Sustained expansion of NKT cells and antigen-specific T cells after injection of α-galactosyl-ceramide loaded mature dendritic cells in cancer patients

  • David H. Chang
    1Laboratory of Tumor Immunology and Immunotherapy, The Rockefeller University
  • Keren Osman
    1Laboratory of Tumor Immunology and Immunotherapy, The Rockefeller University
  • John Connolly
    2Laboratory of Cellular Physiology and Immunology, The Rockefeller University
  • Anjli Kukreja
    1Laboratory of Tumor Immunology and Immunotherapy, The Rockefeller University
  • Joseph Krasovsky
    1Laboratory of Tumor Immunology and Immunotherapy, The Rockefeller University
  • Maggi Pack
    2Laboratory of Cellular Physiology and Immunology, The Rockefeller University
  • Aisha Hutchinson
    1Laboratory of Tumor Immunology and Immunotherapy, The Rockefeller University
  • Matthew Geller
    1Laboratory of Tumor Immunology and Immunotherapy, The Rockefeller University
  • Nancy Liu
    1Laboratory of Tumor Immunology and Immunotherapy, The Rockefeller University
  • Rebecca Annable
    1Laboratory of Tumor Immunology and Immunotherapy, The Rockefeller University
  • Jennifer Shay
    4Baylor Institute of Immunology Research, Dallas, TX 75246
  • Kelly Kirchhoff
    1Laboratory of Tumor Immunology and Immunotherapy, The Rockefeller University
  • Nobusuke Nishi
    5Pharmaceutical Division, Kirin Breweries Co. Ltd., 150-8011 Tokyo, Japan
  • Yoshitaka Ando
    5Pharmaceutical Division, Kirin Breweries Co. Ltd., 150-8011 Tokyo, Japan
  • Kunihiko Hayashi
    5Pharmaceutical Division, Kirin Breweries Co. Ltd., 150-8011 Tokyo, Japan
  • Hani Hassoun
    3Memorial Sloan Kettering Cancer Center, New York, NY 10021
  • Ralph M. Steinman
    2Laboratory of Cellular Physiology and Immunology, The Rockefeller University
  • Madhav V. Dhodapkar
    1Laboratory of Tumor Immunology and Immunotherapy, The Rockefeller University

抄録

<jats:p>Natural killer T (NKT) cells are distinct glycolipid reactive innate lymphocytes that are implicated in the resistance to pathogens and tumors. Earlier attempts to mobilize NKT cells, specifically, in vivo in humans met with limited success. Here, we evaluated intravenous injection of monocyte-derived mature DCs that were loaded with a synthetic NKT cell ligand, α-galactosyl-ceramide (α-GalCer; KRN-7000) in five patients who had advanced cancer. Injection of α-GalCer–pulsed, but not unpulsed, dendritic cells (DCs) led to &gt;100-fold expansion of several subsets of NKT cells in all patients; these could be detected for up to 6 mo after vaccination. NKT activation was associated with an increase in serum levels of interleukin-12 p40 and IFN-γ inducible protein-10. In addition, there was an increase in memory CD8+ T cells specific for cytomegalovirus in vivo in response to α-GalCer–loaded DCs, but not unpulsed DCs. These data demonstrate the feasibility of sustained expansion of NKT cells in vivo in humans, including patients who have advanced cancer, and suggest that NKT activation might help to boost adaptive T cell immunity in vivo.</jats:p>

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