Cross-talk between T cells and hematopoietic stem cells during adoptive cellular therapy for malignant glioma
Spotlight (1) Wildes TJ (2) Grippin A (3) Dyson KA (4) Wummer BM (5) Damiani DJ (6) Abraham RS (7) Flores C (8) Mitchell DA
Wildes et al. found that concurrent adoptive transfer of tumor-reactive T cells and bone marrow-derived hematopoietic stem and progenitor cells (HSPCs) into irradiated mice with glioblastoma, brain stem glioma, or medulloblastoma led to the differentiation of intracranial HSPCs (recruited via the CXCL12-CXCR4 axis) into dendritic cells (DCs), reduction in myeloid-derived suppressor cells, prolonged survival, and tumor rejection. In a feedback loop, IFNγ released by activated antigen-specific T cells led to HSPC differentiation into DCs, which further promoted T cell activation.
(1) Wildes TJ (2) Grippin A (3) Dyson KA (4) Wummer BM (5) Damiani DJ (6) Abraham RS (7) Flores C (8) Mitchell DA
Wildes et al. found that concurrent adoptive transfer of tumor-reactive T cells and bone marrow-derived hematopoietic stem and progenitor cells (HSPCs) into irradiated mice with glioblastoma, brain stem glioma, or medulloblastoma led to the differentiation of intracranial HSPCs (recruited via the CXCL12-CXCR4 axis) into dendritic cells (DCs), reduction in myeloid-derived suppressor cells, prolonged survival, and tumor rejection. In a feedback loop, IFNγ released by activated antigen-specific T cells led to HSPC differentiation into DCs, which further promoted T cell activation.
PURPOSE: Adoptive T cell immunotherapy (ACT) has emerged as a viable therapeutic for peripheral and central nervous system (CNS) tumors. In peripheral cancers, optimal efficacy of ACT is reliant on dendritic cells (DCs) in the tumor microenvironment. However, the CNS is largely devoid of resident migratory DCs to function as antigen-presenting cells during immunotherapy. Herein, we demonstrate that cellular interactions between adoptively-transferred tumor-reactive T cells and bone marrow-derived HSPCs lead to the generation of potent intratumoral DCs within the CNS compartment. EXPERIMENTAL DESIGN: We evaluated HSPC differentiation during ACT in vivo in glioma-bearing hosts and HSPC proliferation and differentiation in vitro using a T cell co-culture system. We utilized FACS, ELISAs, and gene expression profiling to study the phenotype and function of HSPC-derived cells ex vivo and in vivo. To demonstrate the impact of HSPC differentiation and function on anti-tumor efficacy, we performed survival experiments. RESULTS: Transfer of HSPCs with concomitant ACT led to the production of activated CD86+CD11c+MHCII+ cells consistent with DC phenotype and function within the brain tumor microenvironment. These intratumoral DCs largely supplanted abundant host myeloid-derived suppressor cells. We determined that during ACT, HSPC-derived cells in gliomas rely on T cell-released IFN-gamma to differentiate into DCs, activate T cells, and reject intracranial tumors. CONCLUSIONS: Our data supports the use of HSPCs as a novel cellular therapy. While DC vaccines induce robust immune responses in the periphery, our data demonstrates that HSPC transfer uniquely generates intratumoral DCs that potentiate T cell responses and promote glioma rejection in situ.
Author Info: (1) Preston A. Wells, Jr. Center for Brain Tumor Therapy, Lillian S. Wells Department of Neurosurgery, McKnight Brain Institute, University of Florida. (2) Preston A. Wells, Jr. Ce
Author Info: (1) Preston A. Wells, Jr. Center for Brain Tumor Therapy, Lillian S. Wells Department of Neurosurgery, McKnight Brain Institute, University of Florida. (2) Preston A. Wells, Jr. Center for Brain Tumor Therapy, Lillian S. Wells Department of Neurosurgery, McKnight Brain Institute, University of Florida. (3) Preston A. Wells, Jr. Center for Brain Tumor Therapy, Lillian S. Wells Department of Neurosurgery, McKnight Brain Institute, University of Florida. (4) Preston A. Wells, Jr. Center for Brain Tumor Therapy, Lillian S. Wells Department of Neurosurgery, McKnight Brain Institute, University of Florida. (5) Preston A. Wells, Jr. Center for Brain Tumor Therapy, Lillian S. Wells Department of Neurosurgery, McKnight Brain Institute, University of Florida. (6) Preston A. Wells, Jr. Center for Brain Tumor Therapy, Lillian S. Wells Department of Neurosurgery, McKnight Brain Institute, University of Florida. (7) Preston A. Wells, Jr. Center for Brain Tumor Therapy, Lillian S. Wells Department of Neurosurgery, McKnight Brain Institute, University of Florida catherine.flores@neurosurgery.ufl.edu. (8) Preston A. Wells, Jr. Center for Brain Tumor Therapy, Lillian S. Wells Department of Neurosurgery, McKnight Brain Institute, University of Florida.
Citation: Clin Cancer Res 2018 Apr 30 Epub04/30/2018