Enhanced efficacy and reduced toxicity of multifactorial adjuvants compared with unitary adjuvants as cancer vaccines

Blood. 2008 Mar 15;111(6):3116-25. doi: 10.1182/blood-2007-09-114371. Epub 2008 Jan 17.

Abstract

Identification of Toll-like receptors (TLRs) and their ligands, and tumor necrosis factor-tumor necrosis factor receptor (TNF-TNFR) pairs have provided the first logical, hypothesis-based strategies to molecularly concoct adjuvants to elicit potent cell-mediated immunity via activation of innate and adaptive immunity. However, isolated activation of one immune pathway in the absence of others can be toxic, ineffective, and detrimental to long-term, protective immunity. Effective engineered vaccines must include agents that trigger multiple immunologic pathways. Here, we report that combinatorial use of CD40 and TLR agonists as a cancer vaccine, compared with monotherapy, elicits high frequencies of self-reactive CD8(+) T cells, potent tumor-specific CD8(+) memory, CD8(+) T cells that efficiently infiltrate the tumor-burdened target organ; therapeutic efficacy; heightened ratios of CD8(+) T cells to FoxP3(+) cells at the tumor site; and reduced hepatotoxicity. These findings provide intelligent strategies for the formulation of multifactorial vaccines to achieve maximal efficacy in cancer vaccine trials in humans.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adjuvants, Immunologic / toxicity*
  • Animals
  • Antibodies / immunology
  • CD40 Antigens / agonists
  • CD40 Antigens / immunology
  • CD40 Antigens / metabolism
  • CD8-Positive T-Lymphocytes / drug effects
  • CD8-Positive T-Lymphocytes / immunology
  • CD8-Positive T-Lymphocytes / metabolism
  • Cancer Vaccines / immunology*
  • Cancer Vaccines / metabolism
  • Cancer Vaccines / toxicity*
  • Cell Line, Tumor
  • Cell Transplantation
  • Immunologic Memory / immunology
  • Immunotherapy
  • Liver / drug effects
  • Liver / immunology
  • Liver / injuries
  • Lung / immunology
  • Lung / surgery
  • Male
  • Melanoma / immunology
  • Melanoma / pathology
  • Melanoma / therapy
  • Membrane Glycoproteins / agonists
  • Membrane Glycoproteins / immunology
  • Membrane Glycoproteins / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Neoplasm Metastasis
  • Toll-Like Receptor 7 / agonists
  • Toll-Like Receptor 7 / immunology
  • Toll-Like Receptor 7 / metabolism

Substances

  • Adjuvants, Immunologic
  • Antibodies
  • CD40 Antigens
  • Cancer Vaccines
  • Membrane Glycoproteins
  • Tlr7 protein, mouse
  • Toll-Like Receptor 7