CD8+ T cells specific for the androgen receptor are common in patients with prostate cancer and are able to lyse prostate tumor cells

doi:10.1007/s00262-011-0987-5

Cancer Immunol Immunother. Author manuscript; available in PMC 2012 June 1.

Published in final edited form as:

Cancer Immunol Immunother. 2011 June; 60(6): 781–792.

Published online 2011 February 25. doi: 10.1007/s00262-011-0987-5

PMCID: PMC3319721

NIHMSID: NIHMS355583

CD8+ T cells specific for the androgen receptor are common in patients with prostate cancer and are able to lyse prostate tumor cells

Brian M. Olson^* and Douglas G. McNeel^*^#

^*Department of Medicine, University of Wisconsin, Madison, WI 53792

^# To whom correspondence should be addressed: University of Wisconsin Carbone Comprehensive Cancer Center, 7007 Wisconsin Institutes for Medical Research, 1111 Highland Ave. Madison, WI 53705. Tel: (608) 265-8131 FAX: (608) 265-0614 ; Email: dm3/at/medicine.wisc.edu

The publisher's final edited version of this article is available at Cancer Immunol Immunother

See other articles in PMC that cite the published article.

Abstract

The androgen receptor (AR) is a hormone receptor that plays a critical role in prostate cancer, and depletion of its ligand has long been the cornerstone of treatment for metastatic disease. Here, we evaluate the AR ligand-binding domain (LBD) as an immunological target, seeking to identify HLA-A2-restricted epitopes recognized by T-cells in prostate cancer patients. Ten ARLBD-derived, HLA-A2-binding peptides were identified and ranked with respect to HLA-A2 affinity, and were used to culture peptide-specific T-cells from HLA-A2+ prostate cancer patients. These T-cell cultures identified peptide-specific T-cells specific for all ten peptides in at least one patient, and T-cells specific for peptides AR805 and AR811 were detected in over half of patients. Peptide-specific CD8+ T-cell clones were then isolated and characterized for prostate cancer cytotoxicity and cytokine expression, identifying that AR805 and AR811 CD8+ T-cell clones could lyse prostate cancer cells in an HLA-A2-restricted fashion, but only AR811 CTL had polyfunctional cytokine expression. Epitopes were confirmed using immunization studies in HLA-A2 transgenic mice, in which the AR LBD is an autologous antigen with an identical protein sequence, which showed that mice immunized with AR811 developed peptide-specific CTL that lyse HLA-A2+ prostate cancer cells. These data show that AR805 and AR811 are HLA-A2-restricted epitopes for which CTL can be commonly detected in prostate cancer patients. Moreover, CTL responses specific for AR811 can be elicited by direct immunization of A2/DR1 mice. These findings suggest that it may be possible to elicit an anti-prostate tumor immune response by augmenting CTL populations using ARLBD-based vaccines.

Keywords: CTL, androgen receptor ligand-binding domain (AR LBD), CD8+ T-cell clone, epitope, polyfunctional cytokine expression

Introduction

Despite the progress of chemotherapeutic agents for advanced prostate cancer, the significant side-effects associated with these therapies have led to significant interest in the development of alternative means of treatment for patients with metastatic disease [1,2]. One approach is the use of antigen-specific immunotherapies, which seek to utilize vaccines to harness the patient's own immune system to attack the tumor. To date, the development of antigen-specific vaccines for prostate cancer have largely focused on targeting proteins whose expression is restricted to the prostate, such as prostate specific antigen (PSA) and prostatic acid phosphatase (PAP) [3-5]. However, other important factors include the immunogenicity of the antigen, its role in tumor cell oncogenicity, the expression frequency and amplitude in cancer, and the number of antigenic epitopes [6]. By identifying target antigens that possess many of these qualities, it may be possible to build upon previous successes in prostate cancer immunotherapies and design vaccines that may elicit more potent immunological and clinical responses.

