Abstract
Recent success in treating Epstein-Barr virus (EBV)-associated posttransplant lymphoproliferative disorder (PTLD) using cytotoxic T-cell (CTL) based immunotherapy has led to interest in the development of CTL-based immunotherapy to treat other EBV-associated malignancies, including Nasopharyngeal carcinoma (NPC). However unlike PTLD, which arises in immunosuppressed individuals following transplant, NPC can arise in immunocompetent individuals, expresses a limited array of EBV antigens that are poorly immunogenic, and appear to suppress the function of these T cells either directly or through the expansion of regulatory T cells. There is therefore a unique set of problems that need to be addressed in order to optimise CTL-therapy for the effective treatment of NPC.
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References
Ochsenbein AF. Principles of tumor immunosurveillance and implications for immunotherapy. Cancer Gene Ther 2002; 9(12): 1043–1055.
Rickinson AB, Moss DJ. Human cytotoxic T-lymphocyte responses to Epstein-Barr virus infection. Annu Rev Immunol 1997; 15:405–431.
Mescher MF. Molecular interactions in the activation of effector and precursor cytotoxic T-lymphocytes. Immunol Rev 1995; 146:177–210.
Khanna R, Burrows SR, Moss DJ. Immune regulation in Epstein-Barr virus-associated diseases. Microbiol Rev 1995; 59(3):387–405.
Gandhi MK, Lambley E, Duraiswamy J et al. Expression of LAG-3 by tumor-infiltrating lymphocytes is coincident with the suppression of latent membrane antigen-specific CD8+ T-cell function in Hodgkin lymphoma patients. Blood 2006; 108(7):2280–2289.
Hopwood P, Crawford DH. The role of EBV in posttransplant malignancies: a review. J Clin Pathol 2000; 53(4):248–254.
Khanna R, Tellam J, Duraiswamy J et al. Immunotherapeutic strategies for EBV-associated malignancies. Trends Mol Med 2001; 7(6):270–276.
Li HP, Chang YS. Epstein-Barr virus latent membrane protein 1: structure and functions. J Biomed Sci 2003; 10(5):490–504.
Thorley-Lawson DA. Epstein-Barr virus: exploitingthe immune system. Nat Rev Immunol 2001; 1(1):75–82.
Smith C, Wakisaka N, Crough T et al. Discerning regulation of cis- and trans-presentation of CD8+ T-cell epitopes by EBV-encoded oncogene LMP-1 through self-aggregation. Blood 2009; 113(24):6148–6152.
Yin Y, Manoury B, Fahraeus R. Self-inhibition of synthesis and antigen presentation by Epstein-Barr virus-encoded EBNA1. Science 2003; 301(5638):1371–1374.
Tellam J, Fogg MH, Rist M et al. Influence of translation efficiency of homologous viral proteins on the endogenous presentation of CD8+ T-cell epitopes. J Exp Med 2007; 204(3):525–532.
Tellam J, Smith C, Rist M et al. Regulation of protein translation through mRNA structure influences MHC class I loading and T-cell recognition. Proc Natl Acad Sci USA 2008; 105(27):9319–9324.
Blake N, Lee S, Redchenko I et al. Human CD8+ T-cell responses to EBV EBNA1: HLA class I presentation of the (Gly-Ala)-containing protein requires exogenous processing. Immunity 1997; 7(6):791–802.
Tellam J, Connolly G, Green KJ et al. Endogenous presentation of CD8+ T-cell epitopes from Epstein-Barr virus-encoded nuclear antigen 1. J Exp Med 2004; 199(10):1421–1431.
Lee SP, Brooks JM, Al-Jarrah H et al. CD8 T-cell recognition of endogenously expressed epstein-barr virus nuclear antigen 1. J Exp Med 2004; 199(10): 1409–1420.
