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*
Australian Centre for International and Tropical Health and Nutrition, Co-operative Research Centre for Vaccine Technology, Queensland Institute of Medical Research and University of Queensland, Queensland, Australia;
Ludwig Institute Oncology Unit, Austin and Repatriation Medical Centre, Heidelburg, Victoria, Australia; and
Institut Pasteur, Département SIDA-Rétrovirus, Unité dImmunite Cellulaire Antivirale, Paris, France
| Abstract |
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| Introduction |
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ß CD8+ CTL. Recent human
therapeutic vaccine trials, which utilize the epitopes recognized by
such CTL, have illustrated the potential for CTL epitope-based
immunotherapeutic vaccine strategies (1, 2). Such
strategies do not require surgical removal and culture of autologous
tumor cells from the patient, and the use of autologous dendritic cells
might also be avoided if effective, safe vaccine vectors can be
developed (3). CTL epitope-based approaches offer a number
of potential advantages over whole Ag-based cancer vaccines: 1) they
can focus immunity toward optimal (4) and/or cryptic
protective epitopes (5); 2) sequences that have oncogenic
activity (6) or contain targets for autoimmune CD4 cells
(7) are omitted; and 3) sequences that are the target of
preexisting CD4 T cells or B cell responses are avoided. Such
preexisting responses have the potential to deviate (8, 9)
or inhibit (10, 11) effective CTL induction by a
therapeutic vaccine. Single epitope-based approaches have the disadvantage that an HLA-restricted CTL response can be raised to only one Ag. CTL responses specific for multiple Ags and restricted by multiple HLA alleles would clearly be desirable for cancer immunotherapy, given the variable expression of tumor Ags (12, 13) and MHC alleles (14) by melanomas and their metastases. Targeting multiple Ags and MHC alleles might be achieved by using multiple recombinant Ags or mixtures of synthetic peptide epitopes. The former loses the advantages of epitope-based approaches and would require complex recombinant vaccine Ag mixtures or constructs. The latter is complicated by adjuvant considerations and by problems associated with peptide solubility, chemical modifications of certain amino acids, and interpeptide interactions (15). Here we describe the construction and testing of a melanoma polyepitope or polytope poxvirus vaccine that contains ten conjoined minimal HLA-A2-restricted CTL epitopes, derived from five melanoma Ags, in a single recombinant construct. Despite the large number of epitopes restricted by the same allele, multiple epitopes within the vaccine construct were either recognized by epitope-specific CTL from melanoma patients and/or generated epitope-specific CTL in HLA-A2-transgenic mice. The polytope approach thus allows multiple Ags to be simultaneously targeted and should increase a patients spectrum of antitumor CTL responses.
| Materials and Methods |
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A synthetic oligonucleotide fragment (see Fig. 1
) was
constructed from two 70-mer and four 67-mer synthetic oligonucleotides
using Splicing by Overlap Extension and PCR (16). The
nucleic acid sequence of the fragment coded for (from the 5' end) a
cap, a BamHI restriction site, a Kozac sequence, a
methionine start codon, 10 contiguous minimal melanoma CTL epitopes
(see Table I
), a stop codon, and a SalI site and a cap at
the 3' end. The amino acid sequences of the CTL epitopes were converted
to DNA sequence using universal codon usage but were designed to avoid
inclusion of unwanted restriction sites. Dimers were made of synthetic
oligonucleotides 1 and 2 (reaction A), 3 and 4 (reaction B), and 5 and
6 (reaction C) (0.4 µg of each) in 40-µl reactions containing
standard 1x Pfu PCR buffer, 0.5 mM dNTPs, and 1 U of cloned
Pfu DNA polymerase (hot start at 94°C), using the thermal
program 94°C for 10 s, 52°C for 20 s, and 72°C for
20 s for five cycles. At the end of 5 cycles, the PCR program was
paused at 72°C, and 20-µl aliquots of the dimer reactions A and B
were mixed (reaction C was left in the PCR machine) and subjected to a
further 5 cycles (94°C for 10 s, 58°C for 20 s, and
72°C for 20 s). At cycle 10, the program was paused again; 20
µl of reaction C was added to 20 µl from the A + B mix; and a
further 5 cycles was completed (94°C for 10 s, 52°C for
20 s, and 72°C for 20 s). Two 20-mer oligonucleotides
(matching the first and last 20 bp of the sequence shown in Fig. 1
)
were used to PCR amplify the gel purified full-length product using the
reaction mixed above at an annealing temperature of 52°C for 25
cycles. The full-length gel-purified PCR fragment was cloned into the
EcoRV site of pBluescript II KS-. A
correct DNA insert was cloned behind the vaccinia P7.5 promoter in the
plasmid shuttle vector pBCBO6 using BamHI/SalI
restriction enzymes. Construction of a TK-
recombinant virus was then conducted using marker rescue recombination
as described previously (16, 17), generating the
recombinant melanoma polytope
(rVV.mel.pt)3 coding
for 10 HLA-A2 melanoma epitopes (see Table I
).
