In mice, vaccination with high
peptide doses generates higher frequencies of specific CD8+ T cells, but with lower avidity compared to vaccination with lower
peptide doses. To investigate the impact of
peptide dose on CD8+ T cell responses in humans,
melanoma patients were vaccinated with 0.1 or 0.5 mg
Melan-A/MART-1
peptide, mixed with
CpG 7909 and
Incomplete Freund's adjuvant. Neither the kinetics nor the amplitude of the
Melan-A-specific CD8+ T cell responses differed between the two vaccination groups. Also, CD8+ T cell differentiation and
cytokine production ex vivo were similar in the two groups. Interestingly, after low
peptide dose vaccination,
Melan-A-specific CD8+ T cells showed enhanced degranulation upon
peptide stimulation, as assessed by CD107a upregulation and
perforin release ex vivo. In accordance, CD8+ T cell clones derived from low
peptide dose-vaccinated patients showed significantly increased degranulation and stronger cytotoxicity. In parallel,
Melan-A-specific CD8+ T cells and clones from low
peptide dose-vaccinated patients expressed lower CD8 levels, despite similar or even stronger binding to tetramers. Furthermore, CD8+ T cell clones from low
peptide dose-vaccinated patients bound CD8 binding-deficient tetramers more efficiently, suggesting that they may express higher affinity TCRs. We conclude that low
peptide dose vaccination generated CD8+ T cell responses with stronger cytotoxicity and lower CD8 dependence.