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1065 A replication-defective, HSV-1-based gene therapy for localized delivery of combinatorial Interleukins-12 and -2 for the treatment of cutaneous malignancies 一种基于hsv -1的复制缺陷基因疗法,用于局部递送组合白介素-12和-2治疗皮肤恶性肿瘤
Pub Date : 2023-11-01 DOI: 10.1136/jitc-2023-sitc2023.1065
Dana Previte, Mary Jane Duermeyer, Jorge Guzman Lepe, Trevor Parry, Suma Krishnan
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引用次数: 0
634 EVEREST-1: A seamless phase 1/2 study of CEA logic-gated Tmod CAR T-cell therapy (A2B530) in patients with solid tumors associated with CEA expression also exhibiting HLA loss of heterozygosity (LOH) 634 EVEREST-1: CEA逻辑门控Tmod CAR - t细胞疗法(A2B530)在CEA表达相关的实体瘤患者中同时表现出HLA杂合性缺失(LOH)的无缝1/2期研究
Pub Date : 2023-11-01 DOI: 10.1136/jitc-2023-sitc2023.0634
Salman R Punekar, Theodore Welling, J Randolph Hecht, Julian Molina, Caleb Smith, Edward Garon, M Pia Morelli, Marwan Fakih, Kedar Kirtane, Patrick M Grierson, Sandip P Patel, Yi Lin, Scott Kopetz, Frederick L Locke, Jeffrey Ward, Ariane Lozac’hmeur, Matthew Frigault, Sarah Nikiforow, Wen-Kai Weng, Jennifer Specht, Tomislav Dragovich, Judy Vong, Armen Mardiros, Kirstin Liechty, William Y Go, John Welch, Eric W Ng, Marcela Maus, David Maloney, Diane M Simeone
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引用次数: 0
64 Augmenting low-plex multiplex imaging by leveraging the potential of same-slide H&E analysis 64利用同片H&E分析的潜力增强低路复用成像
Pub Date : 2023-11-01 DOI: 10.1136/jitc-2023-sitc2023.0064
Becky Arbiv, Assaf Debby, Nethanel Asher, Guy Ben-Betzalel, Ron Elran, Pinchas Birnbaum, Shai Bookstein, Tal Dankovich, Lena Tsabari, Yuval Shachaf, Yoad Cohen, Amit Bart, Oscar Puig, Kenneth Bloom, Ronnie Shapira-Frommer, Iris Barshack, Ettai Markovits
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引用次数: 0
749 Early phase oncology experience on the use of an oncolytic adenovirus encoding for TNFa and IL-2 for the treatment of solid tumors – Interim results 使用编码TNFa和IL-2的溶瘤腺病毒治疗实体瘤的早期肿瘤学经验——中期结果
Pub Date : 2023-11-01 DOI: 10.1136/jitc-2023-sitc2023.0749
Joao Santos, Inge Svane, Katriina Peltola, Tuomo Alanko, Riitta Korpisaari, Susanna Juteau, Marjut Jaakkola, Jorma Sormunen, Juha Kononen, Eva Ellebaek, Tine Monberg, Marco Donia, Amir Khammari, Brigitte Dreno, Santeri A Pakola, James Clubb, Elise Jirovec, Dafne CA Quixabeira, Tatiana Kudling, Lyna Haybout, Victor Cervera-Carrascon, Claudia Kistler, Suvi Sorsa, Riikka Havunen, Akseli Hemminki
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引用次数: 0
1064 Characterization of preclinical anti-tumor and pharmacodynamic activity in response to conditionally active IFNa with or without checkpoint blockade 有或无检查点阻断条件活性IFNa的临床前抗肿瘤和药效学活性的表征
Pub Date : 2023-11-01 DOI: 10.1136/jitc-2023-sitc2023.1064
Benjamin Povinelli, Kamaljeet Kaur, Alexey Berezhnoy, Hsin Wang, Nicole Lapuyade, Carol LePage, Michael Winter, Olga Vasiljeva, Madan Paidhungat, Vangipuram Rangan, Erwan Le Scolan, Leila Boustany, Marcia Belvin, Dylan Daniel
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引用次数: 0
82 Spatial immunophenotyping of longitudinal metastatic melanoma specimens to identify biomarkers of response and resistance to combination anti-LAG-3 + anti-PD-1-based immunotherapies 82纵向转移性黑色素瘤标本的空间免疫表型,以确定对抗lag -3 +抗pd -1联合免疫疗法的反应和耐药性的生物标志物
Pub Date : 2023-11-01 DOI: 10.1136/jitc-2023-sitc2023.0082
Tuba N Gide, Ella McCutcheon, Nigel Maher, Yizhe Mao, Ping Shang, Alexander M Menzies, Ines Pires da Silva, James S Wilmott, Richard A Scolyer, Georgina V Long
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引用次数: 0
955 Disruption of the circadian clock accelerates colorectal cancer and promotes immunosuppression 生物钟紊乱加速结直肠癌并促进免疫抑制
Pub Date : 2023-11-01 DOI: 10.1136/jitc-2023-sitc2023.0955
Selma Masri, Bridget Fortin
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引用次数: 0
1270 Predicting risk factors for severe immune-related adverse events requiring hospitalization from checkpoint inhibitors 1270预测因检查点抑制剂导致需要住院治疗的严重免疫相关不良事件的危险因素
Pub Date : 2023-11-01 DOI: 10.1136/jitc-2023-sitc2023.1270
Jordyn Silverstein, Michelle Wang, Francis Wright, Joy Huang, Jessica Santhakumar, Eva Duvalyan, Arabella Young, Daniel Kim, Kimberly De Dios, Sam Brondfield, Zoe Quandt

