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The Journal of Immunology, 2001, 166: 5236-5244.
Copyright © 2001 by The American Association of Immunologists

Highly Efficient Transduction of Human Monocyte-Derived Dendritic Cells with Subgroup B Fiber-Modified Adenovirus Vectors Enhances Transgene-Encoded Antigen Presentation to Cytotoxic T Cells1

Delphine Rea2,*, Menzo J. E. Havenga{ddagger}, Maayke van den Assem*, Roger P. M. Sutmuller*, Angelique Lemckert{ddagger}, Rob C. Hoeben{dagger}, Abraham Bout{ddagger}, Cornelis J. M. Melief* and Rienk Offringa3,*

* Department of Immunohematology and Blood Bank and {dagger} Department of Cell Biology, Leiden University Medical Center, Leiden, The Netherlands; and {ddagger} Crucell, Leiden, The Netherlands


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The efficiency of dendritic cells (DC) as immunotherapeutic vaccines critically depends on optimal delivery of target Ags. Although DC modified by subgroup C type 5 recombinant adenoviruses (rAd5) provide encouraging results, their clinical application is hampered by the need for high viral titers to achieve sufficient gene transfer, due to the lack of the Ad5 fiber receptor. We now demonstrate that rAd5 carrying subgroup B Ad fibers are up to 100-fold more potent than classical rAd5 for gene transfer and expression in human DC, rAd5 with a type 35 fiber (rAd5F35) being the most efficient vector. This improvement relates to a greater and faster virus entry and to an increased transgene expression especially following DC maturation. Furthermore, these new vectors possess enhanced synergistic effects with other activation signals to trigger DC maturation. Consequently, rAd5F35-infected DC engineered to express the gp100 melanoma-associated Ag largely exceed rAd5-infected DC in activating gp100-specific CTL. Finally, the DC infection pattern of rAd5F35 is fully conserved when DC are in the vicinity of primary skin-derived fibroblasts, suggesting this vector as a candidate for in vivo targeting of DC. Thus, subgroup B fiber-modified rAd5 constitute a major breakthrough in the exploitation of ex vivo rAd-targeted DC as clinically relevant vaccines and may also be suitable for in vivo genetic modification of DC.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Because of their unique ability to prime naive T cells, dendritic cells (DC)4 offer new perspectives in immune intervention strategies against cancer and infectious diseases. DC reside as immature cells in peripheral tissues where they efficiently capture Ags (1). In response to pathogens and factors released by damaged cells, DC mature and undergo phenotypic and functional changes allowing them to maximize their Ag-presenting and T cell-triggering capacities. Bacterial and viral compounds (2, 3, 4, 5, 6, 7), inflammatory cytokines (2, 3), necrotic cell fragments (8, 9), and CD40 cross-linking (10, 11) have been identified as major DC maturation signals.

DC loaded ex vivo with tumor Ags and administered in vivo to tumor-bearing hosts induce T cell responses responsible for the regression or eradication of established tumors both in mice (12, 13, 14, 15) and in human beings (16, 17, 18). In addition, DC are the best APC for ex vivo expansion of tumor-specific CTL in T cell-based immunotherapy (19). Multiple approaches have been designed to deliver Ags to DC such as loading with peptides, full-length proteins, and tumor cell lysates, transfection with DNA and RNA, fusion between DC and tumor cells, and gene transfer via recombinant viral vectors (20, 21). Genetic modification of DC with recombinant viruses offers major advantages including persistent Ag presentation over time and exposure to potentially immune-activating viral components. We have previously shown that subgroup C serotype 5 recombinant adenoviruses (rAd5) are attractive vectors for gene transfer into human DC because of their synergistic action with maturation signals for the generation of highly immunostimulatory APC (22).

To date, 51 serotypes of human Ad have been identified and divided into six subgroups from A to F (23). Their entry into susceptible cells is a two-step process consisting of virus attachment to the membrane via the Ad fiber knob (24), followed by internalization upon binding of the penton base RGD motifs to cellular integrins (25). Although the penton-integrin interactions may represent a common pathway for internalization (26), attachment strategies vary among Ad subgroups and play an important role in dictating Ad tropism. In this regard, the fiber is a crucial mediator for high-efficiency binding to target cells. Subgroup C fibers use the coxsackie-adenovirus receptor (CAR) as high affinity cellular ligand (27). In CAR-deficient cells, Ad5 attachment occurs at much lower efficiency through alternative pathways involving interactions between the fiber and the MHC class I heavy chain {alpha}2 domain or between the penton and cellular integrins (28, 29, 30). Subgroup A, D, E, and F fibers bind to soluble recombinant CAR, but whether CAR is their physiologically relevant receptor is not clear (31). Finally, subgroup B fibers do not bind CAR and bind poorly to MHC class I molecules (28, 31).

