The Journal of Immunology, 2001, 167: 3936-3943.
Copyright © 2001 by The American Association of Immunologists
Local Costimulation Reinvigorates Tumor-Specific Cytolytic T Lymphocytes for Experimental Therapy in Mice with Large Tumor Burdens1
Xue-Feng Bai,
Jonathan Bender,
Jinqing Liu,
Huiming Zhang,
Yin Wang,
Ou Li,
Peishuang Du,
Pan Zheng2 and
Yang Liu2
Department of Pathology and Comprehensive Cancer Center, Ohio State University Medical Center, Columbus, OH 43210
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Abstract
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Cytotoxic T cells recognize tumor Ags and destroy cancer cells in
vitro. Adoptive transfer studies with transgenic T cells specific for
tumor Ags have demonstrated that CTL are effective only in mice with
small tumor burdens and thus appear to have limited potential in cancer
immunotherapy. Here we used transgenic mice that express the TCR
specific for an unmutated tumor Ag P1A and multiple lineages of
P1A-expressing tumors to address this critical issue. We found that
local costimulation, either by expression of B7-1 on the tumor cells or
by local administration of anti-CD28 mAb 37N, reinvigorated the
function of CTL specific for the tumor Ag, as it substantially
increased the efficacy of CTL therapy for mice with large tumor
burdens. Our study suggests that CTL-based immunotherapy can be
manipulated to deal with large tumors.
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Introduction
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A
largely unresolved issue is why immune surveillance against cancer
often fails. It has been suggested that tumor Ags are not efficiently
recognized by T cells, because of either their confinement to the
nonhemopoietic tissues (1, 2) or the context of tumor Ag
presentation (3) and/or the tumor-mediated
immunosuppression (4, 5). Although abundant evidence has
been presented for each of the mechanisms in a variety of cancer
models, recent analysis has revealed substantial expansion of
cancer-specific T cells in many human cancer patients
(6, 7, 8), which demonstrates that tumor Ags are perhaps
often recognized by the host T cells. Although protection of these T
cells was suggested in one study (6), in the majority of
the cases, their clinical benefit was either absent or obscure. In
experimental animals, we found that transgenic T cells specific for an
unmutated tumor Ag were relatively inefficient in elimination of a
tumor that expressed the Ag (9). Although T cells specific
for a mutated tumor Ag were reported to be more efficient in dealing
with early tumors, established tumors were resistant to high numbers of
tumor-specific CTL (10). Because Ags in the tumors that
originate from nonhemopoietic tissues may not be presented to the naive
T cells until the tumors have been established, the inability of
tumor-specific T cells to reject large tumors may also explain the poor
immune surveillance of cancer. As such, one of the most difficult
challenges in tumor immunotherapy is to enhance T cell effector
function against large established tumors.
Identification of B7-1 and B7-2 as the prototypic costimulatory
molecules has led to novel approaches to tumor immunotherapy
(11, 12, 13, 14, 15). Although expression of these molecules on tumors
often leads to the rejection of tumor cells by CD8 T cells (11, 13, 14), the mechanism for the effect is less clear. Based on
the fact that costimulation promotes T cell clonal expansion, it has
been suggested that B7-1 and B7-2 promote tumor rejection by enhancing
the induction of antitumor T cell response (3). However,
because the induction of CTL response can be mediated by host APC
(3, 16, 17, 18), it is unlikely that expression of B7-1 and
B7-2 on the tumors would be essential for clonal expansion of
tumor-specific T cells. In this regard, we and others have suggested
that B7-1 expressed on tumor cells promotes the effector function of
CTL, including both autoreactive and tumor-reactive CTL (14, 19, 20, 21). A critical role for B7-1 at the effector phase may
provide an opportunity to reinvigorate antitumor CTL. In this study, we
used an adoptive transfer model to analyze the function of B7-1 on the
tumor cells at the effector phase. Our results demonstrate that
tumor-specific CTL preferentially eliminated
B7-1+ tumor cells even when the
B7-1+ and B7-1- were
administered as a mixture and formed microchimerism in vivo.
Remarkably, either expression of B7-1 on the tumor cells or local
administration of a mAb specific for CD28 substantially increased the
susceptibility of large tumors to tumor-specific T cells and led to a
substantial clinical benefit to the host.
