Department of Oncology, IRBM "P. Angeletti", Pomezia, Italy.
Mol Ther. 2010 Aug;18(8):1559-67. doi: 10.1038/mt.2010.104. Epub 2010 Jun 8.
Canine cancers occur with an incidence similar to that of humans and share many features with human malignancies including histological appearance, tumor genetics, biological behavior, and response to conventional therapies. As observed in humans, the telomerase reverse transcriptase (TERT) activity is largely confined to tumor tissues and absent in the majority of normal dog tissues. Therefore, dog TERT (dTERT) can constitute a valid target for translational cancer immunotherapy. We have evaluated the ability of adenovirus serotype 6 (Ad6) and DNA electroporation (DNA-EP) to induce immune responses against dTERT in dogs affected by malignant lymphoma (ML). The vaccine was combined with standard chemotherapy regimen [cyclophosphamide, vincristine, prednisone (COP)]. dTERT-specific immune response was induced in 13 out of 14 treated animals (93%) and remained detectable and long-lasting with the absence of autoimmunity or other side effects. Most interestingly, the survival time of vaccine/Chemo-treated dogs was significantly increased over historic controls of Chemo-treated animals (>97.8 versus 37 weeks, respectively, P = 0.001). Our results show that Ad6/DNA-EP-based cancer vaccine against dTERT overcomes host immune tolerance, should be combined with chemotherapy, induces long-lasting immune responses, and significantly prolongs the survival of ML canine patients. These data support further evaluation of this approach in human clinical trials.
犬类癌症的发病率与人类相似,并且与人类恶性肿瘤具有许多共同特征,包括组织学外观、肿瘤遗传学、生物学行为以及对常规治疗的反应。与在人类中观察到的情况一样,端粒酶逆转录酶 (TERT) 的活性主要局限于肿瘤组织,而在大多数正常犬组织中不存在。因此,犬 TERT(dTERT)可以成为转化癌症免疫治疗的有效靶标。我们已经评估了腺病毒血清型 6 (Ad6) 和 DNA 电穿孔 (DNA-EP) 在患有恶性淋巴瘤 (ML) 的犬中诱导针对 dTERT 的免疫反应的能力。该疫苗与标准化疗方案[环磷酰胺、长春新碱、泼尼松 (COP)]联合使用。在 14 只接受治疗的动物中有 13 只(93%)诱导出了 dTERT 特异性免疫反应,并且在没有自身免疫或其他副作用的情况下仍然可以检测到并持续存在。最有趣的是,疫苗/化疗治疗犬的存活时间明显长于化疗治疗动物的历史对照(分别为 >97.8 和 37 周,P = 0.001)。我们的结果表明,针对 dTERT 的基于 Ad6/DNA-EP 的癌症疫苗克服了宿主免疫耐受,应与化疗联合使用,可诱导持久的免疫反应,并显著延长 ML 犬患者的生存时间。这些数据支持在人类临床试验中进一步评估这种方法。