Ag-specific cytolytic activity and/or effector cytokine production. However, the function of tumor-reactive T cells in the periphery can be significantly different from that in the tumor tissue itself (10). Furthermore, most previous studies used transplanted tumors, which may not capture the essential properties of TILs found in spontaneous primary tumors. Thus, although intratumoral DC administration has been shown to enhance antitumor immunity, it is not clear whether TILs can be directly reactivated by functional DCs within autochthonous tumors or whether intratumoral injection of DCs can sustain the function of effector T cells in the tumor tissue during ACT. In an autochthonous prostate cancer model, we show in this study that intratumoral injection of ex vivo-matured, Ag-loaded DCs can both delay the tolerization of tumor-infiltrating effector T cells and reactivate persisting tolerized T cells in the tumor tissue. These findings provide new strategies to augment ACT as well as to reactivate tolerized TILs in situ for cancer immunotherapy. Materials and Methods Mice, adoptive transfer, and influenza infection Transgenic adenocarcinoma of the mouse prostate (TRAMP) mice expressing SIYRYYGL (TRP-SIY) were generated as previously reported (11). 2C TCR transgenic mice were maintained on a RAG1 / background (2C/RAG). CD11c-DTR/GFP mice were on a C57BL/6 background. Where indicated, mice were retro-orbitally injected with 1.5 10 6 naive 2C cells from 2C TCR transgenic mice maintained on a RAG1 / background and intranasally infected with 100 PFU influenza A virus of the WSN strain expressing SIYRYYGL (WSN-SIY) (12). Experiments were performed in compliance with the institutional guidelines on animal care. Generation of bone marrow chimeras and depletion of DCs Approximately 2-mo-old TRP-SIY mice were lethally irradiated (2 500 rad) and reconstituted through retro-orbital injection of 12 10 6 CD11c-DTR/GFP bone marrow cells. DCs were depleted through i.p. injection of 20 ng/g diphtheria toxin (Sigma-Aldrich, St. Louis, MO) in PBS.

Higham et al. Page 3 Generation of bone marrow-derived DCs and intraprostatic injection Abs and flow cytometry Bone marrow was collected from femurs of C57BL/6 mice. After RBC lysis, cells were resuspended at 2 10 5 cells/ml in RPMI 1640 plus 10% FCS, 50 μm 2-ME, 4 mm L-Glu, and 100 U/ml penicillin, and 100 ug/ml streptomycin supplemented with GM-CSF containing supernatant from J5 cells. Half of the media was replaced on days 3 and 5, 1 μg/ ml LPS was added on day 6, and cells were harvested on day 7. Where indicated, bone marrow-derived DCs were loaded with 1 μg/ml SIY peptide for 1 h at 37 C and/or labeled for 10 min at 37 C with 5 μm CFSE (Invitrogen, Carlsbad, CA). Mice were injected with 1 10 6 bone marrow-derived DCs either in the prostate (40 μl) or s.c. (250 μl). For intraprostatic injection, each lobe was injected five times with a total volume of 10 μl. Abs to CD8, B220, CD11c, and Thy1.1 were from Biolegend (San Diego, CA), Thy1.2 and plasmacytoid DC Ag-1 (PDCA-1) were from ebioscience (San Diego, CA), and Gr-1 was from BD Biosciences (San Jose, CA). 2C TCR was stained using a clonotypic Ab. For intracellular IFN-γ staining, cells were restimulated with 1 μg/ml SIY peptide for 4 h at 37 C in the presence of BD GolgiPlug (BD Biosciences). Cells were analyzed using an FACSCalibur (BD Biosciences), and data were processed using FlowJo (Tree Star, Ashland, OR). In vivo cytotoxicity assay C57BL/6 (Thy1.1 + ) splenocytes were activated on anti-cd3 coated plates in the presence of 50 U/ml IL-2 for 3 d. Half of the splenocytes were then labeled with CFSE and pulsed with SIY peptide. CFSE + and CFSE cells were mixed 1:1 and retro-orbitally injected (20 10 6 cells/mouse). Twenty-four hours later, the ratio of CFSE + to CFSE cells in various tissues was