Abstract. T cell costimulation has great therapeutic potential if it can be optimized and controlled. To achieve this, we engineered T cell-activating fusion proteins and immunocytokines that specifically attach to viral antigens of a virusinfected tumor vaccine. We employed the avian Newcastle Disease Virus because this agent is highly efficient for human tumor cell infection, and leads to introduction of viral hemagglutinin-neuraminidase (HN) molecules at the tumor cell surface. Here, we demonstrated the strong potentiation of the T cell stimulatory activity of such a vaccine upon attachment of bispecific or trispecific fusion proteins which bind with one arm to viral HN molecules of the vaccine, and with the other arm either to CD3 (signal 1), to CD28 (costimulatory signal 2a), or to interleukin-2 receptor (costimulatory signal 2b) on T cells. A vaccine with a combination of all three signals triggered the strongest activation of naïve human T cells, thereby inducing the most durable bystander antitumor activity in vitro. Adoptive transfer of such polyclonally activated cells into immunodeficient mice bearing human breast carcinoma caused tumor regression. Furthermore, tumor-reactive memory T cells from draining lymph nodes of carcinoma patients could be efficiently reactivated in a short-term ELISpot assay using an autologous tumor vaccine with optimized signals 1 and 2, but not with a similarly modified vaccine from an unrelated tumor cell line. Our data describe new bioactive molecules which in combination with an established virus-modified tumor vaccine greatly augments the antitumor activity of T cells from healthy donors and cancer patients.
IntroductionThe strength of T cell stimulation is determined by numerous parameters including i) the concentration of major histocompatibility complex-restricted antigen on the surface of antigen-presenting cells (APCs) such as dendritic cells (DCs) and its affinity for the T cell receptor (TCR; determining the rate of TCR triggering) (1,2), ii) the presence or absence of costimulation (regulating the extent of signal amplification) (3,4), such as costimulation via CD28 which is the most prominent costimulatory receptor on T cells (5,6), and iii) the duration of the interactions between T cells and DCs (setting the duration of the signalling process) (7,8). A low-strength stimulation which may occur with tumor cells can have a negative effect leading to T cell unresponsiveness (anergy) (9), or apoptosis (10,11). However, CD28 engagement drives interleukin-2 (IL-2) production (12,13), a cytokine pivotal for T cell growth, survival and cytotoxicity (14).We have already reported on three recombinant, monomeric single chain Fv (scFv) fusion proteins (15-17). These specially designed molecules provide T cell activation signals by interacting either with the TCR-associated CD3 complex [signal 1, mediated by the bispecific (bs) fusion protein bsHN-CD3], or with the costimulatory molecule CD28 (signal 2a, mediated by bsHN-CD28), or with the IL-2 receptor (signal 2b, mediate...