Chemotherapy rescues tumor-driven aberrant CD4+ T-cell differentiation and restores an activated polyfunctional helper phenotype

Blood. 2010 Mar 25;115(12):2397-406. doi: 10.1182/blood-2009-11-253336. Epub 2010 Jan 29.

Abstract

The functional development of tumor-specific CD4(+) T cells has a critical impact on the outcome of antitumor immune responses. Adoptive immunotherapy involving tumor-specific CD4(+) T cells has shown encouraging clinical benefits in some cancer patients. To mount an effective antitumor immunity, it is desirable to elicit activated type 1 T helper cells. Here, we report that type 1 T helper cell-like effector cells that arose in tumor-bearing hosts progressively expressed programmed death 1 during tumor growth. The programmed death 1(hi) effector cells displayed a dysfunctional phenotype, characterized by selective down-regulation of interleukin-7 receptor, heightened apoptosis, and poor antitumor efficacy. This tumor-driven aberrant T-cell response could be prevented by a single dose of the widely used chemotherapy agent cyclophosphamide. We show that chemotherapy conditioned the host environment, creating a transient window for optimal effector differentiation for adoptively transferred CD4(+) T cells. This robust effector differentiation, which was antigen-driven and mechanistically dependent on an intact host response to type I interferon, gave rise to activated polyfunctional T helper cells with high interleukin-7 receptor, rapid clonal expansion, and potent antitumor activity against established B-cell lymphomas. We hypothesize that prevention of tumor-induced effector cell dysfunction is a major mechanism contributing to the efficacy of combined chemoimmunotherapy.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antigens, Differentiation / metabolism
  • Antineoplastic Agents, Alkylating / pharmacology*
  • Apoptosis / drug effects
  • Apoptosis / immunology
  • Cell Differentiation / drug effects
  • Cell Differentiation / immunology
  • Combined Modality Therapy
  • Cyclophosphamide / pharmacology*
  • Female
  • Forkhead Transcription Factors / metabolism
  • Immunotherapy, Adoptive*
  • Interferon Type I / metabolism
  • Lymphoma, B-Cell / drug therapy
  • Lymphoma, B-Cell / immunology
  • Lymphoma, B-Cell / pathology
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Transgenic
  • Phenotype
  • Programmed Cell Death 1 Receptor
  • Receptors, Interleukin-7 / metabolism
  • Recurrence
  • Th1 Cells* / cytology
  • Th1 Cells* / drug effects
  • Th1 Cells* / transplantation
  • Transplantation Conditioning / methods

Substances

  • Antigens, Differentiation
  • Antineoplastic Agents, Alkylating
  • Forkhead Transcription Factors
  • Foxp3 protein, mouse
  • Interferon Type I
  • Pdcd1 protein, mouse
  • Programmed Cell Death 1 Receptor
  • Receptors, Interleukin-7
  • Cyclophosphamide