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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2021.735133</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>IFN&#x3b2; Is a Potent Adjuvant for Cancer Vaccination Strategies</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Audsley</surname>
<given-names>Katherine M.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn002">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/936040"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wagner</surname>
<given-names>Teagan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn002">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/880047"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ta</surname>
<given-names>Clara</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1459421"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Newnes</surname>
<given-names>Hannah V.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/936041"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Buzzai</surname>
<given-names>Anthony C.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/432460"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Barnes</surname>
<given-names>Samantha A.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/868183"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wylie</surname>
<given-names>Ben</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/108940"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Armitage</surname>
<given-names>Jesse</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1459531"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kaisho</surname>
<given-names>Tsuneyasu</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/435253"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bosco</surname>
<given-names>Anthony</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/936851"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>McDonnell</surname>
<given-names>Alison</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/936310"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cruickshank</surname>
<given-names>Mark</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/592721"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fear</surname>
<given-names>Vanessa S.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/881174"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Foley</surname>
<given-names>Bree</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/329892"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Waithman</surname>
<given-names>Jason</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/117649"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Telethon Kids Institute, The University of Western Australia</institution>, <addr-line>Nedlands, WA</addr-line>, <country>Australia</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Microbiology and Immunology, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity</institution>, <addr-line>Melbourne, VIC</addr-line>, <country>Australia</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Experimental Dermatology, University of Magdeburg</institution>, <addr-line>Magdeburg</addr-line>, <country>Germany</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Immunology, Institute of Advanced Medicine, Wakayama Medical University</institution>, <addr-line>Wakayama</addr-line>, <country>Japan</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>School of Biomedical Sciences, The University of Western Australia</institution>, <addr-line>Nedlands, WA</addr-line>, <country>Australia</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Matteo Bellone, San Raffaele Hospital (IRCCS), Italy</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Giovanni Sitia, San Raffaele Hospital (IRCCS), Italy; Xianda Zhao, University of Minnesota, United States; Karsten Pilones, Weill Cornell Medicine, United States; Taylor Schreiber, Shattuck Labs, Inc., United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Jason Waithman, <email xlink:href="mailto:jason.waithman@telethonkids.org.au">jason.waithman@telethonkids.org.au</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>&#x2020;These authors share first authorship</p>
</fn>
<fn fn-type="other" id="fn003">
<p>This article was submitted to Cancer Immunity and Immunotherapy, a section of the journal Frontiers in Immunology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>06</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>735133</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>07</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>19</day>
<month>08</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Audsley, Wagner, Ta, Newnes, Buzzai, Barnes, Wylie, Armitage, Kaisho, Bosco, McDonnell, Cruickshank, Fear, Foley and Waithman</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Audsley, Wagner, Ta, Newnes, Buzzai, Barnes, Wylie, Armitage, Kaisho, Bosco, McDonnell, Cruickshank, Fear, Foley and Waithman</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Cancer vaccination drives the generation of anti-tumor T cell immunity and can be enhanced by the inclusion of effective immune adjuvants such as type I interferons (IFNs). Whilst type I IFNs have been shown to promote cross-priming of T cells, the role of individual subtypes remains unclear. Here we systematically compared the capacity of distinct type I IFN subtypes to enhance T cell responses to a whole-cell vaccination strategy in a pre-clinical murine model. We show that vaccination in combination with IFN&#x3b2; induces significantly greater expansion of tumor-specific CD8<sup>+</sup> T cells than the other type I IFN subtypes tested. Optimal expansion was dependent on the presence of XCR1<sup>+</sup> dendritic cells, CD4<sup>+</sup> T cells, and CD40/CD40L signaling. Therapeutically, vaccination with IFN&#x3b2; delayed tumor progression when compared to vaccination without IFN. When vaccinated in combination with anti-PD-L1 checkpoint blockade therapy (CPB), the inclusion of IFN&#x3b2; associated with more mice experiencing complete regression and a trend in increased overall survival. This work demonstrates the potent adjuvant activity of IFN&#x3b2;, highlighting its potential to enhance cancer vaccination strategies alone and in combination with CPB.</p>
</abstract>
<kwd-group>
<kwd>type I interferon</kwd>
<kwd>IFN&#x3b2;</kwd>
<kwd>cancer vaccination</kwd>
<kwd>adjuvant</kwd>
<kwd>cross-priming</kwd>
<kwd>CD8+ T cells</kwd>
<kwd>checkpoint blockade</kwd>
<kwd>immunotherapy</kwd>
</kwd-group>
<counts>