Voo KS, Fu T, Wang HY et al. Evidence for the presentation of major histocompatibility complex class I-restricted Epstein-Barr virus nuclear antigen 1 peptides to CD8+ T-lymphocytes. J Exp Med 2004; 199(4);459–470.
Comoli P, Pedrazzoli P, Maccario R et al. Cell therapy of stage IV nasopharyngeal carcinoma with autologous Epstein-Barr virus-targeted cytotoxic T-lymphocytes. J Clin Oncol 2005; 23(35):8942–8949.
Straathof KC, Bollard CM, Popat U et al. Treatment of nasopharyngeal carcinoma with Epstein-Barr virus—specific T-lymphocytes. Blood 2005; 105(5):1898–1904.
Chua D, Huang J, Zheng B et al. Adoptive transfer of autologous Epstein-Barr virus-specific cytotoxic T-cells for nasopharyngeal carcinoma. Int J Cancer 2001; 94(1):73–80.
Louis CU, Straathof K, Bollard CM et al. Adoptive transfer of EB V-specific T-cells results in sustained clinical responses in patients with locoregional nasopharyngeal carcinoma. J Immunother 2010; 33(9):983–990.
Louis CU, Straathof K, Bollard CM et al. Enhancing the in vivo expansion of adoptively transferred EBV-specific CTL with lymphodepleting CD45 monoclonal antibodies in NPC patients. Blood 2009; 113(11):2442–2450.
Secondino S, Zecca M, Licitra L et al. T-cell therapy for EBV-associated nasopharyngeal carcinoma: preparative lymphodepleting chemotherapy does not improve clinical results. Ann Oncol 2011.
Khanna R, Burrows SR, Nicholls J et al. Identification of cytotoxic T-cell epitopes within Epstein-Barr virus (EBV) oncogene latent membrane protein 1 (LMP1): evidence for HLA A2 supertype-restricted immune recognition of EBV-infected cells by LMP1-specific cytotoxic T-lymphocytes. Eur J Immunol 1998;28(2):451–458.
Redchenko IV, Rickinson AB. Accessing Epstein-Barr virus-specific T-cell memory with peptide-loaded dendritic cells. J Virol 1999; 73(1):334–342.
Lutzky VP, Davis JE, Crooks P et al. Optimization of LMP-specific CTL expansion for potential adoptive immunotherapy in NPC patients. Immunol Cell Biol 2009; 87(6):481–488.
Duraiswamy J, Sherritt M, Thomson S et al. Therapeutic LMP1 polyepitope vaccine for EBV-associated Hodgkin disease and nasopharyngeal carcinoma. Blood 2003; 101(8):3150–3156.
Smith C, Cooper L, Burgess M et al. Functional reversion of antigen-specific CD8+ T-cells from patients with Hodgkin lymphoma following in vitro stimulation with recombinant polyepitope. J Immunol 2006; 177(7):4897–4906.
Gottschalk S, Heslop HE, Rooney CM. Adoptive immunotherapy for EBV-associated malignancies. Leuk Lymphoma 2005; 46(1): 1–10.
Gottschalk S, Edwards OL, Sili U et al. Generating CTLs against the subdominant Epstein-Barr virus LMP1 antigen for the adoptive immunotherapy of EBV-associated malignancies. Blood 2003; 101(5): 1905–1912.
Wagner HJ, Sili U, Gahn B et al. Expansion of EBV latent membrane protein 2a specific cytotoxic T-cells for the adoptive immunotherapy of EBV latency type 2 malignancies: influence of recombinant IL12 and IL15. Cytotherapy 2003; 5(3):231–240.
Bollard CM, Gottschalk S, Leen AM et al. Complete responses of relapsed lymphoma following genetic modification of tumor-antigen presenting cells and T-lymphocyte transfer. Blood 2007; 110(8):2838–2845.
Taylor GS, Haigh TA, Gudgeon NH et al. Dual stimulation of Epstein-Barr Virus (EBV)-specific CD4+- and CD8+-T-cell responses by a chimeric antigen construct: potential therapeutic vaccine for EBV-positive nasopharyngeal carcinoma. J Virol 2004; 78(2):768–778.