Background

As immune checkpoint inhibitors (CPI) are increasingly approved for the treatment of multiple cancer types, hospitalizations related to severe immune-related adverse events (irAE) will increase in tandem. Here, we identify risk factors that predict hospitalization from an irAE to help guide clinical decision-making for future patients on CPI therapy.

Methods

This retrospective case-control study included patients exposed to CPIs who were hospitalized from 1/2012 to 12/2020 at our tertiary care hospital by computationally extracting data from the electronic health record. We then performed manual chart review to include only confirmed irAE-related hospitalizations. Controls were patients who had received CPI therapy without an irAE hospitalization matched by gender, age and cancer type to the cases. Controls were manually chart reviewed for data abstraction and to confirm there was not an irAE hospitalization. We assessed association of hospitalization with variables of interest using student t and fisher exact as appropriate. We included variables in the multivariate logistic regression analysis that had p < 0.10 in the univariate analysis.

Results

Of 3137 patients treated with CPIs, 114 (3.6%) were hospitalized for irAEs, resulting in 124 hospitalizations. In this preliminary analysis, 158 controls were reviewed. Patients who were hospitalized did not have significant differences in age, gender, race, cancer type, body mass index, Eastern Cooperative Oncology Group (ECOG) performance status, smoking and alcohol history, and Charlson Comorbidity Index (table 1). The hospitalized group had more patients treated with combination therapy (PD-1/L1 and CTLA-4) (33.3% vs 13.3%) and less PD-1/L1 monotherapy (60.5% vs 82.9%) (p=0.001). The hospitalized group also had less prior CPI therapy (12.9% vs 31.0%, p=0.001). Patients hospitalized for an irAE had more pre-existing autoimmune conditions although not statistically significant (13.7% vs 6.9%, p=0.065). After multivariate logistic regression, pre-existing autoimmune condition (OR 2.41, 95% CI: 1.01–5.75 p=0.048) and combination immunotherapy (4.02, 2.13–7.59 p<0.001) was associated with increased odds of hospitalization, while prior CPI therapy was associated with decreased odds (0.32, 0.16–0.65 p=0.001) (table 2).

Conclusions

This real-world data suggest patients who have a pre-existing autoimmune condition or are being treated with combination immunotherapy had higher odds of an irAE hospitalization, while tolerating prior CPI therapy decreased odds of hospitalization. Understanding who is at risk for these events is critical both for weighing the risks and benefits of therapy, monitoring for toxicities, as well as eventually developing treatments that can prevent, modify or treat irAEs.