While current prostate cancer vaccines largely focus on targeting antigens expressed solely by the prostate, this approach runs contrary to the methods used to prioritize antigens in many other solid tumors. In diseases like breast, lung, ovarian, and colon cancer, tumor immunologists have commonly focused on targeting antigens whose function is important for the oncogenicity of tumor cells, such as HER2, MUC1, hTERT, and survivin [7-13]. One such functionally-important antigen in prostate cancer is the androgen receptor (AR), a steroid hormone receptor whose molecular function has long been established to be critical to the oncogenicity of prostate tumor cells, and to the development and progression of all stages of prostate cancer. Work has shown that the AR is required for androgen-dependent tumor growth, and that it remains expressed and functionally-active in the majority of castrate-resistant tumors [14-17]. Furthermore, while the AR is not strictly tissue-specific, it is predominantly expressed in the prostate, is commonly overexpressed in prostate cancer, and is expressed by most of the cancer cells within a tumor [18,15,19].

While the AR has several attractive qualities of an ideal target antigen, one of the potential issues that may arise in targeting the full-length AR is that the amino-terminal domain of this protein contains a significant amount of sequence variation, not only between species but also amongst human populations. However the carboxy-terminal ligand-binding domain (LBD) is unique from the rest of the protein in that it has a completely identical protein sequence across many different species, including mice, rats, and humans, suggesting there is some evolutionary importance to the sequence of this domain. When this sequence homology is combined with the functional importance of the AR, it suggests that tumor cells might be less likely to form AR LBD deletion variants to escape the pressures of immunoselection, an observation that has been well-documented in other solid tumors as a means to evade an antigen-specific immune response [20-29]. In addition, we have also previously shown that the AR LBD is an immunogenic antigen. We have demonstrated that a significantly higher percentage of patients with prostate cancer have AR LBD-specific antibodies than do healthy donors, and that these responses are present regardless of disease stage [30]. Furthermore, patients who were found to have antibody responses were also found to have concurrent AR LBD-specific cellular immune responses, both in terms of CD4+ and CD8+ T-cell proliferation, as well as IFNγ secretion [30]. This pre-existing immunogenicity, when combined with the role of the AR in tumorigenesis, its relative tissue specificity, and the frequency and amplitude of AR expression in prostate cancer, suggests that the AR LBD may be a preferable immunological target antigen for vaccine development.

In this study, we aimed to further characterize AR LBD-specific cellular immune responses, seeking to identify whether AR LBD peptide-specific CD8+ T cells can lyse prostate tumor cells, and whether there might be dominant MHC class I-restricted responses permitting more detailed study. Furthermore, we also sought to investigate whether A2/DR1 transgenic mice, in which the LBD of the AR is identical in amino acid sequence with the human protein, also have AR LBD peptide-specific T cells, to confirm identified HLA-A2-restricted epitopes, as well as to establish a potential model to evaluate the immunological efficacy of AR LBD-targeted vaccines in vivo.

Materials and Methods

Subjects

With informed consent, peripheral blood or leukapheresis products were obtained from HLA-A2-expressing male subjects with prostate cancer at the University of Wisconsin between 2001 and 2009. Three subjects (D04, D05, and P24) had metastatic, castrate-resistant prostate cancer, and the remainder had early PSA-recurrent, non-castrate disease without radiographic evidence of metastatic disease. Peripheral blood mononuclear cells (PBMC) were isolated by Ficoll-Paque centrifugation (Pharmacia AB, Uppsala, Sweden) and either used immediately or cryopreserved in liquid nitrogen. HLA-A2 expression of individual subjects was confirmed serologically from PBMC samples (monoclonal antibody clone BB7.2, BD Biosciences, Franklin Lakes, NJ).

Peptides

Peptides were synthesized, purified to >80% by HPLC, and the identity and purity confirmed by mass spectrum analysis (United Biochemical Research, Inc., Seattle, WA). Purified peptides were reconstituted in sterile DMSO, sterile filtered, and stored in aliquots at –80°C. Positive control influenza A matrix protein HLA-A2 nonamer epitope (FILGFVFTL) was also used, as previously described [31].

