In vivo cyclophosphamide and IL-2 treatment impedes self-antigen-induced effector CD4 cell tolerization: implications for adoptive immunotherapy

J Immunol. 2004 May 1;172(9):5338-45. doi: 10.4049/jimmunol.172.9.5338.

Abstract

The development of T cell tolerance directed toward tumor-associated Ags can limit the repertoire of functional tumor-reactive T cells, thus impairing the ability of vaccines to elicit effective antitumor immunity. Adoptive immunotherapy strategies using ex vivo expanded tumor-reactive effector T cells can bypass this problem; however, the susceptibility of effector T cells to undergoing tolerization suggests that tolerance might also negatively impact adoptive immunotherapy. Nonetheless, adoptive immunotherapy strategies can be effective, particularly those utilizing the drug cyclophosphamide (CY) and/or exogenous IL-2. In the current study, we used a TCR-transgenic mouse adoptive transfer system to assess whether CY plus IL-2 treatment rescues effector CD4 cell function in the face of tolerizing Ag (i.e., cognate parenchymal self-Ag). CY plus IL-2 treatment not only enhances proliferation and accumulation of effector CD4 cells, but also preserves the ability of these cells to express the effector cytokine IFN-gamma (and to a lesser extent TNF-alpha) in proportion to the level of parenchymal self-Ag expression. When administered individually, CY but not IL-2 can markedly impede tolerization, although their combination is the most effective. Although effector CD4 cells in CY plus IL-2-treated self-Ag-expressing mice eventually succumb to tolerization, this delay results in an increased level of in situ IFN-gamma expression in cognate Ag-expressing parenchymal tissues as well as death via a mechanism that requires direct parenchymal Ag presentation. These results suggest that one potential mechanism by which CY and IL-2 augment adoptive immunotherapy strategies to treat cancer is by impeding the tolerization of tumor-reactive effector T cells.

Publication types

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

MeSH terms

  • Adjuvants, Immunologic / administration & dosage
  • Animals
  • Autoantigens / physiology*
  • Autoimmune Diseases / immunology
  • Autoimmune Diseases / mortality
  • Autoimmune Diseases / pathology
  • CD4-Positive T-Lymphocytes / immunology*
  • CD4-Positive T-Lymphocytes / transplantation
  • CD4-Positive T-Lymphocytes / virology
  • Clone Cells
  • Cyclophosphamide / administration & dosage*
  • Cyclophosphamide / toxicity
  • Hemagglutinin Glycoproteins, Influenza Virus
  • Immunotherapy, Adoptive* / methods
  • Interleukin-2 / administration & dosage*
  • Interphase / immunology
  • Lymphopenia / chemically induced
  • Lymphopenia / immunology
  • Mice
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Self Tolerance / drug effects
  • Self Tolerance / immunology*

Substances

  • Adjuvants, Immunologic
  • Autoantigens
  • Hemagglutinin Glycoproteins, Influenza Virus
  • Interleukin-2
  • Cyclophosphamide