The Veatch lab studies T cells targeting tumor antigens in solid tumors with the goal of developing novel cellular therapies for treating cancer.
CD4 T cells can lead to tumor rejection through direct killing of tumor cells, and through interaction with antigen presenting cells to support cytotoxic CD8 T cells and to activate antitumor innate immunity.
We have found that conventional CD4 T cells infiltrating human melanoma tumors include both tumor antigen specific cells and non-specific “bystanders” and that the tumor antigen specific cells have a unique transcriptional signature. The presence of cells with this signature across patients of multiple cancer types is correlated with improved prognosis and an activated tumor microenvironment as measured by the number and activation of CD8 T cells, the activation of macrophages, and the number and maturation of B cells. This has led to the hypothesis that CD4+ T cells targeting tumor antigens could be used to activate the tumor immune microenvironment and potentially benefit patients with solid tumors.
We are using murine models to study gain and loss of function approaches to increase the activation of immune cells by CD4 T cells, to increase their antitumor effects while minimizing toxicity.CD4 T cells in human tumors.
We are identifying T cell receptors allowing CD4 T cells to target recurrent mutations in solid tumors, including common mutations in BRAF and EGFR. We are testing human T cell therapy products in preclinical humanized mouse models that contain human immune and tumor cells, and plan to extend this approach to first in human clinical trials in patients with melanoma, lung cancer, and Merkel cell carcinoma.
Veatch, J. R., Lee, S. M., Shasha, C., Singhi, N., Szeto, J. L., Moshiri, A. S., ... & Riddell, S. R. (2022). Neoantigen-specific CD4+ T cells in human melanoma have diverse differentiation states and correlate with CD8+ T cell, macrophage, and B cell function. Cancer cell, 40(4), 393-409.
Veatch, J. R., Singhi, N., Srivastava, S., Szeto, J. L., Jesernig, B., Stull, S. M., ... & Riddell, S. R. (2021). A therapeutic cancer vaccine delivers antigens and adjuvants to lymphoid tissues using genetically modified T cells. The Journal of Clinical Investigation, 131(16).
Veatch, J. R., Lee, S. M., Fitzgibbon, M., Chow, I. T., Jesernig, B., Schmitt, T., ... & Riddell, S. R. (2018). Tumor-infiltrating BRAF V600E-specific CD4+ T cells correlated with complete clinical response in melanoma. The Journal of clinical investigation, 128(4), 1563-1568.