a specific increase in splenic CD8+T cells that
recognized the TMP1 peptide (but not the
OVA peptide SIINFEKL) at day 7 after treat-
ment with CTX and gavage withE. hirae
13144 (Fig. 1E), as well as in tumor-draining
lymph nodes (LNs) of tumor-bearing mice at
day 14 after treatment with CTX and gavage with
E. hirae13144 (fig. S2, C and D). Splenic TMP1
(but not OVA)–specific (H-2Kb/TSLARFANI
tetramer-positive) CTLs also increased in their
frequency after gavage withE. hiraeIGR11
(but not 13344 or ATCC9790) (Fig. 1E). The
H-2Kb/TSLARFANI tetramer-positive CTLs
were specifically enriched in the CXCR3+
CCR9+fraction of CD8+Tcellsfromsec-
ondary lymphoid organs (fig. S2C). Even in
mice colonized with human fecal materials,
CTX administration and oral gavage with
E. hirae13144 induced an anticancer effect (fig.
S2E) and an expansion of H-2Kb/TSLARFANI
tetramer-positive CTL in tumor-draining LNs
at day 7 and in tumor beds at day 17 but were
not detectable in mesenteric LNs (fig. S2, F
and H). Hence, immunogenicE. hiraeelicits
an H-2Kb–restricted CTL response against the
TMP-derived peptide TMP1/TSLARFANI.
To explore the capacity of TMP1-specific
H-2Kb–restricted T cells to control the growth
of MCA205 cancers, we subcutaneously (sc)
immunized naive C57BL/6 mice with DCs
loaded with heat-inactivatedE. hirae 13144
(positive control), the naturally occurring TMP1/
TSLARFANI peptide from 13144 and IGR11,
the L→FmutantfromE. hiraeATCC9790
(mut3) (Fig. 2A and fig. S4A), or other non-
immunogenic bacterial peptides (group 1 in
fig. S2B). In this prophylactic setting, DCs
pulsed with TMP1 (but not mut3) were as ef-
ficient as the wholeE. hiraeextract in reducing
tumor growth (Fig. 2, B and C). Next, we ex-
plored whether the TMP1 peptide would be
able to confer immunogenicity to the usually
inefficient bacteriumEscherichia colistrain
DH5ain the therapeutic setting, in which
antibiotic treatment is followed by gavage
with different bacterial strains and CTX-
based chemotherapy (Fig. 1A) ( 6 ).E. colien-
gineered to express TMP1 (fig. S5) was as
efficient asE. hirae13144 in restraining
MCA205 tumor growth (fig. S4B and Fig. 2D)
and eliciting tetramer-binding CTL in the
spleen (Fig. 2E). By contrast,E. coliexpressing
an irrelevant sequence [encoding mouse en-
hanced green fluorescent protein (EGFP) pro-
tein], mut3, or mutant TMP1 bearing an S→A
exchange in the anchor position 2 (mut2) (Fig.
2A) failed to induce such a cancer-protective
immune response (Fig. 2, D and E).
