AUTHOR=Baker Forrest L. , Bigley Austin B. , Agha Nadia H. , Pedlar Charles R. , O'Connor Daniel P. , Bond Richard A. , Bollard Catherine M. , Katsanis Emmanuel , Simpson Richard J. 

TITLE=Systemic β-Adrenergic Receptor Activation Augments the ex vivo Expansion and Anti-Tumor Activity of Vγ9Vδ2 T-Cells

JOURNAL=Frontiers in Immunology

VOLUME=10

YEAR=2020

URL=https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2019.03082

DOI=10.3389/fimmu.2019.03082

ISSN=1664-3224

ABSTRACT=<p>TCR-gamma delta (γδ) T-cells are considered important players in the graft-vs.-tumor effect following allogeneic hematopoietic cell transplantation (alloHCT) and have emerged as candidates for adoptive transfer immunotherapy in the treatment of both solid and hematological tumors. Systemic β-adrenergic receptor (β-AR) activation has been shown to mobilize TCR-γδ T-cells to the blood, potentially serving as an adjuvant for alloHCT and TCR-γδ T-cell therapy. We investigated if systemic β-AR activation, using acute dynamic exercise as an experimental model, can increase the mobilization, <italic>ex vivo</italic> expansion, and anti-tumor activity of TCR-γδ T-cells isolated from the blood of healthy humans. We also sought to investigate the β-AR subtypes involved, by administering a preferential β<sub>1</sub>-AR antagonist (bisoprolol) and a non-preferential β<sub>1</sub> + β<sub>2</sub>-AR antagonist (nadolol) prior to exercise as part of a randomized placebo controlled cross-over experiment. We found that exercise mobilized TCR-γδ cells to blood and augmented their <italic>ex vivo</italic> expansion by ~182% compared to resting blood when stimulated with IL-2 and ZOL for 14-days. Exercise also increased the proportion of CD56+, NKG2D+/CD62L–, CD158a/b/e+ and NKG2A− cells among the expanded TCR-γδ cells, and increased their cytotoxic activity against several tumor target cells (K562, U266, 221.AEH) <italic>in vitro</italic> by 40–60%. Blocking NKG2D on TCR-γδ cells <italic>in vitro</italic> eliminated the augmented cytotoxic effects of exercise against U266 target cells. Furthermore, administering a β<sub>1</sub> + β<sub>2</sub>-AR (nadolol), but not a β<sub>1</sub>-AR (bisoprolol) antagonist prior to exercise abrogated the exercise-induced enhancement in TCR-γδ T-cell mobilization and <italic>ex vivo</italic> expansion. Furthermore, nadolol completely abrogated while bisoprolol partially inhibited the exercise-induced increase in the cytotoxic activity of the expanded TCR-γδ T-cells. We conclude that acute systemic β-AR activation in healthy donors markedly augments the mobilization, <italic>ex vivo</italic> expansion, and anti-tumor activity of TCR-γδ T-cells and that some of these effects are due to β<sub>2</sub>-AR signaling and phenotypic shifts that promote a dominant activating signal via NKG2D. These findings highlight β-ARs as potential targets to favorably alter the composition of allogeneic peripheral blood stem cell grafts and improve the potency of TCR-γδ T-cell immune cell therapeutics.</p>