PMID- 24570975 OWN - NLM STAT- MEDLINE DCOM- 20150724 LR - 20211021 IS - 2326-6074 (Electronic) IS - 2326-6066 (Print) IS - 2326-6066 (Linking) VI - 1 IP - 3 DP - 2013 Sep TI - Human regulatory T cells kill tumor cells through granzyme-dependent cytotoxicity upon retargeting with a bispecific antibody. PG - 163 LID - 10.1158/2326-6066.CIR-13-0049 [doi] AB - A major mechanism by which human regulatory T cells (T(regs)) have been shown to suppress and kill autologous immune cells is through the granzyme-perforin pathway. However, it is unknown whether T(regs) also possess the capacity to kill tumor cells using similar mechanisms. Bispecific antibodies (bscAbs) have emerged as a promising class of therapeutics that activate T cells against tumor antigens without the need for classical MHC-restricted TCR recognition. Here, we show that a bscAb targeting the tumor-specific mutation of the epidermal growth factor receptor, EGFRvIII, redirects human CD4(+)CD25(+)FoxP3(+) T(regs) to kill glioblastoma (GBM) cells. This activity was significantly abrogated by inhibitors of the granzyme-perforin pathway. Notably, analyses of human primary GBM also displayed diffuse infiltration of granzyme-expressing FoxP3(+) T cells. Together, these data suggest that despite their known suppressive functions, tumor-infiltrating T(regs) possess potent cytotoxic mechanisms that can be co-opted for efficient tumor cell lysis. FAU - Choi, Bryan D AU - Choi BD AD - Duke Brain Tumor Immunotherapy Program, Division of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710 ; Department of Pathology, Duke University Medical Center, Durham, NC 27710. FAU - Gedeon, Patrick C AU - Gedeon PC AD - Duke Brain Tumor Immunotherapy Program, Division of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710 ; Department of Biomedical Engineering, Duke University, Durham, NC 27708. FAU - Herndon, James E 2nd AU - Herndon JE 2nd AD - Department of Biostatistics and Bioinformatics, Duke University, Durham, NC 27710. FAU - Archer, Gary E AU - Archer GE AD - Duke Brain Tumor Immunotherapy Program, Division of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710. FAU - Reap, Elizabeth A AU - Reap EA AD - Duke Brain Tumor Immunotherapy Program, Division of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710. FAU - Sanchez-Perez, Luis AU - Sanchez-Perez L AD - Duke Brain Tumor Immunotherapy Program, Division of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710. FAU - Mitchell, Duane A AU - Mitchell DA AD - Duke Brain Tumor Immunotherapy Program, Division of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710 ; Department of Pathology, Duke University Medical Center, Durham, NC 27710 ; The Preston Robert Tisch Brain Tumor Center at Duke, Duke University Medical Center, Durham, NC 27710. FAU - Bigner, Darell D AU - Bigner DD AD - Department of Pathology, Duke University Medical Center, Durham, NC 27710 ; The Preston Robert Tisch Brain Tumor Center at Duke, Duke University Medical Center, Durham, NC 27710. FAU - Sampson, John H AU - Sampson JH AD - Duke Brain Tumor Immunotherapy Program, Division of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710 ; Department of Pathology, Duke University Medical Center, Durham, NC 27710 ; The Preston Robert Tisch Brain Tumor Center at Duke, Duke University Medical Center, Durham, NC 27710. LA - eng GR - 5P50-NS020023- 29/NS/NINDS NIH HHS/United States GR - P50 NS020023/NS/NINDS NIH HHS/United States GR - R01 CA135272/CA/NCI NIH HHS/United States GR - F30 CA177152/CA/NCI NIH HHS/United States GR - 3R25-NS065731-03S1/NS/NINDS NIH HHS/United States GR - NIH 5R01-CA135272-04/CA/NCI NIH HHS/United States GR - T32 GM007171/GM/NIGMS NIH HHS/United States GR - 1F30CA177152-01/CA/NCI NIH HHS/United States GR - R25 NS065731/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer Immunol Res JT - Cancer immunology research JID - 101614637 RN - 0 (Antibodies, Bispecific) RN - 126465-35-8 (Perforin) RN - EC 3.4.21.- (Granzymes) SB - IM MH - Antibodies, Bispecific/*immunology MH - Cell Line, Tumor MH - *Cytotoxicity, Immunologic MH - Glioblastoma/*immunology MH - Granzymes/*metabolism MH - Humans MH - Lymphocyte Activation/immunology MH - Perforin/*metabolism MH - T-Lymphocytes, Regulatory/*immunology PMC - PMC3932050 MID - NIHMS525715 OTO - NOTNLM OT - Bispecific Antibodies OT - Glioblastoma OT - Granzymes OT - Immunomodulation OT - Regulatory T Cells COIS- Conflict of Interest Statement: The authors B.D.C., D.D.B. and J.H.S. have a patent pending for EGFRvIII as a tumor-specific target for bispecific antibody therapy. EDAT- 2014/02/27 06:00 MHDA- 2015/07/25 06:00 PMCR- 2014/09/01 CRDT- 2014/02/27 06:00 PHST- 2014/02/27 06:00 [entrez] PHST- 2014/02/27 06:00 [pubmed] PHST- 2015/07/25 06:00 [medline] PHST- 2014/09/01 00:00 [pmc-release] AID - 10.1158/2326-6066.CIR-13-0049 [doi] PST - ppublish SO - Cancer Immunol Res. 2013 Sep;1(3):163. doi: 10.1158/2326-6066.CIR-13-0049.