The purpose of this core resource laboratory is to provide ongoing support for the clinical immunotherapy program in the Surgery Branch of the National Cancer Institute. The laboratory is managed by two co-investigators, Drs. Mark Dudley and John Wunderlich, and each investigator has submitted the same annual report. The major effort in the laboratory is producing, ex vivo, large numbers of human anticancer T lymphocytes that are used in adoptive immunotherapy for patients enrolled in Surgery Branch clinical trials. All of the patients have metastatic cancer, primarily melanoma. Commonly, ten to fifty billion cells are used for each treatment. The anticancer cells are generated in vitro from each patients lymphocytes. The lymphocytes have natural anticancer activity, or anticancer activity induced or enhanced by genetic modification of the cells in vitro. Sixty nine patients with metastatic cancer were treated with anticancer lymphocytes during the last year. Twelve different clinical trials are currently devoted to these treatments, as of September, 2008, and are supported by the core laboratory. The core laboratory has also carried out research activities to improve its services. Thus, efforts have continued 1) to simplify the cell production methodology and make the process more cost effective, 2) to relate characteristics of the anticancer lymphocytes and their parent populations to clinical outcomes following their use for treating patients, and 3) to help translate preclinical adoptive immunotherapy models, discovered in the Surgery Branch and elsewhere, into new clinical protocols. Finally, the core laboratory continues to process cells and serum collected from cancer patients for a variety of uses. The products serve as the precursor cells for generating the anticancer cells described above. The products are routinely analyzed by investigators in the Surgery Branch immunotherapy program to help evaluate progress toward the goals of each immunotherapy clinical trial, as well as to address subsequent research questions that help identify changes needed in the clinical trials. In addition, the samples are used by Surgery Branch investigators for specific laboratory research projects that may translate into new patient therapies. These research projects include 1) transducing patients T cells with new genes whose products will provide better tumor recognition or otherwise enhance the cells anticancer functions, 2) identifying new cancer antigens that may be recognized by patients anticancer cells, 3) evaluating the ability of infused anticancer lymphocytes to survive and function in the patient, and 4) identifying characteristics of infused anti-cancer T cells that cause cancer regression as measured by standardized, objective criteria.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Scientific Cores Intramural Research (ZIC)
Project #
1ZICBC011020-02
Application #
7970002
Study Section
Project Start
Project End
Budget Start
Budget End
Support Year
2
Fiscal Year
2009
Total Cost
$1,551,155
Indirect Cost
Name
National Cancer Institute Division of Basic Sciences
Department
Type
DUNS #
City
State
Country
Zip Code
Dudley, Mark E; Gross, Colin A; Somerville, Robert P T et al. (2013) Randomized selection design trial evaluating CD8+-enriched versus unselected tumor-infiltrating lymphocytes for adoptive cell therapy for patients with melanoma. J Clin Oncol 31:2152-9
Morgan, Richard A; Chinnasamy, Nachimuthu; Abate-Daga, Daniel et al. (2013) Cancer regression and neurological toxicity following anti-MAGE-A3 TCR gene therapy. J Immunother 36:133-51
Bear, Adham S; Morgan, Richard A; Cornetta, Kenneth et al. (2012) Replication-competent retroviruses in gene-modified T cells used in clinical trials: is it time to revise the testing requirements? Mol Ther 20:246-9
Wang, Anran; Chandran, Smita; Shah, Syed A et al. (2012) The stoichiometric production of IL-2 and IFN-? mRNA defines memory T cells that can self-renew after adoptive transfer in humans. Sci Transl Med 4:149ra120
Seaman, Bradley J; Guardiani, Elizabeth A; Brewer, Carmen C et al. (2012) Audiovestibular dysfunction associated with adoptive cell immunotherapy for melanoma. Otolaryngol Head Neck Surg 147:744-9
Friedman, Kevin M; Prieto, Peter A; Devillier, Laura E et al. (2012) Tumor-specific CD4+ melanoma tumor-infiltrating lymphocytes. J Immunother 35:400-8
Somerville, Robert P T; Dudley, Mark E (2012) Bioreactors get personal. Oncoimmunology 1:1435-1437
Gros, Alena; Turcotte, Simon; Wunderlich, John R et al. (2012) Myeloid cells obtained from the blood but not from the tumor can suppress T-cell proliferation in patients with melanoma. Clin Cancer Res 18:5212-23
Somerville, Robert P T; Devillier, Laura; Parkhurst, Maria R et al. (2012) Clinical scale rapid expansion of lymphocytes for adoptive cell transfer therapy in the WAVEýý bioreactor. J Transl Med 10:69
Uccellini, Lorenzo; De Giorgi, Valeria; Zhao, Yingdong et al. (2012) IRF5 gene polymorphisms in melanoma. J Transl Med 10:170

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