Because human DC lack CAR, prolonged exposure to high amounts of subgroup C rAd are required to achieve significant gene transfer (22, 32, 33). Although high virus doses allow the generation of transgene-specific T cell responses (33, 34, 35), they prevent the broad application of rAd5-infected DC as therapeutic vaccines in the clinic. Therefore, creating new rAd vectors with increased DC tropism is essential. Toward this goal, we constructed a library of rAd5 vectors modified to express the tail of the Ad5 fiber (F5) fused with the shaft and knob of fibers from other Ad serotypes. We show that compared with parental rAd5, rAd5 with chimeric subgroup B fibers allow an up to 100-fold increase in gene transfer and expression in immature and mature DC, while not impairing the immune-activating properties of rAd5. Consequently, DC infected with these novel vectors are highly potent in presenting transgene-encoded epitopes to CTL.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Generation of DC from peripheral blood monocytes

Monocytes were purified from human PBMC by positive selection with CD14 microbeads (Miltenyi Biotec, Auburn, CA). Monocytes (>95% pure) were cultured in RPMI 1640 (Life Technologies, Grand Island, NY) with 2 mM glutamine, 10% FCS, 800 U/ml GM-CSF (Leukomax; Novartis Pharmaceuticals, East Hanover, NJ), and 500 U/ml IL-4 (PeproTech, Rocky Hill, NJ). After 6 days, cells developed into typical immature DC being CD14-, CD1a+, CD11c+, CD80+, CD86+, HLA-DR+, HLA class I+, and CD83- (data not shown). In some experiments, immature DC were generated from monocytes cultured in medium supplemented with 2% autologous plasma instead of 10% FCS. For maturation, DC were incubated with 200 ng/ml of LPS from Escherichia coli (Sigma, St. Louis, MO) for 48 h. In some experiments, 50 µg/ml poly(I:C) (Sigma), 30% monocyte-conditioned medium (MCM), 100 ng/ml TNF-{alpha} (PeproTech), 250 ng/ml agonistic anti-CD40 Ab (B-B20) (Cymbus Bioscience Laboratories, Chandlers Ford, U.K.), or 100 IU/ml IFN-{alpha} (PeproTech) were used.

Plasmid and cosmid constructs

The plasmid pBr/Ad.Bam-rITR contains the Ad5 sequence from the BamHI site (nt 21562) until the 3' end. This plasmid was used to delete the fiber sequence from nt 31042 to nt 32787. For this purpose, a PCR was performed with the oligonucleotides NY-up 5'-CGACATATGTAGATGCATTAGTTTGTGTTATGTTTCAACGTG-3', which contains a NdeI and a NsiI site (in bold), and NY-down 5'-GGAGACCACTGCCATGTTG-3'. The 2200-bp PCR fragment was digested with SbfI (just upstream NY-down) and NdeI, and cloned into a SbfI and NdeI-digested pBr/Ad.Bam-rITR. Thus the resulting plasmid (pBr/Ad.BamR{Delta}FIB) lacks part of the fiber starting from the NdeI site until the stop codon, but instead contains a unique NsiI site directly after the fiber stop codon. The restriction sites NdeI and NsiI were introduced into the tail of degenerate oligonucleotides for amplification of fiber sequences from other Ad serotypes and for subsequent cloning into pBr/Ad.BamR{Delta}FIB. All human wild-type Ad (serotype 1–50) except for types 8, 40, and 41 were propagated on PER.C6 (36), after which virus DNA was isolated from crude lysates as previously described (37). The plasmid library generated was named pBr/Ad.BamR{Delta}FIBXX where XX represents the serotype number from which the fiber was amplified. The amplified sequences inserted into pBr/Ad.BamR{Delta}FIBXX constructs were sequenced to confirm the existence of an open reading frame. Protein sequences were aligned, and putative fiber domains such as the trimerization domain (tlwt) were localized. To maximize the chances of generating fiber chimeric rAd, an additional cloning step was performed. All pBr/Ad.BamR{Delta}FIBXX constructs and pBr/Ad.AflIII-BamHI were digested with BamHI and PacI. The isolated fragments were cloned into a PacI-digested pWE.pac cosmid using a packaging kit (Stratagene, La Jolla, CA). The cosmid pWE.pac was generated from pWE15 (Clontech Laboratories, Palo Alto, CA) by inserting into the EcoRI sites a synthetic DNA fragment containing a PacI restriction site. Cosmids obtained were verified by restriction enzyme digestion. The cosmid library generated was named pWE/Ad.AflIII-rITR.pac/FIBXX.

Generation of rAd5 chimeric for the fiber protein

To generate rAd, two DNA molecules were cotransfected in PER.C6 cells: pWE/Ad.AflIII-rITR.pac/FIBXX digested with PacI and a plasmid encoding Ad5 sequences 1–454 and 3511–6095 in which the E1 region is replaced by a marker gene. This plasmid named either pCLIP or pADAPT contains Ad5 sequence from nt 1 to 454 (left ITR and packaging signal), a cassette for transgene expression containing the CMV promoter (nt -601 to -14 for pCLIP, nt -735 to +95 for pADAPT), a polylinker, the SV40 intron/poly(A) sequence from pcDNAI (HhaI-AvrII fragment, Invitrogen, San Diego, CA), and a second Ad5 sequence ranging from nt 3511 to nt 6095. pADAPT lacks the SV40 intron sequences. The Ad5 sequence nt 3511–6095 enables the generation of rAd through homologous recombination with pWE/Ad.AflIII-rITR.pac/FIBXX. The recombinant vectors were purified by double cesium chloride density centrifugation, aliquoted, and stored at -80°C until further use. The number of virus particles (VP)/ml was determined by HPLC as described (38). The production yields in VP/ml for green-fluorescent protein (GFP)-encoding vectors were: rAd5GFP: 8.4 x 1011 and 5.1 x 1011 VP/ml (two batches), rAd5F16GFP: 4.8 x 1011 and 5.1 x 1011 VP/ml (two batches), rAd5F35GFP: 7.8 x 1011 and 4.9 x 1011 VP/ml (two batches), rAd5F40LGFP: 8.6 x 1011 VP/ml (one batch), rAd5F50GFP: 1.1 x 1012 VP/ml (one batch), rAd5 human (h)gp100: 5.1 x 1011 VP/ml (one batch), and rAd5F35hgp100: 7.1 x 1011 VP/ml (one batch).

