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Blood, 12 February 2009, Vol. 113, No. 7, pp. 1574-1580.
Prepublished online as a Blood First Edition Paper on November 14, 2008; DOI 10.1182/blood-2008-05-155697.
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Submitted May 13, 2008
Accepted November 2, 2008
Keratinocyte growth factor enhances DNA plasmid tumor vaccine responses following murine allogeneic bone marrow transplantation
Robert R Jenq, Christopher G King, Christine Volk, David Suh, Odette M Smith, Uttam Rao, Nury Yim, Amanda M. Holland, Sydney X. Lu, Johannes L Zakrzewski, Gabrielle L Goldberg, Adi Diab, Onder Alpdogan, Olaf Penack, Il-Kang Na, Lucy W Kappel, Jedd D Wolchok, Alan N Houghton, Miguel-Angel Perales, and Marcel R.M. van den Brink*
Department of Immunology, Memorial Sloan-Kettering Cancer Center, New York, NY, United States
Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, United States
Swim Across America Laboratory of Tumor Immunology, Memorial Sloan-Kettering Cancer Center, New York, NY, United States
* Corresponding author; email: vandenbm{at}mskcc.org.
Keratinocyte growth factor (KGF), given exogenously to allogeneic bone marrow transplantation (allo-BMT) recipients, supports thymic epithelial cells and increases thymic output of naive T cells. Here we demonstrate that this improved T cell reconstitution leads to enhanced responses to DNA plasmid tumor vaccination. Tumor-bearing mice treated with KGF and DNA vaccination have improved long-term survival and decreased tumor burden after allo-BMT. When assayed prior to vaccination, KGF-treated allo-BMT recipients have increased numbers of peripheral T cells, including CD8+ T cells with vaccine-recognition potential. In response to vaccination, KGF-treated allo-BMT recipients, compared to controls, generate increased numbers of tumor-specific CD8+ cells, as well as increased numbers of CD8+ cells producing IFN- and TNF- . We also found unanticipated benefits to anti-tumor immunity with KGF administration. KGF-treated allo-BMT recipients have an improved T effector-to-regulatory T cell ratio, a larger fraction of effector cells that display a central memory phenotype, and effector cells that are derived from a broader T cell receptor repertoire. In conclusion, our data suggest KGF can function as a potent vaccine adjuvant following allo-BMT through its effects on post-transplant T cell reconstitution.

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