<fig-count count="4"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="71"/>
<page-count count="11"/>
<word-count count="6065"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Immunotherapy has emerged in recent years as a new pillar of cancer treatment, revolutionizing outcomes for cancer patients. A variety of strategies have been developed, many of which harness T cell immunity to recognize and eliminate cancer. One such strategy utilizes therapeutic cancer vaccines capable of generating robust anti-tumor T cell responses that improve cancer control (<xref ref-type="bibr" rid="B1">1</xref>). Traditional vaccination protocols target tumor-associated antigens involved in tissue differentiation or antigens commonly overexpressed in cancer cells, demonstrating modest clinical success (<xref ref-type="bibr" rid="B2">2</xref>). Vaccines targeting recurring somatic mutations, with <italic>KRAS</italic>-vaccines as an example (<xref ref-type="bibr" rid="B3">3</xref>), have also been reported. More recently, personalized, tumor-specific vaccines (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B4">4</xref>) have been developed that target immunogenic neoantigens predicted from each patients&#x2019; unique somatic mutation profile (<xref ref-type="bibr" rid="B2">2</xref>,&#xa0;<xref ref-type="bibr" rid="B4">4</xref>). Two independent phase I clinical trials have demonstrated that peptide vaccinations targeting neoantigens in combination with CPB are a feasible, safe, and effective treatment strategy against melanoma (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B4">4</xref>). The advances in neoantigen discovery, and the potential for synergy with CPB, have revitalized interest in the development of effective vaccination strategies for the treatment of cancer. However, to realize the full potential of cancer vaccination, optimization of the components of vaccine protocols is required, including vaccine formulation, delivery vehicles and immune adjuvants.</p>
<p>One promising candidate adjuvant are the type I interferons (IFNs), a family of pleiotropic cytokines first discovered for their role in inducing strong anti-viral immunity (<xref ref-type="bibr" rid="B5">5</xref>). Type I IFNs have also been demonstrated to possess potent anti-cancer properties (<xref ref-type="bibr" rid="B6">6</xref>), attributed to their direct anti-proliferative effect on tumor cells (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>), as well as their immunomodulatory effects (<xref ref-type="bibr" rid="B9">9</xref>). Indeed, type I IFNs have been shown to mediate both endogenous and treatment-induced tumor control <italic>via</italic> immune-dependent mechanisms (<xref ref-type="bibr" rid="B10">10</xref>). This function of type I IFNs can be attributed to the demonstrated effects they exert on a multitude of immune cell populations, including natural killer (NK) cells (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>), T cells (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>), B cells (<xref ref-type="bibr" rid="B15">15</xref>) and dendritic cells (DCs) (<xref ref-type="bibr" rid="B16">16</xref>&#x2013;<xref ref-type="bibr" rid="B21">21</xref>). Of particular relevance to cancer vaccination, type I IFNs act on DCs to promote cross-priming of CD8<sup>+</sup> T cells (<xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B20">20</xref>), highlighting their potential as potent vaccine adjuvants.</p>
<p>While previous studies have established the capacity for type I IFNs to enhance cross-priming (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>), the role of individual type I IFN subtypes remains unknown. The type I IFN family comprises 13 or 14 IFN&#x3b1; genes (in human and mouse, respectively) and a single IFN&#x3b2; gene, as well as the lesser known IFN&#x3b5;, IFN&#x3ba;, and IFN&#x3c9; subtypes (<xref ref-type="bibr" rid="B24">24</xref>). To date, only human IFN&#x3b1;2 has been used clinically for the treatment of cancer (<xref ref-type="bibr" rid="B25">25</xref>), with direct comparisons between subtypes rare (<xref ref-type="bibr" rid="B26">26</xref>). Despite signaling through the common type I IFN&#x3b1;/&#x3b2; receptor (IFNAR) (<xref ref-type="bibr" rid="B27">27</xref>), murine type I IFN subtypes appear to show divergent biological activities in a viral context (<xref ref-type="bibr" rid="B28">28</xref>) and in pre-clinical melanoma models (<xref ref-type="bibr" rid="B29">29</xref>). Here, we systematically screened the adjuvant potential of seven type I IFN subtypes in a whole-cell cancer vaccine model. Between these subtypes, we observed significant differences in their ability to modulate T cell function and identified IFN&#x3b2; as a superior novel adjuvant that might be combined with anti-PD-L1 CPB. Our findings establish that type I IFN subtypes display divergent therapeutic activities and highlight IFN&#x3b2; as an attractive candidate adjuvant for use with cancer vaccination and CPB.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="s2_1">
<title>Cell Lines</title>
<p>B16-F1 (B16) murine melanoma cells were purchased from the ATCC. The B16.Kb<sup>loss</sup> cell line was a kind gift from Esteban Celis, University of Southern Florida, USA. B16 cells were passaged routinely at 70-80% confluency and cultured in RPMI media (Life Technologies) supplemented with 10% FCS (Sigma-Aldrich), 2 mM L-glutamine, 50 &#xb5;M 2-mercaptoethanol, 100 &#xb5;g/mL streptomycin and 100 U/mL penicillin (all Life Technologies) (R10 media) at 37 &#xb0;C, 5% CO<sub>2</sub>. 293T, COS-7 and L929 cells were similarly passaged, in DMEM media (Life Technologies) supplemented with 10% FCS, 2 mM L-glutamine, 100 &#xb5;g/mL streptomycin and 100 U/mL penicillin (D10 media).</p>
</sec>
<sec id="s2_2">
<title>Plasmid Constructs and Transduction of B16.Kb<sup>loss</sup> Cell Lines</title>
<p>B16-F1 and B16.Kb<sup>loss</sup> cells were transduced, as described previously (<xref ref-type="bibr" rid="B30">30</xref>), with retroviral vectors containing a full-length membrane-bound form of HSV glycoprotein B (gB) and enhanced GFP (GFP) or CFP, respectively, to generate B16-F1-gB-GFP (B16.gB) and B16.Kb<sup>loss</sup>-gB-CFP (B16.Kb<sup>loss</sup>.gB) cell lines. Briefly, retroviruses were generated by transfecting the 293T cell lines with pMIG-gB or pMIC-gB, pMD.old.gag.pol, and pCAG-VSVG. B16 cells were next transduced with filtered retrovirus supernatant in the presence of 8 &#xb5;g/mL polybrene (Sigma-Aldrich). For the generation of B16.Kb<sup>loss</sup>.gB_IFN cell lines for vaccination, murine IFN&#x3b1;1, IFN&#x3b1;2, IFN&#x3b1;4, IFN&#x3b1;5, IFN&#x3b1;6, IFN&#x3b1;9, and IFN&#x3b2; was amplified from the pkCMVint mammalian expression vector (<xref ref-type="bibr" rid="B31">31</xref>) and subcloned into pMIG, as described previously (<xref ref-type="bibr" rid="B29">29</xref>). B16.Kb<sup>loss</sup>.gB cells were then retrovirally transduced with the pMIG-IFN constructs, and GFP<sup>+</sup> cells sorted using a BD FACSAriaIII cell sorter (BD Biosciences) to select stable B16Kb<sup>loss</sup>.gB_IFN cell lines. GFP expression of sorted cell lines was confirmed using a BD LSRFortessa X-20 (BD Biosciences).</p>