Lin CL, Lo WF, Lee TH et al. Immunization with Epstein-Barr Virus (EBV) peptide-pulsed dendritic cells induces functional CD8+ T-cell immunity and may lead to tumor regression in patients with EBV-positive nasopharyngeal carcinoma. Cancer Res 2002; 62(23):6952–6958.
Chia WK, Wang WW, Teo M et al. A phase II study evaluating the safety and efficacy of an adenovirus- LMP1–LMP2 transduced dendritic cell vaccine in patients with advanced metastatic nasopharyngeal carcinoma. Ann Oncol 2011.
Hui EP, Taylor GS, Ma B et al. A phase I trial of recombinant modified vaccinia ankara (MVA) vaccine encoding Epstein-Barr virus (EBV) antigens. Journal of Clinical Oncology 2011; 29:(suppl; abstr 2592)
Sengupta S, den Boon JA, Chen IH et al. Genome-Wide Expression Profiling Reveals EBV-Associated Inhibition of MHC Class I Expression in Nasopharyngeal Carcinoma. Cancer Res 2006; 66(16):7999–8006.
Lee SP, Chan AT, Cheung ST et al. CTL control of EBV in nasopharyngeal carcinoma (NPC): EBV-specific CTL responses in the blood and tumors of NPC patients and the antigen-processing function of the tumor cells. J Immunol 2000; 165(1):573–582.
Khanna R, Busson P, Burrows SR et al. Molecular characterization of antigen-processing function in nasopharyngeal carcinoma (NPC): evidence for efficient presentation of Epstein-Barr virus cytotoxic T-cell epitopes by NPC cells. Cancer Res 1998; 58(2):310–314.
Lau KM, Cheng SH, Lo KW et al. Increase in circulating Foxp3+CD4+CD25(high) regulatory T-cells in nasopharyngeal carcinoma patients. Br J Cancer 2007; 96(4):617–622.
Ko K, Yamazaki S, Nakamura K et al. Treatment of advanced tumors with agonistic anti-GITR mAb and its effects on tumor-infiltrating Foxp3+CD25+CD4+ regulatory T-cells. J Exp Med 2005; 202(7):885–891.
Gattinoni L, Finkelstein SE, Klebanoff CA et al. Removal of homeostatic cytokine sinks by lymphodepletion enhances the efficacy of adoptively transferred tumor-specific CD8+ T-cells. J Exp Med 2005; 202(7):907–912.
Gattinoni L, Powell DJ, Jr., Rosenberg SA et al. Adoptive immunotherapy for cancer: building on success. Nat Rev Immunol 2006; 6(5):383–393.
Muranski P, Boni A, Wrzesinski C et al. Increased intensity lymphodepletion and adoptive immunotherapy — how far can we go? Nat Clin Pract Oncol 2006; 3(12):668–681.
Klibi J, Niki T, Riedel A et al. Blood diffusion and Th1-suppressive effects of galectin-9-containing exosomes released by Epstein-Barr virus-infected nasopharyngeal carcinoma cells. Blood 2009; 113(9): 1957–1966.
Ostrand-Rosenberg S. CD4+ T-lymphocytes: a critical component of antitumor immunity. Cancer Invest 2005; 23(5):413–419.
Khanna R, Burrows SR, Thomson SA et al. Class I processing-defective Burkitt’s lymphoma cells are recognized efficiently by CD4+ EBV-specific CTLs. J Immunol 1997; 158(8):3619–3625.
Haigh TA, Lin X, Hui EP et al. LMP1 and LMP2 Epitope-Specific CD4+ T-Cell Clones able to Recognise and Kill EBV Immortalised Lymphoblastoid Cell Lines (LCLs). The 12th Biennial Conference of the International Association for Research on the Epstein-Barr Virus and Associated Diseases. Boston/Cambridge, Massachusetts, USA. 2006.
