Limited tumor infiltration by activated T effector cells restricts the therapeutic activity of regulatory T cell depletion against established melanoma Journal Article


Authors: Quezada, S. A.; Peggs, K. S.; Simpson, T. R.; Shen, Y.; Littman, D. R.; Allison, J. P.
Article Title: Limited tumor infiltration by activated T effector cells restricts the therapeutic activity of regulatory T cell depletion against established melanoma
Abstract: Interference with inhibitory immunological checkpoints controlling T cell activation provides new opportunities to augment cancer immunotherapies. Whereas cytotoxic T lymphocyte-associated antigen-4 blockade has shown promising preclinical and clinical results, therapeutic CD4+CD25+ T reg cell depletion has failed to consistently enhance immunebased therapies. Using B16/BL6, a transplantable murine melanoma model, we show a dichotomy between the effects of T reg cell depletion on tumor rejection dependent on whether depletion occurs before (prophylactic) or after (therapeutic) tumor engraftment. Failure to promote rejection with therapeutic depletion is not related to lack of T reg cell depletion, to elimination of CD25+ effector T cells, or to a failure to enhance systemic antitumor T cell responses, but correlates with failure of effector cells to infiltrate the tumor and increase the intratumor ratio of effector T cell/T reg cell. Finally, systemic antitumor responses generated upon therapeutic T reg cell depletion are significantly stronger than those generated in the presence of T reg cells, and are capable of eliciting rejection of established tumors after transfer into immunoablated recipients receiving combination immunotherapy. The data demonstrate a dissociation between measurable systemic responses and tumor rejection during CD25-directed T reg cell depletion, and suggest an alternative, clinically applicable strategy for the treatment of established tumors. © 2008 Quezada et al.
Keywords: controlled study; treatment response; treatment failure; nonhuman; antineoplastic agent; neoplasms; transcription factor foxp3; cell proliferation; t-lymphocytes; animal cell; mouse; phenotype; animals; mice; melanoma; immune system; models, biological; mice, inbred c57bl; mice, transgenic; immunotherapy; cancer vaccines; prophylaxis; cd4-positive t-lymphocytes; melanoma, experimental; effector cell; cd25+ t lymphocyte; t cell depletion; tumor rejection; lymphocyte depletion; cell transfer; interleukin-2 receptor alpha subunit
Journal Title: Journal of Experimental Medicine
Volume: 205
Issue: 9
ISSN: 0022-1007
Publisher: Rockefeller University Press  
Date Published: 2008-09-01
Start Page: 2125
End Page: 2138
Language: English
DOI: 10.1084/jem.20080099
PUBMED: 18725522
PROVIDER: scopus
PMCID: PMC2526206
DOI/URL:
Notes: --- - "Cited By (since 1996): 50" - "Export Date: 8 February 2012" - "CODEN: JEMEA" - "Source: Scopus"
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  1. Karl Stuart Peggs
    11 Peggs
  2. James P Allison
    130 Allison
  3. Sergio A Quezada
    14 Quezada