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Toward personalized immunotherapy: identifying tumour-specific factors that dictate the response of spontaneous mammary cancers to T cells

Brad Nelson

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Funding source

Canadian Institutes of Health Research (CIHR)
The proposed research will investigate how the immune system responds to breast cancer, and how best to manipulate the immune response to treat established tumors. Our group developed a transgenic mouse model of breast cancer, in which mice develop spontaneous mammary tumors at 6-9 months of age. Tumors are engineered to express a model antigen (ovalbumin) that can be recognized by the immune system. We then try to cure tumors by infusing immune cells (specifically "helper and killer T cells") that recognize the tumor. Using this system, we have shown that ~35% of mammary tumors can be completely eradicated by T cell infusion without the need for any other form of treatment. This is among the most striking examples of successful T cell therapy ever reported. However, ~65% of tumors somehow survive the T cell attack. In our first cycle of funding, we showed that many tumors resist T cell attack by physically blocking the entry of T cells into the centre of the tumor; such tumors are said to have an "infiltration barrier". In Aim 1, we will use modern genomic approaches to dissect tumors at a molecular level to better understand what makes tumors sensitive or resistant to T cell therapy. In Aim 2, we will alter the expression of key genes in tumors and test whether this increases or decreases their sensitivity to T cell therapy. Finally, in Aim 3 we will apply similar approaches to human breast tumors that have elicited either strong or weak T cell responses in patients. This study will advance our understanding of the immune response to breast cancer and generate new strategies to enhance immune-based treatments. In future, it may be possible to better predict which patients will respond to immunotherapy, and how best to enhance the immune response as a new form of treatment.

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