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Annual Report: 2004

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Introduction

The Lausanne branch has continued to focus its activities on the molecular and cellular mechanisms that regulate immunity mediated by T cells, natural killer (NK) cells and NKT cells. Given the complexities of the innate and adaptive immune systems, a significant part of the laboratory research program involves studies in mice that aim at the elucidation of the variety of recognition strategies used by lymphoid cells. As a result of the recent progress in the identification of tumor antigens recognized by CD8+ T cells in cancer patients, a strong emphasis of the branch laboratory research program deals with the basics of human cancer immunology. This program is closely integrated with our growing clinical program, which is conducted as a part of the Institute’s Cancer Vaccine Program.

In addition to the longstanding interactions established with our local partners, such as the Department of Biochemistry (University of Lausanne), the Swiss Institute of Experimental Cancer Research (ISREC), the Lausanne unit of the Swiss Institute of Bioinformatics and the Multidisciplinary Oncology Center (CePO) at the University hospital of Lausanne (CHUV), new collaborative work has been implemented with several groups of the Swiss Federal Institute of Technology Lausanne (EPFL). Thanks to this partnership with local research and clinical academic institutions, the branch is in a unique position to translate into clinical investigations and applications the insights and discoveries generated through basic immunology research.

It is noteworthy that this local interinstitutional network will be considerably strengthened in the near future following the decision made this year by the University of Lausanne, the EPFL and the CHUV to create a comprehensive cancer center in partnership with ISREC and LICR. As this development will greatly enhance and broaden our research capability and, hence, offer new research opportunities to the branch, we look forward with great enthusiasm to the next phase of our activities.

 

 

Research Report

Cell Fate Determination Group

The Cell Fate Determination Group led by Dr. Freddy Radtke is interested in the molecular mechanisms controlling stem cell maintenance, lineage commitment and differentiation in self-renewing systems such as the hematopoietic system, the skin and the gut. In addition this group investigates the potential role of these mechanisms in tumorigenesis. Current attention is focused on the Notch signaling pathway, which regulates numerous binary cell fate decisions in diverse organisms. Previous studies by the group using conditional gene targeting strategy have established an essential role for Notch1 in specifying the T cell lineage. In addition a novel function for Notch1 has been uncovered at a later stage of T cell development, where it is involved in the control of VDJ rearrangement at the T cell receptor (TCR) beta locus. In the skin an unexpected function of Notch1 as a tumor suppressor gene has been discovered. In the intestinal tract Notch signaling is required for the maintenance of undifferentiated proliferative cells in crypts thereby acting as a gatekeeper of stem/progenitor cells.

 

Developmental Immunology Group

The Developmental Immunology Group led by Dr. Rob MacDonald continues to be interested in the development of T cells and in particular a subset of nonconventional T cells known as NKT cells. NKT cells have recently emerged as an important regulatory T cell subset implicated in autoimmunity and tumor immunity. In contrast to conventional T cells NKT cells utilize a semi-invariant aßTCR to recognize glycolipids presented by the monomorphic CD1d molecule. In order to study thymic selection of NKT cells the group has produced transgenic mice expressing CD1d either on CD4+ CD8+ cortical thymocytes or on thymic dendritic cells. Positive selection of NKT cells was found to be mediated exclusively by cortical thymocytes whereas negative selection was mediated primarily (but not exclusively) by dendritic cells. Thus, like conventional T cells, the NKT cell repertoire is shaped by both positive and negative selection.

A more recent interest of the group is the role of the proto-oncogene c-myc in hematopoiesis. In collaboration with Dr. Andreas Trumpp (ISREC) the group has used conditional gene targeting to delete c-myc in adult bone marrow. As expected from the well known function of c-myc in proliferation, all differentiated cell lineages (myeloid, erythroid and lymphoid) disappeared with time in c-myc-deficient bone marrow. Unexpectedly, however, hematopoietic stem cells not only persisted but actually increased in number. These studies indicate that c-myc plays a pivotal role in maintaining the balance between hematopoietic stem cells self-renewal and differentiation.