T2 in vitro HLA-A2 binding assay

The HLA-A2 expressing, TAP-1 deficient human cell line T2 was used in an assay of HLA-A2 peptide binding efficiency, in similar fashion to what has been described previously [32]. Briefly, T2 cells cultured in serum-free RPMI-1640 media (Thermo Fisher Scientific, Waltham, MA) and supplemented with human β2-microglobulin (Sigma, St. Louis, MO) were pulsed in triplicate with 50μg/mL peptide overnight. The next day, cells were stained with a FITC-labeled HLA-A2 monoclonal antibody (clone BB7.2, BD Biosciences) or IgG isotype control,and analyzed by flow cytometric analysis (FACSCalibur, BD Biosciences). Results are reported as a relative mean fluorescence index (MFI), calculated as the MFI of peptide-pulsed T2 cells compared with the MFI of vehicle-pulsed T2 cells. Assays were performed in quadruplicate, with the standard deviation for replicate analyses shown.

Generation of peptide-specific T-cell lines

Peptide-specific T-cell lines were generated by repetitive weekly in vitro stimulations with peptide-loaded antigen presenting cells, as previously described [32]. Briefly, autologous DC were pulsed with 10 μg/ml peptide for 2 hours, and cultured with autologous T cells (T cell negative isolation kit, Dynal, Carlsbad, CA) in human T-cell medium (RPMI-1640 containing L-glutamine and supplemented with 10% human AB serum (Valley Biomedical, Winchester, VA), 1% sodium pyruvate (Mediatech, Manassas, VA), 1% HEPES (Mediatech), and 0.5% penicillin/streptomycin (Mediatech)) supplemented after 24 hours with IL-2 (R&D Systems, Minneapolis, MN) [32]. Cells were restimulated at weekly intervals with irradiated (3000 cGy) peptide-loaded antigen-presenting cells (autologous DC or HLA-A2-expressing B-cell lines) in similar fashion, and T-cell lines were characterized for cytolytic function after 2-8 weeks. T-cell lines found to contain peptide-specific T cells were cloned by limiting dilution. Specifically, cells were diluted to limiting concentrations in 96-well culture plates, and cultured for 12-14 days with 5 × 10⁴ irradiated (3000 cGy) autologous PBMC, 50 U/ml IL-2, and 30 ng/ml anti-CD3 as previously described [32]. Individual clonal lines were tested for cytotoxicity, and peptide-specific lines were further expanded by incubating with 30 ng/mL anti-CD3 (BD Biosciences) along with a 100:1 ratio of feeder lymphoblastoid cell lines to effector cells and a 500:1 ratio of autologous, irradiated PBMC to effector cells. Cultures were given 30 U/mL IL-2 24 hours later, and cultures continued 12-14 days with fresh media and IL-2 added every 3-4 days as needed, until suitable numbers of cells were obtained for further analysis.

Intracellular cytokine staining

Expanded T-cell clones were analyzed for intracellular cytokine staining as previously described [32]. Cells were stimulated for two hours with media alone, a non-specific peptide, the specific peptide (peptides at 2μg/mL), or PMA (20ng/mL, Sigma) and Ionomycin (2μg/mL, MP Biomedicals). Cells were then treated with monensin (GolgiStop, 2μM, BD Biosciences) for four hours at 37°C/5% CO₂. Cells were then stained with fluorescently-labeled CD3, CD4, and CD8 antibodies, and after fixation and permeabilization, intracellular staining was conducted using fluorescently-labeled antibodies for IFNγ and TNFα (BD Biosciences), or the corresponding isotype controls. Cells were subsequently analyzed using an LSR II flow cytometer (BD Biosciences), and events were analyzed by gating CD3+CD8+ lymphocytes and analyzing this population for expression of IFNγ and/or TNFα.