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HLA-A2-positive patients, P5 and P11, had confirmed cutaneous malignant melanoma and were enrolled in a therapeutic vaccination trial at the Ludwig Institute Oncology Unit (18). CTL lines specific for AAGIGILTV and YLEPGPVTA were established from PBMC by sensitizing half the PBMC with peptide (Chiron Technologies, Clayton, Australia; or made in house at Queensland Institute of Medical Research (QIMR)) (10 µg/ml, 2 h, 37°C followed by two washes) and adding back to the remaining cells in a 24-well plate. The cells were cultured in RPMI 1640 media supplemented with 10% FCS (QIMR), 2 mM glutamine (ICN Biomed. Aust. Pty., Seven Hills, Australia), 100 µg/ml streptomycin, and 100 IU/ml penicillin (CSL, Melbourne, Australia), and 1 ml of medium containing 5 U/ml recombinant human IL-2 (kindly provided by Cetus, Emeryville, California) was added on day 3. On day 7, IL-2 and peptide were added to a final concentration of 25 U/ml and 1 µg/ml, respectively. Partial medium changes with 25 U/ml IL-2, but no peptide, were given as necessary. On day 14, the cultures were used as effectors in standard chromium release assays.
The LLDGTATLRL-specific line was generated by restimulation of PBMC (derived from leukapheresis) from patient A02, with the autologous irradiated (8000 rad) A02-Mb melanoma cells (two times, 7 days apart), followed by two restimulations (7 days apart) with peptide-sensitized (10 µg/ml, 37°C, 1 h), washed, irradiated (8000 rad) HLA-A2 lymphoblastoid cell lines (LCLs) (responder to stimulator ratio throughout, 20:1). IL-2 (25U/ml) was added on day 7, and the effectors were used on day 35.
Human target cells for murine and human CTL
An EBV (B95.8)-transformed LCL from a homozygous HLA-A2 healthy individual (HLA-A2+ LCL) was 1) infected with rVV.mel.pt or a control vaccinia recombinant vaccinia expressing an unrelated polytope construct (rVV.Cont.) (16) (multiplicity of infection 10:1) overnight, before 51Cr labeling, or 2) sensitized with peptide (10 µg/ml) at the same time as 51Cr labeling. The following cell lines were also used in standard 6-h 51Cr release assays: ATCC HTB-73 (HLA-A2-negative melanoma); ATCC HTB-64 (HLA-A2-positive melanoma) and HTB-102, a skin fibroblast line from the same patient; A02-Mb and A09-M, melanoma lines from HLA-A2-positive patients enrolled in a therapeutic clinical trial of GM-CSF-transduced autologous melanoma cells (C. Schmidt, M. ORourke, J. Parkes, M. Down, J. Bell, N. Block, R. Thomas, D. Thomas, B. Stafford, V. Nicholson, and K. Ellem, manuscript in preparation); A12-M, an HLA-A2-negative line from a patient in the same trial; and LAR1 (HLA-A2-positive) and ME235 (HLA-A2-negative), Mart-1-expressing melanoma cell lines (18). HLA-A2+ LCLs were used as cold target inhibitors (80:1) for assays using human CTL derived from donors P5 and P11.
Vaccination and CTL assays using HHD transgenic mice.
