PMID- 25232180 OWN - NLM STAT- MEDLINE DCOM- 20150526 LR - 20240210 IS - 1946-6242 (Electronic) IS - 1946-6234 (Linking) VI - 6 IP - 254 DP - 2014 Sep 17 TI - Anti-CTLA-4 therapy broadens the melanoma-reactive CD8+ T cell response. PG - 254ra128 LID - 10.1126/scitranslmed.3008918 [doi] AB - Anti-CTLA-4 treatment improves the survival of patients with advanced-stage melanoma. However, although the anti-CTLA-4 antibody ipilimumab is now an approved treatment for patients with metastatic disease, it remains unknown by which mechanism it boosts tumor-specific T cell activity. In particular, it is unclear whether treatment amplifies previously induced T cell responses or whether it induces new tumor-specific T cell reactivities. Using a combination ultraviolet (UV)-induced peptide exchange and peptide-major histocompatibility complex (pMHC) combinatorial coding, we monitored immune reactivity against a panel of 145 melanoma-associated epitopes in a cohort of patients receiving anti-CTLA-4 treatment. Comparison of pre- and posttreatment T cell reactivities in peripheral blood mononuclear cell samples of 40 melanoma patients demonstrated that anti-CTLA-4 treatment induces a significant increase in the number of detectable melanoma-specific CD8 T cell responses (P = 0.0009). In striking contrast, the magnitude of both virus-specific and melanoma-specific T cell responses that were already detected before start of therapy remained unaltered by treatment (P = 0.74). The observation that anti-CTLA-4 treatment induces a significant number of newly detected T cell responses-but only infrequently boosts preexisting immune responses-provides strong evidence for anti-CTLA-4 therapy-enhanced T cell priming as a component of the clinical mode of action. CI - Copyright (c) 2014, American Association for the Advancement of Science. FAU - Kvistborg, Pia AU - Kvistborg P AD - The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, Netherlands. p.kvistborg@nki.nl t.schumacher@nki.nl. FAU - Philips, Daisy AU - Philips D AD - The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, Netherlands. FAU - Kelderman, Sander AU - Kelderman S AD - The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, Netherlands. FAU - Hageman, Lois AU - Hageman L AD - The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, Netherlands. FAU - Ottensmeier, Christian AU - Ottensmeier C AD - National Institute for Health Research Southampton Experimental Cancer Medicine Centre and Southampton University Hospitals, Tremona Road, Southampton, Hampshire SO16 6YD, UK. FAU - Joseph-Pietras, Deborah AU - Joseph-Pietras D AD - National Institute for Health Research Southampton Experimental Cancer Medicine Centre and Southampton University Hospitals, Tremona Road, Southampton, Hampshire SO16 6YD, UK. FAU - Welters, Marij J P AU - Welters MJ AD - Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, Netherlands. FAU - van der Burg, Sjoerd AU - van der Burg S AD - Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, Netherlands. FAU - Kapiteijn, Ellen AU - Kapiteijn E AD - Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, Netherlands. FAU - Michielin, Olivier AU - Michielin O AD - Ludwig Center for Cancer Research, Department of Oncology, University of Lausanne, Rue Pierre-Decker 4, 1011 Lausanne, Switzerland. FAU - Romano, Emanuela AU - Romano E AD - Ludwig Center for Cancer Research, Department of Oncology, University of Lausanne, Rue Pierre-Decker 4, 1011 Lausanne, Switzerland. FAU - Linnemann, Carsten AU - Linnemann C AD - The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, Netherlands. FAU - Speiser, Daniel AU - Speiser D AD - Ludwig Center for Cancer Research, Department of Oncology, University of Lausanne, Rue Pierre-Decker 4, 1011 Lausanne, Switzerland. FAU - Blank, Christian AU - Blank C AD - The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, Netherlands. FAU - Haanen, John B AU - Haanen JB AD - The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, Netherlands. FAU - Schumacher, Ton N AU - Schumacher TN AD - The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, Netherlands. p.kvistborg@nki.nl t.schumacher@nki.nl. LA - eng GR - 15951/CRUK_/Cancer Research UK/United Kingdom PT - Journal Article PL - United States TA - Sci Transl Med JT - Science translational medicine JID - 101505086 RN - 0 (Antibodies, Monoclonal) RN - 0 (CTLA-4 Antigen) RN - 0 (Ipilimumab) SB - IM MH - Antibodies, Monoclonal/immunology/*therapeutic use MH - CD8-Positive T-Lymphocytes/*immunology MH - CTLA-4 Antigen/*immunology MH - Humans MH - *Immunotherapy MH - Ipilimumab MH - Melanoma/immunology/*therapy EDAT- 2014/09/19 06:00 MHDA- 2015/05/27 06:00 CRDT- 2014/09/19 06:00 PHST- 2014/09/19 06:00 [entrez] PHST- 2014/09/19 06:00 [pubmed] PHST- 2015/05/27 06:00 [medline] AID - 6/254/254ra128 [pii] AID - 10.1126/scitranslmed.3008918 [doi] PST - ppublish SO - Sci Transl Med. 2014 Sep 17;6(254):254ra128. doi: 10.1126/scitranslmed.3008918.