Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Immunotherapy of established tumors using bone marrow transplantation with antigen gene–modified hematopoietic stem cells

Abstract

A major focus of cancer immunotherapy is to develop strategies to induce T-cell responses through presentation of tumor antigens by dendritic cells (DCs). Current vaccines are limited in their ability to efficiently transfer antigens to DCs in vivo. Ex vivo–generated DCs can be efficiently loaded with antigen but after reinjection, few DCs traffic to secondary lymphoid organs, the critical sites for antigen presentation. To enhance efficiency and durability of antigen presentation by DCs, we transduced hematopoietic stem-progenitor cells (HSCs) with a model tumor antigen and then transplanted the gene-modified cells into irradiated recipient mice, which resulted in efficient expression of the transgene in a large proportion of donor derived DCs in lymphoid organs. The combination of bone marrow transplantion (BMT) using transduced HSCs, systemic agents that generate and activate DCs, and mature T-cell infusion resulted in substantial expansion and activation of antigen-specific T cells. This tripartite strategy provided potent antigen-specific immunotherapy for an aggressive established tumor.

This is a preview of subscription content, access via your institution

Access options

Buy this article

USD 39.95

Prices may be subject to local taxes which are calculated during checkout

Figure 1: In vivo expression of transgene-encoded GFP by dendritic-cell progeny of transduced bone marrow stem-progenitor cells.
Figure 2: Expansion of antigen-specific transgenic T cells after BMT with transduced HSCs.
Figure 3: Immunization with ex vivo–transduced or loaded DCs leads to minor expansion of hemagglutinin-specific clone 6.5 T cells in vivo.
Figure 4: Treatment of A20-hemagglutinin tumor-bearing mice23 with hemagglutinin-transduced HSCs and hemagglutinin-transduced DCs.
Figure 5: Antitumor immunity from hemagglutinin-transduced bone marrow is dependent on post-transplant administration of CD8+ T cells.
Figure 6: Treatment of tumor-bearing mice with hemagglutinin-transduced bone marrow from tumor-bearing donors.

Similar content being viewed by others

References

  1. Banchereau, J. et al. Immune and clinical responses in patients with metastatic melanoma to CD34(+) progenitor-derived dendritic cell vaccine. Cancer Res. 61, 6451–6458 (2001).

    CAS  PubMed  Google Scholar 

  2. Nestle, F.O. et al. Vaccination of melanoma patients with peptide- or tumor lysate-pulsed dendritic cells. Nat. Med. 4, 328–332 (1998).

    Article  CAS  PubMed  Google Scholar 

  3. Thurner, B. et al. Vaccination with mage-3A1 peptide-pulsed mature, monocyte-derived dendritic cells expands specific cytotoxic T cells and induces regression of some metastases in advanced stage IV melanoma. J. Exp. Med. 190, 1669–1678 (1999).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Chang, A.E. et al. A phase I trial of tumor lysate-pulsed dendritic cells in the treatment of advanced cancer. Clin. Cancer Res. 8, 1021–1032 (2002).

    CAS  PubMed  Google Scholar 

  5. Timmerman, J.M. et al. Idiotype-pulsed dendritic cell vaccination for B-cell lymphoma: clinical and immune responses in 35 patients. Blood 99, 1517–1526 (2002).

    Article  CAS  PubMed  Google Scholar 

  6. Murphy, G.P. et al. Phase II prostate cancer vaccine trial: report of a study involving 37 patients with disease recurrence following primary treatment. Prostate 39, 54–59 (1999).

    Article  CAS  PubMed  Google Scholar 

  7. Nair, S.K. et al. Induction of tumor-specific cytotoxic T lymphocytes in cancer patients by autologous tumor RNA-transfected dendritic cells. Ann. Surg. 235, 540–549 (2002).

    Article  PubMed  PubMed Central  Google Scholar 

  8. Kugler, A. et al. Regression of human metastatic renal cell carcinoma after vaccination with tumor cell-dendritic cell hybrids. Nat. Med. 6, 332–336 (2000).

    Article  CAS  PubMed  Google Scholar 

  9. Fong, L. et al. Altered peptide ligand vaccination with Flt3 ligand expanded dendritic cells for tumor immunotherapy. Proc. Natl. Acad. Sci. USA 98, 8809–8814 (2001).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Eggert, A.A. et al. Biodistribution and vaccine efficiency of murine dendritic cells are dependent on the route of administration. Cancer Res. 59, 3340–3345 (1999).

    CAS  PubMed  Google Scholar 

  11. Cayeux, S. et al. Direct and indirect T cell priming by dendritic cell vaccines. Eur. J. Immunol. 29, 225–234 (1999).

