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Cancer Therapy: Preclinical

HER2-Specific T Cells Target Primary Glioblastoma Stem Cells and Induce Regression of Autologous Experimental Tumors

Nabil Ahmed, Vita S. Salsman, Yvonne Kew, Donald Shaffer, Suzanne Powell, Yi J. Zhang, Robert G. Grossman, Helen E. Heslop and Stephen Gottschalk
Nabil Ahmed
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Vita S. Salsman
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Yvonne Kew
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Donald Shaffer
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Suzanne Powell
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Yi J. Zhang
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Robert G. Grossman
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Helen E. Heslop
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Stephen Gottschalk
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DOI: 10.1158/1078-0432.CCR-09-1322 Published January 2010
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    Fig. 1.

    Functionality of HER2-specific T cells from subjects with GBM. HER2-specific and nontransduced (NT) T cells, generated from newly diagnosed GBM patients, were cocultured with HER2-positive (U373 or Daoy) or HER2-negative (MDA-MB-468) cells. A, only HER2-specific T cells killed HER2-positive targets in a 4-h 51Cr release cytotoxicity assay; nontransduced T cells did not. The HER2-negative cell line MDA-MB-468 was not killed by HER2-specific or nontransduced T cells. Points, mean of all patients; bars, SD. Results from experiments done for nine GBM patients in triplicates are shown. B, in coculture assays done at a 1:1 T-cell to tumor cell ratio, the IFN-γ and IL-2 concentration was determined in the coculture supernatant 24 to 48 h after stimulation. Only HER2-specific T cells produced IFN-γ and IL-2 after exposure to HER2-positive cells in comparison with nontransduced T cells. Results from experiments done in duplicates are shown.

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    Fig. 2.

    HER2 protein expression on primary GBM. A, FACS analysis. Primary GBM cells from freshly excised tumors in short-term culture were stained for HER2 expression. Open curves, isotype control; solid curves, HER2. Nine of 10 tumor cell lines expressed HER2 on the cell surface. B, using the HER2-specific mouse monoclonal antibody NCL-L-CB11 (Novocastra), HER2 expression was confirmed on the corresponding paraffin-embedded sections. One tumor had no detectable HER2 protein expression using both methods (patient 8). Magnification, ×200.

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    Fig. 3.

    HER2-specific T cells kill autologous HER2-positive GBM and are activated in coculture. A, the cytolytic activity of T cells expressing HER2 CAR was determined in a standard 4-h chromium release assay. There was always an increase of cytolytic activity of HER2-specific T cells above background (nontransduced T cells) against autologous HER2-positive GBMs. As controls, the HER2-positive GBM cell line U373 and the HER2-negative MDA-MB-468 were used. HER2-specific T cells from all patients killed U373 cells, whereas MDA-MB-468 was not killed (shown for patient 4). B, HER2-specific T cells (black columns) or nontransduced T cells (white columns) from GBM patients were cocultured with autologous tumor cells or HER2-negative control cells (MDA-MB-468; hatched columns) in a 1:1 ratio. Twenty-four to 48 h after stimulation, the cytokine concentration in the medium was determined by ELISA. HER2-specific T cells produced IFN-γ and IL-2 after stimulation with eight of nine HER2-positive tumor samples. No cytokine release was seen with nontransduced T cells. Median cytokine levels for all patients are shown for U373 (HER2-positive control) and MDA-MB-468 (HER2-negative control). Results of experiments done in duplicates are shown.

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    Fig. 4.

    HER2-specific T cells target primary GBM stem cells. A, primary GBM cells from three patients (GBM patients 2, 3, and 5) were stained for CD133 and isolated using high-speed sorting. Approximately 3% to 5% of the total primary GBM cell population was CD133 positive. B, this CD133-positive cell compartment was uniformly HER2 positive. Moreover, in all three tumors analyzed, the CD133-positive GBM stem cells expressed higher levels of HER2 in comparison with the CD133-negative tumor cell population. C, in a 4-h 51Cr release assay, HER2-specific T cells from these three patients killed autologous CD133-positive cells as well as their CD133-negative counterparts. Autologous nontransduced T cells induced no appreciable killing.

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    Adoptively transferred HER2-specific T cells induce regression of autologous GBM xenografts in vivo. Primary GBM cells (5 × 104) from patient 2 (two mice per group), patient 3 (three mice per group), and patient 5 (three mice per group) were injected stereotactically into the caudate nucleus of 9- to 12-wk-old SCID mice followed by intratumoral injection of 2 × 106 autologous HER2-specific or nontransduced T cells 6 d after tumor inoculation. A, tumors grew progressively in untreated mice as shown for two representative animals (top row) and in mice receiving nontransduced T cells (middle row), whereas tumors regressed over a period of 2 to 5 d in response to a single injection of autologous HER2-specific T cells generated from the same patient (bottom row). B, quantitative bioluminescence imaging. Autologous HER2-specific T cells induced tumor regression when compared with nontransduced T cells (two-tailed P = 0.002, Mann-Whitney U test). Solid arrows, time of T-cell injection; open arrows, background luminescence (mean, ∼105 photons/s/cm2/sr); n, number of animals tested in each group. C, Kaplan-Meier survival curve. Survival analysis done 60 d after tumor establishment. Mice treated with autologous HER2-specific T cells had a significantly longer survival probability (P < 0.001) in comparison with untreated mice and mice that received nontransduced T cells. D, 1 × 104 CD133-positive GBM cells from patient 2 were injected as described above followed by intratumoral injection of 2 × 106 autologous HER2-specific or nontransduced T cells 8 d after tumor inoculation. Whereas tumors in animals treated with nontransduced T cells (n = 4) continued to grow exponentially, all of the animals treated with autologous HER2 T cells (n = 4) regressed, with two of these animals having no detectable tumors within 6 d after T-cell injection.

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Clinical Cancer Research: 16 (2)
January 2010
Volume 16, Issue 2
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HER2-Specific T Cells Target Primary Glioblastoma Stem Cells and Induce Regression of Autologous Experimental Tumors
Nabil Ahmed, Vita S. Salsman, Yvonne Kew, Donald Shaffer, Suzanne Powell, Yi J. Zhang, Robert G. Grossman, Helen E. Heslop and Stephen Gottschalk
Clin Cancer Res January 15 2010 (16) (2) 474-485; DOI: 10.1158/1078-0432.CCR-09-1322

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HER2-Specific T Cells Target Primary Glioblastoma Stem Cells and Induce Regression of Autologous Experimental Tumors
Nabil Ahmed, Vita S. Salsman, Yvonne Kew, Donald Shaffer, Suzanne Powell, Yi J. Zhang, Robert G. Grossman, Helen E. Heslop and Stephen Gottschalk
Clin Cancer Res January 15 2010 (16) (2) 474-485; DOI: 10.1158/1078-0432.CCR-09-1322
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