 

Innate Immunity Group

The Innate Immunity Group led by Dr. Werner Held studies the development and function of NK cells. NK cells play important roles in innate immunity to infection and tumor cells. NK cell-mediated lysis of target cells is regulated by a dual receptor system, which integrates signals from activating receptors and inhibitory receptors. The latter interact with Major Histocompatibility Complex (MHC) class I molecules expressed on target cells. Surprisingly the group found that the inhibitory Ly49A NK cell receptor not only binds to the MHC class I ligand expressed on potential target cells (i.e. in trans) but is constitutively associated with MHC class I in cis (i.e. on the same cell). Cis association and trans interaction occur via the same binding site. Consequently, cis association limits the number of Ly49A receptors available for binding MHC class I on target cells, thereby dampening NK cell inhibition via Ly49A. By lowering the threshold at which NK cell activation exceeds NK cell inhibition, cis interaction seems to allow an optimal discrimination of normal and infected or transformed host cells.

 

Molecular Immunology Group

The main research interest of the Molecular Immunology Group led by Dr. Immanuel Luescher is focused on the molecular mechanisms involved in CD8+ cytolytic T lymphocyte (CTL) recognition of, and activation by, peptide-MHC (pMHC) complexes. The current research effort is based on the preparation of well defined soluble pMHC complexes and their testing on CD8+ T cells. Initially the group prepared and studied dimeric pMHC complexes containing linkers of different length connecting the a3 C-termini of the two pMHC entities. Findings obtained include: (i) pMHC dimers containing short linkers (10-30 Å) efficiently bind to and activate cloned CTL, whereas those containing long linkers do not; (ii) pMHC dimers containing short, but not those containing long linkers, induce rapid death of activated, but not naïve, CD8+ T cells. This effect is not based on classical death mechanisms (e.g. granzyme/perforin-, Fas-, TRAIL- or TNFRmediated), but relies on cell activation-dependent mitochondrial dysfunction and most likely involves Bcl2 pro-apoptotic family members (e.g. BIM and BNIP3); (iii) pMHC complexes containing long rigid linkers not only fail to trigger CD8+ T cells but effectively inhibit CTL-mediated cytotoxicity; (iv) based on cell activation and binding studies, FRET experiments and computer assisted docking experiments, the group discovered a binary binding mode by which two TCR molecules engage in an anti-parallel manner to two pMHC complexes facing each other with their constant domains. Subsequent studies with well defined tetramers and octameric pMHC complexes confirmed these findings. Notably, it was found that octameric pMHC complexes with sub-nanomolar binding constants that contain short linkers induce CTL death, whereas those containing long rigid linkers completely inhibit CTL-mediated cytotoxicity. This work, done in collaboration with groups at the Swiss Federal Institute of Technology Lausanne (EPFL), uses single molecule microscopy as a new tool to investigate peptide presentation by antigen-presenting cells as well as peptide recognition by CTL on a molecular level.

Antigen Processing Group

The Antigen Processing Group led by Dr. Frédéric Lévy is involved in the analysis of the intracellular events that contribute to the production of CTLdefined tumor antigens. The group has shown previously that the HLA-A*0201-restricted immunodominant peptide derived from Melan-A, the target of vaccine trials in the branch, is inefficiently processed in cells expressing the immunoproteasomes, a type of proteasome that is constitutively expressed in dendritic cells and induced in many other cells upon exposure to IFN-?. Immunization of HLA-A2 transgenic mice with third generation recombinant lentiviral vectors expressing the minimal antigenic determinant of Melan-A induced a potent T cell response, which was detectable ex vivo. In contrast, only a modest response was detected after immunization with lentivectors containing the sequence of the full length Melan-A protein. To test whether the expression of immunoproteasomes contributes to this poor response, the group performed similar experiments in HLA-A2 transgenic mice in which the gene coding for LMP2, one of the catalytic subunits of the immunoproteasome, has been deleted. These mice were generated in collaboration with the group of Dr. B. Van den Eynde (LICR, Brussels branch). Contrary to the response observed in HLA-A2 transgenic mice, immunization of these HLA-A2 LMP2-/- mice with lentivectors containing the full-length Melan-A sequence resulted in a T cell response that was indistinguishable, both in amplitude and quality, from the response after immunization with lentivectors containing the sequence of the minimal determinant. These results demonstrate that the expression of immunoproteasomes negatively affects the processing of Melan-A, thereby influencing the anti-Melan-A T cell response in vivo.

