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Cell Press, Molecular Therapy, 2(23), p. 396-406

DOI: 10.1038/mt.2014.215

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Recurrence of melanoma following T cell treatment: continued antigen expression in a tumor that evades T cell recruitment

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Clinical therapy with T cells shows promise for cancer patients, but is currently challenged by incomplete responses and tumor relapse. The exact mechanisms that contribute to tumor relapse remain largely unclear. Here, we treated mouse melanomas with TCR-engineered T cells directed against a human peptide-MHC antigen in immune-competent mice. T cells resulted in significant tumor regression, which was followed by relapse in about 80-90% of mice. Molecular analysis revealed that relapsed tumors harbored non-mutated antigen genes, not silenced by promoter methylation, and functionally expressed surface antigen at levels equal to non-treated tumors. Relapsed tumors resisted a second in vivo T cell treatment, but regained sensitivity to T cell treatment upon re-transplantation in mice. Notably, relapsed tumors demonstrated decreased levels of CD8 T cells and monocytes, which were substantiated by down-regulated expression of chemoattractants and adhesion molecules. These observations were confirmed when using T cells specific for a less immunogenic, endogenous mouse melanoma antigen. We conclude that tumors, when exposed to T cell treatment, can relapse without loss of antigen and develop a milieu that evades recruitment of effector CD8 T cells. Our findings support the concept to target the tumor milieu to aid T cell therapy in limiting tumor relapseMolecular Therapy (2014); doi:10.1038/mt.2014.215.