Infection of DC with rAds

DC (105) were incubated with viral doses ranging from 103 to 105 VP/DC on ice in serum-free medium, unless otherwise indicated. After 1 h, the cells were extensively washed and shifted at 37°C. Gene transfer efficiency was assessed 24 h later by measurement of luciferase (Luc) activity with a Promega (Madison, WI) luciferase assay kit on a luminometer or by measurement of GFP fluorescence by flow cytometry (FACSCalibur; Becton Dickinson, Mountain View, CA). In the former case, the results were normalized for the number of cells present during infection. Cell viability was determined by trypan blue exclusion or by propidium iodide staining. In coculture experiments, DC (105) were mixed with primary skin-derived fibroblasts (105). The cells were incubated with 109 VP total for 15 min or 2 h at 37°C. After 24 h, CD11c staining was performed to discriminate between CD11c+ DC and CD11c- fibroblasts, and GFP expression was measured by flow cytometry.

Quantification of Ad genomes by real-time PCR

The principle of real-time PCR has been described by Klein et al. (39). Briefly, genomic and Ad DNA were extracted simultaneously from cells using a DNAeasy Tissue Kit (Qiagen, Chatsworth, CA). The DNA concentrations were determined with a Picogreen dsDNA quantification kit (Molecular Probes, Eugene, OR). To test for the amount of Ad genomes present, the following primers were used: Ad5Clip-F: 5'-CGACGGATGTGGCAAAAGT-3', Ad5Clip-R: 5'-CCTAAAACCGCGCGAAAA-3'. To detect amplification, a probe (Ad5Clip-Pr: 5'-CACCGGCGCACACCAAAAACG-3') carrying a fluorescent group (6-carboxyfluorescein, FAM) and a quencher dye (6-carboxytetramethylrhodamine, TAMRA) was used. Both the primers and the probe were obtained from Perkin-Elmer (Norwalk, CT). To quantify the amount of Ad genomes per cell, a second pair of oligonucleotides and a probe recognizing 18SrDNA was added to the reaction (40). The amplification mixture contained 1x buffer A, 3 mM MgCl2, 200 µM dATP, dCTP, dGTP, and dTTP, 90 nM concentrations of each Ad primer, 100 nM of each 18S rDNA primer, 200 nM concentrations of both probes, 0.6 U Amplitaq Gold polymerase (all obtained from Perkin-Elmer), and 5 µl of DNA. The reaction was initiated by a 10-min 95°C predenaturation step. Amplification occurred during 45 cycles, each cycle consisting of 15 s at 95°C and 1 min at 60°C. As a standard for the estimation of the amount of Ad genomes present per sample, a plasmid was used that contains ~5000 bp of the left part of the Ad serotype 5 genome (pADAPT). As a standard for cellular DNA, genomic DNA extracted from human 293 cells was used.

Analysis of DC phenotype by flow cytometry

DC were stained on ice with mouse mAb for 30 min in PBS-1% FCS and analyzed by flow cytometry. The following mAbs were used: PE-anti-CD1a (HI149), FITC-anti-CD80 (BB1), PE-anti-CD86 (FUN-1), FITC-anti HLA-A,B,C (G46–2.6) (all obtained from PharMingen, San Diego, CA), PE anti CD11c (Leu-M5), PE anti-CD14 (L243), FITC-anti-HLA-DR (m{phi}P9), PE- and FITC-conjugated isotype controls (all obtained from Becton Dickinson), and PE-anti-CD83 (Immunotech, Westbrook, ME).

Cytokine detection by ELISA

Culture supernatants were analyzed in serial 2-fold dilutions in duplicate. Human IL-12p70 was detected with by solid phase sandwich ELISA (Diaclone Research, Besançon, France) (sensitivity, 3 pg/ml). Human IL-10 was detected with a Pelikine compact ELISA kit (CLB, Amsterdam, The Netherlands) (sensitivity, 3 pg/ml). IFN-{gamma} was detected using a capture rat anti-mouse IFN-{gamma} mAb (R4-6A2) and a detection biotinylated rat anti-mouse mAb (XMG1.2) (both obtained from PharMingen).