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Materials and Methods
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Experimental animals
Transgenic mice expressing TCR specific for tumor Ag
P1A35-43:Ld complex have been described (9).
The TCR transgenes were backcrossed with BALB/cByJ for at least seven
generations before they were used for this study. BALB/c mice with the
targeted mutation of the RAG-2 gene were purchased from
Taconic Farms (Germantown, NY).
Cell lines
Plasmacytoma J558 (BALB/c origin) transfected with either vector
alone (J558-Neo) or wild-type B7-1 (J558-B7) has been described
(14). B7+ and
B7- P815 (DBA/2 origin) and Meth A (BALB/c
origin) tumor cells were provided by Dr. L. Chen (Mayo Clinic,
Rochester, MN) and have been described (22).
Abs and flow cytometry
Ascites of anti-CD28 mAb 37N (23) and
anti-CTLA4 mAb 4F10 (24) were produced using
hybridomas kindly provided by Drs. J. P. Allison (University of
California, Berkeley, CA) and J. A. Bluestone (University of Chicago,
Chicago, IL), respectively. Cell surface expression of B7-1 or
Ld was detected using biotinylated anti-B7-1
mAb 10.16A or anti-Ld mAb HB-27 (BD
PharMingen, San Diego, CA); cell surface-bound mAb was detected using
PE-streptavidin. Abs against cell surface molecules such as V
8 (PE),
CD8 (CyChrome), CD62L (PE), CD43 (FITC, 1B11), and CD44 (FITC) were
purchased from BD PharMingen.
Adoptive transfer of purified transgenic T cells
Pools of spleen and lymph node cells from the P1CTL-transgenic
mice were incubated with a mixture of mAbs (anti-CD4 mAb GK1.5,
anti-FcR mAb 2.4G2, anti-CD11c mAb N418); after removal of
unbound mAbs, the cells were incubated with anti-Ig-coated magnetic
beads. The Ab-coated cells were removed by a magnet. The unbound cells
consisted of >90% CD8 T cells, with no detectable CD4 T cells. The
purified T cells were adoptively transferred into
RAG-2-/- mice that either had established
tumors or had received tumor cells at the same day of adoptive
transfer. In some experiments, the P1CTL were activated for 4 days with
their cognate peptide (P1A3543, 0.1 µg/ml) in
vitro before adoptive transfer.
Tumorigenicity assay
Given numbers of tumor cells were injected in the flanks of mice
as described (14). The tumor size and incidence were
determined by physical examination every other day after tumor
inoculation.
Immunohistochemistry with anti-B7-1 mAb
Frozen sections of tumors were fixed with acetone and incubated
with anti-B7-1 mAb 10.16A hybridoma (25) supernatants.
After extensive washes, the anti-B7-1 mAb was detected by
biotinylated goat anti-hamster Abs followed by HPR-conjugated
streptavidin.
RNase protection assay
Total RNAs from spleens or tumor-infiltrating cells were
isolated with Trizol reagent (Life Technologies, Gaithersburg, MD). The
concentration of RNA in each sample was assessed
spectrophotometrically. The multiprobe RNase protection assay kit
(RiboQuant; BD PharMingen) was used, with the assay performed according
to the manufacturers protocol. Briefly, a set of
32P-labeled RNA probes synthesized from DNA templates using
T7 polymerase was hybridized with 5 µg total RNA, after which free
probes and other single-stranded RNA were digested with RNases. The
remaining RNase-protected probes were purified and then resolved on
denaturing polyacrylamide gels. The following template sets for murine
apoptosis and cytokines were used in the present study:
mAPO2: bcl-W, bfl-1, bcl-X, bak, bax, bcl-2, bad,
L32, and GAPDH; mCK-3b: TNF-
, LT
, TNF-
, IL-6, IFN-
,
IFN-
, TGF-
1, TGF-
2, TGF-
3, macrophage migration inhibiting
factor (MIF), L32, and GAPDH.
Cytotoxicity assay
As the effectors, we used ex vivo spleen cells after a short
term (12 h) reactivation in vitro with the P1A peptide (0.1 µg/ml).
Data were presented as percent specific lysis. P338D1 cells, pulsed
with tumor antigenic peptide P1A or a control
Ld-binding viral peptide, were used as the
targets.
