T cell
immunotherapy is a potential strategy for the treatment of
brain tumors because it offers a high degree of specificity, the ability to extravasate into solid
tumors, and the potential for eliciting a long-term protective immune response. Various approaches have been developed to overcome T cell immune tolerance to
cancer, including the use of
cytokines and
bispecific antibodies. T cell stimulation with the proinflammatory
cytokine IL-12 can elicit antitumor immunity. T cell activation can be increased using
bispecific antibodies against activating molecules on the surface of T cells and a
tumor antigen. We studied the effects of systemic
IL-12 administration in combination with a conjugate of an anti-CD28 antibody and a
ligand for the
folate receptor. The high affinity
folate receptor is expressed on endogenously arising
choroid plexus tumors of SV11 mice, which are transgenic for
large T antigen under the control of the SV40 promoter. SV11 mice are immunocompetent, yet immunologically tolerant to
large T antigen expressed by
choroid plexus tumors. MRI analysis showed that the administration of
IL-12 and anti-CD28 Fab/
folate significantly slowed
tumor growth. Proliferating CD8(+) T cells were found in
choroid plexus tumors of treated animals. Treatment of animals with
IL-12 + anti-CD28 Fab/
folate prolonged survival compared to
IL-12 alone.
Cytokine treatment combined with
tumor-targeted costimulation may be a useful adjunct treatment.