Title:
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Molecular and cellular basis of T-cell responses to melanoma antigens
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Background ⎯ Malignant melanoma is an aggressive form of skin cancer with poor prognosis. Current immunotherapies targeting melanoma using the patient’s immune system can achieve long-‐term melanoma clearance in some patients. T-‐cells are the main effectors of this anti-‐melanoma immunity and can specifically recognise and lyse tumour cells. T-‐cells express unique surface T-‐cell receptors (TCR) which recognise tumour-‐derived peptide antigens bound to a Human Leukocyte Antigen (HLA) molecule on melanoma cells. My research aimed at studying anti-‐melanoma T-‐cell responses from both a molecular and cellular level. Results ⎯ Initially, I analysed the first crystallographic structure of a TCR in complex with a peptide from the melanoma protein Glycoprotein(gp)100 bound to HLA-‐A2. I show that an unanticipated molecular switch of the position(P)4-‐5 peptide bond by substitution of the 3 residue could brogate recognition by host TCRs. I then dissected successful T-‐cell responses, restricted to specific HLA alleles, in melanoma infiltrates from two complete responder (CR) patients after Tumour Infiltrating Lymphocyte (TIL) therapy. The antigen specificity and phenotype of anti-‐melanoma TILs were evaluated, and a panel of TIL clones capable of lysing autologous melanoma cell targets was characterised. Interestingly, in each patient studied, melanoma-‐specific clonotypes detected Background⎯ Malignant melanoma is an aggressive form of skin cancer with poor prognosis. Current immunotherapies targeting melanoma using the patient’s immune system can achieve long-‐term melanoma clearance in some patients. T-‐cells are the main effectors of this anti-‐melanoma immunity and can specifically recognise and lyse tumour cells. T-‐cells express unique surface T-‐cell receptors (TCR) which recognise tumour-‐derived peptide antigens bound to a Human Leukocyte Antigen (HLA) molecule on melanoma cells. My research aimed at studying anti-‐melanoma T-‐cell responses from both a molecular and cellular level. Results ⎯ Initially, I analysed the first crystallographic structure of a TCR in complex with a peptide from the melanoma protein Glycoprotein(gp)100 bound to HLA-‐A2. I show that an unanticipated molecular switch of the position(P)4-‐5 peptide bond by substitution of the P3 residue could abrogate recognition by host TCRs. I then dissected successful T-‐cell responses, restricted to specific HLA alleles, in melanomainfiltrates from two complete responder (CR) patients after Tumour Infiltrating Lymphocyte (TIL) therapy. The antigen specificity and phenotype of anti-‐melanoma TILs were evaluated, and a panel of TIL clones capable of lysing autologous melanoma cell targets was characterised. Interestingly, in each patient studied, melanoma-‐specific clonotypes detected in the TILs persist in the blood after TIL therapy and recognise T-‐cell epitopes shared by other patients and other tumour types. Conclusions ⎯ I demonstrate that structural studies should be considered when designing improved peptide cancer vaccines as even single substitutions in residues not heavily engaged by the TCR can have important, unpredictable knock-‐on effects that impair T-‐cell recognition. Understanding the key antigen-‐specificities of anti-‐tumour TILs from CR patients, will improve the efficacy of T-‐cell based therapies. Validated antigens could be applied as biomarkers of, or targets for, cancer immunotherapy. Dominant shared antigens targeted in CR patients may make promising candidates for therapeutic vaccination.
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