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A Humanized HLA-Matched Avatar Model for Preclinical Evaluation of DNA Cancer Vaccines

  • Erika Salvatori 1,   
  • Lucia Lione 1,   
  • Melanie Paccagnella 1,   
  • Eleonora Pinto 1,   
  • Mariantonina Greco 1,   
  • Emanuele Marra 1,   
  • Giuseppe Roscilli 1,   
  • Gennaro Ciliberto 1,   
  • Luigi Aurisicchio 1,2,   
  • Antonella Conforti 1,2,*

Received: 05 Jun 2026 | Revised: 29 Jul 2026 | Accepted: 03 Sep 2026 | Published: 23 Sep 2026

Abstract

Building on seminal studies which utilized RAG2-deficient mice engrafted with human tumors and reconstituted with human PBMCs to investigate antitumor immunity, the field still lacks robust preclinical systems that faithfully recapitulate human HLA-restricted T cell responses. Here, we describe a humanized murine platform—the HLA-matched Immuno-avatar model—engineered to evaluate DNA-based cancer vaccines delivered by electroporation. The model is based on the adoptive transfer of splenocytes from immunocompetent, vaccinated HLA-A0201 transgenic (HHK) donors into immunodeficient RAG2−/− IL-2Rγ−/− recipients, which are subsequently xenografted with a human colon carcinoma cell line and treated with a DNA vaccine encoding HLA-restricted epitopes of carcinoembryonic antigen (CEA). Transfer of splenocytes from CEA-vaccinated donors induced a robust and statistically significant antitumor effect in recipient mice. This humanized, HLA-matched, and functionally immunocompetent platform provides a flexible and translationally relevant system for the preclinical evaluation of both off-the-shelf and personalized cancer vaccines targeting evolving tumor antigen repertoires.

Graphical Abstract

References 

  • 1.

    Hanahan, D. Hallmarks of cancer: New dimensions. Cancer Discov. 2022, 12, 31–46.

  • 2.

    Havel, J.J.; Chowell, D.; Chan, T.A. The evolving landscape of biomarkers for checkpoint inhibitor immunotherapy. Nat. Rev. Cancer 2019, 19, 133–150.

  • 3.

    Day, C.P.; Merlino, G.; Van Dyke, T. Preclinical mouse cancer models: A maze of opportunities and challenges. Cell 2015, 163, 39–53.

  • 4.

    Binnewies, M.; Roberts, E.W.; Kersten, K.; et al. Understanding the tumor immune microenvironment (TIME) for effective therapy. Nat. Med. 2018, 24, 541–550.

  • 5.

    Joyce, J.A.; Fearon, D.T. T cell exclusion, immune privilege, and the tumor microenvironment. Science 2015, 348, 74–80.

  • 6.

    Melero, I.; Sanmamed, M.F.; Chester, C.; et al. Defining the optimal murine models to investigate immune checkpoint blockers and their combination with other immunotherapies. Ann. Oncol. 2016, 27, 1190–1198.

  • 7.

    Hidalgo, M.; Amant, F.; Biankin, A.V.; et al. Patient-derived xenograft models: An emerging platform for translational cancer research. Cancer Discov. 2014, 4, 998–1013.

  • 8.

    Brandenburg, A.; Heine, A.; Brossart, P. Next-generation cancer vaccines and emerging immunotherapy combinations. Trends Cancer 2024, 10, 749–769.

  • 9.

    Ott, P.A.; Hu, Z.; Keskin, D.B.; et al. An immunogenic personal neoantigen vaccine for patients with melanoma. Nature 2017, 547, 217–221.

  • 10.

    Sahin, U.; Türeci, Ö. Personalized vaccines for cancer immunotherapy. Science 2018, 359, 1355–1360.

  • 11.

    Hance, K.W.; Zeytin, H.E.; Greiner, J.W. Mouse models expressing human carcinoembryonic antigen (CEA) as a transgene: Evaluation of CEA-based cancer vaccines. Mutat. Res. 2005, 576, 132–154.

  • 12.

    Gameiro, S.R.; Jammeh, M.L.; Hodge, J.W. Cancer vaccines targeting carcinoembryonic antigen: State-of-the-art and future promise. Expert Rev. Vaccines 2013, 12, 617–629.

  • 13.

    Conforti, A.; Peruzzi, D.; Giannetti, P.; et al. A novel mouse model for evaluation and prediction of HLA-A2-restricted CEA cancer vaccine responses. J. Immunother. 2009, 32, 744–754.

  • 14.

    Turriziani, M.; Fantini, M.; Benvenuto, M.; et al. Carcinoembryonic antigen (CEA)-based cancer vaccines: Recent patents and antitumor effects from experimental models to clinical trials. Recent Pat Anticancer. Drug Discov. 2012, 7, 265–296.

  • 15.

    Facciabene, A.; Aurisicchio, L.; Elia, L.; et al. Vectors encoding carcinoembryonic antigen fused to the B subunit of heat-labile enterotoxin elicit antigen-specific immune responses and antitumor effects. Vaccine 2008, 26, 47–58.

  • 16.

    Aurisicchio, L.; Roscilli, G.; Marra, E.; et al. Superior immunologic and therapeutic efficacy of a xenogeneic genetic cancer vaccine targeting carcinoembryonic antigen. Hum. Gene Ther. 2015, 26, 386–398.

  • 17.

