Sustained delivery of IL-12 and GM-CSF to tumors induces the activation of tumor-resident CD8؉ T effector/memory cells (Tem) followed by cytotoxic CD8 ؉ T effector cell expansion. To determine whether the secondary effectors expanded from tumorassociated Tem or were primed de novo, activation kinetics of tumor-draining lymph node (TDLN) CD8 ؉ T cells were analyzed.
Treatment promoted a 4-fold increase in the numbers of TDLN CD8؉ T cells displaying a CD69 ؉ CCR5 ؉ CD62L ؊ peripheryhoming effector phenotype by day 4 posttherapy. Pulse labeling of tumor and TDLN T cells with BrdU confirmed that proliferation occurred exclusively within the draining lymph nodes between days 1 and 4 with subsequent migration of primed CD8؉ T effectors to tumors on day 7. Day 4 CD8؉ T effector cells preferentially homed to and lysed experimental, but not control, tumors, establishing tumor specificity. To determine whether the secondary CD8 ؉ T effector cell response was dependent on activation of tumor-resident CD8 ؉ Tem, mice that were selectively depleted of tumor-infiltrating CD8 ؉ T cells were treated and monitored for T effector priming. In the absence of tumor-resident CD8 ؉ Tem, T effector cell expansion was completely abrogated in the TDLN, revealing that restoration of CD8 T he majority of tumor immunotherapy protocols are designed to induce antitumor T cell responses due to the exquisite specificity and potent cytotoxicity of T cells (1). However, such vaccines have generally been ineffective in achieving regression of established tumors in murine tumor models and in cancer patients (2). The observed lack of therapeutic efficacy is not simply due to the qualitative and/or quantitative inferiority of vaccine-induced antitumor T cells but rather appears to be associated with the immune-suppressive characteristics of the tumor microenvironment (3, 4); that is, even when potent and long-lasting tumor-specific T cell activity is generated, vaccine-induced cells are either unable to accumulate in tumors or are inactivated rapidly upon infiltration into tumor (3-6). Functional analyses of either vaccine-induced or natural tumor-infiltrating T cell populations have demonstrated that their quiescent phenotype is primarily associated with signaling defects (7,8). At the same time, others have shown that this phenotype is reversible and that purification and ex vivo culture of tumor-infiltrating T lymphocytes (TIL) 3 can result in the recovery of their cytotoxic function (9, 10). To this end, T cells expanded from tumors have been utilized in adoptive T cell transfer therapy to achieve durable clinical regressions in melanoma patients (11).Whether activation of TIL in situ can overcome tumor-mediated immune suppression and achieve tumor regression has been addressed in several studies. Targeting of inhibitory/regulatory mechanisms in tumors, including selective elimination of T suppressor cells or blocking of coinhibitory molecules can rescue concomitant immunity and lead to tumor regression even in the absence of additional immune st...