1. Identification of Neoantigen-Reactive Tumor-Infiltrating Lymphocytes in Primary Bladder Cancer.
- Author
-
Leko V, McDuffie LA, Zheng Z, Gartner JJ, Prickett TD, Apolo AB, Agarwal PK, Rosenberg SA, and Lu YC
- Subjects
- Adult, Aged, Alcohol Oxidoreductases genetics, Alcohol Oxidoreductases immunology, Antigens, Neoplasm genetics, Antigens, Neoplasm immunology, Cells, Cultured, Cytokines metabolism, DNA-Binding Proteins genetics, DNA-Binding Proteins immunology, Humans, Lymphocyte Activation, Male, Middle Aged, Mutation genetics, Alcohol Oxidoreductases metabolism, Antigens, Neoplasm metabolism, Cancer Vaccines immunology, DNA-Binding Proteins metabolism, Immunotherapy, Adoptive methods, Lymphocytes, Tumor-Infiltrating immunology, Urinary Bladder Neoplasms immunology
- Abstract
Immune checkpoint inhibitors are effective in treating a variety of malignancies, including metastatic bladder cancer. A generally accepted hypothesis suggests that immune checkpoint inhibitors induce tumor regressions by reactivating a population of endogenous tumor-infiltrating lymphocytes (TILs) that recognize cancer neoantigens. Although previous studies have identified neoantigen-reactive TILs from several types of cancer, no study to date has shown whether neoantigen-reactive TILs can be found in bladder tumors. To address this, we generated TIL cultures from patients with primary bladder cancer and tested their ability to recognize tumor-specific mutations. We found that CD4
+ TILs from one patient recognized mutated C-terminal binding protein 1 in an MHC class II-restricted manner. This finding suggests that neoantigen-reactive TILs reside in bladder cancer, which may help explain the effectiveness of immune checkpoint blockade in this disease and also provides a rationale for the future use of adoptive T cell therapy targeting neoantigens in bladder cancer.- Published
- 2019
- Full Text
- View/download PDF