    Kisakova, D.N.; Belyakov, I.M.; Kisakova, L.A.; et al. The use of electroporation to deliver DNA-based vaccines. Expert Rev. Vaccines 2024, 23, 102–123.

  • 18.

    Mennuni, C.; Calvaruso, F.; Facciabene, A.; et al. Efficient induction of T-cell responses to carcinoembryonic antigen by a heterologous prime-boost regimen using DNA and adenovirus vectors carrying a codon-optimized cDNA. Int. J. Cancer 2005, 117, 444–455.

  • 19.

    Rongvaux, A.; Willinger, T.; Takizawa, H.; et al. Human hemato‑lymphoid system mice: Current use and future potential for medicine. Annu. Rev. Immunol. 2014, 32, 563–599.

  • 20.

    Morton, J.J.; Bird, G.; Refaeli, Y.; et al. Humanized Mouse Xenograft Models: Narrowing the Tumor-Microenvironment Gap. Cancer Res. 2016, 76, 6153–6158.

  • 21.

    Walsh, N.C.; Kenney, L.L.; Jangalwe, S.; et al. Humanized mouse models of clinical disease. Annu. Rev. Pathol. 2017, 12, 187–215.

  • 22.

    Billerbeck, E.; Barry, W.T.; Mu, K.; et al. Development of human CD4+ T cells in humanized mice. J. Clin. Investig. 2011, 117, 3076–3086.

  • 23.

    Shultz, L.D.; Brehm, M.A.; Garcia‑Martinez, J.V.; et al. Humanized mice for immune system investigation: Progress, promise and challenges. Nat. Rev. Immunol. 2012, 12, 786–798.

  • 24.

    Boyman, O.; Sprent, J. The role of interleukin‑2 during homeostasis and activation of the immune system. Nat. Rev. Immunol. 2012, 12, 180–190.

  • 25.

    Liao, W.; Lin, J.‑X.; Leonard, W.J. Interleukin‑2 at the crossroads of effector responses, tolerance, and immunotherapy. Immunity 2013, 38, 13–25.

  • 26.

    Alcantar-Orozco EM; Gornall H; Baldan V; et al. Potential limitations of the NSG humanized mouse as a model system to optimize engineered human T cell therapy for cancer. Hum Gene Ther Methods. 2013, 24, 310–320.

  • 27.

    Rosenberg, S.A.; Restifo, N.P. Adoptive cell transfer as personalized immunotherapy for human cancer. Science 2015, 348, 62–68.

  • 28.

    Krishna, S.; Lowery, F.J.; Copeland, A.R.; et al. Stem-like CD8 T cells mediate response of adoptive cell immunotherapy against human cancer. Science 2020, 370, 1328–1334.

  • 29.

    Kryczek, I.; Wei, S.; Szeliga, W.; et al. Endogenous IL-17 contributes to reduced tumor growth and metastasis. Blood 2009, 114, 357–359.

  • 30.

    Trinchieri, G. Interleukin-12 and the regulation of innate resistance and adaptive immunity. Nat. Rev. Immunol. 2003, 3, 133–146.

  • 31.

    Waldmann, T.A. Interleukin-15 (dys)regulation of lymphoid homeostasis: Implications for therapy of autoimmunity and cancer. J. Exp. Med. 2020, 217, e20191062.

  • 32.

    Corrales, L.; Glickman, L.H.; McWhirter, S.M.; et al. Direct activation of STING in the tumor microenvironment leads to potent and systemic tumor regression. Cell Rep. 2015, 11, 1018–1030.

  • 33.

    Sivick, K.E.; Desbien, A.L.; Glickman, L.H.; et al. Magnitude of therapeutic STING activation determines CD8⁺ T‑cell–mediated anti‑tumor immunity. J Immunol. 2017, 198, 1579–1590.

  • 34.

    Melero, I.; Castanon, E.; Alvarez, M.; et al. Intratumoural administration and tumour tissue targeting of cancer immunotherapies. Nat. Rev. Clin. Oncol. 2021, 18, 558–576.

  • 35.

    Aurisicchio, L.; Salvatori, E.; Lione, L.; et al. Poly-specific neoantigen-targeted cancer vaccines delay patient derived tumor growth. J. Exp. Clin. Cancer Res. 2019, 38, 78.

  • 36.

    Jameson, S.C.; Lee, Y.J.; Hogquist, K.A. Innate memory T cells. Nat. Rev. Immunol. 2015, 15, 135–145.

  • 37.

    Sefik, E.; Xiao, T.; Chiorazzi, M.; et al. Engineering Mice to Study Human Immunity. Annu Rev Immunol. 2025, 43, 451–487.

  • 38.

    Brehm, M.A.; Kenney, L.L.; Wiles, M.V.; et al. Lack of acute xenogeneic graft-versus-host disease, but retention of T-cell function following engraftment of human peripheral blood mononuclear cells in NSG mice deficient in MHC class I and II expression. FASEB J. 2019, 33, 3137–3151.

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How to Cite
Salvatori, E.; Lione, L.; Paccagnella, M.; Pinto, E.; Greco, M.; Marra, E.; Roscilli, G.; Ciliberto, G.; Aurisicchio, L.; Conforti, A. A Humanized HLA-Matched Avatar Model for Preclinical Evaluation of DNA Cancer Vaccines. Translational Insights 2026, 1 (1), 22. https://doi.org/10.53941/ti.2026.100022.
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