Immunomodulators are effective in controlling hematologic malignancy by initiating or reactivating host antitumor immunity to otherwise poorly immunogenic and immune suppressive cancers. We aimed to boost antitumor immunity in B-cell lymphoma by developing a tumor cell vaccine incorporating ␣-galactosylceramide
IntroductionHematologic malignancies typically express the necessary machinery for eliciting antitumor immunity, such as costimulatory molecules, yet many tumors are poorly immunogenic. Therapeutic vaccination strategies that incorporate immune adjuvants are likely to enhance immune recognition and targeting of hematologic cancers, an example being in mice vaccinated against mouse lymphomas with whole tumor cells loaded with CpG adjuvant. 1 Natural killer T (NKT) lymphocytes represent an immune regulatory population with recognized capacity for inducing innate (eg, NK cells) and adaptive (eg, CD8 T cell) antitumor immunity, [2][3][4] by their unique ability to rapidly produce large quantities of cytokines on TCR ligation, in particular IFN-␥. 5,6 As a result, the synthetic CD1d-dependent NKT cell ligand ␣-galactosylceramide (␣-GalCer) has been used for its NKT cell-mediated immune adjuvant properties in anticancer therapies. [7][8][9][10] Initial attempts to stimulate NKT cells in situ were to simply infuse soluble ␣-GalCer, which briefly inhibited the tumor growth, but had limited effects on survival. 11,12 In addition, multiple injections of ␣-GalCer led to deleterious effects including long-term NKT cell functional anergy or unresponsiveness. 12 Subsequently, ␣-GalCer was loaded onto dendritic cells (DCs) as a vaccine. This approach induced more potent antitumor effects than soluble ␣-GalCer injections, mainly by prolonging NKT cell IFN-␥ production and preventing induction of NKT cell anergy, and was able to significantly improve the activity of the DC vaccine if coadministered with tumor antigens. 10,13,14 The cumbersome nature of inducing and expanding DC from patients' peripheral blood monocytes for autologous ␣-GalCerpulsed DC therapy stimulated the use of irradiated tumor cells as a vehicle to deliver ␣-GalCer in vivo. [15][16][17] Here a full complement of tumor antigens (including undefined ones) and ␣-GalCer are codelivered, thus allowing generation of innate immunity and potentially long-term tumor-specific T-cell adaptive immunity. In a prophylactic setting, whole tumor cells loaded with ␣-GalCer were able to protect mice against subsequent challenge with live tumor cells 15,16 and were also shown to be partially effective at inhibiting growth of established solid tumors 17 (S.R.M., K.S., M. Li, H.D., S.F. Ngiow, M.J.S., Transient Foxp3 ϩ regulatory T cell depletion enhances therapeutic anticancer vaccination targeting the immunestimulatory properties of NKT cells, manuscript submitted, August 2012), demonstrating the ability of this vaccine to work successfully in a The online version of this article contains a data supplement.The publication costs of this article were defrayed in part by ...