Nelson et al. show that repeated acute infection with self-antigen-containing viruses reversed anergy in mouse models of CD8+ T cell tolerance to melanocyte protein gp100 and skin- or small intestine- expressed ovalbumin. Self-antigen-specific CD8+ memory-like T cells expanded and persisted in the absence of antigen in secondary- and non-lymphoid tissues, and exhibited thymic-independent TCR avidity maturation, and increased PD-1 levels. Peptide-stimulated CD8+ T cells produced IFNγ and TNFα ex vivo and mediated cytotoxicity in vivo. Immunization delayed growth of and controlled self-antigen-expressing B16 melanomas without autoimmunity.
Contributed by Paula Hochman
The immune system adapts to constitutive antigens to preserve self-tolerance, which is a major barrier for anti-tumor immunity. Antigen-specific reversal of tolerance constitutes a major goal to spur therapeutic applications. Here, we show that robust, iterative, systemic stimulation targeting tissue-specific antigens in the context of acute infections reverses established CD8(+) T cell tolerance to self, including in T cells that survive negative selection. This strategy results in large numbers of circulating and resident memory self-specific CD8(+) T cells that are widely distributed and can be co-opted to control established malignancies bearing self-antigen without concomitant autoimmunity. Targeted expansion of both self- and tumor neoantigen-specific T cells acts synergistically to boost anti-tumor immunity and elicits protection against aggressive melanoma. Our findings demonstrate that T cell tolerance can be re-adapted to responsiveness through robust antigenic exposure, generating self-specific CD8(+) T cells that can be used for cancer treatment.