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Results
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P1CTL preferentially eliminate multiple lineages of
B7-1+ tumor cells in vivo
To test whether P1CTL preferentially reject
B7-1+ tumor cells, we injected J558-B7 and
J558-Neo tumor cells at separate flanks of the same
RAG-2-/- mice. Some of the tumor-bearing mice
were then adoptively transferred with purified CD8 T cells from P1CTL
transgenic mice. As shown in Fig. 1
, top, J558-Neo and J558-B7 grew at comparable rates in
RAG-2-/- mice that received no T cells. In mice
that received P1CTL, J558-B7 tumors either failed to develop (Fig. 1
A) or developed in one of the mice and rapidly rejected
(Fig. 1
B). In contrast, J558-Neo tumors grew progressively
even when large numbers of P1CTL were transferred, although the tumor
growth was delayed by 1 or 2 wk, and the mice survived up to 1 mo
longer than did the groups that received no T cells. Thus, P1CTL
preferentially rejected the B7-1+ tumor cells.
The ability of P1CTL to reject the B7-1+ tumors
and to retard the development of the J558-Neo tumors demonstrates that
CD8 T cells specific for a single peptide can reject tumors without
participation of any other Ag-specific lymphocytes.

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FIGURE 1. B7-dependent rejection of tumor. J558-B7 or J558-neo tumor cells
(5 x 106) were injected into the same mouse in
separate flanks. These mice were either left untreated or injected i.v.
with 10 x 106 (A) or 4 x
106 (B) purified CD8+
P1CTL-transgenic T cells at the same time. Tumor growth kinetics
(left column) and tumor incidence (right
column) were monitored after tumor inoculation.
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We analyzed the frequency and cell surface marker of P1CTL from mice
that had rejected B7-1+ tumors and found that the
P1CTL persisted in mice after rejection of the J558-B7 tumors (Fig. 2
A, left column).
As shown in Fig. 1
, of the mice that rejected the
B7-1+ tumors, some never developed tumors,
whereas others developed and rejected the tumors. As expected, P1CTL
from those mice that had transient tumor growth displayed a higher
level of CD44 and had a higher proportion of
CD62Llow cells. Moreover, the number of cells
with an effector cell marker (26) (1B11, the 130-kDa form
of CD43) was also higher. In the group of mice that never developed
tumors, however, T cells had a partial activation phenotype. After a
short term in vitro restimulation, spleen cells harvested from all
recipient mice developed P1A-specific cytotoxicity, although T cells
from mice with transient tumor growth were somewhat more cytotoxic.

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FIGURE 2. Persistence, phenotypes, and recall cytotoxicity of T cells from mice
that had rejected the J558-B7 tumors. Purified P1CTL transgenic T cells
(5 x 106) were injected into each
RAG-2-/- BALB/c mouse i.v. followed by the injection of
5 x 106 J558-B7 tumor cells in the left flank s.c.
Tumor growth was monitored daily, and mice were sacrificed at day 30 of
injection. As shown in Fig. 1 , some mice developed tumors transiently
(Tum+), whereas others never developed tumors
(Tum-). A, Persistence and phenotypes.
Left column, Frequency of P1CTL
(V 8+CD8+). Two middle
columns, CD44 and CD43 expression of gated
CD8+V 8+ T cells; right
columns, expression of CD62L among gated CD8+ T
cells. Sources of spleen cells: P1CTL/naive, spleen cells from naive
P1CTL transgenic mouse; RAG-2/Tum-, spleen cells from mice
that never developed tumors; RAG-2/Tum+, spleen cells from
mice that developed and then rejected tumors. B, Short
term recall cytotoxicity. Spleen cells pooled from mice used in Fig. 2 A were cultured in vitro with P1A peptide (0.1 µg/ml)
for 12 h. Then cells were used as effectors to kill P1A
peptide-pulsed P338D1 target cells. Ctr, Control.
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The failure of P1CTL to reject the J558-Neo tumors can be due to a lack
of CTL maturation in the local tumor environment (inductive phase) or
to a requirement for B7-1 at the effector phase. We have recently
demonstrated that P1CTL can be activated regardless of B7-1 expression
on the tumor cells (27). These results suggest that the
failure to reject the B7-1- tumors was not due
to a lack of T cell activation in vivo. To bypass the requirement for
B7-1 at the inductive phase, we mixed the J558-B7 and J558-Neo cells
before injection into RAG-2-deficient mice, which then received
purified P1CTL i.v. In RAG-2-deficient mice that received no T cells,
tumors grew progressively, and all mice became moribund within 3 wk
after tumor inoculation (Fig. 3
).
