[HTML][HTML] MHC-restricted fratricide of human lymphocytes expressing survivin-specific transgenic T cell receptors

M Leisegang, S Wilde, S Spranger… - The Journal of …, 2010 - Am Soc Clin Investig
M Leisegang, S Wilde, S Spranger, S Milosevic, B Frankenberger, W Uckert, DJ Schendel
The Journal of clinical investigation, 2010Am Soc Clin Investig
The apoptosis inhibitor protein survivin is overexpressed in many tumors, making it a
candidate target molecule for various forms of immunotherapy. To explore survivin as a
target antigen for adoptive T cell therapy using lymphocytes expressing survivin-specific
transgenic T cell receptors (Tg-TCRs), we isolated HLA-A2–allorestricted survivin-specific T
cells with high functional avidity. Lymphocytes expressing Tg-TCRs were derived from these
T cells and specifically recognized HLA-A2+ survivin+ tumor cells. Surprisingly, HLA-A2+ but …
The apoptosis inhibitor protein survivin is overexpressed in many tumors, making it a candidate target molecule for various forms of immunotherapy. To explore survivin as a target antigen for adoptive T cell therapy using lymphocytes expressing survivin-specific transgenic T cell receptors (Tg-TCRs), we isolated HLA-A2–allorestricted survivin-specific T cells with high functional avidity. Lymphocytes expressing Tg-TCRs were derived from these T cells and specifically recognized HLA-A2+ survivin+ tumor cells. Surprisingly, HLA-A2+ but not HLA-A2 lymphocytes expressing Tg-TCRs underwent extensive apoptosis over time. This demise was caused by HLA-A2–restricted fratricide that occurred due to survivin expression in lymphocytes, which created ligands for Tg-TCR recognition. Therefore, survivin-specific TCR gene therapy would be limited to application in HLA-A2–mismatched stem cell transplantation. We also noted that lymphocytes that expressed survivin-specific Tg-TCRs killed T cell clones of various specificities derived from HLA-A2+ but not HLA-A2 donors. These results raise a general question regarding the development of cancer vaccines that target proteins that are also expressed in activated lymphocytes, since induction of high-avidity T cells that expand in lymph nodes following vaccination or later accumulate at tumor sites might limit themselves by self-MHC–restricted fratricide while at the same time inadvertently eliminating neighboring T cells of other specificities.
The Journal of Clinical Investigation