HLA-A2-restricted hgp100-specific CTL and Ag presentation assays

HLA-A2*0201/Kb (A2Kb) transgenic mice (provided by L. Sherman, Scripps Laboratories, San Diego, CA) were immunized three times by i.v. injection of 107 PFU of a recombinant ALVAC canary pox virus encoding for hgp100 (Virogenetics, Troy, NY). Ten days after the last injection, spleen cells were cultured with LPS blasts loaded with the hgp100154–162 HLA-A2-restricted peptide. After three rounds of stimulation, hgp100 recognition by T cells was assessed by standard 51Cr release assay, and the T cells were cloned by limiting dilution. The 8J CTL clone specific for the hgp100154–162 HLA-A2-restricted epitope recognizes human HLA-A2+ and murine A2Kb+ cell lines expressing hgp100. For Ag presentation assays, HLA-A2+ DC infected with rAd5hgp100 or rAd5F35hgp100 were incubated with LPS for 48 h or left untreated. Uninfected DC and DC infected with rAd5GFP and rAd5F35GFP were taken along as negative controls. hgp100-specific CTL (104) were cultured with different amounts of DC in triplicate in 96-well U-bottom plates, and supernatants were collected 24 h later to measure T cell-derived IFN-{gamma} production.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Identification of fiber-modified rAd5 for enhanced gene transfer into DC

In the search for rAd with increased tropism for human DC, we constructed a library of 19 rAd5 vectors encoding the Luc reporter gene and expressing fibers from subgroup A (F12), B (F16, F35, F50), D (F8, 9, 10, 17, 24, 27, 30, 32, 33, 38, 45, 47, 49), and F (both the long (F40L) and the short (F40S) fiber) viruses. The N-terminal part of the Ad5 tail was conserved to ensure proper interaction with the Ad5 penton, whereas the shaft, whose length is thought to interfere with the binding of the penton to {alpha}v integrins (41), and the head, which carries receptor specificity, were exchanged (Fig. 1Go). Immature DC were incubated with rAd5 or with fiber-modified rAd5 vectors at 105 viral particles (VP)/DC and were analyzed for Luc activity 24 h later. Unlike vectors carrying fibers from subgroups A, D, and F Ad, rAd5 with fibers from subgroup B viruses type 16, 35, and 50 mediated a level of Luc activity 4- to 9-fold superior to that obtained with rAd5 (Fig. 2Go).



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FIGURE 1. Schematic representation of the fibers and Ad particles. A, The rAd5 fiber and the rAd5F35 fiber, as an example of chimeric fiber. The N terminus of the F5 tail (aa 1–17) is fused in frame with the C terminus of the F35 tail (aa 18–45) and with the F35 shaft (aa 46–132) and head (aa 133–323). B (right), A rAd5 particle is depicted showing the long protruding fibers (green). Left, The rAd5F35 particle illustrates an example of a fiber-modified rAd5, showing the knobs and relatively short fiber shafts (red) characteristics of subgroup B Ad. The rAd5-derived capsid proteins are depicted in blue (hexons), yellow (pentons), and green (N-terminal part of the fiber tail). (Figure courtesy of R. J. Rademaker.)

 


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FIGURE 2. Identification of chimeric rAd candidates with enhanced DC tropism. Immature DC were incubated with Luc-encoding rAd5 or fiber-modified rAd5 vectors harboring the indicated fibers at 105 VP/DC and assessed 24 h later for Luc activity. Results are expressed in relative light unit/104 DC and are representative of two independent experiments performed with DC generated from two different individuals. Background relative light units from uninfected cells was <10.

 
Subgroup B fiber-modified rAd5 mediate enhanced gene expression in immature DC

The differential gene transduction properties of rAd5 and rAd5 carrying types 16, 35, and 50 fibers were characterized at the single cell level using GFP-encoding vectors. rAdF40L was taken along as a control for the fiber-exchange strategy. Immature DC were incubated with viral doses ranging from 103 to 105 VP/DC at 0°C. At low temperatures, virus attachment occurs but not internalization. After 1 h, the cells were extensively washed to remove unbound viruses and shifted at 37°C to allow virus entry. DC were analyzed for GFP expression 24 h later. Viable cell recovery was similar in uninfected and infected cultures. Overall, the transduction patterns of GFP-encoding viruses and Luc-encoding vectors were comparable. The percentage of GFP+ DC detected after infection with rAd5F16, rAd5F35, or rAd5F50 was markedly higher than that obtained with rAd5 at all virus doses tested, and rAd5F40L failed to induce GFP expression (Fig. 3GoA). At 105 VP/DC of rAd5, only 20% of DC expressed GFP, whereas at a lower virus dose the percentage of GFP+ DC was decreased to <5%. In sharp contrast, 105 VP/DC of rAd5F16, rAd5F35, or rAd5F50 conferred GFP expression in up to 90% of the cells and at 103 VP/DC, 20% of GFP+ DC were still present. Especially rAd5F35 was the most efficient of the three chimeric vectors. This was not only apparent from the percentage of GFP+ cells but also from the GFP expression levels achieved (Fig. 3GoB). Similar results were obtained with {beta}-galactosidase-encoding vectors (data not shown). Notably, DC that are to be administered to patients for vaccination purposes cannot be grown in medium containing FCS, but instead have to be cultured in serum-free medium or medium supplemented with autologous human plasma. We found that immature DC generated in medium containing FCS vs autologous plasma were equally susceptible to rAd5F35, an important feature with respect to the clinical applicability of DC engineered by means of subgroup B fiber-modified adenoviral vectors (data not shown). To conclude, rAd5 carrying the subgroup B fibers type 16, 35, and 50 show an increased tropism for immature DC, and transgene expression requires 10- to 100-fold less virus than with unmodified rAd5.



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FIGURE 3. Subgroup B fiber-modified rAd5-mediated GFP expression by immature DC. Immature DC were incubated with rAd5 or fiber-modified rAd5 vectors harboring the indicated fibers at varying virus doses, and GFP expression was tested 24 h later by flow cytometry. The results are expressed as mean ± SD of the percentage of GFP-expressing cells (A) and mean fluorescence intensity (MFI) of GFP+ cells (B). The data are derived from three independent experiments performed with DC obtained from three different individuals.