evaluated by flow cytometry. Results and Discussion DCs tolerize tumor-infiltrating effector T cells We have previously reported the construction of TRP-SIY transgenic mice that express the nominal CD8 T cell epitope SIY in the prostate tissue on the TRAMP background (11). TRP-SIY mice develop SIY-expressing prostate cancer that can be recognized by CD8 T cells displaying the 2C TCR. To study the response of CD8 T cells to SIY-expressing prostate tumors, TRP-SIY mice were adoptively transferred with naive 2C T cells and challenged intranasally with WSN-SIY. 2C cells were robustly activated and infiltrated prostate tumors, but rapidly lost their effector functions (11). To evaluate whether DCs in the tumor could be tolerogenic, we determined if the DCs exhibit a suppressive phenotype. CD11c low cells from the spleens and prostates of normal C57BL/6 (B6) mice and tumor-bearing TRAMP and TRP-SIY mice were compared for expression of PDCA-1, Gr-1, and B220, markers associated with immunosuppressive plasmacytoid DCs (13,14). Although no significant differences were detected in the phenotype of DCs in the spleens, the percentage of CD11c low cells that expressed PDCA-1, Gr-1, and B220 was significantly increased in the prostates of TRAMP and TRP-SIY mice relative to that in B6 mice (Fig. 1A). Thus, a greater fraction of DCs in the prostate tumor tissue exhibit a suppressive phenotype. To determine whether CD11c + DCs can tolerize effector 2C cells in the tumor tissue, we generated bone marrow chimeric (BMT) mice by lethally irradiating TRP-SIY mice and reconstituting them with bone marrow cells from CD11c-DTR/GFP (15) donors. Eight weeks postreconstitution, the BMT mice were injected with diphtheria toxin, and over 90%

Higham et al. Page 4 of the CD11c + cells were depleted from the spleens and prostates within 48 h (Supplemental Fig. 1). Additional BMT mice were injected with naive 2C cells and infected intranasally with WSN-SIY virus. Six days postinfection (dpi), half of the mice were treated with diphtheria toxin. Four days after that (10 dpi), 2C cells from spleens, prostate draining lymph nodes (PDLNs), and prostates were assayed for their ability to produce IFN-γ (Fig. 1B). In the spleens and PDLN, the percentage of 2C cells that expressed IFN-γ was similar in all BMT mice (Fig. 1C and data not shown). In contrast, in the prostates, the percentage of IFN-γ + 2C cells was significantly higher in BMT mice with DC depletion than those without DC depletion (average of 47% versus 35%; p < 0.05). These results suggest that CD11c + DCs are one of the major factors contributing to the tolerization of effector 2C cells in the prostate tumor tissue of TRP-SIY mice. Intraprostatic injection of Ag-loaded DCs 7 dpi delays tolerization of tumor-infiltrating effector T cells We wanted to evaluate whether infusion of functional DCs could overcome the influence of suppressive DCs in TRP-SIY mice. To determine if intraprostatic injection of SIY-loaded DCs could delay the tolerization of tumor-infiltrating effector 2C cells, we injected SIYloaded DCs into the prostate tissue 7 d after WSN-SIY infection. As effector 2C cells do not infiltrate the prostate until 7 dpi (11), the delayed injection would maximize the potential interactions between SIY-loaded DCs and effector 2C cells in the tumor tissue. TRP-SIY mice were injected retro-orbitally with naive 2C cells and infected intranasally with WSN- SIY. At 7 dpi, either PBS or ex vivo-matured SIY-loaded DCs were injected into the prostates. At 11, 13, 15, and 20 dpi, 2C cells from the prostate tumor tissues were assayed for IFN-γ expression (Fig. 2A). Following injection of PBS, only 25 30% of 2C cells in the prostates expressed IFN-γ at all time points, indicating that the tumor-infiltrating effector 2C cells had been tolerized (Fig. 2B). In