</sec>
<sec id="s2_3">
<title>Type I IFN Bioassay</title>
<p>Bioactive IFN&#x3b1;/&#x3b2; secretion was confirmed and quantitated using an <italic>in vitro</italic> IFN bioassay (<xref ref-type="bibr" rid="B32">32</xref>). Briefly, L929 cells were exposed to serial dilutions of acid-treated supernatants from the engineered B16.Kb<sup>loss</sup>.gB_IFN cell lines or NIH IFN&#x3b1;/&#x3b2; standard (1,000 IU/mL). Cell supernatants were collected from 5x10<sup>5</sup> irradiated cells after 24 h in culture. After 24 h, encephalomyocarditis virus (EMCV) was added to each well. Following a further 24 h, end-point titers were defined as the dilution producing a 50% reduction in cytopathic effect (CPE) of the L929 cells. Bioactive titers were calculated by comparing the CPE of the B16 or COS-7 cell supernatants to the IFN&#x3b1;/&#x3b2; standard.</p>
</sec>
<sec id="s2_4">
<title>Mice</title>
<p>C57BL/6 (B6) female mice that express the CD45.2 allele were purchased from the Animal Resources Centre, Murdoch, Western Australia. gB-specific T-cell receptor (TCR) transgenic (gBT.I) mice that express the CD45.1 allele (<xref ref-type="bibr" rid="B33">33</xref>), type I IFN knockout mice (IFNAR1<sup>o/o</sup>) (<xref ref-type="bibr" rid="B34">34</xref>), XCR1-DTRvenus mice (XCR1-DTR) (<xref ref-type="bibr" rid="B35">35</xref>), and I-A/E knockout mice (IA/E<sup>o/o</sup>) (<xref ref-type="bibr" rid="B36">36</xref>) were bred at the Telethon Kids Institute. Mice were typically used at 8-12 weeks. Animals were housed under pathogen-free conditions and all studies were approved by the Telethon Kids Institute&#x2019;s Animal Ethics Committee (AEC) (AEC#290, AEC#295, AEC#325, AEC#348).</p>
</sec>
<sec id="s2_5">
<title>Preparation of T Cells</title>
<p>For transfer of precursor gBT.I cells, single cell suspensions were prepared from pooled lymph nodes from na&#xef;ve gBT.I female mice. Purity of gBT.I CD8<sup>+</sup> T cells was determined by flow cytometry, and 5 x 10<sup>4</sup> CD45.1<sup>+</sup> V&#x3b1;2<sup>+</sup> CD8<sup>+</sup> gBT.I T cells were washed and resuspended in 200 &#xb5;L RPMI for i.v. injection into recipient mice at least one day prior to whole-cell vaccination.</p>
</sec>
<sec id="s2_6">
<title>Whole-Cell Vaccination Strategy</title>
<p>Mice were vaccinated i.p. with 2.5 x 10<sup>6</sup> irradiated (200 Gy) B16Kb<sup>loss</sup>.gB or B16Kb<sup>loss</sup>.gB_IFN cells. Cells were washed in PBS prior to irradiation and resuspended in 300 &#xb5;L PBS for injection. For recombinant IFN experiments, mice received 2.5 x 10<sup>6</sup> irradiated (200 Gy) B16Kb<sup>loss</sup>.gB cells at the same time as injection with 10<sup>5</sup> IU IFN&#x3b1;1 or IFN&#x3b2;, produced in-house as previously described (<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B37">37</xref>).</p>
</sec>
<sec id="s2_7">
<title>Depletion/Blocking Experiments</title>
<p>For XCR1 depletion experiments, XCR1-DTR mice were administered with either PBS control or 25 ng/g weight diphtheria toxin (Sigma) one day prior to vaccination. For NK depletion experiments, mice received control PBS or 200 &#xb5;g anti-NK1.1 (BioXCell) one day before and after vaccination. For CD40L blocking experiments, mice were administered with either control IgG isotype (BioXCell) or 200 &#xb5;g anti-CD40L blocking antibody (BioXCell) on the same day as vaccination.</p>
</sec>
<sec id="s2_8">
<title>Flow Cytometry</title>
<p>Spleen, lymph nodes and/or tumors were harvested and passed through a 70 &#xb5;m metal mesh and red blood cell lysed. Resulting single cell suspensions were stained with monoclonal antibodies specific for mouse CD8&#x3b1; (53-6.7), CD45.1 (A20), V&#x3b1;2 (B20.1), IFN<italic>&#x3b3;</italic> (XMG1.2), PD-1 (29F-1412), MHCI (AF6-88.5), CD45 (30-F11), and/or NK1.1 (PK1136) (all from BD Biosciences). For <italic>ex vivo</italic> cytokine production assays, splenocytes were first restimulated with 1 &#xb5;M gB<sub>498-505</sub> peptide for 1 h at 37 &#xb0;C prior to addition of 0.22 mg Brefeldin A (BD GolgiPlug&#x2122;, BD Biosciences) for a further 4 h. Following surface stain, cells were fixed with 4% paraformaldehyde prior to permeabilization with Permeabilization Buffer (eBioscience) and staining with IFN<italic>&#x3b3;</italic>. Cells were stained with Fixable Viability Stain 575V at 1:20,000 (BD Biosciences) prior to surface staining or propidium iodide (PI; Sigma) immediately prior to acquisition to exclude dead cells. Cells were analyzed using the BD LSRFortessa and FlowJo software (BD Biosciences/TreeStar).</p>
</sec>
<sec id="s2_9">
<title>Tumor Challenge and Treatment</title>
<p>Mice were injected subcutaneously with 5 x 10<sup>5</sup> B16 wildtype or B16.gB cells in 50 &#xb5;L of RPMI media. Mice were then vaccinated, as described above, three days (for survival experiments) or four days (for T cell infiltration experiments) post-tumor inoculation. Mice receiving CPB were injected i.p. with 200 &#xb5;g anti-PD-L1 (BioXCell) on days six, nine, and twelve post-tumor inoculation. Tumor size was monitored using calipers and tumor volume was calculated using the following formula: (length (mm) x width (mm)<sup>2</sup>)/2. Mice with tumors &gt;1000 mm<sup>3</sup> were euthanized. Tumor-free mice are defined as mice with no palpable masses.</p>
</sec>
<sec id="s2_10">
<title>Statistics</title>
<p>All statistical analyses were performed using GraphPad (GraphPad Software Inc. v7.0a). Comparison of MFI, IFN titers, MHCI allele expression, and T cell expansion was assessed using one-way or two-way ANOVA. Difference in tumor survival was compared using the Log-Rank Mantel-Cox test. Statistical significance is indicated as *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.005, and ****p &lt; 0.001, unless otherwise stated.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>Generation of B16 Cell Lines Expressing Glycoprotein B and Functional Type I IFN</title>