Transgenic HHD mice have a transgene comprising the
1 and
2 domains of HLA-A2 linked to the
3, transmembrane, and
cytoplasmic domains of H-2Db, with the
1
domain linked to human ß2-microglobulin. This
transgene was introduced into murine
ß2-microglobulin and
H-2Db double knockout mice; thus, the only MHC
expressed by the HHD mouse was the modified HLA-A2 molecule
(19).
HHD mice were vaccinated i.p. with 1 x 108 PFU recombinant vaccinia virus coding for the melanoma polytope (rVV.mel.pt) or a control polytope vaccinia coding for a series of EBV epitopes (17). Naive control mice animals were not vaccinated. After 3 wk, splenocytes were harvested, and 5 x 106 cells were restimulated in 24-well plates with 1 x 106 LPS blasts (20), which were sensitized with peptide (10 µg/ml for 1 h at 37°C), irradiated (8000 rad), and washed twice. Cells were cultured in RPMI 1640 media supplemented with 10% FCS (QIMR), 2 mM glutamine (ICN), 5 x 10-5 M ß-mercaptoethanol (Sigma, St. Louis, MO), 100 µg/ml streptomycin, and 100 IU/ml penicillin (CSL). On day 4, 1 ml of medium was added containing 5 U/ml recombinant human IL-2 (Cetus) or rat lymphocyte IL-2 (ICN). On day 6, the cultures were used as effectors in standard 6 h 51Cr release assays against 1) human cell lines (see above) and 2) EL4S3-RobHHD cells (19), which were sensitized with the indicated peptide (10 µg/ml) at the same time as radio-labeling and washed twice before use. All CTL assays were performed in duplicate for each E:T ratio. Further weekly restimulations in vitro were performed on some cultures by using peptide-sensitized, gamma-irradiated (8000 rad) EL4S3-RobHHD cells as stimulators (effector:stimulator ratio 20:1).
| Results |
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Melanoma-specific CTL lines recognized the melanoma polytope construct
Three epitope-specific CTL lines from three melanoma patients (P5,
P11, and A02) were generated and were shown to be specific for
AAGIGILTV, YLEPGPVTA, and LLDGTATLRL by their ability to lyse
HLA-A2+ LCLs sensitized with each peptide,
respectively (Fig. 2
,
HLA-A2+ LCL+/- peptide).
The melanoma specificity of the CTL lines from donors P5 and P11 was
illustrated by their ability to recognize HLA-A2+
melanoma lines (LAR1 and HTB64), but not HLA-A2-negative melanoma lines
(ME235 and A12-M) or, in the case of P11, a fibroblast line (HTB-102)
derived from the same individual as the HTB-64 melanoma line (Fig. 2
, melanoma lines). (Although donor A02 had CTL reactivity against
LLDGTATLRL, the melanoma line A02-Mb derived from the bowel metastasis
of this patient did not appear to present gp100; data not shown).
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Mice vaccinated with the melanoma polytope generated CTL specific for multiple epitopes
To determine whether the polytope construct was capable of raising
CTL responses in vivo, HHD-transgenic mice were vaccinated with the
rVV.mel.pt. CTL responses were generated to AAGIGILTV, LLDGTATLRL,
KTWGQYWQV, YMDGTMSQV, ITDQVPFSV, YLEPGPVTA, and VLPDVFIRCV (Fig. 3
). Not all the mice tested generated
response to all the epitopes; five of the 6 (5/6) mice vaccinated with
the rVV.mel.pt generated responses to AAGIGILTV, 2/6 mice tested
generated responses specific for LLDGTATLRL, 1/7 for KTWGQYWQV, 3/6 for
YMDGTMSQV, 2/6 for ITDQVPFSV, 2/6 for YLEPGPVTA, and 6/7 for
VLPDVFIRCV. Fig. 3
shows the average lysis of CTL effectors generated
from responder mice, which were defined as mice with effector
populations giving peptide-specific lysis of more than 10%. None of
the mice tested generated CTL specific for FLWGPRALV, MLLAVLYCL, and
ILTVILGVL following rVV.mel.pt immunization (Fig. 3
). The total number
of mice tested for these epitopes was 13, and Fig. 3
illustrates the
mean lysis values for all these effector populations (n
= 13 for each). Immunization of HHD mice with FLWGPRALV, MLLAVLYCL, and
ILTVILGVL peptide-based vaccines also failed to induce CTL
responses unless large amounts of peptide were used (100 µg per
mouse) and the vaccine contained a source of codelivered CD4 T cell
help.4
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These data illustrated that the melanoma polytope vaccine was able to induce in vivo CTL responses specific for multiple HLA-A2 melanoma CTL epitopes.