Cytotoxicity assays

Cytolytic activity was measured by LDH release from target cell lines (Cytotox 96 Assay kit, Promega, Madison, WI) as previously described [32]. In brief, effector cell lines were plated in 96-well plates at various effector-to-target (E:T) cell ratios. Targets used were either T2 cells pulsed with peptide or the human prostate cancer cell lines LNCaP (expressing AR, and stably transduced to express HLA-A2), DU145 (not expressing AR, but stably transduced to express HLA-A2), and LAPC4 (naturally expressing both HLA-A2 and AR). After 4-6 hours at 37°C, plates were centrifuged and 50 μl of culture supernatant was assessed for LDH concentration spectrophotometrically, according to the manufacturer's instructions. Controls included wells with effector cells only, wells with media only, target cells only (minimum release), and target cells with 1% Triton X-100 (maximum release). To confirm HLA-A2-restricted response, AR-expressing cell lines were pre-incubated with an HLA-A2 specific antibody (BD Biosciences) or non-specific control murine IgG. The optical density (OD) signal contributed by the media alone was subtracted from all values. The percent specific activity was then calculated as: (OD_experimental – OD_{effector only} – OD_{target minimum release}) / (OD_{target maximum release} – OD_{target minimum release}). All sample conditions were evaluated in triplicate, with the standard error shown. Cytotoxic responses were defined as ‘positive’ if titratable peptide-specific lysis was significantly higher than non-specific lysis (outside the standard error of triplicate samples in at least two of three titrations).

Animal studies

HLA-A2 transgenic mice (A2/DR1 mice), expressing the α1 and α2 chains of human HLA-A2*01 chimeric with the intracellular α3 chain of the H-2D^b allele, and expressing HLA-DR1, with mouse MHC class I (H-2^b) and II (I-A^b) knocked out, were graciously provided by Dr. François Lemonnier (Institut Pasteur, Paris, France) [33,34,32]. Animals were housed in a facility maintained by the Laboratory Animals Resources of the University of Wisconsin Medical School, and all treatments and euthanasia were conducted under an institutional animal care and use (IACUC) committee-approved protocol. Mice were immunized subcutaneously with 100 μg of peptide given with complete Freund's adjuvant (CFA, Sigma). One week later, splenocytes were collected as has been described [32]. Splenocytes were used ex vivo for IFNγ ELISPOT assays (R&D Systems), and underwent a one-week peptide restimulation prior to analysis by cytotoxicity assay, as have been described previously [32].

Results

Identification of AR LBD-derived peptides and characterization of their affinity for HLA-A2

The amino acid sequence of the AR LBD was scanned for peptides that conform to the HLA-A2 consensus binding motif (X-L/M-X-X-X-V-X-X-V/L), previously elucidated by Parker and colleagues [35]. This process identified ten peptides that contained at least two of the three HLA-A2 anchor residues, and are listed in Figure 1A along with an influenza matrix positive control peptide [31]. These peptides were then analyzed for their predicted HLA-A2 affinity using two algorithms: BIMAS (a program based on the work of Parker and colleagues that provides a predicted t_1/2 of dissociation; http://www-bimas.cit.nih.gov/molbio/hla_bind/, [35]) and SYFPEITHI (based on the work of Rammensee and colleagues, this algorithm takes into account a number of characteristics of both the HLA haplotype as well as the peptide of interest, and uses this data to provide a binding score; http://www.syfpeithi.de/, [36]). As shown in Figure 1A, the BIMAS program predicted that peptides AR700, AR742, AR811, and AR862 have the highest affinity for HLA-A2, whereas the SYFPEITHI program predicted that peptides AR700, AR811, AR859, and AR862 have the highest binding affinity.

Figure 1

AR LBD-derived peptides predicted by sequence analysis to bind to HLA-A2, and characterization of their in vitro HLA-A2 binding affinity

These peptides were then evaluated for their HLA-A2 affinity in vitro using TAP-deficient T2 binding assays. This data is shown in Figure 1B, and shows that AR700, AR761, AR805, and AR811 have the strongest binding affinity for HLA-A2 in vitro, having comparable affinity to an influenza peptide that is known to have strong affinity for HLA-A2.