<p>To compare the adjuvant potential of different type I IFN subtypes, we established a whole-cell vaccination model to systematically interrogate the capacity of individual IFN subtypes to enhance CD8<sup>+</sup> T cell priming. We engineered B16 melanoma cells deficient in the MHC class I alloantigen H-2K<sup>b</sup> haplotype (B16.Kb<sup>loss</sup>) (<xref ref-type="bibr" rid="B38">38</xref>) to stably express a model tumor antigen (Herpes Simplex Virus (HSV) derived glycoprotein B (gB)). The resulting B16.Kb<sup>loss</sup>.gB cell line is defective in direct presentation of K<sup>b</sup>-restricted gB epitopes by tumor cells to the CD8<sup>+</sup> T cell compartment, providing a model system to evaluate cross-priming by DCs. A panel of seven distinct type I IFN subtypes were stably expressed to produce a suite of cell lines for vaccination (B16.Kb<sup>loss</sup>.gB_IFN&#x3b1;1, B16.Kb<sup>loss</sup>.gB_IFN&#x3b1;2, B16.Kb<sup>loss</sup>.gB_IFN&#x3b1;4, B16.Kb<sup>loss</sup>.gB_IFN&#x3b1;5, B16.Kb<sup>loss</sup>.gB_IFN&#x3b1;6, B16.Kb<sup>loss</sup>.gB_IFN&#x3b1;9 and B16.Kb<sup>loss</sup>.gB_IFN&#x3b2;; collectively referred to as B16.Kb<sup>loss</sup>.gB_IFN). Cross-priming in our model system can be tracked by measuring the expansion of adoptively-transferred T cell receptor (TCR) transgenic T cells specific for the HSV immunodominant gB<sub>498-505</sub> peptide (<xref ref-type="bibr" rid="B39">39</xref>) (gBT.I cells) and/or IFN<italic>&#x3b3;</italic> production by CD8<sup>+</sup> T cells following restimulation with gB<sub>498-505</sub> (<xref ref-type="bibr" rid="B33">33</xref>). We used a cytopathic protective effects (CPE) assay (<xref ref-type="bibr" rid="B32">32</xref>) to validate transgenic expression of type I IFN subtypes. Quantification of bioactive type I IFN titers in the cell supernatants confirmed IFN production was robust and not significantly different among the different subtypes (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Vaccination with IFN&#x3b2;-secreting B16 cell lines significantly enhances transgenic and endogenous gB-specific CD8<sup>+</sup> T cell expansion. <bold>(A)</bold> IFN concentration (mean &#xb1; SEM) as determined by a cytopathic bioassay comparing supernatants from the engineered B16.Kb<sup>loss</sup>.gB_IFN cell lines with an IFN&#x3b1;/&#x3b2; standard (n = 3-6). <bold>(B&#x2013;E)</bold> Wildtype C57BL/6 or IFNAR<sup>o/o</sup> mice received 5 x 10<sup>4</sup> na&#xef;ve gBT.I cells one day prior to vaccination with 2.5 x 10<sup>6</sup> irradiated B16.Kb<sup>loss</sup>.gB or B16.Kb<sup>loss</sup>.gB_IFN cells (n = 9-11 per group) with spleens harvested seven days post-vaccination. Expansion of gBT.I cells <bold>(B, C)</bold> or endogenous IFN<italic>&#x3b3;</italic>
<sup>+</sup> CD8<sup>+</sup> T cells post-restimulation with gB peptide <bold>(D, E)</bold> was measured by flow cytometry (n = 11-12 per group). Data is pooled from 2-4 independent experiments and analysed by one-way ANOVA, ****p &lt; 0.001, **p &lt; 0.01, *p &lt; 0.05, ns, not significant. Bars represent mean &#xb1; SEM.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-735133-g001.tif"/>
</fig>
</sec>
<sec id="s3_2">
<title>Whole-Cell Vaccination With IFN&#x3b2; Significantly Expands Transgenic and Endogenous Tumor-Specific CD8<sup>+</sup> T Cells in an IFNAR-Dependent Manner</title>
<p>The capacity of type I IFN subtypes to expand tumor-specific CD8<sup>+</sup> T cells was investigated in cohorts of C57BL/6 mice inoculated with a single irradiated B16.Kb<sup>loss</sup>.gB_IFN cell line as a whole-cell vaccine. To track gB-specific responses, 5 x 10<sup>4</sup> na&#xef;ve gBT.I CD8<sup>+</sup> T cells expressing the congenic marker CD45.1 were adoptively transferred into the mice prior to vaccination. An optimal saturating dose of 2.5 x 10<sup>6</sup> irradiated cells was selected in a prior experiment by titration of B16.Kb<sup>loss</sup>.gB_IFN&#x3b1;4 cells and comparison of gBT.I CD8<sup>+</sup> T cell expansion (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1A</bold>
</xref>). Mice vaccinated with irradiated B16.Kb<sup>loss</sup>.gB_IFN cells producing 4 out of the 7 IFN subtypes tested (IFN&#x3b1;1, IFN&#x3b1;4, IFN&#x3b1;6 or IFN&#x3b2;) induced significantly greater expansion of gBT.I CD8<sup>+</sup> T cells compared to vaccination with control irradiated B16.Kb<sup>loss</sup>.gB cells expressing no IFN (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). Notably, mice receiving B16.Kb<sup>loss</sup>.gB_IFN&#x3b2; cells showed the most striking increase in T cell expansion over and above all other subtypes tested, as well as vaccination with a commonly used adjuvant in the clinic (<xref ref-type="bibr" rid="B40">40</xref>), polyinosinic-polycytidylic acid (poly I:C). This trend was also observed when using recombinant doses of two of our highest-performing IFN subtypes, IFN&#x3b1;1 and IFN&#x3b2;. Vaccination with irradiated B16.Kb<sup>loss</sup>.gB cells in combination with 1 x 10<sup>5</sup> U IFN&#x3b2;, but not IFN&#x3b1;1, produced significantly enhanced CD8<sup>+</sup> T cell expansion compared to vaccination with the cell inoculum alone, indicating a subtype-intrinsic effect (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1B</bold>
</xref>).</p>
<p>Next, we performed our whole-cell vaccination protocol in IFNAR<sup>o/o</sup> mice that lack the receptor through which all type I IFNs signal (<xref ref-type="bibr" rid="B34">34</xref>). We first verified that transferred transgenic gBT.I cells were not rejected in IFNAR<sup>o/o</sup> mice by confirming similar persistence 30 days post-transfer to that observed in wildtype C57BL/6 mice (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1C</bold>
</xref>). Expansion of transferred na&#xef;ve gBT.I CD8<sup>+</sup> T cells in response to vaccination was abrogated in IFNAR<sup>o/o</sup> mice, demonstrating a requirement for signaling through IFNAR on host cells for IFN to have adjuvant activity (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>). Interestingly, increased CD8<sup>+</sup> T cell expansion in IFNAR<sup>o/o</sup> mice was observed following vaccination with the B16.Kb<sup>loss</sup>.gB line in combination with the adjuvant poly I:C, suggesting IFNAR-independent mechanisms for this adjuvant.</p>
<p>We next asked if enhanced recruitment of gB-specific CD8<sup>+</sup> T cells during vaccination also occurred in the endogenous T cell compartment, selecting two of our strongest performing adjuvant candidates, IFN&#x3b1;1 and IFN&#x3b2;, for the remainder of our analyses. Splenocytes from vaccinated C57BL/6 mice were re-stimulated <italic>ex vivo</italic> with the immunodominant gB<sub>498-505</sub> peptide (<xref ref-type="bibr" rid="B41">41</xref>) and the percentage of IFN<italic>&#x3b3;</italic>
