1. Academic Validation
  2. Interruption of MDM2 signaling augments MDM2-targeted T cell-based antitumor immunotherapy through antigen-presenting machinery

Interruption of MDM2 signaling augments MDM2-targeted T cell-based antitumor immunotherapy through antigen-presenting machinery

  • Cancer Immunol Immunother. 2021 Dec;70(12):3421-3434. doi: 10.1007/s00262-021-02940-5.
Michihisa Kono 1 Takumi Kumai 2 3 Ryusuke Hayashi 1 Hidekiyo Yamaki 1 Hiroki Komatsuda 1 Risa Wakisaka 1 Toshihiro Nagato 4 Takayuki Ohkuri 4 Akemi Kosaka 4 Kenzo Ohara 1 Kan Kishibe 1 Miki Takahara 1 Akihiro Katada 1 Tatsuya Hayashi 1 5 Esteban Celis 6 Hiroya Kobayashi 4 Yasuaki Harabuchi 1
Affiliations

Affiliations

  • 1 Department of Otolaryngology-Head & Neck Surgery, Asahikawa Medical University, Asahikawa, 078-8510, Japan.
  • 2 Department of Otolaryngology-Head & Neck Surgery, Asahikawa Medical University, Asahikawa, 078-8510, Japan. t-kumai@asahikawa-med.ac.jp.
  • 3 Department of Innovative Head & Neck Cancer Research and Treatment, Asahikawa Medical University, Asahikawa, Japan. t-kumai@asahikawa-med.ac.jp.
  • 4 Department of Pathology, Asahikawa Medical University, Asahikawa, Japan.
  • 5 Department of Innovative Head & Neck Cancer Research and Treatment, Asahikawa Medical University, Asahikawa, Japan.
  • 6 Cancer Immunology, Inflammation and Tolerance Program, Augusta University, Georgia Cancer Center, Augusta, GA, USA.
Abstract

Identification of immunogenic tumor antigens, their corresponding T cell epitopes and the selection of effective adjuvants are prerequisites for developing effective Cancer immunotherapies such as therapeutic vaccines. Murine double minute 2 (MDM2) is an E3 ubiquitin-protein Ligase that negatively regulates tumor suppressor p53. Because MDM2 overexpression serves as a poor prognosis factor in various types of tumors, it would be beneficial to develop MDM2-targeted Cancer vaccines. In this report, we identified an MDM2-derived peptide epitope (MDM232-46) that elicited antigen-specific and tumor-reactive CD4+ T cell responses. These CD4+ T cells directly killed tumor cells via granzyme B. MDM2 is expressed in head and neck Cancer patients with poor prognosis, and the T cells that recognize this MDM2 peptide were present in these patients. Notably, Nutlin-3 (MDM2-p53 blocker), inhibited tumor cell proliferation, was shown to augment antitumor T cell responses by increasing MDM2 expression, HLA-class I and HLA-DR through class II transactivator (CIITA). These results suggest that the use of this MDM2 peptide as a therapeutic vaccine combined with MDM2 inhibitors could represent an effective immunologic strategy to treat Cancer.

Keywords

Head and neck squamous cell carcinoma; Immunotherapy; MDM2; MDM2 inhibitor; Peptide vaccine; Tumor-associated antigen.

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