Ethics Approval

This study was approved by the UCSF Human Research Protection Program [#17–22987].
随着免疫检查点抑制剂(CPI)越来越多地被批准用于治疗多种癌症类型,与严重免疫相关不良事件(irAE)相关的住院治疗将随之增加。在这里,我们确定了预测irAE住院的危险因素,以帮助指导未来患者接受CPI治疗的临床决策。方法采用回顾性病例对照研究方法,对我院2012年1月至2020年12月住院的cpi暴露患者进行电子病历计算提取。然后,我们进行了手动图表回顾,仅包括确诊的irae相关住院病例。对照组是接受CPI治疗但未接受irAE住院治疗的患者,其性别、年龄和癌症类型与病例相匹配。对控制进行手工图表审查,以提取数据,并确认没有因急性急性发作而住院。我们评估住院治疗与相关变量的关联,适当时使用student t和fisher精确值。我们在多元逻辑回归分析中纳入了p <单变量分析为0.10。结果3137例接受cpi治疗的患者中,114例(3.6%)因irAEs住院,124例住院。在初步分析中,对158名对照进行了审查。住院患者在年龄、性别、种族、肿瘤类型、体重指数、东部肿瘤合作组(ECOG)工作状态、吸烟和饮酒史、Charlson合病指数等方面无显著差异(表1)。住院组采用PD-1/L1和CTLA-4联合治疗的患者较多(33.3% vs 13.3%),采用PD-1/L1单药治疗的患者较少(60.5% vs 82.9%) (p=0.001)。住院组既往的CPI治疗也较少(12.9% vs 31.0%, p=0.001)。因irAE住院的患者存在更多的自身免疫性疾病,但没有统计学意义(13.7% vs 6.9%, p=0.065)。多因素logistic回归后,既往自身免疫性疾病(OR 2.41, 95% CI:1.01-5.75 p=0.048)和联合免疫治疗(4.02,2.13-7.59 p=0.001)与住院率增加相关,而先前的CPI治疗与住院率降低相关(0.32,0.16-0.65 p=0.001)(表2)。这些真实世界的数据表明,已有自身免疫性疾病或正在接受联合免疫治疗的患者患irAE住院率较高,而耐受先前的CPI治疗可降低住院率。了解哪些人有这些事件的风险,对于权衡治疗的风险和益处、监测毒性以及最终开发可以预防、改变或治疗irae的治疗方法都至关重要。本研究已获得加州大学旧金山分校人类研究保护计划[# 17-22987]的批准。
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引用次数: 0
1103 Spatial mapping and clinical significance of the CD39/CD73 adenosinergic pathway as a candidate immunotherapy target in non-small cell lung cancer CD39/CD73腺苷能通路作为非小细胞肺癌候选免疫治疗靶点的空间定位和临床意义
Pub Date : 2023-11-01 DOI: 10.1136/jitc-2023-sitc2023.1103
Kerryan Ashley, Krishna Iyer, Rakesh Kumar, Zachary A Cooper, Roy S Herbst, Sarah Goldberg, Kurt Schalper

Background

The ectonucleotidases CD39 and CD73 act sequentially to convert ATP into highly immunosuppressive adenosine that can accumulate in the extracellular milieu and suppress NK/T-cell anti-tumor responses. Blockade of CD73 in combination with other immunostimulatory antibodies can induce anti-tumor responses in subset of patients with non-small cell lung cancer (NSCLC). The levels, spatial distribution, clinicopathologic associations and biomarker potential of the CD39/CD73 pathway in NSCLC, as well as the impact of chemoradiotherapy, remain poorly understood.

Methods

Using multiplexed quantitative immunofluorescence (mQIF), we simultaneously measured the levels of CD39, CD73 protein, CD8+ T-cells and cytokeratin (CK)-expressing cancer-cells in five retrospective NSCLC cohorts represented in tissue microarrays. The mQIF analysis included compartment-based measurements based on fluorescence co-localization as well as single-cell segmentation/phenotyping and spatial analysis. The first three cohorts included baseline tumor samples from patients with stages I-IV NSCLC treated with non-immunotherapy regimens (Cohort #1, n=179; Cohort #2, n=172; Cohort #3, n=267). The fourth cohort (Cohort #4, n= 68) included baseline tumor samples from patients treated with immunotherapy. The fifth cohort (Cohort #5, n=23 pairs) included paired biopsies before and after chemotherapy with or without radiotherapy. Associations between the markers with clinicopathologic variables and outcomes were studied.

Results

90% of NSCLCs showed detectable concurrent expression of both CD39 and CD73, but the levels were highly variable across cases. CD39+ cell density was higher in nonmalignant CK- stromal cell areas and CD73+ cell density was higher within the CK+ cancer cell nests. The levels of the markers were positively associated across the cohorts and high expression of CD39 or CD73 were consistently associated with higher local CD8+ T-cell infiltration and adenocarcinoma histology. CD8+ T-cells were more distant from CD73+ cancer cells than CD73- cancer cells. After chemoradiotherapy, CD73+ cells are significantly depleted. Stromal CD39+ cells and tumor CD73+ cells were associated with better outcomes after immunotherapy.

Conclusions

The CD39/CD73 pathway is expressed in the majority of NSCLCs with a distinct tumor/stromal cell distribution. This pathway is associated with local adaptive anti-tumor immune responses, adenocarcinoma histology and better outcome after immunotherapy. Chemo-radiotherapy reduces the density of CD73+ expressing cells in the tumor microenvironment without significantly altering the spatial distribution of these cells relative to CD8+ TILs.

Acknowledgements

Funding Source: AstraZeneca
外核苷酶CD39和CD73依次将ATP转化为高度免疫抑制的腺苷,腺苷可以在细胞外环境中积累并抑制NK/ t细胞的抗肿瘤反应。阻断CD73与其他免疫刺激抗体联合可诱导非小细胞肺癌(NSCLC)亚群患者的抗肿瘤反应。CD39/CD73通路在非小细胞肺癌中的水平、空间分布、临床病理关联和生物标志物潜力,以及放化疗的影响,目前尚不清楚。方法采用多路定量免疫荧光(mQIF)技术,同时检测组织微阵列中5个回顾性非小细胞肺癌队列中表达CD39、CD73蛋白、CD8+ t细胞和细胞角蛋白(CK)的癌细胞水平。mQIF分析包括基于荧光共定位的基于区室的测量,以及单细胞分割/表型和空间分析。前三个队列包括接受非免疫治疗方案的I-IV期非小细胞肺癌患者的基线肿瘤样本(队列1,n=179;队列2,n=172;队列#3,n=267)。第四个队列(队列4,n= 68)包括接受免疫治疗的患者的基线肿瘤样本。第五队列(队列#5,n=23对)包括化疗前后或不进行放疗的成对活检。研究了这些标志物与临床病理变量和结果之间的关系。结果90%的非小细胞肺癌可检测到CD39和CD73的同时表达,但不同病例的表达水平差异很大。CD39+细胞密度在非恶性CK-间质细胞区较高,CD73+细胞密度在CK+癌细胞巢内较高。这些标志物的水平在整个队列中呈正相关,CD39或CD73的高表达始终与较高的局部CD8+ t细胞浸润和腺癌组织学相关。CD8+ t细胞与CD73+癌细胞的距离远高于CD73-癌细胞。放化疗后,CD73+细胞明显减少。基质CD39+细胞和肿瘤CD73+细胞在免疫治疗后具有更好的预后。结论CD39/CD73通路在大多数非小细胞肺癌中表达,具有明显的肿瘤/间质细胞分布。该途径与局部适应性抗肿瘤免疫应答、腺癌组织学和免疫治疗后更好的预后有关。化疗降低了肿瘤微环境中CD73+表达细胞的密度,但相对于CD8+ TILs,这些细胞的空间分布没有明显改变。资金来源:阿斯利康
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引用次数: 0
1458 TTLL8, POTEE, and PKMYT1 are targetable tumor antigens in ovarian cancer 1458 TTLL8、POTEE和PKMYT1是卵巢癌的可靶向肿瘤抗原
Pub Date : 2023-11-01 DOI: 10.1136/jitc-2023-sitc2023.1458
Esen Yonca Bassoy, Remya Raja, Tom Rubino, Fabian Coscia, Krista Goergen, Brenda Ernst, Paul Magtibay, Kristina Butler, Alessandra Schmitt, Ann Oberg, Marion Curtis

Background

High-grade serous ovarian cancer (OC) is the most common and lethal subtype, with a 70% mortality rate and an 85% relapse rate within five years.1Cancer testes (CT) antigens are tumor-associated antigens with restricted expression in immune-privileged tissues, as well as abnormal expression in cancer.2 This indicates that they can be targeted for their immunogenicity without the risk of toxicity to normal tissue. Currently, few antigens have been validated for OC. We thus hypothesized that the use of immunopeptidomics could reveal novel CT antigens that can be targeted for OC treatment.

Methods

Immunopeptidomics was performed with the HLA-A2:01-positive OVCAR-5 cell line, and identified 10,197 peptides corresponding to 5,604 unique proteins. NetMHCcons was used to generate consensus affinity values for each peptide and identified high-confidence HLA-A02:01-restricted peptides. The expression profiles of each protein were analyzed in the Human Protein Atlas database. Tissue microarrays containing 120 patient samples were stained via immunohistochemistry (IHC) to assess tumor expression levels and survival analysis was carried out. Primary human T cell samples were stimulated with peptide candidates and intracellular cytokine staining (IC), tetramer-staining, and T cell killing assays against peptide-pulsed OC cells were performed.

