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Transgenic expression of CD40L and interleukin-2 induces an autologous antitumor immune response in patients with non-Hodgkin's lymphoma.

Abstract
The malignant B cells of non-Hodgkin's lymphoma (B-NHL cells) express peptides derived from tumor-specific antigens such as immunoglobulin idiotypes, and also express major histocompatibility complex antigens. However, they do not express co-stimulatory molecules, which likely contributes to their protection from host antitumor immunity. To stimulate NHL-specific immune responses, we attempted to transfer the human CD40 ligand (hCD40L) gene to B-NHL cells and enhance their co-stimulatory potential. We found that an adenoviral vector encoding human CD40L (AdhCD40L) was ineffective at transducing B-NHL cells because these cells lack the coxsackievirus B-adenovirus receptor and alpha(v) integrins. However, preculture of the B-NHL cells with the human embryonic lung fibroblast line, MRC-5, significantly up-regulated expression of integrin alpha(v)beta 3 and markedly increased their susceptibility to adenoviral vector transduction. After prestimulation, transduction with AdhCD40L increased CD40L expression on B-NHL cells from 1.3+/-0.2% to 40.8+/-11.9%. Transduction of control adenoviral vector had no effect. Expression of transgenic human CD40L on these CD40-positive cells was in turn associated with up-regulation of other co-stimulatory molecules including B7-1/-2. Transduced B-NHL cells were now able to stimulate DNA synthesis of autologous T cells. However, the stimulated T cells were unable to recognize unmodified lymphoma cells, a requirement for an effective tumor vaccine. Based on previous results in an animal model, we determined the effects of combined use of B-NHL cells transduced with AdhCD40L and AdhIL2 vectors. The combination enhanced initial T-cell activation and generated autologous T cells capable of specifically recognizing and killing parental (unmodified) B-NHL cells via major histocompatibility complex--restricted cytotoxic T lymphocytes. These findings suggest that the combination of CD40L and IL2 gene-modified B-NHL cells will induce a cytotoxic immune response in vivo directed against unmodified tumor cells.
AuthorsS Takahashi, P Yotnda, R F Rousseau, Z Mei, S Smith, D Rill, A Younes, M K Brenner
JournalCancer gene therapy (Cancer Gene Ther) Vol. 8 Issue 5 Pg. 378-87 (May 2001) ISSN: 0929-1903 [Print] England
PMID11477458 (Publication Type: Comparative Study, Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Antibodies, Monoclonal
  • Autoantigens
  • Integrins
  • Interleukin-2
  • Receptors, Virus
  • CD40 Ligand
  • Interferon-gamma
Topics
  • Adenoviridae (genetics)
  • Antibodies, Monoclonal
  • Autoantigens (immunology)
  • CD40 Ligand (genetics, immunology)
  • Coculture Techniques
  • Enzyme-Linked Immunosorbent Assay
  • Fibroblasts (cytology)
  • Flow Cytometry
  • Humans
  • Integrins (metabolism)
  • Interferon-gamma (metabolism)
  • Interleukin-2 (genetics, immunology)
  • Lymphocyte Depletion
  • Lymphoma, B-Cell (immunology, pathology, therapy)
  • Receptors, Virus (metabolism)
  • T-Lymphocytes, Cytotoxic (immunology)
  • Transgenes (genetics)
  • Tumor Cells, Cultured

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