However, in mice that received P1CTL, significant tumor retardation was
observed. In two separate experiments involving different numbers of
P1CTL, we observed significant retardation in both the onset and growth
kinetics of tumors. Nevertheless, the majority of the mice did
eventually develop tumors, and the tumors did progress, albeit at a
reduced rate, until euthanasia became necessary.

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FIGURE 3. Selective rejection of the B7-1+ tumor cells was not due to
preferential T cell activation. J558-B7 and J558-neo tumor cells were
mixed at a 1:1 ratio, and 5 x 106 cells of each type
were injected into the left flank of each mouse. The mice either were
left untreated or were treated with 7 x 106
(top) or 3 x 106
(bottom) of purified CD8+ P1CTL-transgenic T
cells i.v. at the same time. Tumor growth kinetics
(left) and incidence (right) were
monitored after tumor inoculation.
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We isolated tumors from the mice with and without P1CTL treatment and
analyzed the expression of B7-1 on the tumor cells. One part of the
tumor samples was used for immunohistochemistry, whereas the other part
was used to prepare single-cell suspensions for flow cytometry. As
shown in Fig. 4
, flow cytometry revealed
that tumor cells isolated from all J558-Neo tumor cells were
B7-1-, and all J558-B7 tumor cells were
B7-1+, as expected. In control mice that were not
treated by P1CTL, there was a slight dominance of the
B7-1+ tumor cells. Thus, expression of B7-1 on
the tumor cells did not hinder their growth in the absence of T cells.
In mice that received P1CTL, however, essentially all the surviving
tumor cells were B7-1-. Immunohistochemistry
revealed good microchimerism between the B7-1+
and B7-1- tumor cells in untreated mice.
However, in the P1CTL-treated mice, all but a few surviving tumor cells
expressed B7-1 molecules in vivo. These B7-1+
cells were not found in the single-cell suspension prepared from the
same sample, perhaps because they were being destroyed in vivo. The
fact that many of the B7-1- tumor cells were not
eliminated despite their proximity to the B7-1+
tumor cells indicates that B7-mediated enhancement of tumor destruction
in vivo is highly localized.

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FIGURE 4. Selective elimination of B7+ tumor cells by P1CTL from a
mixture of B7+ and B7- tumor cells.
Left and middle columns, Flow cytometric
analysis of the composition of B7+ and B7-
tumors in the presence or absence of P1CTL. Briefly, single-cell
suspensions were prepared from freshly isolated tumors and stained with
biotinylated anti-B7-1 mAb (middle column) or
second-step reagent only as control (left column).
Right column, Immunohistochemical analysis of
microchimerism of B7+ and B7- tumors. Tumors
derived from J558-B7, J558-Neo or a mixture of the two cell types in
RAG-2-/- mice were surgically removed when they reached
1 cm in diameter, and frozen sections were stained by anti-B7-1
mAb. Data from two representative mice in the groups involving a
mixture of J558-B7 and J558-Neo tumors were provided.
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We have reported that tumor Ag P1A is expressed on multiple lineages of
tumors, including plasmacytoma J558, fibrosarcoma Meth A, and
mastocytoma P815 (28). In contrast to J558, both Meth A
and P815 are metastatic. We tested their susceptibility to
P1CTL-mediated tumor rejection. As shown in Table I
, in wild-type mice,
B7-1+ but not the B7-1-
P815 and Meth A tumors are rejected when they are injected separately
in the same mouse. When the two types of tumor cells were injected as a
mixture, all recipient mice developed tumors. To determine the cellular
origin of the tumor cells, the tumor cells were isolated ex vivo and
analyzed for their cell surface expression of B7-1 by flow cytometry.
The results indicated that all the tumor cells that had survived in
vivo were B7-1-. Thus, introduction of
B7-1+ tumor cells in the vicinity of
B7-1- tumor cells did not convey full protection
to their B7-1- tumor cells. Taken together, our
data indicate that cognate destruction of multiple lineages of
P1A-expressing tumors depends on B7-1 expressed on the tumor cells.