<sup>+</sup> CD8<sup>+</sup> T cells was measured as a marker of vaccine-specific CD8<sup>+</sup> T cell expansion. Consistent with our results from transgenic T cell experiments, endogenous gB-specific CD8<sup>+</sup> T cell expansion was significantly enhanced by vaccination with IFN&#x3b2; compared to IFN&#x3b1;1 or no adjuvant (1.84- and 3.89-fold increase, p=0.004 and p&lt;0.0001 respectively; <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>), which was abrogated in IFNAR<sup>o/o</sup> mice (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1E</bold>
</xref>). A sustained increase in gB-specific CD8<sup>+</sup> T cells was observed 60 days post-vaccination, suggesting the potential for long-lived anti-tumor responses (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;2</bold>
</xref>).</p>
</sec>
<sec id="s3_3">
<title>IFN&#x3b2;-Mediated Expansion of Tumor-Specific CD8<sup>+</sup> T Cells Is Dependent on XCR1<sup>+</sup> DCs, CD4<sup>+</sup> T Cells and CD40-CD40L Signaling</title>
<p>Considering IFN does not directly act on CD8<sup>+</sup> T cells to drive T cell expansion, as demonstrated by the lack of expansion of transferred gBT.I cells in IFNAR<sup>o/o</sup> mice, we next focused on the role of specific cell types that may be critical for driving enhanced CD8<sup>+</sup> T cell expansion. Given that the tumor cells comprising the vaccine inoculum are unable to present the K<sup>b</sup>-restricted gB antigen directly to CD8<sup>+</sup> T cells, we evaluated cross-priming by professional antigen-presenting cells. We and others (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B42">42</xref>&#x2013;<xref ref-type="bibr" rid="B44">44</xref>) have demonstrated previously that XCR1<sup>+</sup> cross-presenting DCs are the key cell type cross-priming anti-tumor CD8<sup>+</sup> T cell immunity. To determine whether these cells were responsible for the cross-priming in our vaccination model, we utilized XCR1-DTR mice (<xref ref-type="bibr" rid="B35">35</xref>) to selectively deplete XCR1<sup>+</sup> DCs immediately prior to vaccination with irradiated B16.Kb<sup>loss</sup>.gB_ IFN&#x3b2; cells. Consistent with the critical role XCR1<sup>+</sup> DCs are reported to play in cross-priming, the enhanced gBT.I expansion observed post-vaccination with IFN&#x3b2; in control mice was completely abrogated in the XCR1<sup>+</sup> DC-depleted mice, confirming that these cells are essential for priming the observed CD8<sup>+</sup> T cell response in this setting (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>IFN&#x3b2;-mediated expansion of gB-specific CD8<sup>+</sup> T cells is dependent on XCR1<sup>+</sup> DCs, CD4<sup>+</sup> T cells and CD40/CD40L signalling. Expansion of 5 x 10<sup>4</sup> transferred na&#xef;ve gBT.I <bold>(A, B, D)</bold> or endogenous gB-specific CD8<sup>+</sup> T cells <bold>(C)</bold> was measured seven days post-vaccination with 2.5 x 10<sup>6</sup> irradiated B16.Kb<sup>loss</sup>.gB &#xb1; IFN&#x3b2; cells. <bold>(A)</bold> XCR1-DTR mice received either PBS control or 25 ng/g weight diphtheria toxin (DTx) one day prior to vaccination to deplete XCR1<sup>+</sup> DCs (n = 8 per group). <bold>(B)</bold> C57BL/6 mice received control PBS or 200 &#xb5;g anti-NK1.1 one day prior and post vaccination (n = 7-9 per group). <bold>(C)</bold> Splenocytes from IFN&#x3b2;-vaccinated IA/E<sup>o/o</sup> mice were restimulated with gB peptide and IFN<italic>&#x3b3;</italic>
<sup>+</sup> endogenous CD8<sup>+</sup> T cells were measured (n = 9-11 per group). <bold>(D)</bold> C57BL/6 mice received control isotype or 200 &#xb5;g anti-CD40L on the same day as vaccination (n = 6-8 per group). Data is pooled from two independent repeats and analysed by one-way <bold>(C)</bold> or two-way <bold>(A, B, D)</bold> ANOVA, ****p &lt; 0.001, ***p &lt; 0.005, *p &lt; 0.05, ns, not significant. Bars represent mean &#xb1; SEM.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-735133-g002.tif"/>
</fig>
<p>NK/DC signaling can occur <italic>via</italic> Flt3L (<xref ref-type="bibr" rid="B45">45</xref>), IFN<italic>&#x3b3;</italic> and TNF&#x3b1; (<xref ref-type="bibr" rid="B12">12</xref>) and may be a crucial factor in augmenting cross-priming and anti-tumor responses (<xref ref-type="bibr" rid="B46">46</xref>&#x2013;<xref ref-type="bibr" rid="B48">48</xref>). Therefore, we hypothesized that NK cells may also contribute to the enhanced cross-priming mediated by IFN&#x3b2; in our model. To assess this, endogenous NK cells were depleted one day before and after vaccination with irradiated B16.Kb<sup>loss</sup>.gB_IFN&#x3b2; cells (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;3A,B</bold>
</xref>). However, no effect on the expansion of transferred tumor-specific transgenic CD8<sup>+</sup> T cells was observed in these mice (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>). We next considered the role of CD4<sup>+</sup> T cells in our model, which can license DCs for successful cross-priming (<xref ref-type="bibr" rid="B49">49</xref>). Helper T cell dependence was indicated by the poor induction of endogenous IFN<italic>&#x3b3;</italic>-producing gB-specific CD8<sup>+</sup> T cells in MHC class II-deficient mice (I/AE<sup>o/o</sup>) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>). Whilst significant expansion of tumor-specific T cells remained following vaccination with IFN&#x3b2; in I/AE<sup>o/o</sup> mice, a greater than 3-fold decrease (5.5% vs 1.8%, p &lt; 0.0005) was observed when compared to the percentage of IFN<italic>&#x3b3;</italic>
<sup>+</sup> CD8<sup>+</sup> T cells in wildtype C57BL/6 mice (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>). We hypothesized that the observed T-helper dependence could reflect a requirement for CD40/CD40L signaling. To this end, we blocked CD40L in mice vaccinated with IFN&#x3b2; and measured the expansion of transferred gBT.I CD8<sup>+</sup> T cells. There was approximately a 3-fold decrease in expansion between control isotype- and anti-CD40L-treated mice following whole-cell vaccination with IFN&#x3b2; (4.8% vs 1.6%, p &lt; 0.0001) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>), suggesting a dependence on CD40L signaling for optimal CD8<sup>+</sup> T cell priming.</p>
</sec>
<sec id="s3_4">
<title>Vaccination With IFN&#x3b2; Increases Tumor-Specific CD8<sup>+</sup> T Cell Infiltration and Delays Tumor Progression</title>