contrast, following injection of SIY-loaded DCs, 50 60% of 2C cells in the prostates expressed IFN-γ 11 and 13 dpi, and over 45% of 2C cells still expressed IFN-γ 15 dpi. By 20 dpi, however, the percentage of 2C cells that expressed IFN-γ had fallen to the same level as in PBS-injected mice. Thus, intraprostatic injection of SIY-loaded DCs 7 dpi could delay the tolerization of tumor-infiltrating effector 2C cells by at least 8 d. As controls, we evaluated whether intraprostatic injection of either SIY peptide or ex vivomatured plain DCs (not loaded with SIY) 7 dpi could delay tolerance induction. Eleven and 13 dpi, similarly low percentages of 2C cells in the prostates expressed IFN-γ when TRP- SIY mice were injected with either PBS or SIY peptide (Fig. 2B, 2C). At 11 dpi, a higher percentage (35%) of 2C cells expressed IFN-γ in the prostates when plain DCs were injected, although the effect was not as dramatic as when the DCs were loaded with SIY. This effect may be due to the plain DCs acquiring SIY in the tumor tissue and thereby helping maintain the function of infiltrating 2C cells. By 13 dpi, IFN-γ expression by 2C cells in the prostate was comparable with injection of either PBS or plain DCs. Why is the effect of SIY-loaded DCs transient? To answer this question, we evaluated DC persistence following intraprostatic injection of CFSE-labeled DCs. At 3 d postinjection, a significant population of CFSE + DCs was detected in the prostate tissue, and a small fraction had drained to the PDLN, but no CFSE + DCs were detected in the spleens or peripheral lymph nodes (Fig. 2D and data not shown). At 8 dpi, however, only a small number of CFSE + DCs were detected in the prostate tissue and PDLNs. Thus, the timing for loss of IFN-γ expression by 2C cells correlates with the depletion of injected DCs from the tumor tissue. Consistently, intraprostatic injection of SIY-loaded DCs on day 0 could not overcome tolerance induction in the tumor tissue, as too few injected DCs likely persisted by the time the effector 2C cells infiltrated the tumor tissue 7 dpi (Supplemental Fig. 2).

Higham et al. Page 5 Studies have shown that intratumoral injection of DCs can help maintain T cell function in lymphoid tissues (16). Our results further demonstrate that intratumorally injected DCs can also sustain the function of effector T cells within the tumor tissue. Therefore, strategically timed intratumoral injection of mature DCs, especially if Ag-loaded, could augment the therapeutic efficacy of ACT. Intraprostatic injection of Ag-loaded DCs 30 dpi reactivates persisting tolerized T cells in the tumor tissue We have previously shown that following WSN-SIY challenge, 2C cells persist long-term in the prostates of TRP-SIY mice, but do not respond to Ag challenge (11). Accordingly, we evaluated whether intraprostatic injection of SIY-loaded DCs could reactivate tolerized 2C cells that persist in the prostate tumor tissue. TRP-SIY mice were injected with naive 2C cells and infected with WSN-SIY. At 30 dpi, PBS or SIY-loaded DCs were injected into the prostate tissue. At 35, 37, and 40 dpi, 2C cells in the prostates were assayed for effector cytokine expression or cytolytic activity (Fig. 3A). At 35 dpi, an average of 2.4 10 4 2C cells were recovered per prostate when PBS was injected, and only 20% of the cells could be stimulated to produce IFN-γ (Fig. 3B). When SIY-loaded DCs were injected, an average of 8.1 10 4 2C cells were recovered per prostate, and 44% of the cells could be stimulated to produce IFN-γ. Associated with the higher percentage of cells expressing IFN-γ, 2C cells in TRP-SIY prostates also acquired the ability to kill Ag-displaying target cells in the tumor tissue. In the prostates of TRP-SIY mice injected with SIY-loaded DCs, over 60% of SIY-pulsed, CFSE-labeled target cells were lysed within 