B7-1 on the tumor cells conveys susceptibility of large tumors to
CTL therapy
Our data, presented in the above section, indicate that expressing
costimulatory molecules on the tumor cells can enhance the effector
function of T cells in vivo. The most difficult obstacle for T cell
therapy is the resistance of large tumors to T cell treatment. To test
whether expression of B7-1 on the large tumors makes them more
susceptible to CTL-mediated tumor therapy, we injected either J558-Neo
or J558-B7 tumors into the RAG-2-/- mice. When
the tumors reached 1.11.5 cm, we injected 10 x
106 P1CTL i.v. into the tumor-bearing mice. As
shown in Fig. 5
A, administration of transgenic P1CTL
resulted in a significant improvement in the survival of tumor-bearing
mice. Thus, untreated mice became moribund within a week after
the treatment had started in other groups, while all but one in each
group of treated mice survived >4 wk after treatment. However, 60% of
mice bearing J558-B7 tumors survived >12 wk; all mice with the
J558-Neo tumors succumb within this period (Fig. 5
A). The treatment did not
eliminate the J558-B7 tumors, given that the tumor recurred in all mice
(data not shown). Although the mice with recurrent J558-B7 tumors
remained healthy at 12 wk after tumor cell injections, the tumor
burdens had made euthanasia necessary. These results indicated that
whereas the P1CTL are of some therapeutic value for vector-transfected
tumors, expression of B7-1 on the tumor cells made the large tumors
substantially more susceptible to CTL therapy.

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FIGURE 5. Local costimulation promotes tumor rejection. A,
Survival of mice bearing either J558-B7 or J558-Neo tumors in the
presence or absence of P1CTL. RAG-2-/- BALB/c mice were
injected with either 5 x 106 J558-B7 or J558-neo
tumor cells. At 3 wk after tumor cell injection, when the tumors
reached an average of 1.2 cm (J550-Neo tumors) or 1.5 cm (J558-B7
tumors), 10 x 106 purified CD8+
P1CTL-transgenic T cells were injected i.v. Mice were sacrificed either
when they were moribund or when the tumor reached 5% of body weight.
B and C, P1CTL preferentially destroyed
established B7-1+ tumors in mice that bore both J558-B7 and
J558-Neo tumors. J558-B7 and J558-Neo tumor cells (5 x
106) were injected into separate flanks of the same
RAG-2-/- BALB/c mouse; when the tumors grew to 1.5 cm
at 3 wk, 5 x 106 purified CD8+
P1CTL-transgenic T cells were injected. Tumor tissues were harvested at
10 days after T cell therapy. Four mice bearing comparable J558-Neo and
J558-B7 tumors were selected for the studies. At the time of harvest,
one J558-B7 tumor had been rejected and fallen off the skin.
C, Histology of a representative J558-B7 tumor and a
J558-Neo tumor from an untreated and a P1CTL-treated mice.
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To avoid variation in the inductive phase of CTL response, we injected
the J558-Neo and J558-B7 tumors into separate flank of the same
RAG-2-/- mice and allowed the tumors grow to
1.01.5 cm in diameter; then 5 x 106
purified P1CTL were injected into each mouse i.v. As shown in Fig. 5
B, the J558-B7 tumors were rapidly destroyed in all four
mice within 10 days after T cell adoptive transfer. Although all of the
J558-Neo tumors remained substantially viable, areas of scars and
tissue death were found in the J558-Neo tumors (Fig. 5
C,
top). This result demonstrated that some immune rejection
was also under way in the J558-Neo tumors. We also examined the effect
of immunotherapy by H&E staining of tumor tissues. As shown in Fig. 5
C, in the mice that received P1CTL, no viable cells were
observed throughout the sections of all four tumors. Although
substantial cell death was also observed in all of the J558-Neo tumor
sections, each of the tumors still consisted of a large number of
viable tumor cells. These results revealed at the cellular level that
large J558-B7 tumors are more susceptible to the P1CTL than were the
J558-Neo tumors in the same mice. Preferential rejection of the J558-B7
tumors over the J558-Neo tumors in the same mice clearly demonstrated
that local expression of B7-1 increased tumor susceptibility to CTL
therapy.