<p>We next investigated the impact of whole-cell vaccination with IFN&#x3b2; on circulating T cells and infiltration into the tumor microenvironment (TME) in mice bearing B16.gB tumors. Re-stimulation of lymphocytes <italic>ex vivo</italic> with gB<sub>498-505</sub> peptide demonstrated an increase in the number of endogenous gB-specific CD8<sup>+</sup> T cells in the spleen, tumor and lymph nodes of mice vaccinated with IFN&#x3b1;1 or IFN&#x3b2; compared to vaccination alone (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). Furthermore, IFN&#x3b2;-vaccinated mice showed significantly higher numbers of tumor-specific CD8<sup>+</sup> T cells in the spleen and tumor relative to IFN&#x3b1;1-vaccinated mice suggesting successful tumor-infiltration of functional, tumor-reactive CD8<sup>+</sup> T cells.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Increased tumor-reactive CD8<sup>+</sup> T cell infiltration into the tumor and prolonged survival in mice vaccinated with IFN&#x3b2;-secreting B16 cell lines. <bold>(A)</bold> B16.gB tumor-bearing mice received 5 x 10<sup>4</sup> na&#xef;ve gBT.I cells one day prior to vaccination with 2.5 x 10<sup>6</sup> irradiated B16.Kb<sup>loss</sup>.gB &#xb1; IFN cells. Seven days post-vaccination, expansion of IFN<italic>&#x3b3;</italic>-producing gBT.I, in response to restimulation with gB peptide was enumerated in the spleen, tumor, and ipsilateral lymph nodes (axillary, brachial and inguinal) (n = 12 per group). <bold>(B, C)</bold> Experiment schematic <bold>(B)</bold> and survival curves <bold>(C)</bold> of mice receiving vaccination with 2.5 x 10<sup>6</sup> irradiated B16.Kb<sup>loss</sup>.gB &#xb1; IFN cells (n = 10 per group). Data is pooled from 2-3 biologically independent repeats and analysed by one-way ANOVA for <bold>(A)</bold> and Log-rank Mantel-Cox test for <bold>(C)</bold>, ****p &lt; 0.001, ***p &lt; 0.005, **p &lt; 0.01, *p &lt; 0.05. Bars represent mean &#xb1; SEM.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-735133-g003.tif"/>
</fig>
<p>We next sought to determine the therapeutic potential of our vaccination strategy. Vaccination three days post-B16.gB tumor inoculation resulted in a significant increase in survival for the IFN&#x3b2;-vaccinated cohort (18.4 &#xb1; 6.1 days) relative to vaccination with B16.Kb<sup>loss</sup>.gB cells without IFN (14.8 &#xb1; 3.7 days, p &lt; 0.0323) (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3B, C</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;4</bold>
</xref>). Strikingly, 40% of mice in the IFN&#x3b2;-vaccinated group survived to day 21, compared to 0% of mice receiving vaccination alone or with IFN&#x3b1;1. Therefore, whilst both IFN&#x3b1;1- and IFN&#x3b2;-vaccination has the capacity to increase tumor-specific T cell infiltration into the TME, only IFN&#x3b2; resulted in a therapeutic benefit.</p>
</sec>
<sec id="s3_5">
<title>Anti-PD-L1 CPB Combined With Vaccination Plus IFN&#x3b2; Promotes Overall Survival</title>
<p>It is well established that the immunosuppressive TME can induce upregulation of inhibitory markers on infiltrating immune cells, which can be overcome by CPB (<xref ref-type="bibr" rid="B50">50</xref>). For example, infiltration of the tumor by T cells expressing the inhibitory receptor PD-1 is associated with response to anti-PD-1 therapy (<xref ref-type="bibr" rid="B51">51</xref>). We assessed PD-1 expression on tumor-infiltrating transgenic CD8<sup>+</sup> T cells seven days post-vaccination and observed a significant upregulation across all groups relative to gBT.I T cells in the spleen (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4A, B</bold>
</xref>). These data provided a rationale to investigate whether vaccination with IFN&#x3b2; would sensitize mice to anti-PD-L1 CPB. Mice were vaccinated three days post-tumor inoculation and dosed with anti-PD-L1 on days three, six, and nine post-vaccination (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>). Both IFN&#x3b1;1- and IFN&#x3b2;-vaccination, but not vaccination without IFN (no IFN), significantly increased survival when used in combination with anti-PD-L1 relative to vaccination alone (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;5</bold>
</xref>). When compared to treatment with anti-PD-L1 in the absence of IFN, the combination of IFN&#x3b2;-vaccination and anti-PD-L1 appeared to further increase overall survival, which however, did not reach a statistical significance. Notably, 30% of mice receiving IFN&#x3b2;-vaccination plus anti-PD-L1 displayed complete tumor regression, surviving to at least 100 days post-tumor inoculation. In contrast, only 10% of anti-PD-L1 treated mice displayed this complete regression in the IFN&#x3b1;1-vaccination or vaccine alone groups. Thus, vaccination strategies incorporating IFN&#x3b2; might function in conjunction with anti-PD-L1 treatment to promote overall survival. Interestingly, when comparing tumors harvested at endpoint from mice treated with or without anti-PD-L1, anti-PD-L1 appears to promote gB antigen downregulation (p=0.0079; <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;6A, B</bold>
</xref>). Surviving mice were re-challenged with wildtype B16 tumors, with a significant increase in survival observed in mice initially receiving IFN&#x3b2;-vaccination relative&#xa0;to na&#xef;ve, vaccine-alone or IFN&#x3b1;1-vaccinated mice (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;6C, D</bold>
</xref>). Taken together, these data suggest that enhanced epitope spreading may occur during IFN&#x3b2;-vaccination.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Vaccination with IFN&#x3b2; improves overall survival in combination with anti-PD-L1 checkpoint blockade therapy. Mice were vaccinated with 2.5 x 10<sup>6</sup> irradiated B16.Kb<sup>loss</sup>.gB &#xb1; IFN cells three days post-B16.gB tumor inoculation. <bold>(A, B)</bold> Representative histograms <bold>(A)</bold> and mean fluorescence intensity (MFI) <bold>(B)</bold> of PD-1 expression on transferred transgenic CD8<sup>+</sup> T cells (gBT.I) from mice harvested seven days post-vaccination (n = 4 per group). <bold>(C, D)</bold> Experiment schematic <bold>(C)</bold> and survival curves <bold>(D)</bold> of mice receiving vaccination &#xb1; three doses of anti-PDL1 treatment (200 &#xb5;g/dose) on days six, nine and twelve post-tumor challenge (n = 10 per group from two independent experiments). Dashed black line indicates the no IFN group from the vaccination alone cohorts in Fig 3c, as these data belong to the same experiment but were separated for clarity. Data was