 
Subgroup B fiber-modified rAd5 mediate enhanced gene expression in mature DC

Mature DC have developed resistance to infection by certain viruses (6). Thus we analyzed the susceptibility of mature DC to subgroup B fiber-modified rAd5. LPS-treated DC were incubated with the different GFP-encoding vectors as described for immature cells. No significant cell death was observed with either vector. The number of GFP+ LPS-treated DC (Fig. 4GoA) and the levels of GFP expression (Fig. 4GoB) with rAd5F16, rAd5F35, and rAd5F50 largely exceeded that obtained with rAd5 at all virus doses tested. No GFP was found in cells incubated with rAd5F40L. At 105 VP/DC, only 34% of rAd5-infected LPS-treated cells expressed GFP, whereas with rAd5F16, rAd5F35, and rAd5F50, GFP was detected in >90% of the cells. Upon a 10- to 100-fold decrease of the virus dose, the number of rAd5-infected GFP+ DC went down to <5%. In contrast, at 103 VP/DC, GFP was present in over 50% of DC infected with rAd5F16, rAd5F35, and rAd5F50. Therefore, rAd5 carrying subgroup B fibers type 16, 35, and 50 equally transduce mature DC, and transgene expression requires at least 100-fold less viral particles than with unmodified rAd5.



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FIGURE 4. Subgroup B fiber-modified rAd5-mediated GFP expression by mature DC. LPS-matured DC were incubated with rAd5 or fiber-modified rAd5 harboring the indicated fibers at varying virus doses, and GFP expression was tested 24 h later by flow cytometry. The results are expressed as mean ± SD of the percentage of GFP-expressing cells (A) and MFI of GFP+ cells (B). The data are derived from three independent experiments performed with DC obtained from three different individuals.

 
Comparison between subgroup B fiber-modified rAd5 gene transfer in immature and mature DC

The results obtained with immature and mature DC suggest that the transduction levels achieved by the three subgroup B fiber-modified vectors depend on the DC maturation stage. Therefore, we compared immature DC and DC incubated with a panel of maturation agents for their susceptibility to subgroup B fiber-modified rAd5-mediated gene expression. The number of GFP+ DC was increased when the cells were exposed to LPS, TNF-{alpha}, MCM, poly(I:C), or agonistic anti-CD40 mAb before infection with subgroup B fiber-carrying rAd5 (Table IGo). At 104 VP/DC, GFP was detected in 22, 66, and 33% of immature DC infected with rAd5F16, rAd5F35, and rAd5F50, respectively, whereas it was expressed in >85% of mature DC with all three vectors. As a control, IFN-{alpha}, which does not trigger DC maturation but acts in synergy with maturation factors (7, 42), did not enhance GFP expression.


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Table I. Transgene expression by immature and mature DC infected with rAd5 and subgroup B fiber-modified rAd51

 
Correlation between gene expression and gene transfer

Several mechanisms may explain the rise in GFP expression in mature DC infected with subgroup B fiber-carrying rAd5. These include an increased uptake of viral particles, due for instance to the up-regulation of the subgroup B fiber receptor, or a better activation state of the CMV promoter driving the expression of the transgene. To get insight into these mechanisms, we compared GFP expression in three different settings: rAd-infected immature DC, rAd-infected LPS-matured DC, and rAd-infected DC matured with LPS after infection. Exposure of DC to LPS after infection increased the number of GFP+ cells (Fig. 5GoA) and the levels of GFP expression (Fig. 5GoB) to the same extent as rAd infection of already LPS-activated cells. Similar findings were obtained with other DC maturation agents such as MCM and agonistic anti-CD40 mAb (data not shown). We also quantified the amount of rAd DNA present in DC. Subgroup B fiber-modified rAd5-infected immature and mature DC contained on average 15- and 100-fold more Ad genomes, respectively, than rAd5-infected counterparts (Fig. 5GoC). As expected, LPS treatment did not influence the amount of Ad genomes detected in DC infected in an immature state. Comparative analysis among the three subgroup B fiber-modified rAd5 showed that the number of genomes incorporated by LPS-activated DC averaged 3-fold higher than that by immature cells (Fig. 5GoC). In conclusion, the superiority of mature DC over immature DC for gene expression driven by subgroup B fiber-modified rAd5 is due to at least two distinct events: an enhanced virus entry and a better expression of the transgene.



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FIGURE 5. Correlation between rAd-mediated gene expression and delivery. rAd-infected immature DC, rAd-infected LPS-matured DC, and rAd-infected DC matured with LPS after infection were analyzed by flow cytometry for the percentage of cells expressing GFP (A) and GFP expression levels shown as MFI of GFP+ cells (B). The amount of rAd DNA taken up by DC was quantified by real-time PCR (C). The fibers carried by the vectors are indicated. The data are representative of two independent experiments.