An issue of critical importance for tumor immunotherapy is whether the
requirement for local costimulation can be bypassed by in vitro
activation of tumor-specific T cells. To address this issue, we
adoptively transferred preactivated P1CTL to mice with J588-Neo and
J558-B7 tumors
1.01.5 cm in diameter. The activated P1CTL T cells
had strong cytotoxicity against P1A-peptide-pulsed targets (Fig. 6
A). Despite the strong
cytotoxicity, they still showed preference in rejecting the
B7-1+ tumors. Thus, the J558-B7 tumors started to
shrink at
3 days after T cell therapy, and the tumors remained small
at the time when the mice had to be sacrificed due to the large size of
the J558-Neo tumors. The response of J558-Neo tumors was both delayed
and transient (Fig. 6
B). Thus, preactivation of
tumor-specific T cells was insufficient to bypass the requirement for
local costimulation by B7-1.

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FIGURE 6. Activated T cells preferentially destroy established J558-B7 tumors.
RAG-2-/- BALB/c mice were first challenged with J558-B7
(left flank) and J558-neo (right flank) tumors. When the tumors reached
1.5 cm, 5 x 106 activated P1CTL were injected i.v.
The tumor size was monitored every other day. A,
Cytotoxicity of P1CTL before adoptive transfer. B, Tumor
growth kinetics after adoptive transfer of activated T cells on day 20
after tumor injection. ctr, Control.
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At 3 days after T cell injection into mice with large tumor burdens,
spleen cells and tumor-infiltrating cells from each group were
isolated, and total RNA were purified; we analyzed the expression
of two groups of genes by RNase protection assay. As shown in Fig. 7
A, genes involved in
regulation of apoptotic cell death were expressed at essentially the
same levels among T cells isolated from mice with the J558-B7 and
J558-Neo tumors, regardless of whether spleen cells or
tumor-infiltrating lymphocytes
(TIL)3 was used. Similarly,
expressions of TNF-
, IL-6, IFN-
, and TGF-
1 among the spleen T
cells of mice bearing either J558-B7 or J558-Neo tumors were
comparable. In contrast, TIL from J558-B7 tumors expressed
substantially more IFN-
mRNA (Fig. 7
B). The enhanced
IFN-
expression indicated that B7-1 on the tumor cells provided
local costimulation for P1CTL.

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FIGURE 7. RNase protection assays for expression of cytokine genes and those that
regulate apoptosis. RAG-2-/- BALB/c mice were challenged
with either J558-B7 or J558-Neo tumor cells. When the tumors reached a
size of 1.2 cm, 5 x 106 of purified P1CTL were
injected i.v. Three days after injection, spleen cells or
tumor-infiltrating cells were isolated, and RNA was purified.
A, Expression of genes related to apoptotic cell death.
B, Cytokine gene expression. Lane 1,
labeled probes; lane 2, positive control, lane
3, negative control; lane 4, spleen cells from
J558-B7 tumor-bearing mice; lane 5, spleen cells from
J558-Neo tumor-bearing mice; lane 6, J558-B7
tumor-infiltrating cells; lane 7, J558-Neo
tumor-infiltrating cells, MIF, Macrophage migration inhibitory
factor.
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Effect of anti-CD28 and anti-CTLA4 Abs on the therapy of
tumors by P1CTL
The data in B7-1 on the tumor cells conveys susceptibility
of large tumors to CTL therapy demonstrate that local
costimulation promotes CTL-mediated rejection of large tumors. Although
it is practically impossible to express B7-1 on all tumor cells,
B7-1-mediated signaling can potentially be achieved by using mAbs
specific for the B7 receptors, CD28 and CTLA4 (29, 30). We
therefore tested the effects of intratumor injection of anti-CD28
Ab 37N and anti-CTLA4 Ab 4F10 on P1CTL-mediated adoptive therapy of
tumor. J558-Neo tumor cells were injected into the
RAG-2-/- BALB/c mice that were left untreated
until the tumors reached diameters of 11.5 cm (Fig. 8
). At this point, the mice received
5 x 106 purified
CD8+ P1CTL transgenic T cells i.v. On days 0
and 16 of T cell transfer, we injected control hamster Ig,
anti-CD28 mAb 37N, or anti-CTLA4 mAb 4F10 into the tumor cells
and monitored the growth of the tumors. As shown in Fig. 8
, tumor
growth was comparable in the groups that received either control IgG or
anti-CTLA4 mAb 4F10. However, anti-CD28 mAb 37N substantially
prolonged the regression of the J558-Neo tumors. These results suggest
that the effector function of B7-1 can be achieved by local
administration with anti-CD28 mAb.

