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Durable response in a patient with recurrent respiratory papillomatosis treated with immune checkpoint blockade.


ABSTRACT:

Background

Immune checkpoint blockade can provide clinical benefit for patients with advanced cancer. Here, we report durable disease control over many years following PD-L1 blockade through induction of a viral antigen-specific T cell response in an adult patient with recurrent respiratory papillomatosis.

Methods

Antigen-specific T cell response assays, single cell RNA-sequencing, and RNA-scope was used to study clinical tissues.

Results

An HPV6 E2-specific T cell clone restricted to HLA-B*55, present at low frequency in the pre-treatment papilloma, significantly expanded after six doses of PD-L1 blockade and remained present and functional at the site of initial response in the larynx as a tissue resident memory T cell for 4 years. An associated reduction in E2 target gene was observed following treatment.

Conclusions

Although demonstrated in a single exceptional responder, these results highlight that immune checkpoint blockade may induce durable, viral antigen-specific immunity of sufficient magnitude to control disease in patients with nonmalignant disorders.

SUBMITTER: Bai K 

PROVIDER: S-EPMC9452466 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

Durable response in a patient with recurrent respiratory papillomatosis treated with immune checkpoint blockade.

Bai Ke K   Norberg Scott M SM   Sievers Cem C   Meyer Tanya T   Friedman Jay J   Hinrichs Christian C   Allen Clint T CT  

Head & neck 20220711 10


<h4>Background</h4>Immune checkpoint blockade can provide clinical benefit for patients with advanced cancer. Here, we report durable disease control over many years following PD-L1 blockade through induction of a viral antigen-specific T cell response in an adult patient with recurrent respiratory papillomatosis.<h4>Methods</h4>Antigen-specific T cell response assays, single cell RNA-sequencing, and RNA-scope was used to study clinical tissues.<h4>Results</h4>An HPV6 E2-specific T cell clone re  ...[more]

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