As part of the Cancer Antigen Discovery Collaborative program established between LICR and the Cancer Research Institute, a project aiming at the identification of new candidate peptide tumor antigens in colorectal cancer has recently been launched. To this end, the group has collected pairs of normal and neoplastic colorectal samples from over 30 patients undergoing surgery at the Lausanne University hospital. In those samples, the group has first monitored the expression of several CT antigens, including NY-ESO-1, SSX-2, MAGE-A3, MAGE-A4, MAGE-A10 and the recently characterized NXF2 by end-point PCR. For all those genes, the relative expression frequencies were lower than 20%, limiting their use for immunotherapeutic treatments of colorectal cancers. In collaboration with V. Jongeneel, P. Romero and D. Speiser the group has initiated a large-scale gene analysis of pairs of colorectal samples and has identified several potential targets.

Molecular Tumor Immunology Group

Research activities of the Molecular Tumor Immunology group led by Dr. Jean-Charles Cerottini are devoted to the characterization of human tumor antigens that are recognized by CD8+ T cells from melanoma patients. One project aims at identifying the function and regulation of the melanocyte lineage specific protein Melan-A, a small transmembrane protein that is the target of vaccine trials in the branch. Melan-A is present in the trans-Golgi network and in early stage melanosomes of pigmented cells. The group has generated Melan-A in vitro knock-down cells using lentivirus-delivered siRNA as well as Melan-A overexpressing cells. Characterization of these cells showed that Melan-A, in contrast to other melanocyte-specific proteins, has a negative role in pigmentation. Expression of tyrosinase, the key enzyme in melanin synthesis, was not altered in Melan-A knock-down or overexpressing cells, suggesting that Melan-A may affect melanogenesis by modifying the melanosomal environment. In addition, it has been found that Melan-A is mono-ubiquitylated and interacts with two members of the HECT-E3 ubiquitin ligase family. Blocking Melan-A ubiquitylation decreased the half-life of the protein and affected its localization. Interestingly, this also influenced melanin content in melanocytic cells. The results suggest a role of ubiquitylation in the sorting of Melan-A from melanosomes to multi-vesicular bodies. These findings also highlight the importance of ubiquitylation processes in the physiology of pigmented cells.

Another project, which is carried out in collaboration with the Swiss Institute of Bioinformatics, is focused on the development of molecular modeling techniques, such as homology modeling, molecular dynamics and free energy simulations, to design optimized peptides for cancer vaccines as well as optimized specific TCR sequences for adoptive transfer. In particular, TCR
sequences that compose the tumor specific repertoire of human CD8+ T cells have been modeled to allow structural comparison and identification of key structural motifs. In parallel, a residue based free energy decomposition has been carried out to identify the relative importance of each residue of the CDR loops to the TCR affinity. Based on both methods, rational TCR modifications are proposed and evaluated in silico with the same methods. Since the kinetic parameters of TCR binding are also key for T cell activation, the group has established a new method based on non-equilibrium statistical mechanics to compute the binding free energy profile of the TCR. The method has been evaluated on a test system for which the experimental kinetic parameters were reproduced with good accuracy and is now used to evaluate interesting modified TCR sequences. Once promising candidates have been determined with the in silico approach, an in vitro validation using soluble molecules and Biacore techniques will be carried out.

