Systemic clinical tumor regressions and potentiation of PD1 blockade with in situ vaccinationShow others and affiliations
2019 (English)In: Nature Medicine, ISSN 1078-8956, E-ISSN 1546-170X, Vol. 25, no 5, p. 814-824Article in journal (Refereed) Published
Abstract [en]
Indolent non-Hodgkin’s lymphomas (iNHLs) are incurable with standard therapy and are poorly responsive to checkpoint blockade. Although lymphoma cells are efficiently killed by primed T cells, in vivo priming of anti-lymphoma T cells has been elusive. Here, we demonstrate that lymphoma cells can directly prime T cells, but in vivo immunity still requires cross-presentation. To address this, we developed an in situ vaccine (ISV), combining Flt3L, radiotherapy, and a TLR3 agonist, which recruited, antigen-loaded and activated intratumoral, cross-presenting dendritic cells (DCs). ISV induced anti-tumor CD8+ T cell responses and systemic (abscopal) cancer remission in patients with advanced stage iNHL in an ongoing trial (NCT01976585). Non-responding patients developed a population of PD1+CD8+ T cells after ISV, and murine tumors became newly responsive to PD1 blockade, prompting a follow-up trial of the combined therapy. Our data substantiate that recruiting and activating intratumoral, cross-priming DCs is achievable and critical to anti-tumor T cell responses and PD1-blockade efficacy.
Place, publisher, year, edition, pages
Nature Publishing Group, 2019. Vol. 25, no 5, p. 814-824
National Category
Immunology in the medical area
Identifiers
URN: urn:nbn:se:liu:diva-199833DOI: 10.1038/s41591-019-0410-xPubMedID: 30962585Scopus ID: 30962585OAI: oai:DiVA.org:liu-199833DiVA, id: diva2:1822455
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