The success of active immunotherapy is based on the vaccine's ability to overcome immune tolerance through recalibrating the immune system so that it is able to recognize tumor antigens as foreign rather than self. In this study, we used a lentiviral vector system to target human telomerase reverse transcriptase (lv-hTERT), a widely expressed tumor antigen. Immunization of HLA-A*0201 transgenic HHD mice with recombinant lvhTERT vector induces potent and diversified cytotoxic T lymphocyte responses that recognize in vitro murine tumor cells, which overexpress telomerase. Compared with peptide-based vaccinations, the lv-hTERT vector triggers better and more sustained CD8 ؉ T-cell response against self/TERT epitope in vivo. The study found that the additional use of a heterologous boosted vaccination drastically improves self/TERT-specific CD8 responses in lv-hTERT primed mice. Both primary and long-lasting self/TERT-specific
IntroductionThe stimulation of tumor-specific T-cell responses with active immunotherapy has several theoretical advantages over other forms of cancer treatment. 1,2 However, heterogeneous expression of most of the characterized tumor antigens limits the broad applicability of cancer vaccines that target such antigens. During the past few years, telomerase (TERT) has emerged as the first bona fide common tumor antigen and is actively investigated as the target for cancer immunotherapy. 3,4 Human telomerase reverse transcriptase (hTERT) is the catalytic subunit of telomerase enzyme that synthesizes telomeric DNA at the chromosome ends. 5,6 hTERT is overexpressed in most human tumors (Ͼ 85%) and virtually all types of cancer. 7 Telomerase activation has become one of the most important tumor escape mechanisms to circumvent the telomere-dependent pathways of cell death. 8,9 It is well established that therapeutic strategies targeting antigens not involved in tumor growth can result in the selection of antigen-loss tumor mutants that are clinically progressive. 10,11 Hence, down-regulation or loss of telomerase activity will severely inflict the growth potential of the tumor cells. All these findings justify the clinical applications of hTERT for anticancer immunotherapy. Broadly used in several anticancer vaccine trials, peptide vaccination is the most advanced strategy concerning hTERT antigen. 3,[12][13][14][15][16] Although the potential of a vaccination with minimal hTERT-derived peptides exceeds other vaccine strategies, several factors could influence the optimal success of this peptide-based strategy, such as (1) human leukocyte antigen (HLA) restriction, (2) natural processing of peptide on tumor cells, (3) antigen loss on tumors, (4) functionality of the antigen-specific T cells, and (5) persistence of the immune response in the host. 1 One main obstacle of active anticancer immunotherapy is its inability to overcome immune tolerance. hTERT, like most tumor antigens, is a self-antigen; the induction of T-cell immunity against such shared self/tumor antigen could be controlled by mechani...