rVV.mel.pt-induced CTL recognize human melanoma cells
The inability of the murine CD8 molecule to bind effectively to
the
3 domain of human MHC means that lysis of human
HLA-A2+ target cells by CTL from
A2Kb-transgenic mice tends to be poor
(21). The same problem would be expected for HHD-derived
effectors, which should also lyse HHD-transfected target cells more
efficiently than HLA-A2-expressing cells (19). To overcome
this problem and determine whether CTL effectors derived from
rVV.mel.pt-immunized HHD mice would be capable of lysing
HLA-A2+ melanoma cells, AAGIGILTV and VLPDVFIRCV
effectors were subjected to three rounds of peptide restimulation in
vitro. The resulting bulk effectors had high sp. act. for
peptide-sensitized target cells expressing the HHD transgene (Fig. 4
; EL4S3-RobHHD).
Despite the CD8/
3 mismatch, these effectors were also capable of
killing peptide-sensitized HLA-A2+ LCLs, although
with the expected reduction in sp. act. (Fig. 4
;
HLA-A2+ LCL). Importantly, these effectors were
able to lyse HLA-A2+ melanoma cell lines
expressing the relevant tumor Ags (A02-Mb and A09-M), but not
HLA-A2- melanoma cell lines (HTB-73 and A12-M)
or an HLA-A2+ melanoma cell line, which does not
express the target Ag (HTB-64) (Fig. 4
; melanoma cells). These data
illustrated that the melanoma polytope vaccine had induced CTL capable
of recognizing melanoma Ags processed and presented by human melanoma
cells.
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| Discussion |
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The HHD mouse system represents a useful model for preclinical and
quality control testing of vaccines designed to induce
HLA-A2-restricted CTL responses in humans. However, as reported
previously, HLA-A2-transgenic mice appear unable to respond to some
known HLA-A2-restricted epitopes (24). In this study, HHD
mice failed to respond to FLWGPRALV, MLLAVLYCL, and ILTVILGVL
following rVV.mel.pt immunization. In addition, variable induction of
CTL specific for some epitopes was also observed in individual
transgenic mice (Ref. 24; Fig. 3
legend). These deficiencies may
reflect 1) a limited and variable TCR repertoire in HLA-transgenic mice
(discussed below) and/or 2) the poor immunogenicity of individual
epitopes. MLLAVLYCL and ILTVILGVL bind poorly to
HLA-A2.1,4 and polytope vaccination may provide
insufficient amounts of these epitopes to promote efficient priming.
The HLA-A2.1 binding and immunogenicity of ITDQVPFSV, KTWGQYWQV, and
YLEPGPVTA peptides have been improved by changing the anchor residues
to IMDQVPFSV, KLWGQYWQV, and
YLEPGPVTV (2, 25, 26). A polytope vaccines
ability to prime responses to poorly immunogenic epitopes might be
improved if such epitopes were replaced with anchor-modified epitopes,
which have higher HLA-A2-binding affinities.