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FIGURE 8. Local activation of B7 receptor CD28 promotes tumor rejection by P1CTL.
J558-neo tumor cells (5 x 106) were injected into
each RAG-2-/- BALB/c mouse; after the tumors reached
11.5 cm, 5 x 106 purified CD8+ P1CTL
were injected i.v. into each mouse; 4 days later, groups of mice
received intratumor injection of either 100 µg hamster IgG
(n = 6) or 100 µl anti-CTLA4 Ab 4F10
(n = 5) or anti-CD28 Ab 37N
(n = 5), and tumor growth kinetics were monitored.
Arrows indicate timing of intratumor injection with Abs. Ctr,
Control.
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Discussion
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One of the most puzzling phenomena in tumor immunology is the
coexistence of cancers and their specific CTL (7, 8, 9, 10).
Although it is unclear when antitumor CTL responses are initiated in
cancer patients, our studies in animal tumor models indicated that the
induction of antitumor CTL response in the host remained suboptimal
until the tumors had grown into large sizes (X.-F. Bai, P. Zheng, and
Y. Liu, unpublished observations). Thus, failure of CTL to
reject large tumors not only explains the poor antitumor CTL immunity
but also represents the most difficult challenge in tumor
immunotherapy. In the current study, we used transgenic T cells
specific for a natural tumor Ag P1A and multiple lineages of
P1A-expressing tumors to investigate the effect of local costimulation
on the in vivo function of tumor-specific CTL. The results demonstrated
that regardless of the tumor sizes, local costimulation substantially
increased the efficacy of CTL therapy.
Numerous studies have documented that expression of B7-1 on the tumors
enhances tumor rejection (11, 13, 14, 31). The mechanisms
for this important function have not been clearly elucidated. It was
originally suggested that B7 enhance antitumor CTL response by solely
promoted priming of tumor-specific T cells. Although the role for B7-1
in promoting T cell priming has been clearly demonstrated (11, 27, 32, 33), it is unlikely that this is the only mechanism in
that T cell priming can take place without direct stimulation by tumor
cells. We and others have shown that B7-1 can play an important
function for the effector function of antitumor and autoreactive T
cells (14, 19, 21). In a model that involved a single
clone of T cells, here we show that transgenic CTL specific for tumor
Ag P1A preferentially rejected B7-1+ tumor cells
when B7-1+ and B7-1- tumor
cells were injected into the same RAG-2-/-
mice. Because this study involved transgenic T cells specific for a
single P1A peptide and multiple lineages of P1A-expressing tumors, it
offered the strongest in vivo evidence to date for the notion that
local costimulation can enhance the effector function of antitumor CTL
(9, 14, 19, 21).
Two interesting issues remain to be resolved. First, what is the
mechanism for B7-1 to enhance effector function of tumor-specific T
cells? We showed that B7-1 enhanced cytolysis of J558-cells. Although
this can explain the increased rejection of J558-B7 tumors, it cannot
explain the preferential rejection of P815-B7 and Meth A-B7, because
the two lines are no more sensitive than their parental
B7-1- tumors (data not shown). As an alternative
hypothesis, Wu et al. (19) suggested that B7-1 can enhance
NK-mediated cytolysis which in turn facilitate priming of
tumor-specific CTL. Although the role for B7-1 in NK-mediated cytolysis
has been confirmed by several groups (34, 35), it remains
to be demonstrated whether NK cells facilitate T cell priming.
Moreover, because B7-1+ and
B7-1- tumors in the same mice have different
responses to T cells in the same environment, a systematic mechanism as
suggested by Wu et al. (19) would not explain our finding.
The fact that the function of B7-1 is almost cognate appears to argue
against the importance of IFN-
up-regulation in TIL of
B7-1+ tumors. However, this possibility cannot be
ruled out because cytokine secretion is focused on the area of TCR
engagement (36), and as a result, the
B7+ tumor cells would be in an environment of
higher IFN-
production.
