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Institute of DNA Medicine Department of Oncology

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Institute of DNA Medicine Department of Oncology

Sadamu Homma, Professor and Director Mikio Zeniya, Professor

Shigeo Koido, Associate Professor Yasuharu Akasaki, Assistant Professor

General Summary

The aim of our research is to develop and establish novel cancer therapies. Concepts for new anticancer therapies, generated from the unique ideas of our researchers, would be verified by basic and clinical studies so that they could be applied clinically. Most of our research has been based on antitumor immunity.

Research Activities

A phase I clinical study of immunotherapy against advanced pancreatic cancer using dendritic cells pulsed with Wilm’s tumor 1 class I and II peptide

The activation of helper T cells should be an essential factor to induce effective antitumor immunity. Vaccination with dendritic cells (DCs) pulsed with Wilm’s tumor 1 (WT1) class I and II peptides would stimulate WT1-specific cytotoxic T cells, as well as helper T cells, leading to the induction of potent WT1-specifc antitumor immunity. This clinical study is the first trial of treatment with DCs pulsed with WT1 class I and II peptides. A 64-year-old man with advanced pancreatic cancer has received this treatment and has been well in good shape for 10 months.

A phase I clinical study of immunotherapy against glioblastoma using a DC/tumor fusion cell vaccine

The survival of patients with glioblastoma for more than 4 years has been achieved with the combined treatment with temozolomide and a DC-vaccine generated by the fusion of autologous DCs and irradiated glioblastoma cells. The overall survival of patients with glioblastoma treated with the both temozolomide and DCs was significantly longer than that of patients treated with temozolomide alone.

Generation of an artificial protein vaccine inducing potent cellular immunity

Artificial proteins composed of a cytotoxic T-lymphocyte (CTL) epitopes, helper epit- opes, and intercalated peptides of ovalbumin (OVA) were generated using the MolCraft system for protein evolution. Vaccination of mice with the protein of the most proper peptide arrangement demonstrated strong induction of OVA-specific CTLs and elicited the inhibition of OVA-expressing tumor growth. MolCraft-generated artificial proteins are promising future cancer vaccines.

Research Activities 2012  The Jikei University School of Medicine

東京慈恵会医科大学 電子署名者 : 東京慈恵会医科大学 DN : cn=東京慈恵会医科大学, o, ou, [email protected], c=JP 日付 : 2014.04.07 16:27:21 +09'00'

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173

Identification of unique cancer-associated molecules as candidates for novel cancer vac- cines

HLA class I binding peptides were collected from cultured human prostate cancer cells and analyzed with liquid chromatography/tandem mass spectrometry. Several pep- tides derived from unique cancer-associated proteins were identified. The peptides of absent in melanoma 1-like protein (AIM1L), transmembrane protein-191C (TMEM 191C), and c20orf201 were expressed in various types of cancer cell but only in testis, cerebellum, and placenta among noncancerous tissues. These peptides are promising candidates for novel cancer vaccines.

A new molecularly targeted therapy against pancreatic cancer based on the up-regulation of human epidermal growth factor receptor 2 expression

Human pancreatic cancer frequently expresses human epidermal growth factor receptor 2 (HER2). We found that treatment of human pancreatic cancer cells with gemcitabine enhanced HER2 expression. Trastuzumab emtansine (T-DM1), a unique conjugate of a monoclonal antibody to HER2 and a chemotherapeutic agent, showed strong cytotoxic activity against gemcitabine-pretreated pancreatic cancer cells. This synergistic effect might be closely associated with enhanced T-DM1 binding to HER2, the expression of which was up-regulated by treatment with gemcitabine.

Inhibition of the expression of the immune-suppressive protein programmed cell death- ligand 1 on cancer cells by chemotherapeutic agents or molecularly targeted agents or both The CTLs attacking tumor cells would be killed by the interaction between programmed cell death-ligand 1 (PD-L1) on cancer cells and programmed cell death 1 (PD1) on CTLs. We found that some inhibitors of nuclear factor-kB are able to reduce PD-L1 expression on cancer cells. Treatment with such agents might contribute to the inhibi- tion of PD-L1-mediated immune suppression, leading to augmentation of the antitumor effect of cancer vaccines.

Publications

Koido S, Homma S, Okamoto M1, Namiki Y, Takakura K, Takahara A, Odahara S, Tsuki- naga S, Yukawa T, Mitobe J, Matsudaira H, Nagatsuma K, Uchiyama K, Kajihara M, Ari- hiro S, Imazu H, Arakawa H, Kan S, Komita H, Ito M, Ohkusa T, Gong J2, Tajiri H (1Keio Univ,

2Boston Univ). Combined TLR 2/4-activated dendritic/tumor cell fusions induce augmented cytotoxic T lymphocytes. PLoS One. 2013; 8:

e59280. Epub 2013 Mar 15.

Nakano M, Saeki C, Takahashi H, Homma S, Tajiri H, Zeniya M. Activated natural killer T cells producing interferon-gamma elicit promoting activ- ity to murine dendritic cell-based autoimmune hepatic inflammation. Clin Exp Immunol. 2012;

170: 274-82.

Kimura T, Furusato B, Miki J, Yamamoto T, Hayashi N, Takahashi H, Kamata Y, van Leen-

ders GJ, Visakorpi T, Egawa S. Expression of ERG oncoprotein is associated with a less aggres- sive tumor phenotype in Japanese prostate cancer patients. Pathol Int. 2012; 62: 742-8.

Kan S, Hazama S1, Maeda K1, Inoue Y1, Homma S, Koido S, Okamoto M2, Oka M1 (1Yamaguchi Univ, 2Keio Univ). Suppressive effects of cyclophosphamide and gemcitabine on regulatory T-cell induction in vitro. Anticancer Res. 2012; 32: 5363-9.

Tano T1, Okamoto M2, Kan S, Nakashiro K1, Shimodaira S1, Koido S, Homma S, Sato M1, Fujita T2, Kawakami Y2, Hamakawa H1 (1Ehime Univ, 2Keio Univ). Prognostic impact of expres- sion of Bcl-2 and Bax genes in circulating immune cells derived from patients with head and neck carcinoma. Neoplasia. 2013; 15: 305-14.

Research Activities 2012  The Jikei University School of Medicine

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