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    Lecture 2: Potential anti-cancer immune effectors part 1: cytotoxic T cells (CTLs)

    Overview (i) Potential anti-cancer immune effectors

    (ii) The Major Histocompatibility Complex

    Fig 2.1

    Fig 2.2-2.4

    Generation of cancer cell-specific CTLs

    (i) Pathways and tumor-induced suppression Fig 2.5-2.7

    (ii) The TIL-cell therapy Fig 2.8

    Identification of tumor-specific antigens (TSAs) via CTLs

    (i) Mutagen-induced TSAs Fig 2.9-2.10

    (ii) Naturally occurring TSAs (murine) Fig 2.11

    (iii) Naturally occurring TSAs (human) Fig 2.12-2.13

    Identification of TSAs via antibodies (Abs)

    (i) Generation of cancer cell-specific Abs Fig 2.14

    (ii) Ab screening of TSAs Fig 2.15

    Types of TSAs Fig 2.16

    Optimal generation of TSA-specific CTLs

    (i) Costimulatory signals Fig 2.17-2.18

    (ii) Anti-cancer vaccination using Dendritic Cells Fig 2.19

    (iii) Antigen-processing/presentation defects Fig 2.20-2.21

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    Figure 2.1: Potential anti-cancer immune effectors

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    A group of tightly-linked genes encoding proteins related to immune recognition

    Polygenic (several different MHC genes) with codominant expression Human MHC region is called HLA

    Murine MHC region is called H-2

    Three main regions called I, II, and III:

    Region I encodes MHC class I

    molecule heavy chain: K, D, & L in mouse

    A, B, & C in human

    Region II encodes MHC class IImolecule and chain:

    I-A and I-E in mouse

    DP, DR, & DQ in human

    Region III encodes other immune-related secreted molecules

    Complement (C) proteins,TNFa/b

    Figure 2.2: The Major Histocompatibility complex: gene structure

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    MHC class HLAlocus

    Number ofallotypes

    MHC class I

    A 218

    B 439

    C 96

    MHC class II

    DP 1

    DP 1

    12

    88

    DQ 1

    DQ 1

    17

    42

    DR

    DR 1DR 3

    DR 4

    DR 5

    2

    26930

    7

    12

    Highly polymorphic (many different alleles)

    Haplotype = a particular combination ofHLA alleles at each of the loci (1 inheritedfrom father; one from mother)

    Chance of finding a fully HLA-matcheddoner: on average 1/30 000

    In mice: inbred mouse strains:

    each mouse of the strain has the same

    H-2 alleles

    Figure 2.3: The Major Histocompatibility complex: polymorphism

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    different MHC alleles bind different antigen-derived peptides

    diversity in antigen presentation

    Figure 2.4: MHC allelic variations occur in the peptide-binding pocket

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    Figure 2.5: Class I restricted recognition: generation of killer T cells

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    Figure 2.6: Class I restricted recognition: impaired generation of killer T cells

    Tumor growth factor- (TGF-)

    Interleukin-10 (IL-10)

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    Figure 2.7: Class I restricted recognition: impaired activity of killer T cells

    Indoleamine 2,3-dioxygenase (IDO) -> tryptophane catabolism

    (Arginase/iNOS -> arginine catabolism)

    AMINO ACID CATABOLISM

    Remarks: Involvement of tumor stromal cells

    Natural role in pathogen defense & in immune tolerance processes

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    Figure 2.8: Adoptive transfer of tumor-infiltrating lymphocytes (TILs)

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    Figure 2.9: Identification of mutagen-induced TS(T)As(tumor specific transplantation antigens)

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    Figure 2.10: Molecular identification of mutagen-induced TSAs

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    Figure 2.11: Identification of naturally occurring TSA (murine)

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    Figure 2.12: Identification of naturally occurring TSA (CTL screening)

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    Figure 2.13: CTL screening of TSA - continuation

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    Figure 2.14: Class II restricted recognition: generation of antibodies

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    Figure 2.15: Identification of naturally occurring TSA (antibody screening)

    SEREX: serological analysis of recombinant cDNA expression libraries of human tumors with autologous serum

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    Cancer/testis antigens

    MAGE family

    NY-ESO-1

    Differentiation antigens

    E.g. Melan-A/MART-1, tyrosinase in melanoma

    Mutational antigens

    E.g. mutated p53

    Viral antigens

    E.g. EBV, HPV antigens

    Overexpressed/amplified antigens

    E.g. HER-2/neu

    Figure 2.16: Types of tumor specific antigens

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    Figure 2.17: Class I restricted recognition: generation of killer T cells

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    Figure 2.18: Class I restricted recognition: bypassing signal 2

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    Figure 2.19: Anti-cancer vaccination using dendritic cells

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    Figure 2.20: Pathways of antigen processing/presentation

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    Figure 2.21: Role of LMP/TAP in antigen processing

    Deficiencies in antigen processing:

    tumor escape

    tools for tumor specific peptide screening