Lymphocytes from blood or tumors of patients with advanced cancer did not p
roliferate and produced very low levels of tumor necrosis factor and IFN-ga
mma when cultured with autologous tumor cells. Proliferation and lymphokine
production dramatically increased in the presence of beads conjugated with
mAbs to CD3 plus mAbs to CD28 and/or CD40, and the lymphocytes destroyed t
he tumor cells. Expression density of CD3 concomitantly increased from low
to normal levels. Furthermore, beads providing a CD3 signal tin combination
with CD28 or CD28 plus CD40) gave partial protection against the inhibitor
y effect of transforming growth factor type pi on lymphocyte proliferation
and production of tumor necrosis factor and IFN-gamma, MHC class I-restrict
ed cytolytic T cells lysing autologous tumor cells in a 4-h Cr-51 release a
ssay were generated when peripheral blood leukocytes were activated in the
presence of autologous tumor cells and anti-CD3/CD28 or anti-CD3/CD28/CD40
beads. Experiments performed in a model system using anti-v-pl or anti-V-be
ta2 mAbs to activate subsets of 7 cells expressing restricted T cell recept
or showed that lymphocytes previously activated by anti-v-p can respond to
CD3 stimulation with vigorous proliferation and lymphokine production while
retaining their specificity, also in the presence of transforming growth f
actor type pi. Our results suggest that T lymphocytes from cancer patients
can proliferate and form Th1 type lymphokines in the presence of autologous
tumor cell when properly activated, and that antigen released from killed
tumor cells and presented by antigen-presenting cells in the cultures facil
itates the selective expansion of tumor-directed, CD8(+) cytolytic T cells.