24 h (Fig. 3C), whereas in the prostates of mice injected with PBS, the lysis of target cells was minimal. Consistently, histologic analysis of prostate tissue samples revealed a dramatic increase in leukocyte infiltration in TRP-SIY mice injected with SIYloaded DCs (Fig. 3D). As a control, s.c. injection of SIY-loaded DCs did not stimulate persisting 2C cells to express IFN-γ (Fig. 3E). Even at 37 dpi, over 50% of 2C cells still expressed IFN-γ in the prostates of TRP-SIY mice injected with SIY-loaded DCs (Fig. 3B). By 40 dpi, however, the percentage of IFN-γ + 2C cells was no longer increased (Fig. 3B), consistent with the limited survival of the injected DCs (Fig. 2D). Together, these results demonstrate that intraprostatic injection of ex vivo-matured, SIY-loaded DCs can reactivate persisting tolerized T cells in the prostate tumor tissue for at least 7 d. In this study, we show that both depleting endogenous DCs and intratumorally injecting ex vivo-matured, Ag-loaded DCs can delay the tolerization of tumor-infiltrating effector CD8 T cells. The latter can also refunctionalize persisting tolerized CD8 T cells. These complementary results provide strong support for a critical role of DCs in modulating T cell reactivity in the tumor environment. To our knowledge, this is the first time that intratumoral DC administration has been directly demonstrated to both delay and reverse T cell tolerance in the tumor tissue, thereby overcoming the tolerizing influence of endogenous DCs. Our study overcomes important limitations of previous studies that evaluated the effect of intratumoral DC administration. In contrast to transplanted tumor models, TRP-SIY mice develop autochthonous prostate cancer that more closely resembles primary tumors in humans and is thus more suitable for studying both TILs and effector T cells introduced by ACT. Furthermore, we directly analyzed tumor-infiltrating effector T cells and persisting tolerized T cells in the tumor tissue, in addition to the peripheral lymphoid tissues, and demonstrated that the function of tumor-reactive T cells can differ dramatically between those environments. Our findings suggest possible approaches to extend the functionality of transferred effector T cells during ACT and directly refunctionalize persisting tolerized TILs for cancer immunotherapy.

Higham et al. Page 6 Supplementary Material Acknowledgments References Refer to Web version on PubMed Central for supplementary material. We thank Dr. Herman N. Eisen for critical reading of the manuscript, Carol Mckinley for technical support, and members of the Chen laboratory for discussion. This work was supported by a National Defense Science and Engineering Graduate Fellowship and a National Science Foundation Graduate Research Fellowship (to E.M.H.), the Koch Research Fund, and National Institutes of Health Grant CA100875 (to J.C.). 1. Whiteside TL, Parmiani G. Tumor-infiltrating lymphocytes: their phenotype, functions and clinical use. Cancer Immunol Immunother. 1994; 39:15 21. [PubMed: 8044822] 2. Dudley ME, Wunderlich JR, Robbins PF, Yang JC, Hwu P, Schwartzentruber DJ, Topalian SL, Sherry R, Restifo NP, Hubicki AM, et al. Cancer regression and autoimmunity in patients after clonal repopulation with antitumor lymphocytes. Science. 2002; 298:850 854. [PubMed: 12242449] 3. Dudley ME, Yang JC, Sherry R, Hughes MS, Royal R, Kammula U, Robbins PF, Huang J, Citrin DE, Leitman SF, et al. Adoptive cell therapy for patients with metastatic melanoma: evaluation of intensive myeloablative chemoradiation preparative regimens. J Clin Oncol. 2008; 26:5233 5239. [PubMed: 18809613] 4. Banchereau J, Steinman RM. Dendritic cells and the control of immunity. Nature. 1998; 392:245 252. [PubMed: 9521319] 5. Zou W. Immunosuppressive networks in the tumour environment and their therapeutic relevance. Nat Rev Cancer. 