# Determining mechanisms of enhanced antitumor efficacy of four-day expanded Th17 cells for adoptive transfer

> **NIH NIH F30** · MEDICAL UNIVERSITY OF SOUTH CAROLINA · 2020 · $42,343

## Abstract

ABSTRACT 
 
Adoptive T cell transfer therapy mediates potent immunity in patients with bulky metastatic malignancies, but 
proves difficult to translate clinically due to production costs, time, and labor required to generate T cell infusion 
products. To overcome such obstacles, we proposed a method of shortened ex vivo expansion using Th17 cells 
to treat melanoma. Our new unpublished work indicates that Th17 cells expanded only four days ex vivo can 
eradicate tumors even when only very few cells (~200K) are infused into the animal. These day-4 Th17 cells 
mediate more potent antitumor responses than greater numbers (>25X more) of Th17 cells expanded long term. 
In contrast to long-term expanded cells, day-4 cells 1) persist at greater fold once infused in the animal, 2) induce 
significantly increased production of multiple cytokines (IL-6, G-CSF, MCP-1, KC), 3) express high levels of 
cytokine receptors and costimulatory molecules, and 4) provide long-lived protection against tumor recurrence. 
This proposal will determine the mechanism of enhanced day-4 Th17 cell antitumor efficacy and examine 
whether 4-days of ex vivo expansion will improve clinical protocols for generating tumor-infiltrating lymphocyte 
(TIL) products with superior efficacy. Based on our findings, we propose the central hypothesis that day-4 
expanded Th17 cells possess enhanced efficacy in vivo due to their unique ability to recruit other immune cells 
to the tumor as well as form durable memory. To test this hypothesis, in Aim 1, we will examine the effects of IL-
6 on shaping memory and antitumor activity of Th17 cells via neutralization versus exogenous supplementation 
of IL-6. In Aim 2, we will determine whether the antitumor efficacy of very few day-4 Th17 cells is reliant upon 
host immunity through antibody depletion of host neutrophils, macrophages, NK cells, and lymphocytes. Finally, 
in Aim 3, we will assess the functionality of TIL products kinetically during ex vivo expansion and determine 
whether 4-days of rapid expansion is superior to clinically standard 14-days. These investigations are 
expected to expose key mechanisms underlying short-term expanded Th17 cell potency to 1) identify 
novel approaches to improve ACT with long-term expanded cells and 2) highlight shortened expansion 
as an efficient, less expensive method for future ACT (recently FDA approved at a cost of 
>$500,000/infusion).

## Key facts

- **NIH application ID:** 9994726
- **Project number:** 5F30CA243307-02
- **Recipient organization:** MEDICAL UNIVERSITY OF SOUTH CAROLINA
- **Principal Investigator:** Hannah Marie Knochelmann
- **Activity code:** F30 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $42,343
- **Award type:** 5
- **Project period:** 2019-09-01 → 2023-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9994726

## Citation

> US National Institutes of Health, RePORTER application 9994726, Determining mechanisms of enhanced antitumor efficacy of four-day expanded Th17 cells for adoptive transfer (5F30CA243307-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9994726. Licensed CC0.

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