 
Subgroup B fiber-modified rAd5 increase costimulatory and MHC molecules and act in synergy with LPS in triggering DC maturation

An important feature of rAd5 vectors for their use in DC-based immunization strategies resides in their ability to increase DC costimulatory and Ag-presenting functions and to act in synergy with DC maturation signals (22, 43, 44). Because the viral determinants responsible for this phenomenon are not fully identified (44), it was crucial to search for a potential impact of the exchange between fiber 5 and fibers 16, 35, and 50 on DC activation. Immature DC infected with rAd5, rAd5F16, rAd5F35, and rAd5F50, and further incubated in the presence or absence of LPS, were analyzed for their surface phenotype and for their capacity to produce the bioactive IL-12p70 cytokine. In the absence of LPS, the three subgroup B fiber-carrying vectors were able to up-regulate the costimulatory molecule CD86 and MHC class I and II molecules (Table IIGo). As previously described for rAd5 (22, 32), the expression of the maturation marker CD83 was only weakly enhanced, and none of the viruses triggered IL-12 production. However, all vectors strongly cooperated with LPS for the induction of high CD83 levels and IL-12p70 secretion (Table IIGo), whereas IL-10 could not be detected (data not shown). Finally, the strongest synergistic effects were exerted by rAd5F35, which correlates with its capacity to infect the highest proportion of DC.


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Table II. Effect of rAd5 and subgroup B fiber-modified rAd5 on DC maturation1

 
Enhanced presentation of transgene-encoded Ag by rAd5F35-infected DC

We also compared DC infected by rAd5 with DC infected by subgroup B fiber-modified rAd5 for their capacity to present transgene-encoded Ag to specific T cells. For this purpose, we constructed vectors encoding the human gp100 (hgp100), a melanocyte lineage-restricted Ag expressed in a vast majority of malignant melanoma and a major target for CTL-mediated tumor rejection in vivo (45). We chose to focus on rAd5F35, which displays the greatest gene transduction efficacy among the fiber-modified vectors tested in our study. HLA-A2+ DC infected with rAd5hgp100 or rAd5F35hgp100 at 105–103 VP/DC and further incubated in the presence or absence of LPS were cultured with hgp100154–162-specific HLA-A2-restricted CTL, which recognize human targets in a costimulation-independent fashion. With rAd5hgp100, T cell-derived IFN-{gamma} secretion was triggered by DC only when 105 VP/DC were used in combination with LPS stimulation at high DC to T cell ratios (Fig. 6GoA). At lower virus doses, IFN-{gamma} production was similar to that obtained with control DC. In contrast, rAd5F35hgp100-infected immature DC and their LPS-treated counterparts stimulated the secretion of high levels of IFN-{gamma} when 105 and 104 VP/DC were used (Fig. 6Go, A and B). As expected, mature DC were the most potent APC. At 103 VP/DC, considerable amounts of IFN-{gamma} were still detected with LPS-matured cells (Fig. 6GoC). Therefore, increased rAd5F35-mediated transduction of DC correlates with enhanced transgene-encoded Ag presentation.



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FIGURE 6. Transgene-encoded Ag presentation by DC infected with rAd5F35. HLA-A2-restricted hgp100154–162 A2Kb CTL were tested for IFN-{gamma} production in the presence of HLA-A2-immature DC infected with rAd5hgp100 or rAd5F35hgp100, and rAd5hgp100-infected or rAd5F35hgp100-infected DC treated with LPS after infection. rAd5F35GFP-infected DC and their LPS-treated counterparts are shown as control targets. The virus doses used for infection are indicated. Uninfected immature DC, rAd5GFP-infected immature DC and their LPS-treated counterparts, which gave the same background levels of IFN-{gamma} as these controls, are not shown. The data are representative of three independent experiments.

 
rAd5F35 as candidate for in vivo transduction of DC

Although most immunotherapeutic strategies rely on ex vivo manipulation of DC, in vivo Ag delivery to DC, especially those present in the skin, is also being explored (46). We investigated how rapidly rAd5F35 could infect DC. Immature cells exposed to rAd5F35 or to rAd5 at 104 VP/DC for time periods varying from 15 min to 2 h at 37°C were analyzed for GFP expression 24 h later. The kinetics of rAd5F35 infection strikingly differed from those of rAd5. Maximum GFP expression in ~70% of DC was already achieved from rAd5F35 particles that had entered DC within the first 15 min of incubation and remained stable thereafter (Fig. 7GoA). Only 10% of DC that had been exposed to rAd5 for 15 min expressed GFP, and expression slowly increased with time without reaching that obtained with rAd5F35. Finally, the DC infection pattern of rAd5F35 was fully maintained upon addition of primary skin-derived fibroblasts (Fig. 7GoB), despite the fact that these neighboring cells were also susceptible to the vector. These results suggest that unlike rAd5, rAd5F35 can be exploited for genetic modification of DC in vivo and warrant studies in experimental animals to test its potency.