As noted previously (24), a contributing factor to 1) the inability of HLA-A2-transgenic mice to respond to some HLA-A2 epitopes, and 2) the variable responses seen with other epitopes may be a limited and variable TCR repertoire educated on the HLA-A2 transgene in these animals. Murine TAP proteins appear to be more selective than their human equivalents (27), and other murine proteins involved in processing and presentation may also be inefficient at delivering some peptides for HLA binding (28, 29). Although these factors may result in the inefficient processing and presentation of some vaccine Ags, the inability of all HLA-A2 peptide epitope immunogens to induce efficiently CTL responses in all HLA-A2-transgenic mice4 (24) suggests that the main problem may be a restricted and variable TCR repertoire. A reduced quantity and/or diversity of self epitopes loaded onto the A2/Kb or HHD transgene in the thymus will limit positive selection of HLA-A2-restricted CTL, which is likely to limit the diversity of the HLA-A2-restricted TCR repertoire in the periphery of these animals (30). The intermouse variation in responses to some epitopes may reflect a heterogeneous TCR repertoire, which could arise from minor histocompatibility differences between individual HHD mice (19). Negative selection or deletion of CTL (as opposed to lack of positive selection) by murine equivalents of the melanoma epitopes is unlikely to be responsible for the inability of HHD mice to respond to certain epitopes. The sequence of the murine equivalent of FLWGPRALV is FLWGPRAHA and of MLLAVLYCL is MFLAVLYCL; thus, both murine homologues have changes in the anchor residues (underlined), which should prevent efficient binding to HLA-A2 (24). The ITDQVPFSV epitope, to which a response was generated, is equivalent in the mouse and the human gp100 melanocyte protein. However, autoimmunity against melanocytes could not be readily detected (31, 32) in HHD mice since the HHD transgene was integrated in the vicinity of the SJL-mouses mutated tyrosinase gene, so all HHD mice are albinos (19).
A potentially important question for future polytope cancer vaccines is the source of CD4 T cell help. Should the vaccine induce CD4 helper responses specific for tumor Ags (33) or might vaccine induced CD4 help best be obtained from unrelated Ags (1, 34)? CD4 help is often required for optimal CTL induction but is also likely to be required for the maintenance of ongoing antitumor CTL responses (35). A virus-vectored melanoma polytope vaccine (like rVV.mel.pt) would induce CD4 responses specific for viral Ags and would not induce, or rely on, melanoma-specific CD4 responses. This may actually be advantageous in a clinical setting if the patients tumor-specific CD4 T cell responses are deleted (36), anergized (37), or Th2 deviated (8, 9) by the tumor. In contrast, vaccine-induced melanoma-specific CD4 responses may synergize with vaccine-induced CTL, resulting in improved antitumor responses (33). Apoptotic tumor cells killed by vaccine-induced CTL are also likely to induce tumor-specific CD4 responses (38), which may also influence vaccine-induced antitumor CTL.
As more melanoma Ags and target epitopes are identified, a panel of polytope vaccines might be envisaged, with each vaccine containing multiple epitopes restricted by one HLA allele. An appropriate HLA-matched mixture might be then delivered to cover all the HLA alleles expressed by any individual patient. Down-regulation of some or all HLA alleles by the melanoma cells should increase their susceptibility to NK/LAK lysis (39). A variety of delivery modalities might be used for human melanoma polytope vaccines; these include attenuated poxvirus vectors (40), adenovirus (41), naked DNA (42), or transfected dendritic cells (43). CTL induction might also be enhanced by codelivery of cytokines (44, 45) and/or prime boost strategies (40).
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Andreas Suhrbier, Queensland Institute of Medical Research, Post Office Royal Brisbane Hospital, Queensland 4029, Australia. E-mail address: ![]()
3 Abbreviations used in this paper: rVV.mel.pt, recombinant vaccinia virus expressing the melanoma polytope; rVV.Cont., recombinant vaccinia virus expressing a control polytope construct; HHD mice, transgenic mice expressing
1 and
2 of HLA-A2 linked to the
3 and transmembrane and cytoplasmic domains of H-2Db and linked to human ß2-microglobulin carried on a murine ß2-microglobulin and H-2Db double knockout background; LCL, lymphoblastoid cell line; EL4S3-RobHHD, murine ß2-microglobulin-deficient EL4 cells transfected with the HHD transgene. ![]()
4 H. Firat, F. Garcia-Pons, S. Tourdot, S. Pascolo, A. Scardino, Z. Garcia, M.L. Michel, R.W. Jack, G. Jung, K. Kosmatopoulos, et al. 1999. H-2 class I knockout, HLA A2.1-transgenic mice: a versitile animal model for preclinical evaluation of anti-tumour immunotherapeutic strategies. Eur. J. Immunol. In press. ![]()
Received for publication April 12, 1999. Accepted for publication July 8, 1999.
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