Running title: CX3CR1 as a circulating biomarker for vaccine therapy 33 34 Word counts (excluding abstract and references): 2,476 35 36 Abstract 38Background The use of tumor mutation-derived neoantigen represents a promising approach for 39 cancer vaccines. Preclinical and early-phase human clinical studies have shown the successful 40 induction of tumor neoepitope-directed responses; however, overall clinical efficacy of 41 neoantigen vaccines has been limited. One major limitation of this strategy is the lack of a 42 reliable blood-based surrogate marker for clinical response. Here, we investigated a role of 43 CX3C chemokine receptor 1 (CX3CR1), a marker of T-cell differentiation in predicting response 44 to neoantigen vaccination in a preclinical model. 45Methods Mice bearing MC38 colon adenocarcinoma cells that harbor a single-epitope mutation 46 within the Adpgk protein were treated with mutant Adpgk peptide (AdpgkMut) in combination 47 with toll-like receptor 3 (TLR3) agonist poly(I:C) and/or anti-CD40 antibody (Ab). Antitumor 48 efficacy of neoantigen vaccination and the frequency of peripheral blood AdpgkMut-specific 49 CX3CR1+CD8+ T cells were assessed. Mechanisms underlying the generation of CX3CR1+CD8+ 50 T cells were examined using knockout and bone marrow chimeric mice. 51
ResultsWe found that CD40 stimulation significantly enhanced antitumor efficacy of 52 neoantigen and TLR3 agonist vaccination, which was associated with an increased frequency of 53 circulating AdpgkMut-specific effector CX3CR1+CD8+ T cells. Generation of neoantigen-specific 54 CX3CR1+CD8+ T cells by AdpgkMut/CD40/TLR3 stimulation was dependent on CD40 and Batf3 55 in bone marrow-derived cells. Further mechanistic studies using mixed bone marrow chimeras 56identified key roles for CD40 and CD80/86, but not CD70 signaling in Batf3-dependent 57 conventional type 1 dendritic cells (cDC1s) for generation of neoantigen-specific cytotoxic 58
CX3CR1+CD8+ T cells and therapeutic efficacy of neoantigen vaccine. 59Conclusions Taken together, our results underscore critical roles of cDC1s and an implication of 60 dual CD40/TLR3 stimulation in neoantigen-based therapeutic vaccines, and demonstrate the 61 potential utility of CX3CR1 as a circulating predictive T-cell biomarker in vaccine clinical trials. 62 63