RT Journal Article SR Electronic T1 Restoration of antitumor immunity through anti-MICA antibodies elicited with a chimeric protein JF Journal for ImmunoTherapy of Cancer JO J Immunother Cancer FD BMJ Publishing Group Ltd SP e000233 DO 10.1136/jitc-2019-000233 VO 8 IS 1 A1 Nicolas Torres A1 María Victoria Regge A1 Florencia Secchiari A1 Adrián David Friedrich A1 Raúl Germán Spallanzani A1 Ximena Lucía Raffo Iraolagoitia A1 Sol Yanel Núñez A1 Jessica Mariel Sierra A1 Andrea Ziblat A1 María Cecilia Santilli A1 Nicolás Gilio A1 Evangelina Almada A1 Constanza Lauche A1 Romina Pardo A1 Carolina Inés Domaica A1 Mercedes Beatriz Fuertes A1 Kevin Patrick Madauss A1 Kenneth W Hance A1 Israel S Gloger A1 Vanesa Zylberman A1 Fernando Alberto Goldbaum A1 Norberto Walter Zwirner YR 2020 UL http://jitc.bmj.com/content/8/1/e000233.abstract AB Background Natural killer and cytotoxic CD8+ T cells are major players during antitumor immunity. They express NKG2D, an activating receptor that promotes tumor elimination through recognition of the MHC class I chain-related proteins A and B (MICA and MICB). Both molecules are overexpressed on a great variety of tumors from different tissues, making them attractive targets for immunotherapy. However, tumors shed MICA and MICB, and the soluble forms of both (sMICA and sMICB) mediate tumor-immune escape. Some reports indicate that anti-MICA antibodies (Ab) can promote the restoration of antitumor immunity through the induction of direct antitumor effects (antibody-dependent cell-mediated cytotoxicity, ADCC) and scavenging of sMICA. Therefore, we reasoned that an active induction of anti-MICA Ab with an immunogenic protein might represent a novel therapeutic and prophylactic alternative to restore antitumor immunity.Methods We generated a highly immunogenic chimeric protein (BLS-MICA) consisting of human MICA fused to the lumazine synthase from Brucella spp (BLS) and used it to generate anti-MICA polyclonal Ab (pAb) and to investigate if these anti-MICA Ab can reinstate antitumor immunity in mice using two different mouse tumors engineered to express MICA. We also explored the underlying mechanisms of this expected therapeutic effect.Results Immunization with BLS-MICA and administration of anti-MICA pAb elicited by BLS-MICA significantly delayed the growth of MICA-expressing mouse tumors but not of control tumors. The therapeutic effect of immunization with BLS-MICA included scavenging of sMICA and the anti-MICA Ab-mediated ADCC, promoting heightened intratumoral M1/proinflammatory macrophage and antigen-experienced CD8+ T cell recruitment.Conclusions Immunization with the chimeric protein BLS-MICA constitutes a useful way to actively induce therapeutic anti-MICA pAb that resulted in a reprogramming of the antitumor immune response towards an antitumoral/proinflammatory phenotype. Hence, the BLS-MICA chimeric protein constitutes a novel antitumor vaccine of potential application in patients with MICA-expressing tumors.