Prostate cancer patients have pre-existing, AR LBD peptide-specific T-cell responses

To determine whether prostate cancer patients have T cells specific for these peptides, T-cell lines were cultured from peripheral blood samples obtained from HLA-A2+ prostate cancer patients, and were evaluated weekly for the presence of peptide-specific cytotoxic T lymphocytes (CTL). All ten AR LBD peptides (along with an influenza positive control) were evaluated in up to fifteen patients, and the results are compiled in Table 1. As this table shows, peptide-specific CTL were able to be cultured for all ten AR LBD peptides in at least one of the patients tested. In these studies, the median number of weekly stimulations required for observation of peptide-specific lysis was between two and four for each of the individual AR LBD-derived peptides. Two of the peptides predicted and found in vitro to have strong affinity for HLA-A2 (AR805 and AR811) were each recognized by T cells in over half (8 of 15) of the patients sampled. Furthermore, all of the prostate cancer patients were found to have responses to at least one of the AR LBD-derived peptides, with some patients having responses to more than half of the peptides (for example, patient P08 had responses to 7/10 AR LBD peptides).

Table 1

Prostate cancer patients have pre-existing T cells specific for AR LBD-derived peptides

AR805 and AR811 are HLA-A2-restricted epitopes and peptide-specific CD8+ T-cell clones can lyse prostate cancer cells

Peptide-specific T-cell lines were then assessed for their ability to lyse prostate cancer cells, as evidence of whether they represented MHC class I-presented epitopes. As summarized in Table 1, T-cell cultures specific for AR811, in particular, were able to lyse LNCaP cells, an HLA-A2+, AR+ prostate cancer cell line. In addition, in rare instances, T-cells specific for the AR761 and AR805 peptides showed some reactivity against prostate cancer cells. As these peptide-specific T cells were frequently found in prostate cancer patients and showed some ability to lyse prostate cancer cells, we sought to further characterize these peptide-specific cells by isolating and characterizing CD8+ T-cell clones.

T-cell clones specific for AR761, AR805, and AR811 were isolated by limiting dilution of peptide-specific polyclonal T-cell cultures, and were confirmed to be CD3+CD8+ by flow cytometry (data not shown) and peptide-specific by their cytolytic activity against peptide-pulsed target cells (AR761, AR805, and AR811 peptide-specific lysis shown in figure 2A, 2C, and 2E, respectively). When these clones were evaluated for their ability to lyse prostate cancer cell lines, AR811 peptide-specific CTL clones (including clones isolated from two separate patients) could efficiently lyse prostate cancer cells in an HLA-A2-restricted and AR-restricted fashion (Figure 2F). An AR805 peptide-specific CD8+ T-cell clone had low-level lysis against HLA-A2+, AR+ prostate cancer cells (Figure 2D), whereas AR761 peptide-specific CD8+ T-cell clones from two different patients had no significant prostate cancer cell lysis (Figure 2B).

Figure 2

AR805 and AR811 peptide-specific CD8+ T-cell clones can lyse prostate cancer cells

AR811 CD8+ T-cell clones have polyfunctional cytokine expression

To investigate possible mechanisms that may contribute to this prostate cancer cytotoxicity, CD8+ T-cell clones were evaluated for polyfunctional intracellular cytokine expression of IFNγ and TNFα. All of the peptide-specific CD8+ T-cell clones were found to have peptide-specific cytokine expression, however some of the CD3+CD8+ cells analyzed lacked expression of either immunostimulatory cytokine. This was believed to be likely due to the repeated stimulation and expansion during the T-cell culturing, as well as the presence of residual irradiated feeder cells. However, while all clones had peptide-specific cytokine expression, a sub-analysis of the frequency of cells expressing both cytokines revealed that only AR811 peptide-specific T-cell clones had significant co-expression of both IFNγ and TNFα, whereas AR761 and AR805 clones were found to predominantly express only a single cytokine (Figure 3).