2005; 5:263 274. [PubMed: 15776005] 6. Melcher A, Todryk S, Bateman A, Chong H, Lemoine NR, Vile RG. Adoptive transfer of immature dendritic cells with autologous or allogeneic tumor cells generates systemic antitumor immunity. Cancer Res. 1999; 59:2802 2805. [PubMed: 10383135] 7. Ehtesham M, Kabos P, Gutierrez MA, Samoto K, Black KL, Yu JS. Intratumoral dendritic cell vaccination elicits potent tumoricidal immunity against malignant glioma in rats. J Immunother. 2003; 26:107 116. [PubMed: 12616102] 8. Triozzi PL, Khurram R, Aldrich WA, Walker MJ, Kim JA, Jaynes S. Intratumoral injection of dendritic cells derived in vitro in patients with metastatic cancer. Cancer. 2000; 89:2646 2654. [PubMed: 11135227] 9. Yamanaka R, Homma J, Yajima N, Tsuchiya N, Sano M, Kobayashi T, Yoshida S, Abe T, Narita M, Takahashi M, Tanaka R. Clinical evaluation of dendritic cell vaccination for patients with recurrent glioma: results of a clinical phase I/II trial. Clin Cancer Res. 2005; 11:4160 4167. [PubMed: 15930352] 10. Frey AB, Monu N. Effector-phase tolerance: another mechanism of how cancer escapes antitumor immune response. J Leukoc Biol. 2006; 79:652 662. [PubMed: 16415165] 11. Bai A, Higham E, Eisen HN, Wittrup KD, Chen J. Rapid tolerization of virus-activated tumorspecific CD8+ T cells in prostate tumors of TRAMP mice. Proc Natl Acad Sci USA. 2008; 105:13003 13008. [PubMed: 18723683] 12. Shen CH, Ge Q, Talay O, Eisen HN, García-Sastre A, Chen J. Loss of IL-7R and IL-15R expression is associated with disappearance of memory T cells in respiratory tract following influenza infection. J Immunol. 2008; 180:171 178. [PubMed: 18097017] 13. Colonna M, Trinchieri G, Liu YJ. Plasmacytoid dendritic cells in immunity. Nat Immunol. 2004; 5:1219 1226. [PubMed: 15549123] 14. Zou W, Machelon V, Coulomb-L'Hermin A, Borvak J, Nome F, Isaeva T, Wei S, Krzysiek R, Durand-Gasselin I, Gordon A, et al. Stromal-derived factor-1 in human tumors recruits and alters

Higham et al. Page 7 the function of plasmacytoid precursor dendritic cells. Nat Med. 2001; 7:1339 1346. [PubMed: 11726975] 15. Jung S, Unutmaz D, Wong P, Sano G, De los Santos K, Sparwasser T, Wu S, Vuthoori S, Ko K, Zavala F, et al. In vivo depletion of CD11c(+) dendritic cells abrogates priming of CD8(+) T cells by exogenous cell-associated antigens. Immunity. 2002; 17:211 220. [PubMed: 12196292] 16. Teitz-Tennenbaum S, Li Q, Davis MA, Wilder-Romans K, Hoff J, Li M, Chang AE. Radiotherapy combined with intratumoral dendritic cell vaccination enhances the therapeutic efficacy of adoptive T-cell transfer. J Immunother. 2009; 32:602 612. [PubMed: 19483649] Abbreviations used in this paper ACT BMT DC dpi PDCA-1 PDLN SIY TIL TRAMP TRP-SIY WSN-SIY adoptive cell transfer bone marrow chimeric dendritic cell days postinfection plasmacytoid dendritic cell Ag-1 prostate draining lymph node SIYRYYGL tumor-infiltrating lymphocyte transgenic adenocarcinoma of the mouse prostate TRAMP mice expressing SIY influenza A virus of the WSN strain expressing SIY

Higham et al. Page 8 FIGURE 1. DCs induce tolerance of tumor-infiltrating effector T cells in the prostate tumor tissue. A, CD11c + cells were isolated from the spleens and prostates of B6, TRAMP, and TRP-SIY mice by cell sorting and were then stained for PDCA-1, Gr-1, or B220. Dot plots shown are from five pooled mice in each group and are representative of two similar experiments. Experimental protocol (B) and effect of DC depletion on 2C T cell function (C). Cells from the spleens and prostates of BMT mice were stained for 2C TCR, Thy1.1, and intracellular IFN-γ. Density plots show Thy1.1 versus IFN-γ profiles of 2C TCR + Thy1.1 + cells. Numbers indicate the average percentage of positive cells ± 1 SD. Data are representative of two to three mice per group. *p < 0.05 when compared with control.

