Over the past decade, researchers have made great strides in the development and administration of cancer immunotherapies, which use the body’s own immune system to treat disease.

However, the therapies don’t work for every person or with every type of cancer, and gaps in our understanding of exactly how the body mounts an anti-cancer immune response has slowed progress toward making them universally effective.

In a new study, researchers at the University of Chicago Medicine Comprehensive Cancer Center and the University of Amsterdam have brought insight into one crucial step in the anti-cancer immune response process: T cell priming.

Previous studies implied that a single mechanism – antigen cross-presentation – is responsible for priming T cells, the immune system’s disease-fighters, to identify and attack cancer cells.

The new study found that a second mechanism, known as MHC-I cross-dressing, is also effective in prompting a T cell response.

“What’s significant is that we identified a totally unique pathway whereby tumours and the immune system talk to each other,” said Justin Kline, MD, an associate professor of medicine at UChicago Medicine and an author of the study. “Knowing that this pathway exists might have implications for how we think about vaccine design in the future or how we predict which tumour antigens might be best to target.”

The study, “Dendritic cells can prime anti-tumour CD8+ T cell responses through major histocompatibility complex cross-dressing”, published May 25, 2022 in Immunity.

‘Dressing’ in molecules

Kline and his team study the role of dendritic cells in the cancer immune response.

These cells alert the immune system to antigens – toxins and other foreign materials in the body – and spur T cells into action.

As noted earlier, researchers were under the assumption that antigen cross-presentation was the exclusive mechanism used by dendritic cells to talk to T cells.

Cross presentation happens when a dendritic cell “eats” a cancer cell and then displays what it has eaten so that T cells can see if any antigens are present.

The mechanism Kline and his team identified simply requires dendritic cells to “dress themselves” with a tumour cell’s molecules to alert T cells to the disease.

The researchers realised the potential existence of this second mechanism by an unexpected observation in the lab.

“The initial discovery came about sort of serendipitously when we knocked out a specific MHC class 1 molecule on mouse tumour cell lines and found that the immune response against those tumours was significantly and negatively impacted despite the fact that cross-presentation was fully intact,” said Kline. “It indicated to us that a second mechanism was operational, and we wanted to investigate it further.”

Identifying a new mechanism

To do this, the researchers genetically engineered dendritic cells in mouse models to suppress the expression of MHC-1 molecules, whose major function is to display tumour-associated antigens.

They then injected the models with one of two types of cancer tumours. The first type, melanoma, has very low levels of MHC-1 molecules. The second type, leukaemia, has very high levels.

Once injected, they used flow cytometry to measure the presence of MHC-1 molecules on the dendritic cells and found that the cells had taken on – or dressed themselves – in the molecules.

Furthermore, they discovered that the dendritic cells of the models injected with leukaemia showed significant amounts of the molecule, while the ones injected with melanoma had somewhat less.

“We knew that any MHC-1 molecule on a dendritic cell had to come from the tumour because there’s no other MHC-1 molecules in the system,” said Kline. “It showed definitively that cross-dressing was taking place.”

It was also significant that the amount of MHC-1 on the dendritic cells differed based on tumour type, Kline said.

It indicates that this pathway may be more important in cancer tumours with high levels of class 1 molecules, and less important in those with low levels.

To realise any practical implications of this work, more research is necessary.

Next, the team plans to investigate how MHC-1 cross-dressing happens – the molecular mechanisms behind it – and the extent to which cross-dressing can impact dendritic cells’ ability to spur T cells into action.

Source: University of Chicago Medical Center