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Blood, 27 August 2009, Vol. 114, No. 9, pp. 1776-1783.
Prepublished online as a Blood First Edition Paper on June 26, 2009; DOI 10.1182/blood-2008-12-192419.


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IMMUNOBIOLOGY

Programming tumor-reactive effector memory CD8+ T cells in vitro obviates the requirement for in vivo vaccination

Christopher A. Klebanoff1,2,*, Zhiya Yu2,*, Leroy N. Hwang2, Douglas C. Palmer2, Luca Gattinoni2, and Nicholas P. Restifo2

1 Howard Hughes Medical Institute–National Institutes of Health Research Scholars Program, Bethesda, MD; and 2 Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD

Naive and memory CD8+ T cells can undergo programmed activation and expansion in response to a short T-cell receptor stimulus, but the extent to which in vitro programming can qualitatively substitute for an in vivo antigen stimulation remains unknown. We show that self-/tumor-reactive effector memory CD8+ T cells (TEM) programmed in vitro either with peptide-pulsed antigen-presenting cells or plate-bound anti-CD3/anti-CD28 embark on a highly stereotyped response of in vivo clonal expansion and tumor destruction nearly identical to that of vaccine-stimulated TEM cells. This programmed response was associated with an interval of antigen-independent interferon-{gamma} (IFN-{gamma}) release that facilitated the dynamic expression of the major histocompatibility complex class I restriction element H-2Db on responding tumor cells, leading to recognition and subsequent tumor lysis. Delaying cell transfer for more than 24 hours after stimulation or infusion of cells deficient in IFN-{gamma} entirely abrogated the benefit of the programmed response, whereas transfer of cells unable to respond to IFN-{gamma} had no detriment to antitumor immunity. These findings extend the phenomenon of a programmable effector response to memory CD8+ T cells and have major implications for the design of current adoptive-cell transfer trials.


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