Figure 3

AR811 peptide-specific CD8+ T-cell clones express both IFNγ and TNFα in a peptide-specific fashion

Immunization with AR811 augments peptide-specific, cytotoxic immune responses in vivo

To further evaluate these peptides as HLA-A2-restricted epitopes, direct immunization studies were performed in A2/DR1 transgenic mice. The A2/DR1 mouse is an ideal model to study AR LBD peptide-specific immune responses, as this model relies on HLA-A2 for MHC class I antigen presentation, and the amino acid sequence of the murine AR LBD is identical to that of the human. Animals were immunized once subcutaneously with 100μg of AR761, AR805, AR811, or an influenza positive control peptide, and one week later splenocytes from immunized animals were analyzed for the frequency of peptide-specific immune responses by IFNγ ELISPOT. In these studies, immunization with three of the four HLA-A2-restricted peptides (AR761, AR811, and influenza) was found to significantly augment peptide-specific immune responses (Figure 4). No AR811-specific IFNγ release was detected in control animals (data not shown). Moreover, splenocytes from peptide-immunized animals found to have peptide-specific responses by ELISPOT were also able to recognize and efficiently lyse target cells displaying the peptide of interest, but only AR811-immunized animals were able to lyse the LNCaP human prostate cancer cell line (Figure 5).

Figure 4

Immunization with HLA-A2-restricted AR761, AR811, and influenza peptides augment peptide-specific immune responses in A2/DR1 transgenic mice

Figure 5

Immunization with AR811 augments peptide-specific, cytotoxic immune responses in vivo

Discussion

The identification of peptide-specific CD8+ T cells that can recognize and lyse tumor cells is an important component in the development and prioritization of cancer vaccine target antigens. In this report, we have identified pre-existing CD8+ T-cell responses that recognize HLA-A2-restricted peptides derived from the AR LBD using both in vitro and in vivo models. These peptides were found to have varying affinity for HLA-A2, and T cells specific for all of these peptides could be detected in at least one of the HLA-A2+ prostate cancer patients sampled. In particular, two peptide-specific CD8+ T-cell populations (specific for either AR805 or AR811) were found in over half (8/15) of the patients sampled. However, while polyclonal T-cell cultures specific for three peptides (AR761, AR805, and AR811) showed some ability to lyse prostate cancer cells, only AR805 and AR811 peptide-specific CD8+ T-cell clones could recognize and lyse these tumor cells. In addition to the work characterizing these peptide-specific immune responses in vitro, we also utilized an HLA-A2 transgenic mouse to study these responses in vivo. Using the A2/DR1 mouse strain, we found that AR811 HLA-A2-restricted peptide-specific T-cells could be identified in vivo and could lyse HLA-A2-expressing cells expressing the AR, thus further confirming that AR811 is an HLA-A2-restricted epitope, whereas AR805 appears non-immunogenic in this model. In addition, these murine studies demonstrated that AR LBD-specific CTL could be augmented through the use of an AR LBD-based vaccine. These data suggest that the AR LBD is a relevant tumor antigen for prostate cancer, and is unique among commonly targeted prostate antigens in that it is not a secreted or membrane-bound protein, and has a critical function to the survival and proliferation of tumor cells. The frequency of pre-existing immune responses to the AR LBD shows that it is also an immunogenic antigen, and that AR LBD-specific T cells are not deleted during the development of immunological tolerance. The frequency of these responses, as well as the results from the peptide-immunization studies in A2/DR1 mice (a model in which the AR LBD is a self-antigen), also suggests that it may be possible to augment these peptide-specific CTL in vivo through the use of AR LBD-based therapeutics.