To explore the mechanism by which TMP1
exerts its anticancer activity against MCA205
tumors in C57BL/6 mice, we investigated
whether H-2Kb–restricted mouse tumor anti-
gens with high identity to the TMP1 peptide
(TSLARFANI) exist. Using the National Center
for Biotechnology Information (NCBI) BLASTP
suite, we found that the peptide (GSLARFRNI)
belonging to the proteasome subunit beta
type-4 (PSMB4) located at amino acid po-
sitions 76 to 84 shared a strong homology
with TMP1 (seven out of nine amino acids
with identical amino acids at the MHC class I
anchoring positions 2 and 9) (Fig. 3A). We
queried for potential neoepitopes of MCA205
but found no significant homology with TMP1,
prompting us to focus on the nonmutated
PSMB4 peptide. Some mouse tumors (such
as MCA205 sarcomas and TC1 lung cancers)
overexpress the PSMB4 antigen compared
with their normal tissues of origin, whereas
others (such as MC38 colon cancers) failed
to do so (Fig. 3B). This correlates with the
fact that MCA205 and TC1 tumors respond
to the treatment with CTX+E. hirae13144,
whereas MC38 tumors do not (fig. S6, A and
B). PSMB4 is an oncogenic driver involved in
proliferation and invasion ( 23 ) in a variety of
malignancies such as glioblastoma ( 24 ), mel-
anoma ( 25 ), and breast cancers ( 26 ), associated
with poor prognosis ( 23 , 24 , 26 ). CRISPR-Cas9–
mediated genomic knock-in of the PSMB4
sequence in MCA205 cells, replacing GSLARFRNI
by GALARFRNI (with an S→Aexchangein
position 2) or GSFARFRNI (with an L→F
exchange in position 3 equivalent to mut3 of
TSLARFANI) (fig. S7) significantly affected
tumor growth kinetics (fig. S6, C and D),
suggesting that this PSMB4 epitope con-
tributes to the oncogenic activity of PSMB4.
Whereas these knock-in mutations did not
interfere with the efficacy of CTX treatment
alone, they substantially blunted the anti-
cancer effects ofE. hirae13144 (Fig. 3, C and
D). We extended these findings to a second
tumor model in which the anticancer effects
of the combination of CTX+E. hirae13144 were
additive even in the absence of antibiotic-
Fluckigeret al.,Science 369 , 936–942 (2020) 21 August 2020 3of7
++++ ++
0 5 10 15 20 25
50
0
100
150
200
Group 1 pulsed-DC TMP1 pulsed-DC
PBS DC E.hirae 13144 pulsed-DC
TMP1-mut3 pulsed-DC
Group 1 pulsed-DC TMP1 pulsed-DC
PBS DC E.hirae 13144 pulsed-DC
PBS E.hirae 13144 E.coli EGFP
E.coli TMP1-mut3
E.coli TMP1 E.coli TMP1-mut2
TMP1-mut3 pulsed-DC
Days after tumor inoculation
CTX
BC
DE
A
DC DC
TMP1 TMP1-mut2 TMP1-mut3
Tumor size (mm
2 )
Tumor size (mm
2 )
0
100
200
300
400
0
0.5
1.0
1.5
2.5
2.0
0
100
200
300
400
Tumor size (mm
2 )
++++ ++
PBS E.hirae 13144 E.coli EGFP
E.coli TMP1-mut3
E.coli TMP1 E.coli TMP1-mut2
% H-2KCTX
b-TMP1 tetramer
+ CD8
* *
* *
*
* **
** * *
***
Fig. 2. Prophylactic and therapeutic immunization using phage tail length TMP against murine
sarcomas.(A) Sequence of the immunogenic epitope TMP1 (TSLARFANI) with the engineered and
naturally occurring mutations in positions 2 and 3, respectively. (BandC) Prophylactic vaccination: TLR3
ligand–exposed DCs were pulsed with peptides or heat-inactivated bacteria and then inoculated (sc)
twice into mice. One month later, MCA205 sarcomas were implanted in the opposite flank, and tumor
size was monitored [mean ± SEM are in (B), individual results are in (C)]. (DandE) Therapeutic
vaccination:MCA205 tumor–bearing mice were treated with CTX and gavaged withE. hirae13144 or
E. coli(as shown in Fig. 1A) that were genetically modified to express the indicated peptides or EGFP as a
negative control. (D) Tumor size at sacrifice (each dot representing one tumor per mouse) and (E)
the frequency of H-2Kb/TMP1 tetramer-binding splenic CD8+T cells were monitored (each dot
representing one flow cytometric staining). Results are shown for 12 to 18 animals, gathered from
two to three independent experiments. ANOVA statistical analyses (Kruskal-Wallis test) were used:
*P<0.05,**P< 0.01. The statistical report is in the supplementary materials.
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