Khanna R, Burrows SR, Steigerwald-Mullen PM et al. Isolation of cytotoxic T-lymphocytes from healthy seropositive individuals specific for peptide epitopes from Epstein-Barr virus nuclear antigen 1: implications for viral persistence and tumor surveillance. Virology 1995; 214(2):633–637.
Tsang CW, Lin X, Gudgeon NH et al. CD4+ T-cell responses to Epstein-Barr virus nuclear antigen EBNA1 in Chinese populations are highly focused on novel C-terminal domain-derived epitopes. J Virol 2006; 80(16):8263–8266.
Leen A, Meij P, Redchenko I et al. Differential immunogenicity of Epstein-Barr virus latent-cycle proteins for human CD4(+) T-helper 1 responses. J Virol 2001; 75(18):8649–8659.
Lin JC, Jan JS, Hsu CY et al. Phase III study of concurrent chemoradiotherapy versus radiotherapy alone for advanced nasopharyngeal carcinoma: positive effect on overall and progression-free survival. J Clin Oncol 2003; 21(4):631–637.
Ma BB, Chan AT. Recent perspectives in the role of chemotherapy in the management of advanced nasopharyngeal carcinoma. Cancer 2005; 103(1):22–31.
Seder RA, Ahmed R. Similarities and differences in CD4+ and CD8+ effector and memory T-cell generation. Nat Immunol 2003; 4(9):835–842.
Wherry EJ, Ahmed R. Memory CD8 T-cell differentiation during viral infection. J Virol 2004; 78(11):5535–5545.
Klebanoff CA, Gattinoni L, Torabi-Parizi P et al. Central memory self/tumor-reactive CD8+ T-cells confer superior antitumor immunity compared with effector memory T-cells. Proc Natl Acad Sci USA 2005; 102(27):9571–9576.
Klonowski KD, Marzo AL, Williams KJ et al. CD8 T-cell recall responses are regulated by the tissue tropism of the memory cell and pathogen. J Immunol 2006; 177(10):6738–6746.
Klonowski KD, Williams KJ, Marzo AL et al. Dynamics of blood-borne CD8 memory T-cell migration in vivo. Immunity 2004; 20(5):551–562.
Gattinoni L, Klebanoff CA, Palmer DC et al. Acquisition of full effector function in vitro paradoxically impairs the in vivo antitumor efficacy of adoptively transferred CD8+ T-cells. J Clin Invest 2005; 115(6):1616–1626.
Wilkie GM, Taylor C, Jones MM et al. Establishment and characterization of a bank of cytotoxic T-lymphocytes for immunotherapy of epstein-barr virus-associated diseases. J Immunother 2004; 27(4):309–316.
Haque T, Wilkie GM, Taylor C et al. Treatment of Epstein-Barr-virus-positive posttransplantation lymphoproliferative disease with partly HLA-matched allogeneic cytotoxic T-cells. Lancet 2002; 360(9331):436–442.
Wirth LJ, Fogg M, Wang F et al. Epstein-Barr virus (EBV)-specific immunotherapy in nasopharygneal carcinoma (NPC). Journal of Clinical Oncology. 2011; 29:(suppl; abstr 6025).
Smith C, Tsang, J, Beagley L et al. AdE 1 -LMP polyepitope-based adoptive immunotherapy for Epstein-Barr virus-associated recurrent or metastatic nasopharyngeal carcinoma. Cancer Res 2012 (in press).
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Smith, C., Khanna, R. (2013). Nasopharyngeal Carcinoma Immunotherapy: Current Strategies and Perspectives. In: Busson, P. (eds) Nasopharyngeal Carcinoma. Advances in Experimental Medicine and Biology, vol 778. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5947-7_11
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DOI: https://doi.org/10.1007/978-1-4614-5947-7_11
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