The identification of the AR LBD as an immunological target for the treatment of prostate cancer represents a new way of prioritizing potential target antigens for this disease. As the AR LBD has an important molecular function to the survival and proliferation of prostate tumor cells (in both androgen-dependent and castrate-resistant disease settings), it is unique when compared to commonly-targeted antigens such as PAP, PSA, and PSMA, which, though tissue-specific, do not have molecular functions that likely contribute significantly to the oncogenicity of the tumor. This may lead to the outgrowth of tumor escape variants that lack expression of these antigens, whereas tumors that attempt to evade AR LBD-directed therapies by downregulating AR expression could potentially be at a growth disadvantage [21,25,26,24,27]. In addition to its crucial oncogenic activity, the AR also benefits from being an intracellular antigen rather than a secreted protein such as PAP or PSA, allowing epitopes derived from the AR LBD to be directed processed and presented via MHC class I. These qualities, in addition to the AR's well-documented expression in all androgen-dependent and most castrate-resistant tumors, sets the AR LBD apart from other prostate cancer antigens under development, and suggests that the AR LBD may be an attractive target for active immunization strategies.

In addition to these qualities, the results from the current study have confirmed previous reports showing that the AR LBD is a highly immunogenic antigen. We have previously reported that at least 17% of patients with prostate cancer have AR LBD-specific antibody responses, a higher frequency of responses than those found against other prostate cancer antigens under active development, such as PSA (5.5% of patients) and PAP (11% of patients), even though these are secreted antigens and as such might be predicted to elicit a predominantly humoral immune response [37,30]. Similarly, we found that a high percentage of prostate cancer patients have HLA-A2-specific CTL specific for AR LBD-derived epitopes: in fact, 11/15 (73%) patients sampled had AR805 or AR811 epitope-specific CTL that could be cultured in vitro, slightly higher than the frequency of PAP-derived HLA-A2-restricted CD8+ T cells we previously identified (9/15, 60%) [32]. An AR811-bound pentamer (Proimmune, LTD) was synthesized in an attempt to characterize the frequency of AR811 peptide-specific CTL directly ex vivo; however, a lack of HLA-A2-specificity of this pentamer precluded this analysis. However, the high frequency of peptide-specific CTL detected in the in vitro culture system suggests that AR LBD-derived T cells are not deleted by the immune system, both in HLA-A2+ prostate cancer patients as well as the A2/DR1 mouse, and are in fact relatively frequent in these patient populations.

As well as detecting AR LBD peptide-specific CTL that can be cultured from patients with prostate cancer, this work has also identified specific antigenic epitopes derived from the AR LBD that are naturally presented on the surface of tumor cells. In particular, we have identified that AR811 appears to be a relatively immunodominant epitope, with AR811 peptide-specific T cells found in a high percentage of prostate cancer patients as well as having the ability to lyse prostate cancer cells in an AR- and HLA-A2-restricted fashion. AR805 was also found to be an HLA-A2-restricted epitope, with AR805 peptide-specific CTL being commonly found in prostate cancer patients and being able to lyse prostate cancer cells (albeit at lower levels than AR811-specific T cells). Intriguingly, these two epitopes, which share three residues of their primary amino acid sequence, are also in the context of several 15-mer peptides (AR802-816, AR805-819, and AR807-821) that are predicted to have strong affinity for HLA-DR1 [38]. While the importance of CD4+ helper T cells in amplifying peptide-specific CD8+ T-cell responses has long been recognized, the contribution of these hypothesized AR LBD-specific helper T-cell responses in amplifying class I-restricted responses (or even the existence of AR LBD-specific HLA-DR-restricted epitopes) remains a topic of investigation [39]. Indeed, while our group has previously identified AR LBD-specific CD4+ T cells, we have yet to evaluate the peptide-specificity of these responses and how they may contribute to the generation of CD8+ T-cell responses [30].

In the A2/DR1 mouse model, AR811 also appears to be an immunodominant epitope, with all six animals immunized with AR811 developing significant peptide-specific immune responses that could also lyse a human prostate cancer cell line. This is contrasted with the results obtained in the direct immunization studies with AR805, which was found to be non-immunogenic in the A2/DR1 mouse, with only one animal generating a low-level IFNγ ELISPOT response. This suggests that there could be immunological tolerance to this peptide in the A2/DR1 mouse, or that the 9-mer peptide itself is simply not very immunogenic in this model.