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FIGURE 7. Efficiency of rAd5 and rAd5F35 uptake by immature DC at 37°C. A, Immature DC were incubated with rAd5GFP or rAd5F35GFP at 104 VP/DC at 37°C for the indicated time. GFP expression was measured 24 h later by flow cytometry. B, Immature DC (105) mixed with equal amounts skin-derived primary fibroblasts were incubated at 37°C with 109 VP total of rAd5GFP or rAd5F35GFP for 15 min or 2 h. GFP expression was measured 24 h later. Fibroblasts and DC were distinguished by differential expression of the CD11c DC-specific marker. The percentages correspond to the proportion of GFP+ DC in the total CD11c+ population. Uptake of fibroblasts-derived GFP by DC was estimated by incubation of infected fibroblasts with uninfected DC and was <8% of DC (data not shown). The results are representative of two independent experiments performed with DC from two different individuals.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Optimal Ag delivery is a key issue in DC-based vaccination strategies against cancer and infectious diseases. Although classical rAd5 vectors are attractive vehicles for gene transfer into human DC, their efficiency is limited by the absence of the high affinity Ad5 fiber CAR on this cell type. The challenge to translate rAd-infected DC into clinical settings is to design a new generation of vectors with expanded DC tropism. As an important determinant for Ad attachment and natural tropism, the fiber represents an attractive target for modifying cell specificity and transduction properties of rAd5. Here, we demonstrate that replacement of the Ad5 fiber by fibers from subgroup B Ad16, 35, and 50, but not by fibers from other Ad subgroups, dramatically increases the efficiency of rAd5-mediated gene transfer into human DC. Consequently, DC modified to express a target Ag by means of rAd5F35, the most potent of the three subgroup B fiber-modified vectors, are highly potent APC for Ag-specific CTL.

Our approach reveals that fibers from different Ad subgroups interact differently with DC. Among all chimeric vectors tested here, only rAd5F16, rAd5F35, and rAd5F50 emerged as vectors with high DC tropism. They all possess fibers with shaft and head domains from Ads belonging to subgroup B, which is the only subgroup that cannot use the CAR (31). Recent reports indicate that subgroup B Ads exhibit tropism toward other cell subsets of the hemopoietic system. rAd5 equipped with a subgroup B Ad3 fiber was shown to successfully target EBV-transformed B cells (47). Subgroup B Ad11 and Ad35 were found to infect lymphocytic and myelomonocytic tumor cell lines (48). Ad35 and rAd5 with Ad35 fibers appeared to efficiently enter CAR-deficient CD34+ stem cells (49). Moreover, the data presented in this latter report suggest that Ad3 and Ad35 target different cell surface receptors. Interestingly, we found that rAd5F35 was more potent than rAd5F16 and rAd5F50 for transducing immature DC. Thus, the possibility exists that these subgroup B fiber-modified vectors use different strategies for entry into DC. Alternatively, their fibers may differentially modulate intracellular trafficking and transport of the rAd genome into the nucleus (50). Irrespective of these considerations, our data and previous studies by others suggest that cells of hemopoietic origin express one or more receptors for subgroup B viruses.

Enhanced gene expression mediated by rAd5F16, rAd5F35, and rAd5F50 does not only occur in immature DC but also in mature cells. In fact, mature DC express transgenes at even higher levels than immature cells. This most likely relates to at least two different events. The first factor is an increased uptake of viral particles, probably through the up-regulation of the subgroup B fiber receptor(s) on mature DC. Which receptor accounts for this phenomenon is currently unknown but is unlikely to involve cellular integrins because these are not up-regulated upon DC maturation (22). The second factor concerns the activation of transcriptionally silent transgenes by maturation-induced signaling events. Efficient transcription from the CMV promoter controlling the transgene relies in part on NF-{kappa}B activation, and maturation signals function at least through activation of NF-{kappa}B (51, 52). Recently, Tillman et al. have constructed bispecific mAb directed against the Ad5 fiber and CD40 to retarget Ad5 to human DC via their CD40 receptor (32). Because DC mature upon CD40 cross-linking (10, 11), these bispecific mAb may not only increase virus uptake by DC, but may also improve transgene expression in a similar fashion as observed in our study.

In addition to targeting DC more efficiently, rAd5 with subgroup B fibers conserve the immune-activating properties of the rAd5 parental virus. These novel vectors increase the expression of costimulatory and MHC molecules on DC and act in synergy with LPS to promote the maturation of DC into fully immunostimulatory APC. In fact, due to more efficient infection, subgroup B fiber-modified rAd5 exert an enhanced effect on DC maturation. Altogether, these characteristics lead to a better presentation of the transgene-encoded Ag to specific T cells, a key issue for rAd-infected DC-based immunization strategies.

In conclusion, our findings demonstrate major progress toward the clinical applicability of rAd vectors as vaccines to battle cancer and pathogens and support the use of subgroup B fiber-modified viruses, especially rAd5F35, for ex vivo Ag delivery into DC. Moreover, the favorable kinetics of DC infection by rAd5F35 even in the presence of other susceptible cells may enable this vector to reach the DC network in vivo and suggest that this vector is an attractive new genetic vaccine. Whether rAd5F35 can truly serve for in vivo targeted DC-based immunotherapy is currently under investigation in primate models.


    Acknowledgments
 
We thank Dr. Mehtali and Dr. Uytdehaag for helpful discussions, Dr. Klein for support with the multiplex real-time PCR, Leonie van Duivenvoorde for assistance, and Rick Rademaker for three-dimensional drawing expertise.