analysed by two-way ANOVA, comparing tumor to spleen <bold>(B)</bold> or Log-rank Mantel-Cox test <bold>(D)</bold>, ****p &lt; 0.001 ***p &lt; 0.005, *p &lt; 0.05, ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-735133-g004.tif"/>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>Here we report a systematic approach to determine the adjuvant potential of distinct type I IFN subtypes in a whole-cell cancer vaccine model. We provide compelling evidence that several type I IFN subtypes can significantly enhance cross-priming of tumor-specific CD8<sup>+</sup> T cells when compared to no adjuvant or a gold standard adjuvant, poly I:C. Critically, not all type I IFNs possess this capacity. When testing our two highest-performing subtypes therapeutically, we observe that vaccination with IFN&#x3b2; was superior at enhancing survival in a preclinical model of melanoma compared to vaccination alone. In addition, therapeutic vaccination with IFN&#x3b2; delayed tumor progression and could be administered in combination with immune CPB to favor overall survival. Collectively, these results highlight that IFN&#x3b2; is a potent adjuvant for cancer vaccination strategies.</p>
<p>Immune adjuvants are key components of cancer vaccines, providing obligatory danger signals for DC-licensing and the promotion of efficient immune responses (<xref ref-type="bibr" rid="B52">52</xref>). For example, the commonly used adjuvant poly I:C is a toll-like receptor 3 ligand that can induce type I IFN expression (<xref ref-type="bibr" rid="B53">53</xref>) and enhance the cross-priming of tumor-associated antigen (<xref ref-type="bibr" rid="B54">54</xref>&#x2013;<xref ref-type="bibr" rid="B56">56</xref>). The renewed interest in cancer vaccination follows advances in neoantigen discovery and the development of CPB. Novel adjuvants that enhance the priming of tumor-reactive T cells will synergize with these approaches and improve clinical outcomes (<xref ref-type="bibr" rid="B57">57</xref>). Type I IFN has previously been demonstrated to be a prime candidate due to its ability to promote cross-priming in both a viral (<xref ref-type="bibr" rid="B18">18</xref>) and tumor (<xref ref-type="bibr" rid="B19">19</xref>&#x2013;<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B58">58</xref>) context. Whilst others have highlighted the ability of specific subtypes (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B23">23</xref>) to enhance cross-priming, this is the first study to directly compare multiple type I IFN subtypes head-to-head. We identified IFN&#x3b2; as a superior adjuvant, demonstrating an enhanced capacity to expand CD8<sup>+</sup> T cells post-vaccination. These T cells were shown to be both functional and capable of infiltrating the TME. Notably, the observed differences between type I IFN subtypes in our model were subtype-intrinsic, with similar doses of recombinant IFN&#x3b1;1 and IFN&#x3b2; eliciting differing magnitudes of T cell expansion. These experiments were critical given the difficulty in definitively quantitating IFN production in engineered cell lines with currently available assays (<xref ref-type="bibr" rid="B29">29</xref>). To enhance studies in this area, there is undoubtedly a need for improved tools to be developed allowing accurate measurement of both mouse and human individual type I IFN subtypes. Whilst we observed enhanced cross-priming by a number of type I IFN subtypes when compared to the established vaccine adjuvant, poly I:C, we identified that poly I:C was acting in an IFNAR-independent manner in our model. Consistent with this, it has previously been reported that poly I:C stimulation of DCs from IFNAR<sup>o/o</sup> mice induces 354 differentially expressed genes (DEG) as compared to 988 DEG induced in DCs from wildtype mice, demonstrating the presence of IFNAR-independent mechanisms (<xref ref-type="bibr" rid="B59">59</xref>). Clearly, further studies are warranted to dissect the mechanisms underlying the adjuvant activities of poly I:C.</p>
<p>We have previously shown that distinct IFN&#x3b1; subtypes display diverse anti-cancer activities, noting that IFN&#x3b1; paralogs clustered together on individual chromosomes behave similarly (<xref ref-type="bibr" rid="B29">29</xref>). Previous studies indicate differences in biological activity between the human type I IFN subtypes (<xref ref-type="bibr" rid="B28">28</xref>) due to a variety of mechanisms including variation in binding affinity for the IFNAR subunits (<xref ref-type="bibr" rid="B60">60</xref>, <xref ref-type="bibr" rid="B61">61</xref>); stability of the IFN/IFNAR complex (<xref ref-type="bibr" rid="B62">62</xref>); and sensitivity to negative feedback causing desensitization to IFN signaling (<xref ref-type="bibr" rid="B63">63</xref>). Accordingly, IFN&#x3b2; appears to provoke a more sustained IFN signaling than its IFN&#x3b1; counterparts (<xref ref-type="bibr" rid="B63">63</xref>), and induces a unique gene expression program (<xref ref-type="bibr" rid="B61">61</xref>), which may collectively underly the superior ability of IFN&#x3b2; to promote cross-priming observed in our study. Further studies are required to determine if these molecular mechanisms underpin this observation. Whilst the direct human orthologs of the murine IFN&#x3b1; subtypes are unknown, the presence of a single, distinct IFN&#x3b2; subtype in both species raises the possibility that human IFN&#x3b2; may similarly enhance vaccination protocols as we found in our murine model. Taken together with these observations, our data provides critical proof-of-concept for the investigation into the adjuvant efficacies of human type I IFN subtypes.</p>