The second issue is the implication of a role for B7 at the effector
phase for tumor immunotherapy. This concept explains the slow progress
in T cell based tumor immunotherapy. Alternatively, a critical role of
B7 at the effector phase of T cell response provides an opportunity to
increase the efficacy of cancer immunotherapy. We show here that
expression of B7-1 on the tumors cells made large tumors highly
susceptible to CTL therapy. However, the tumors did recur over a
10-week period, and some of the recurrent tumors lost either MHC class
I or the transduced B7-1 molecule (data not shown). Thus, even if one
assumes 100% efficiency of B7-1 transduction, genetic instability of
tumor cells may allow tumor escape of CTL. The genetic heterogeneity
can be exacerbated in large tumors, because more variants can
accumulate with increasing tumor mass. Indeed, our preliminary analysis
favors the notion that alteration of tumors rather than T cells is
responsible for tumor recurrence, because a transfer of fresh T cells
does not halt the growth of recurrent tumors. Alternatively, one may
attempt to bypass such a requirement by activating B7 receptors, CD28
and CTLA4. We showed here that activating CD28 substantially enhanced
the antitumor effects of P1CTL adoptive therapy, as indicated by the
prolongation of mouse survival and the reduction of tumor size.
Anti-CD28 mAb has been used to induce antitumor T cell response in vivo
with mixed results (13, 15); our study demonstrates for
the first time that the mAb enhanced local costimulation and made large
tumors amenable to T cell-based immunotherapy. At face value, the
effect of anti-CD28 on tumor rejection of
B7- tumors and the role for B7-1 in cognate
destruction of tumor cells in vivo appear at odds with each other.
However, anti-CD28 can mimic the function of B7-1 at the site and
time of TCR engagement by B7-1- tumor cells,
whereas a given T cell is unlikely to engage
B7-1+ and B7-1- tumor
cells at the same time.
To demonstrate the function of CTL alone, we have chosen a model
involving only one clone of T cells without the participation of other
subsets of lymphocytes, including the CD4 T cells that can play a major
role in maintaining the function of CD8 T cells (37). It
would be of interest to further investigate whether local costimulation
may offer more beneficial effects in models that involve polyclonal T
cells and immunological help from CD4 T cells. Nevertheless, the
requirement for B7-1 at the effector phase was initially described
(14) and substantiated (19) in models where
CD4 T cells are present. It is therefore important to bear in mind that
this requirement is not an artifact due to a lack of CD4 T cell
help.
Surprisingly, anti-CTLA4 mAb 4F10 did not increase the therapeutic
efficacy of P1CTL if the mice bore only J558-Neo tumors, in sharp
contrast to our recent observation that the same mAb caused rejection
of the J558-Neo tumor if the mice also bore a J558-B7 tumor (data not
shown). These two observations can be reconciled if B7-1 on the tumor
cells and anti-CTLA4 mAbs act synergistically in promoting the
effector function of antitumor immunity.
One of the most perplexing observations in cancer immunology, and
certainly one of the most difficult obstacles to cancer immunotherapy,
is the poor effector function of cancer-specific T cells, especially
when the tumor burden is large. Our current studies indicate that
effector function is reinvigorated by local costimulation, which leads
to a substantial increase of the efficacy of CTL therapy for large
tumors in vivo. Because cancer-specific T cells are present in cancer
patients at high numbers (7, 8), increasing their effector
function by local costimulation as demonstrated here, may broaden the
horizon of T cell-based cancer immunotherapy.
 |
Acknowledgments
|
|---|
We thank Jennifer Kiel for editorial assistance.
 |
Footnotes
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|---|
1 This study is supported by National Cancer Institute Grants CA69091, CA58033, and CA82355. 
2 Address correspondence and reprint requests to Drs. Yang Liu and Pan Zheng, Department of Pathology and Comprehensive Cancer Center, Ohio State University Medical Center, 129 Hamilton Hall, 1645 Neil Avenue, Columbus, OH 43210. E-mail addresses: liu-3@medctr.osu.edu and zheng-1{at}medctr.osu.edu 
3 Abbreviation used in this paper: TIL, tumor-infiltrating lymphocytes. 
Received for publication March 9, 2001.
Accepted for publication July 23, 2001.
 |
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