Higham et al. Page 9 FIGURE 2. Intraprostatic injection of Ag-loaded DCs 7 dpi delays tolerization of tumor-infiltrating effector T cells. Experimental protocol (A) and effect of intraprostatic injection of SIYloaded mature DCs on IFN-γ expression by tumor-infiltrating 2C cells (B). Cells from prostates were stained for 2C TCR, Thy1.1 and intracellular IFN-γ. Density plots are as described in Fig. 1C. Numbers inside the plots indicate the percentage or the average percentage of positive cells ± 1 SD. Numbers outside the plots indicate total number of 2C cells ± 1 SD in the prostate. Data are from four independent experiments with two to three mice per group. C, SIY peptide and plain DC controls. Experimental protocol is the same as in A, except SIY peptide or plain DCs were injected, and prostates were analyzed 11 and 13 dpi. Representative data from two similar experiments are shown with two to three mice per group. D, Persistence of injected DCs. DCs were labeled with CFSE, loaded with SIY peptide, and injected into TRAMP prostates. Three and 8 d later, the presence of CFSE + DCs in the indicated tissues was determined by flow cytometry. Dot plots show CD11c versus CFSE profiles of live cells. Numbers indicate percentage of CFSE + cells. Representative data are shown from two to three mice per group. *p < 0.05 when compared with control.

Higham et al. Page 10 FIGURE 3. Intraprostatic injection of Ag-loaded DCs reactivates persisting tolerized T cells in the prostate tumor tissue. Experimental protocol (A) and effect of intraprostatic injection of SIYloaded mature DCs on reactivation of persisting tolerized 2C cells (B). Cells from prostates were stained for 2C TCR, Thy1.1, and intracellular IFN-γ. Dot plots show Thy1.1 versus 2C TCR profiles of live cells, and density plots are as described in Fig. 1C. Numbers inside the plots indicate the percentage or the average percentage of positive cells ± 1 SD in the gated region. Numbers outside the plots indicate total number of 2C cells ± 1 SD. Data are from three independent experiments with two to three mice per group. C, In vivo CTL assay. A 1:1 mixture of SIY-pulsed, CFSE-labeled, activated T cells (Thy1.1 + ) and unlabeled, unpulsed, activated T cells (Thy1.1 + ) were retro-orbitally injected into TRP-SIY mice (Thy1.2 + ) on day 34. The following day, the proportions of CFSE + versus CFSE target cells were determined by flow cytometry. CFSE histograms are shown for live Thy1.1 + cells. Numbers indicate percentage of CFSE + cells. Representative data from two similar experiments are shown. D, H&E stains of prostate tissues from TRP-SIY mice injected intraprostatically with either PBS or SIY-loaded DCs 5 d earlier. Arrow indicates leukocyte infiltration in the prostate. Scale bar, 100 μm. E, Effect of s.c. injection of SIY-loaded DCs. The experiment was performed as in A and B, except SIY-loaded mature DCs were injected s.c., and prostates were analyzed 35 dpi. *p < 0.05 when compared with control.