Chuang Tien-Fu, Lee Shan-Chih, Liao Kuang-Wen, Hsiao Ya-Wen, Lo Chia-Hui, Chiang Bor-Luen, Lin Xi-Zhang, Tao Mi-Hua, Chu Rea-Min
Department of Veterinary Medicine, School of Veterinary Medicine, National Taiwan University, Taipei, Taiwan, The Republic of China.
Int J Cancer. 2009 Aug 1;125(3):698-707. doi: 10.1002/ijc.24418.
Interleukin-12 (IL-12) is effective in treating many types of rodent tumors, but has been unsuccessful in most human clinical trials, suggesting that animal models of more clinical relevance are required for evaluating human cancer immunotherapy. Herein, we report on the effectiveness of gene therapy with plasmid encoding human IL-12 (pIL-12) through in vivo electroporation in the treatment of beagles with a canine tumor, the canine transmissible venereal tumor (CTVT). The optimal electroporation conditions for gene transfer into CTVTs were tested by luciferase activity and determined to be a voltage of 200 V and duration of 50 msec, with the number of shocks set at 10 pulses, and the use of an electrode with 2 needles. Under these conditions, intratumoral administration of as little as 0.1 mg pIL-12 followed by electroporation significantly inhibited the growth of well-established tumors and eventually led to complete tumor regression. Furthermore, local pIL-12 treatment also induced a strong systemic effect that prevented new tumor growth and cured established tumors at distant locations. Intratumoral administration of pIL-12 greatly elevated the IL-12 level in the tumor masses, but produced only a trace amount in the serum. A high level of IFN-gamma mRNA was also detected in the treated tumor masses. pIL-12 gene therapy attracted significantly more lymphocytes infiltrating the tumors, including CD4(+) and CD8(+) T cells, and the surface expression of MHC I and MHC II molecules on CTVT cells was greatly increased after pIL-12 therapy. This treatment also induced apoptosis of the tumor cells as detected by Annexin V. More importantly, delivery of pIL-12 with intratumoral electroporation did not result in any detectable toxicity in the dogs. We conclude that intratumoral electroporation of the pIL-12 gene could cause profound immunologic host responses and efficiently treat CTVT in beagle dogs. The results also indicate that CTVT is an excellent large animal cancer model for testing immunogene therapies mediated by electroporation.
白细胞介素-12(IL-12)在治疗多种类型的啮齿动物肿瘤方面有效,但在大多数人类临床试验中均未成功,这表明需要更具临床相关性的动物模型来评估人类癌症免疫疗法。在此,我们报告了通过体内电穿孔进行编码人IL-12的质粒(pIL-12)基因治疗在治疗患有犬传染性性病肿瘤(CTVT)的比格犬中的有效性。通过荧光素酶活性测试了将基因导入CTVT的最佳电穿孔条件,确定为电压200V、持续时间50毫秒,电击次数设置为10个脉冲,并使用带有2根针的电极。在这些条件下,瘤内注射低至0.1mg pIL-12后进行电穿孔可显著抑制已形成肿瘤的生长,并最终导致肿瘤完全消退。此外,局部pIL-12治疗还诱导了强烈的全身效应,可预防新肿瘤生长并治愈远处已形成的肿瘤。瘤内注射pIL-12可使肿瘤块中的IL-12水平大幅升高,但在血清中仅产生微量。在治疗的肿瘤块中也检测到高水平的IFN-γ mRNA。pIL-12基因治疗吸引了更多的淋巴细胞浸润肿瘤,包括CD4(+)和CD8(+) T细胞,并且pIL-12治疗后CTVT细胞上MHC I和MHC II分子的表面表达大大增加。这种治疗还诱导了肿瘤细胞凋亡,通过膜联蛋白V检测到。更重要的是,瘤内电穿孔递送pIL-12在犬中未导致任何可检测到的毒性。我们得出结论,pIL-12基因的瘤内电穿孔可引起深刻的宿主免疫反应并有效治疗比格犬的CTVT。结果还表明,CTVT是用于测试电穿孔介导的免疫基因疗法的优秀大型动物癌症模型。