    Article  CAS  PubMed  Google Scholar 

  12. Borrello, I.M. & Sotomayor, E.M. Cancer vaccines for hematologic malignancies. Cancer Control 9, 138–151 (2002).

    Article  PubMed  Google Scholar 

  13. Teshima, T. et al. Tumor cell vaccine elicits potent antitumor immunity after allogeneic T-cell-depleted bone marrow transplantation. Cancer Res. 61, 162–171 (2001).

    CAS  PubMed  Google Scholar 

  14. Anderson, L.D., Jr., Savary, C.A. & Mullen, C.A. Immunization of allogeneic bone marrow transplant recipients with tumor cell vaccines enhances graft-versus-tumor activity without exacerbating graft-versus-host disease. Blood 95, 2426–2433 (2000).

    CAS  PubMed  Google Scholar 

  15. Asavaroengchai, W., Kotera, Y. & Mule, J.J. Tumor lysate-pulsed dendritic cells can elicit an effective antitumor immune response during early lymphoid recovery. Proc. Natl. Acad. Sci. USA 99, 931–936 (2002).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Cui, Y. et al. Targeting transgene expression to antigen-presenting cells derived from lentivirus-transduced engrafting human hematopoietic stem/progenitor cells. Blood 99, 399–408 (2002).

    Article  CAS  PubMed  Google Scholar 

  17. Woods, N.B., Ooka, A. & Karlsson, S. Development of gene therapy for hematopoietic stem cells using lentiviral vectors. Leukemia 16, 563–569 (2002).

    Article  CAS  PubMed  Google Scholar 

  18. Lynch, D.H. Induction of dendritic cells (DC) by Flt3 Ligand (FL) promotes the generation of tumor-specific immune responses in vivo. Crit. Rev. Immunol. 18, 99–107 (1998).

    Article  CAS  PubMed  Google Scholar 

  19. Diehl, L. et al. CD40 activation in vivo overcomes peptide-induced peripheral cytotoxic T-lymphocyte tolerance and augments anti-tumor vaccine efficacy. Nat. Med. 5, 774–779 (1999).

    Article  CAS  PubMed  Google Scholar 

  20. Sotomayor, E.M. et al. Conversion of tumor-specific CD4+ T-cell tolerance to T-cell priming through in vivo ligation of CD40. Nat. Med. 5, 780–787 (1999).

    Article  CAS  PubMed  Google Scholar 

  21. Staveley-O'Carroll, K. et al. Induction of antigen-specific T cell anergy: an early event in the course of tumor progression. Proc. Natl. Acad. Sci. USA 95, 1178–1183 (1998).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Mackall, C.L. et al. Thymic-independent T cell regeneration occurs via antigen-driven expansion of peripheral T cells resulting in a repertoire that is limited in diversity and prone to skewing. J. Immunol. 156, 4609–4616 (1996).

    CAS  PubMed  Google Scholar 

  23. Borrello, I. et al. Sustaining the graft-versus-tumor effect through posttransplant immunization with granulocyte-macrophage colony-stimulating factor (GM-CSF)-producing tumor vaccines. Blood 95, 3011–3019 (2000).

    CAS  PubMed  Google Scholar 

  24. Merad, M., Sugie, T., Engleman, E.G. & Fong, L. In vivo manipulation of dendritic cells to induce therapeutic immunity. Blood 99, 1676–1682 (2002).

    Article  CAS  PubMed  Google Scholar 

  25. Borges, L. et al. Synergistic action of fms-like tyrosine kinase 3 ligand and CD40 ligand in the induction of dendritic cells and generation of antitumor immunity in vivo. J. Immunol. 163, 1289–1297 (1999).

    CAS  PubMed  Google Scholar 

  26. Dhodapkar, M.V., Steinman, R.M., Krasovsky, J., Munz, C. & Bhardwaj, N. Antigen-specific inhibition of effector T cell function in humans after injection of immature dendritic cells. J. Exp. Med. 193, 233–238 (2001).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Whartenby, K.A. et al. Transduction of donor hematopoietic stem-progenitor cells with Fas ligand enhanced short-term engraftment in a murine model of allogeneic bone marrow transplantation. Blood 100, 3147–3154 (2002).

    Article  CAS  PubMed  Google Scholar 

  28. Matzinger, P. The JAM test. A simple assay for DNA fragmentation and cell death. J. Immunol. Meth. 145, 185–192 (1991).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank L. Domina for administrative assistance. This research was supported by gifts from Dorothy Needle, Bill & Betty Topercer and the Goodwin Foundation. D.P. is a Janey scholar and holds the Seraph chair in Oncology. C.C. holds the Herman and Walter Samuelson chair in Oncology. H.L. was supported by CA96888-01.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Katharine A Whartenby.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cui, Y., Kelleher, E., Straley, E. et al. Immunotherapy of established tumors using bone marrow transplantation with antigen gene–modified hematopoietic stem cells. Nat Med 9, 952–958 (2003). https://doi.org/10.1038/nm882

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue date:

  • DOI: https://doi.org/10.1038/nm882

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing