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  • A vaccine targeting resista...
    Badrinath, Soumya; Dellacherie, Maxence O; Li, Aileen; Zheng, Shiwei; Zhang, Xixi; Sobral, Miguel; Pyrdol, Jason W; Smith, Kathryn L; Lu, Yuheng; Haag, Sabrina; Ijaz, Hamza; Connor-Stroud, Fawn; Kaisho, Tsuneyasu; Dranoff, Glenn; Yuan, Guo-Cheng; Mooney, David J; Wucherpfennig, Kai W

    Nature (London), 06/2022, Letnik: 606, Številka: 7916
    Journal Article

    Most cancer vaccines target peptide antigens, necessitating personalization owing to the vast inter-individual diversity in major histocompatibility complex (MHC) molecules that present peptides to T cells. Furthermore, tumours frequently escape T cell-mediated immunity through mechanisms that interfere with peptide presentation . Here we report a cancer vaccine that induces a coordinated attack by diverse T cell and natural killer (NK) cell populations. The vaccine targets the MICA and MICB (MICA/B) stress proteins expressed by many human cancers as a result of DNA damage . MICA/B serve as ligands for the activating NKG2D receptor on T cells and NK cells, but tumours evade immune recognition by proteolytic MICA/B cleavage . Vaccine-induced antibodies increase the density of MICA/B proteins on the surface of tumour cells by inhibiting proteolytic shedding, enhance presentation of tumour antigens by dendritic cells to T cells and augment the cytotoxic function of NK cells. Notably, this vaccine maintains efficacy against MHC class I-deficient tumours resistant to cytotoxic T cells through the coordinated action of NK cells and CD4 T cells. The vaccine is also efficacious in a clinically important setting: immunization following surgical removal of primary, highly metastatic tumours inhibits the later outgrowth of metastases. This vaccine design enables protective immunity even against tumours with common escape mutations.