    Footnotes
 
1 D.R. was supported by the European Union (Transfer Mobility and Research Contract FMRX-CT0053), and R.P.M.S. by the Dutch Cancer Foundation (Project 96-1354). Back

2 Current address: Service d’Hématologie Adulte, Hôpital Saint Louis, 1 avenue Claude Vellefaux, 75010 Paris, France. Back

3 Address correspondence and reprint requests to Dr. Rienk Offringa, Department of Immunohematology and Blood Bank, Leiden University Medical Center, Albinusdreef 2, Postbus 9600, 2300 RC Leiden, The Netherlands. Back

4 Abbreviations used in this paper: DC, dendritic cells; A2Kb, HLA-A*0201/Kb; CAR, coxsackie-adenovirus receptor; F, fiber; hgp100, human gp100; GFP, green- fluorescent protein; Luc, luciferase; rAd, recombinant adenovirus; VP, virus particle(s); MCM, monocyte-conditioned medium; MFI, mean fluorescence intensity. Back

Received for publication October 6, 2000. Accepted for publication January 24, 2001.


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S. Mercier, S. Verhaagh, J. Goudsmit, A. Lemckert, M. Monteil, M. Havenga, and M. Eloit
Adenovirus fibre exchange alters cell tropism in vitro but not transgene-specific T CD8+ immune responses in vivo
J. Gen. Virol., May 1, 2004; 85(5): 1227 - 1236.
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J. Virol.Home page
L. Fontana, M. Nuzzo, L. Urbanelli, and P. Monaci
General Strategy for Broadening Adenovirus Tropism
J. Virol., October 15, 2003; 77(20): 11094 - 11104.
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J. Biol. Chem.Home page
V. Molinier-Frenkel, A. Prevost-Blondel, S.-S. Hong, R. Lengagne, S. Boudaly, M. K. Magnusson, P. Boulanger, and J.-G. Guillet
The Maturation of Murine Dendritic Cells Induced by Human Adenovirus Is Mediated by the Fiber Knob Domain
J. Biol. Chem., September 26, 2003; 278(39): 37175 - 37182.
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J. Virol.Home page
V. Thiel, N. Karl, B. Schelle, P. Disterer, I. Klagge, and S. G. Siddell
Multigene RNA Vector Based on Coronavirus Transcription
J. Virol., September 15, 2003; 77(18): 9790 - 9798.
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J. Virol.Home page
A. Segerman, J. P. Atkinson, M. Marttila, V. Dennerquist, G. Wadell, and N. Arnberg
Adenovirus Type 11 Uses CD46 as a Cellular Receptor
J. Virol., September 1, 2003; 77(17): 9183 - 9191.
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J. Virol.Home page
R. Vogels, D. Zuijdgeest, R. van Rijnsoever, E. Hartkoorn, I. Damen, M.-P. de Bethune, S. Kostense, G. Penders, N. Helmus, W. Koudstaal, et al.
Replication-Deficient Human Adenovirus Type 35 Vectors for Gene Transfer and Vaccination: Efficient Human Cell Infection and Bypass of Preexisting Adenovirus Immunity
J. Virol., August 1, 2003; 77(15): 8263 - 8271.
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J. Virol.Home page
X. Wang, M. Messerle, R. Sapinoro, K. Santos, P. K. Hocknell, X. Jin, and S. Dewhurst
Murine Cytomegalovirus Abortively Infects Human Dendritic Cells, Leading to Expression and Presentation of Virally Vectored Genes
J. Virol., July 1, 2003; 77(13): 7182 - 7192.
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Cancer Res.Home page
Y. Kawakami, H. Li, J. T. Lam, V. Krasnykh, D. T. Curiel, and J. L. Blackwell
Substitution of the Adenovirus Serotype 5 Knob with a Serotype 3 Knob Enhances Multiple Steps in Virus Replication
Cancer Res., March 15, 2003; 63(6): 1262 - 1269.
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BloodHome page
S. Gottschalk, O. L. Edwards, U. Sili, M. H. Huls, T. Goltsova, A. R. Davis, H. E. Heslop, and C. M. Rooney
Generating CTLs against the subdominant Epstein-Barr virus LMP1 antigen for the adoptive immunotherapy of EBV-associated malignancies
Blood, March 1, 2003; 101(5): 1905 - 1912.
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J. Immunol.Home page
E. H. Slager, M. Borghi, C. E. van der Minne, C. A. Aarnoudse, M. J. E. Havenga, P. I. Schrier, S. Osanto, and M. Griffioen
CD4+ Th2 Cell Recognition of HLA-DR-Restricted Epitopes Derived from CAMEL: A Tumor Antigen Translated in an Alternative Open Reading Frame
J. Immunol., February 1, 2003; 170(3): 1490 - 1497.
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J. Virol.Home page
J. W. Schoggins, J. G. D. Gall, and E. Falck-Pedersen
Subgroup B and F Fiber Chimeras Eliminate Normal Adenovirus Type 5 Vector Transduction In Vitro and In Vivo
J. Virol., December 20, 2002; 77(2): 1039 - 1048.
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J. Virol.Home page
M. J. E. Havenga, A. A. C. Lemckert, O. J. A. E. Ophorst, M. van Meijer, W. T. V. Germeraad, J. Grimbergen, M. A. van den Doel, R. Vogels, J. van Deutekom, A. A. M. Janson, et al.
Exploiting the Natural Diversity in Adenovirus Tropism for Therapy and Prevention of Disease
J. Virol., March 27, 2002; 76(9): 4612 - 4620.
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Cancer Res.Home page
D. M. Shayakhmetov, Z.-Y. Li, S. Ni, and A. Lieber
Targeting of Adenovirus Vectors to Tumor Cells Does Not Enable Efficient Transduction of Breast Cancer Metastases
Cancer Res., February 1, 2002; 62(4): 1063 - 1068.
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