[HTML][HTML] Provision of antigen and CD137 signaling breaks immunological ignorance, promoting regression of poorly immunogenic tumors

RA Wilcox, DB Flies, G Zhu, AJ Johnson… - The Journal of …, 2002 - Am Soc Clin Investig
RA Wilcox, DB Flies, G Zhu, AJ Johnson, K Tamada, AI Chapoval, SE Strome, LR Pease…
The Journal of clinical investigation, 2002Am Soc Clin Investig
Treatment of advanced, poorly immunogenic tumors in animal models, considered the
closest simulation available thus far for conditions observed in cancer patients, remains a
major challenge for cancer immunotherapy. We reported previously that established tumors
in mice receiving an agonistic mAb to the T cell costimulatory molecule 4-1BB (CD137)
regress due to enhanced tumor antigen–specific cytotoxic T lymphocyte responses. In this
study, we demonstrate that several poorly immunogenic tumors, including C3 tumor, TC-1 …
Treatment of advanced, poorly immunogenic tumors in animal models, considered the closest simulation available thus far for conditions observed in cancer patients, remains a major challenge for cancer immunotherapy. We reported previously that established tumors in mice receiving an agonistic mAb to the T cell costimulatory molecule 4-1BB (CD137) regress due to enhanced tumor antigen–specific cytotoxic T lymphocyte responses. In this study, we demonstrate that several poorly immunogenic tumors, including C3 tumor, TC-1 lung carcinoma, and B16-F10 melanoma, once established as solid tumors or metastases, are refractory to treatment by anti–4-1BB mAb. We provide evidence that immunological ignorance, rather than anergy or deletion, of tumor antigen–specific CTLs during the progressive growth of tumors prevents costimulation by anti–4-1BB mAb. Breaking CTL ignorance by immunization with a tumor antigen–derived peptide, although insufficient to stimulate a curative CTL response, is necessary for anti–4-1BB mAb to induce a CTL response leading to the regression of established tumors. Our results suggest a new approach for immunotherapy of human cancers.
The Journal of Clinical Investigation