 

Clinical Tumor Immunology Group

The Clinical Tumor Immunology Group led by Dr. Pedro Romero continues its studies on both naturally acquired and vaccine induced CD8+ T cell responses to well defined melanoma tumor antigens. To this end, the group is investigating the relationship between the T cell surface phenotype and functional stage of differentiation. While it is widely accepted that T cells not previously exposed to antigen in the periphery co-express the high molecular weight isoform of CD45, CD45RA, and the SLC/ELC chemokines receptor CCR7, the group has identified a subset of cord blood CD8+ T cells that does not express the latter molecule. Such subset is rare or does not exist at all in peripheral T cells in adult individuals. Detailed characterization of these cells conclusively showed that they were naïve T cells and already present in the mature single CD8+ thymocyte population. We suggest that these cells represent precursors of naïve T cells programmed to enter peripheral tissues (e.g. the skin) that may play a role in the acquisition of peripheral tolerance during the neonatal phase of life, such as demonstrated in mouse models. This year the group has also concluded a major study assessing the functional properties of antigen-experienced CD8+ T cells in various tissues obtained from a relatively large group of cancer patients. Taking advantage of the high frequencies of Melan-A-specific T cells often occurring in HLA-A2 patients with advanced melanoma, the group has extensively phenotyped these cells and isolated them directly from freshly dissociated tumor masses for functional assays such as lytic activity, cytokine secretion and expression of effector function associated genes. It should be stressed that this study is unique in that it avoids in vitro expansion of the antigen specific T cells, thus allowing to acquire information on the functional status of T cells infiltrating human tumors. The major finding was that T cells recovered from tumor masses are hyporesponsive. Indeed, they have reduced levels of perforin and lytic activity and they are unable of releasing IFN-? upon antigen challenge. However, they are still able to produce IFN-? when the stimulus bypasses the T cell receptor. Importantly, hyporesponsiveness is reversible upon short term in vitro culture. The cells also display significant levels of proliferation when cultured in the presence of cytokines. An additional interesting finding was that the T cells with the same antigen specificity that were recovered from the circulating compartment from the same patients appeared functionally competent thus pointing to a tumor associated state of functional tolerance. These findings may help explaining, at least in part, the paradox of tumor progression in patients with apparently vigorous responses of circulating tumor antigen-specific T cells. They raise two important issues. First, the critical importance of monitoring T cell function, and not jut T cell frequencies, in the tumor microenvironment. And, second, the need to identify strategies to overcome blunting of the specific T cell response within the tumor for vaccines to be clinically effective.

As part of LICR’s Cancer Vaccine Program a series of clinical trials of specific immunotherapy of cancer are conducted by the subgroup led by Dr. Daniel Speiser. The objectives of the program is to pursue the step-by-step development of optimized peptide-based cancer vaccines. Melanoma patients have been immunized with peptides, adjuvants and novel immune stimulatory substances, particularly CpG oligodeoxynucleotides. Peptides under investigation are the HLA-A*0201 restricted antigens Melan-A, tyrosinase, NY-ESO-1 and MAGEA10. Immune responses are assessed ex vivo, allowing to quantify activated T cells and directly characterize their molecular and functional properties quantitatively and qualitatively. The results obtained so far show that, unlike patients receiving peptide in saline (who had no detectable immune responses), peptide incorporation in incomplete’s Freund’s (IFA) adjuvant led to relatively strong T cell activation in about half of the patients. Patients treated with peptide plus the newly developed CpG oligodeoxynucleotides 7909 in IFA reached about 10 times higher T cell frequencies, and thus exhibited a considerably stronger T cell expansion than that obtained so far with synthetic T cell vaccines used at low peptide doses. The goal is to induce protective T cell responses leading to cancer regression and/or disease stabilization and is based on the straight forward assumption that protective T cells express high affinity TCRs, undergo strong clonotypic bursts (leading to high frequencies in vivo), home to diseased tissue and efficiently exert effector functions (cytotoxicity, cytokine production) in situ. The group is directly testing this assumption by applying cellular and molecular immune monitoring approaches. In particular, new cell sorting strategies are now combined with PCR-based techniques to the analysis of single antigenspecific T cells, including T cell receptor CDR3ß-spectratyping and as well as expression of transcripts encoding molecules associated with T cell functions.

 

 

 

 

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