Combination immunotherapy of B16 melanoma using anti-cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) and granulocyte/macrophage colony-stimulating factor (GM-CSF)-producing vaccines induces rejection of subcutaneous and metastatic tumors accompanied by autoimmune depigmentation

J Exp Med. 1999 Aug 2;190(3):355-66. doi: 10.1084/jem.190.3.355.

Abstract

We examined the effectiveness of cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) blockade, alone or in combination with a granulocyte/macrophage colony-stimulating factor (GM-CSF)-expressing tumor cell vaccine, on rejection of the highly tumorigenic, poorly immunogenic murine melanoma B16-BL6. Recently established tumors could be eradicated in 80% (68/85) of the cases using combination treatment, whereas each treatment by itself showed little or no effect. Tumor rejection was dependent on CD8(+) and NK1.1(+) cells but occurred irrespective of the presence of CD4(+) T cells. Mice surviving a primary challenge rejected a secondary challenge with B16-BL6 or the parental B16-F0 line. The same treatment regimen was found to be therapeutically effective against outgrowth of preestablished B16-F10 lung metastases, inducing long-term survival. Of all mice surviving B16-BL6 or B16-F10 tumors after combination treatment, 56% (38/68) developed depigmentation, starting at the site of vaccination or challenge and in most cases progressing to distant locations. Depigmentation was found to occur in CD4-depleted mice, strongly suggesting that the effect was mediated by CTLs. This study shows that CTLA-4 blockade provides a powerful tool to enhance T cell activation and memory against a poorly immunogenic spontaneous murine tumor and that this may involve recruitment of autoreactive T cells.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Abatacept
  • Adjuvants, Immunologic / therapeutic use
  • Animals
  • Antibodies, Monoclonal / therapeutic use
  • Antigens / immunology
  • Antigens, CD
  • Antigens, Differentiation / biosynthesis*
  • Antigens, Differentiation / immunology
  • Antigens, Ly
  • Antigens, Surface
  • Antineoplastic Combined Chemotherapy Protocols / immunology*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Autoimmune Diseases / immunology*
  • Autoimmune Diseases / therapy
  • CD8-Positive T-Lymphocytes / immunology
  • CTLA-4 Antigen
  • Cancer Vaccines / immunology*
  • Cancer Vaccines / therapeutic use
  • Cell Survival / immunology
  • Female
  • Graft Rejection / immunology*
  • Granulocyte-Macrophage Colony-Stimulating Factor / biosynthesis*
  • Granulocyte-Macrophage Colony-Stimulating Factor / immunology
  • Hair Color / immunology
  • Immunoconjugates*
  • Immunosuppressive Agents / therapeutic use
  • Injections, Subcutaneous
  • Lectins, C-Type
  • Lung Neoplasms / immunology
  • Lung Neoplasms / pathology
  • Lung Neoplasms / secondary
  • Lymphocyte Activation
  • Melanoma, Experimental / immunology*
  • Melanoma, Experimental / therapy
  • Mice
  • Mice, Inbred C57BL
  • NK Cell Lectin-Like Receptor Subfamily B
  • Neoplasm Transplantation
  • Proteins / immunology
  • Skin Pigmentation / immunology
  • T-Lymphocytes, Cytotoxic / immunology*
  • Vitiligo / immunology*
  • Vitiligo / pathology
  • Vitiligo / therapy

Substances

  • Adjuvants, Immunologic
  • Antibodies, Monoclonal
  • Antigens
  • Antigens, CD
  • Antigens, Differentiation
  • Antigens, Ly
  • Antigens, Surface
  • CTLA-4 Antigen
  • Cancer Vaccines
  • Ctla4 protein, mouse
  • Immunoconjugates
  • Immunosuppressive Agents
  • Klrb1c protein, mouse
  • Lectins, C-Type
  • NK Cell Lectin-Like Receptor Subfamily B
  • Proteins
  • Abatacept
  • Granulocyte-Macrophage Colony-Stimulating Factor
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