<p>The pleiotropic nature of type I IFNs prompted our investigation into mechanisms underlying enhanced cross-priming. Type I IFNs can act on CD8&#x3b1;<sup>+</sup> DCs to promote maturation and cross-priming (<xref ref-type="bibr" rid="B17">17</xref>&#x2013;<xref ref-type="bibr" rid="B21">21</xref>). These DCs broadly comprise the cross-presenting DC subset (specifically the XCR1<sup>+</sup> DC population (<xref ref-type="bibr" rid="B42">42</xref>, <xref ref-type="bibr" rid="B43">43</xref>, <xref ref-type="bibr" rid="B64">64</xref>)) and have been shown to be crucial in mediating effective anti-tumor responses (<xref ref-type="bibr" rid="B65">65</xref>). Here we establish that cross-presenting XCR1<sup>+</sup> DCs are essential for enhanced priming of tumor-specific CD8<sup>+</sup> T cells during vaccination with IFN&#x3b2;. Further studies are required to determine if IFN&#x3b2; is directly acting on these cross-presenting DCs. For successful cross-presentation by XCR1<sup>+</sup> DCs, licensing is critical. DC licensing typically occurs through CD40L engagement by helper CD4<sup>+</sup> T cells, but can also occur by stimulation with soluble factors, such as those produced by NK cells (<xref ref-type="bibr" rid="B49">49</xref>). It has previously been proposed that type I IFN abrogates the requirement of CD4<sup>+</sup> help for successful cross-priming (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B66">66</xref>, <xref ref-type="bibr" rid="B67">67</xref>). Contrary to this proposition, we have identified that optimal cross-priming post-vaccination with IFN&#x3b2; was CD4<sup>+</sup> T cell-dependent and required CD40/CD40L signaling for effective CD8<sup>+</sup> T cell expansion. It is possible that the reported CD4<sup>+</sup> T cell-independent responses could reflect a context-dependent requirement for CD40/CD40L signaling or alternatively be driven by specific type I IFN subtypes. For the optimal development of vaccine strategies incorporating specific type I IFNs in humans, a clear understanding of the helper requirement status is essential.</p>
<p>Our data demonstrates the vital role adjuvants play in mediating vaccine responses, with the incorporation of IFN&#x3b2; boosting T cell expansion and delaying tumor progression. One of the major goals of cancer vaccination is to expand a population of tumor-specific T cells, and as such it is a prime candidate to overlay with CPB to improve clinical outcomes (<xref ref-type="bibr" rid="B57">57</xref>). Indeed, the upregulation of PD-1 we observed on tumor-infiltrating T cells highlights the therapeutic potential of combining these two treatment strategies. As a corollary, vaccination with IFN&#x3b2; in our model was used in conjunction with anti-PD-L1 blockade to further enhance overall survival. Clearly there is an opportunity for vaccination to provide benefit to patients predicted to fail to respond to CPB, by stimulating tumor-reactive T cell responses in those with insufficient T cell infiltrate. While there have been significant advances in the field of neoantigen discovery for the development of personalized cancer vaccination strategies (<xref ref-type="bibr" rid="B68">68</xref>), there is clearly scope to improve adjuvants that optimally harness next-generation vaccines (<xref ref-type="bibr" rid="B57">57</xref>) and improve unsatisfactory response rates to cancer vaccination currently observed in the clinic (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B52">52</xref>). Here, we propose IFN&#x3b2; as a novel adjuvant candidate. As new synthetic cancer vaccines become available, we speculate that overlaying these new strategies with IFN&#x3b2; could enhance response rates, both alone and in combination with CPB.</p>
<p>Whilst we observed a striking 30% survival rate with IFN&#x3b2; vaccination and CPB in mice bearing highly aggressive B16 melanoma tumors, the majority developed progressive disease. The loss of gB expression observed in the tumors of non-responding IFN&#x3b2;-vaccinated mice, and the eventual tumor outgrowth observed despite persistent gB-specific T cell responses, collectively indicate antigen loss to be a likely contributing factor of tumor escape in our model. A major downfall of current immunotherapy strategies is the likelihood for recurrence in those patients that initially respond (<xref ref-type="bibr" rid="B69">69</xref>). Combating escape mechanisms, such as antigen loss, will be crucial in the generation of long-lasting effective treatments for cancer patients (<xref ref-type="bibr" rid="B70">70</xref>). An improved cancer vaccine incorporating IFN&#x3b2; as a highly potent adjuvant may also limit the chance for tumor escape. Indeed, the delayed tumor progression observed in IFN&#x3b2;-vaccinated survivors re-challenged with wildtype tumors, whilst limited by the number of surviving mice available, draws us to speculate that IFN&#x3b2; could similarly be a candidate to mediate the immune phenomenon of epitope spreading. Treatments that simultaneously promote on-target anti-tumor responses whilst generating novel immune responses to a broader spectrum of antigens should be considered a priority.</p>
<p>In summary, our data establishes that distinct type I IFN subtypes elicit potent anti-tumor immune responses through cross-priming of tumor-reactive T cells, highlighting their untapped anti-cancer potential. Notably, we identified IFN&#x3b2; as a superior adjuvant, providing clear rationale for its incorporation into future cancer vaccine protocols. Since the approval of IFN&#x3b1;2 for use against advanced melanoma over 30 years ago (<xref ref-type="bibr" rid="B71">71</xref>), the therapeutic potential of other subtypes has been largely understudied. The remarkable superiority of IFN&#x3b2; in our study, and evidence that not all IFN&#x3b1; subtypes are equal, advocates for the re-evaluation of human type I IFN subtypes used clinically to maximize their clinical efficacy as potent immunomodulators.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s6">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by Telethon Kids Institute Animal Ethics Committee.</p>
</sec>
<sec id="s7">
<title>Author Contributions</title>
<p>KA, TW, BF, and JW designed the experiments. KA, TW, CT, HN, ACB and SB performed the experiments and analyzed the data. KA, BF and JW wrote the manuscript. K.A, TW, HN, SB, BW, JA, AB, AM, MC, BF and JW edited the manuscript. AB, AM, VF, BF and JW provided supervision. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by the Richard Walter Gibbon Medical Research Scholarship and Rachel Kierath Top-Up Scholarship in Paediatric Cancer Research (scholarships to KA), Australian Government Research Training Program Scholarship at The University of Western Australia (scholarships to HN, ACB, and SB), the Cancer Council Western Australia (fellowships to AM and JW), and grants from the Brady Cancer Support Foundation and host institute.</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>We thank the Telethon Kids Institute Bioresources team for their excellent animal care and the Telethon Kids Flow Cytometry Facility for assistance in sorting experiments.</p>
</ack>
<sec id="s11" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2021.735133/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2021.735133/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="DataSheet_1.pdf" id="SM1" mimetype="application/pdf"/>
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