Prognostic significance of NY-ESO-1 antigen and PIGR expression in esophageal tumors of CHP-NY-ESO-1-vaccinated patients as adjuvant therapy.


Journal

Cancer immunology, immunotherapy : CII
ISSN: 1432-0851
Titre abrégé: Cancer Immunol Immunother
Pays: Germany
ID NLM: 8605732

Informations de publication

Date de publication:
Nov 2022
Historique:
received: 30 08 2021
accepted: 16 03 2022
pubmed: 17 4 2022
medline: 1 10 2022
entrez: 16 4 2022
Statut: ppublish

Résumé

The aim of this study was to determine the efficacy and the biomarkers of the CHP-NY-ESO-1 vaccine complexed with full-length NY-ESO-1 protein and a cholesteryl pullulan (CHP) in patients with esophageal squamous cell carcinoma (ESCC) after surgery. We conducted a randomized phase II trial. Fifty-four patients with NY-ESO-1-expressing ESCC who underwent radical surgery following cisplatin/5-fluorouracil-based neoadjuvant chemotherapy were assigned to receive either CHP-NY-ESO-1 vaccination or observation as control. Six doses of CHP-NY-ESO-1 were administered subcutaneously once every two weeks, followed by nine more doses once every four weeks. The endpoints were disease-free survival (DFS) and safety. Exploratory analysis of tumor tissues using gene-expression profiles was also performed to seek the biomarker. As there were no serious adverse events in 27 vaccinated patients, we verified the safety of the vaccine. DFS in 2 years were 56.0% and 58.3% in the vaccine arm and in the control, respectively. Twenty-four of 25 patients showed NY-ESO-1-specific IgG responses after vaccination. Analysis of intra-cohort correlations among vaccinated patients revealed that 5% or greater expression of NY-ESO-1 was a favorable factor. Comprehensive analysis of gene expression profiles revealed that the expression of the gene encoding polymeric immunoglobulin receptor (PIGR) in tumors had a significantly favorable impact on outcomes in the vaccinated cohort. The high PIGR-expressing tumors that had higher NY-ESO-1-specific IgA response tended to have favorable prognosis. These results suggest that PIGR would play a major role in tumor immunity in an antigen-specific manner during NY-ESO-1 vaccinations. The IgA response may be relevant.

Identifiants

pubmed: 35429246
doi: 10.1007/s00262-022-03194-5
pii: 10.1007/s00262-022-03194-5
doi:

Substances chimiques

Antibodies, Neoplasm 0
Antigens, Neoplasm 0
Cancer Vaccines 0
Glucans 0
Immunoglobulin A 0
Immunoglobulin G 0
Membrane Proteins 0
Receptors, Polymeric Immunoglobulin 0
pullulan 8ZQ0AYU1TT
Cisplatin Q20Q21Q62J
Fluorouracil U3P01618RT

Types de publication

Clinical Trial, Phase II Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

2743-2755

Subventions

Organisme : Japan Agency for Medical Research and Development
ID : JP17ck0106143

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Yasuhiro Nagata (Y)

Leading Medical Research Core Unit, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Shinichi Kageyama (S)

Department of Immuno-Gene Therapy, Mie University Graduate School of Medicine, Tsu, Japan. kageyama@med.mie-u.ac.jp.

Takeshi Ishikawa (T)

Department of Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Satoshi Kokura (S)

Department of Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Tetsuya Okayama (T)

Department of Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Tetsuya Abe (T)

Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, Nagoya, Japan.

Masahiko Murakami (M)

Division of Gastroenterological and General Surgery, School of Medicine, Showa University, Tokyo, Japan.

Koji Otsuka (K)

Division of Gastroenterological and General Surgery, School of Medicine, Showa University, Tokyo, Japan.

Tomotake Ariyoshi (T)

Division of Gastroenterological and General Surgery, School of Medicine, Showa University, Tokyo, Japan.

Takashi Kojima (T)

Department of Gastroenterology and Gastrointestinal Oncology, National Cancer Hospital East, Kashiwa, Japan.

Ken Taniguchi (K)

Department of Surgery, Nagasaki Medical Center, Omura, Japan.

Shinichiro Kobayashi (S)

Department of Surgery, Nagasaki Medical Center, Omura, Japan.

Hideaki Shimada (H)

Department of Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.

Satoshi Yajima (S)

Department of Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.

Takashi Suzuki (T)

Department of Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.

Satoshi Hirano (S)

Department of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, Sapporo, Japan.

Takahiro Tsuchikawa (T)

Department of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, Sapporo, Japan.

Toshiaki Shichinohe (T)

Department of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, Sapporo, Japan.

Shugo Ueda (S)

Department of Gastroenterological Surgery and Oncology, Kitano Hospital, Tazuke Kofukai Medical Research Institute, Osaka, Japan.

Kengo Kanetaka (K)

Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Akira Yoneda (A)

Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Hisashi Wada (H)

Department of Clinical Research in Tumor Immunology, Osaka University Graduate School of Medicine, Suita, Japan.

Yuichiro Doki (Y)

Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita, Japan.

Hiroki Yamaue (H)

Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan.

Masahiro Katsuda (M)

Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan.

Masaki Ohi (M)

Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Tsu, Japan.

Hiromi Yasuda (H)

Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Tsu, Japan.

Ken Kondo (K)

Department of Surgery, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.

Masato Kataoka (M)

Department of Surgery, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.

Yasuhiro Kodera (Y)

Department of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Masahiko Koike (M)

Department of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Taizo Shiraishi (T)

Department of Oncologic Pathology, Mie University Graduate School of Medicine, Tsu, Japan.

Yoshihiro Miyahara (Y)

Department of Immuno-Gene Therapy, Mie University Graduate School of Medicine, Tsu, Japan.

Naoki Goshima (N)

Department of Human Science, Faculty of Human Science, Musashino University, Tokyo, Japan.

Eriko Fukuda (E)

Cellular and Molecular Biotechnology Research Institute, National Institute of Advanced Industrial Science and Technology, Tokyo, Japan.

Kei Yamaguchi (K)

Molecular Profiling Research Center for Drug Discovery, National Institute of Advanced Industrial Science and Technology, Tokyo, Japan.

Eiichi Sato (E)

Department of Pathology (Medical Research Center), Institute of Medical Science, Tokyo Medical University, Tokyo, Japan.

Hiroaki Ikeda (H)

Department of Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Tomomi Yamada (T)

Department of Medical Innovation, Osaka University Hospital, Suita, Japan.

Masaharu Osako (M)

FIVERINGS CO., LTD., Osaka, Japan.

Kaoru Hirai (K)

FIVERINGS CO., LTD., Osaka, Japan.

Hiroshi Miyamoto (H)

FIVERINGS CO., LTD., Osaka, Japan.

Takashi Watanabe (T)

Department of Immuno-Gene Therapy, Mie University Graduate School of Medicine, Tsu, Japan.

Hiroshi Shiku (H)

Department of Immuno-Gene Therapy, Mie University Graduate School of Medicine, Tsu, Japan. shiku@med.mie-u.ac.jp.

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