Results

We performed immunopeptidomics on an OC cell line that expresses the common HLA-A02:01 haplotype to find possible new tumor antigens that could be used as immunotherapy targets. From this dataset, we identified TTLL8, POTEE, and PKMYT1 peptides as candidate tumor antigens. Using tissue microarrays, TTLL8 was found to be expressed in 60% of OC and was significantly associated with a worse overall prognosis. POTEE was expressed in over 90% of OC patients and had no significant association with survival. Expression of POTEE was increased in OC cell lines by treatment with a DNA methyltransferase inhibitor as is characteristic of many CT antigens. In patient tumor samples, TTLL8-, POTEE-, and PKMYT1-specific CD8 T cell responses were identified by increases in cytokine production and tetramer-positive populations. TTLL8-, POTEE-, and PKMYT1-specific T cells induced tumor cell killing of antigen pulsed OC cells. The use of a blocking antibody targeting MHC class I demonstrated that the T cell-induced killing was dependent on CD8 T cell recognition of antigen.

Conclusions

These results suggest that TTLL8, POTEE, and PKMYT1 are good targets for the development of antigen-targeted immunotherapy in OC.

Acknowledgements

This study was supported by a Career Enhancement Award (MC) from the Mayo Clinic Ovarian SPORE grant (P50 CA136393).

References

Siegel RL, Miller KD, Fuchs HE, Jemal A. Cancer Statistics. CA: a cancer journal for clinicians, 2021;71(1):7–33. Simpson AJ, Caballero OL, Jungbluth A, Chen YT, Old LJ. Cancer/test
高级别浆液性卵巢癌(OC)是最常见和最致命的亚型,死亡率为70%,5年内复发率为85%。1癌睾丸(cancer testes, CT)抗原是肿瘤相关抗原,在免疫特权组织中表达受限,在肿瘤中表达异常这表明它们可以作为免疫原性的靶点,而不会对正常组织产生毒性。目前,很少有抗原被证实可用于卵巢癌。因此,我们假设使用免疫肽组学可以揭示新的CT抗原,可以靶向治疗OC。方法对hla - a2:01阳性的OVCAR-5细胞系进行免疫肽组学分析,鉴定出5604个独特蛋白对应的10197个肽段。NetMHCcons用于生成每个肽的一致亲和力值,并鉴定出高置信度的hla - a02:01限制性肽。在Human protein Atlas数据库中分析每个蛋白的表达谱。通过免疫组化(IHC)染色120例患者样本的组织微阵列,评估肿瘤表达水平并进行生存分析。用候选肽刺激原代人T细胞样品,进行细胞内细胞因子染色(IC)、四聚体染色和对肽脉冲OC细胞的T细胞杀伤试验。结果我们对表达常见HLA-A02:01单倍型的OC细胞系进行了免疫肽组学,以寻找可能用作免疫治疗靶点的新肿瘤抗原。从这个数据集中,我们确定了TTLL8, POTEE和PKMYT1肽作为候选肿瘤抗原。使用组织微阵列,发现TTLL8在60%的OC中表达,并且与较差的总体预后显著相关。POTEE在超过90%的OC患者中表达,与生存率无显著相关性。与许多CT抗原的特征一样,经DNA甲基转移酶抑制剂处理后,POTEE在OC细胞系中的表达增加。在患者肿瘤样本中,TTLL8-、POTEE-和pkmyt1特异性CD8 T细胞反应通过细胞因子产生和四聚体阳性人群的增加来确定。TTLL8-, POTEE-和pkmyt1特异性T细胞诱导肿瘤细胞杀死抗原脉冲OC细胞。使用靶向MHC I类的阻断抗体证明T细胞诱导的杀伤依赖于CD8 T细胞对抗原的识别。结论TTLL8、POTEE和PKMYT1是发展OC抗原靶向免疫治疗的良好靶点。本研究得到了梅奥诊所卵巢孢子基金(P50 CA136393)职业提升奖(MC)的支持。参考文献Siegel RL, Miller KD, Fuchs HE, Jemal A.癌症统计。中华肿瘤杂志,2011;31(1):7-33。陈玉婷,陈志强,陈志强。癌症/睾丸抗原,配子发生和癌症。中华癌症杂志,2005;5(8):615-625。伦理批准本研究由梅奥诊所伦理审查委员会批准。申请号为20-001221。本摘要及任何随附图片的发表均已获得患者的书面知情同意。一份书面同意书副本可供本刊编辑审阅。
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引用次数: 0
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