We identified that an AR811 CD8+ T cell clone had significant levels of both IFNγ and TNFα cytokine expression. This may contribute to the apparent immunodominance of AR811-specific T cells, as research in a variety of diseases has shown that polyfunctional T cells that express multiple cytokines have higher levels of effector functions and tend to correlate with improved clinical responses [40-44]. In fact, we found that two different AR811 CD8+ T-cell clones from separate individuals (data not shown) similarly expressed high levels of both IFNγ and TNFα, whereas AR761 and AR805 T-cell clones expressed predominantly TNFα alone. Additional studies would be beneficial to evaluate the expression of a larger panel of cytokines to determine if these different types of peptide-specific T cells have different overall cytokine profiles and if these profiles correspond with different cytolytic activity. However, the co-expression of two Th1-type cytokines by AR811 CD8+ T-cell clones may be associated with the generation of high avidity AR811 peptide-specific T-cells, and may contribute to the observed higher levels of prostate cancer cell lysis.

While the affinity between peptides and MHC class I has been shown to have an important role in the development of productive CD8+ T-cell responses, the results from our studies have highlighted the importance of actually culturing peptide-specific T cells to conclusively identify naturally processed and presented CD8+ T-cell epitopes. For example, in the process of identifying AR LBD-derived peptides, we found that the AR700 peptide had strong affinity for HLA-A2. However, when we examined prostate cancer patients for the presence of AR700 peptide-specific T cells, we found that only three of the patients sampled had these responses, that AR700 peptide-specific T cells could not lyse prostate cancer cells, and that these responses were not amplified in A2/DR1 mice immunized with AR700 (data not shown). These results agree with previous findings showing that peptide:MHC affinity is necessary, but not sufficient, for a MHC-restricted peptide to be a naturally processed and presented epitope [45]. In our studies, we found that the three peptides with the weakest HLA-A2 affinity (AR708, AR742, and AR814) were found to be recognized by T cells in the lowest numbers of patients, whereas two of the peptides with the highest affinity for HLA-A2 (AR805 and AR811) were found to be recognized by T cells in more than half of the patients sampled. However, this affinity does not necessarily correlate with whether these peptides are epitopes – of the four peptides with very strong in vitro affinity for HLA-A2 (AR700, AR761, AR805, and AR811), only AR805 and AR811 were found to be able to lyse AR-expressing cells in an MHC-restricted fashion.

The utilization of A2/DR1 mice to confirm AR811 as a naturally processed and presented prostate cancer epitope also served to establish a potentially ideal model to evaluate AR LBD-based immunotherapies. As mentioned previously, the amino acid sequence of the AR LBD is identical between several species, including mice and humans. When combined with reliance on HLA-A2 for the presentation of MHC class I-derived peptides, the A2/DR1 model allows for the detailed study of the same HLA-A2-restricted immune responses that were characterized in human patients in vitro, and how these responses can be augmented following AR LBD-based immunotherapy. Furthermore, the sequence identity of the AR LBD between these two species could permit the evaluation of the natural generation of AR LBD-specific immune responses, which is not possible for most prostate cancer antigens under active development in which the target antigen is foreign in murine models. This allows the A2/DR1 mouse to serve as a directly relevant model to further study the immunological efficacy of vaccines targeting the AR LBD.

Acknowledgments

This work was supported for BMO and DGM by NIH (K23 RR16489 and R01 CA142608) and the US Army Medical Research and Materiel Command (DAMD W81XWH-07-1-0038). The authors would also like to thank Jordan Becker, Edward Dunphy, Thomas Frye, and Laura Johnson for sera collection and peripheral blood mononuclear cell preparation. We would also like to thank Dr. François Lemonnier for his gracious provision of the A2/DR1 transgenic mice, and Heath Smith for critical reading of the manuscript.

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