Suppr超能文献

表达鸟苷酸环化酶C和PADRE辅助性T细胞表位的复制缺陷型重组腺病毒5型疫苗的临床前评估

Preclinical Evaluation of a Replication-Deficient Recombinant Adenovirus Serotype 5 Vaccine Expressing Guanylate Cyclase C and the PADRE T-helper Epitope.

作者信息

Snook Adam E, Baybutt Trevor R, Hyslop Terry, Waldman Scott A

机构信息

1 Department of Pharmacology and Experimental Therapeutics, Thomas Jefferson University, Philadelphia, Pennsylvania.

2 Department of Biostatistics and Bioinformatics, Duke Cancer Institute, Duke University , Durham, North Carolina.

出版信息

Hum Gene Ther Methods. 2016 Dec;27(6):238-250. doi: 10.1089/hgtb.2016.114.

Abstract

There is an unmet need for improved therapeutics for colorectal cancer, the second leading cause of cancer mortality worldwide. Adjuvant chemotherapy only marginally improves survival in some patients and has no benefit in others, underscoring the clinical opportunity for novel immunotherapeutic approaches to improve survival in colorectal cancer. In that context, guanylate cyclase C (GUCY2C) is an established biomarker and therapeutic target for metastatic colorectal cancer with immunological characteristics that promote durable antitumor efficacy without autoimmunity. Preliminary studies established non-replicating human type 5 adenovirus (Ad5) expressing GUCY2C as safe and effective to induce GUCY2C-specific immune responses and antitumor immunity in mice. This study characterized the biodistribution, immunogenicity, and safety of a vector expressing GUCY2C fused with the human CD4 T helper cell epitope PADRE (Ad5-GUCY2C-PADRE) to advance this vaccine into clinical trials in colorectal cancer patients. Ad5-GUCY2C-PADRE levels were highest in the injection site and distributed in vivo primarily to draining lymph nodes, the liver, spleen and, unexpectedly, to the bone marrow. Immune responses following Ad5-GUCY2C-PADRE administration were characterized by PADRE-specific CD4 T-cell and GUCY2C-specific B-cell and CD8 T-cell responses, producing antitumor immunity targeting GUCY2C-expressing colorectal cancer metastases in the lungs, without acute or chronic autoimmune or other toxicities. Collectively, these data support Ad5-GUCY2C-PADRE as a safe and effective vaccination strategy in preclinical models and position Ad5-GUCY2C-PADRE for Phase I clinical testing in colorectal cancer patients.

摘要

全球癌症死亡的第二大主要原因是结直肠癌,目前对改善结直肠癌治疗方法仍存在未满足的需求。辅助化疗仅能在部分患者中略微提高生存率,对其他患者则无益处,这凸显了采用新型免疫治疗方法提高结直肠癌患者生存率的临床机遇。在此背景下,鸟苷酸环化酶C(GUCY2C)是转移性结直肠癌已确立的生物标志物和治疗靶点,其具有促进持久抗肿瘤疗效且无自身免疫性的免疫学特征。初步研究表明,表达GUCY2C的非复制型人5型腺病毒(Ad5)在小鼠中安全有效,可诱导GUCY2C特异性免疫反应和抗肿瘤免疫。本研究对表达与人类CD4 T辅助细胞表位PADRE融合的GUCY2C载体(Ad5-GUCY2C-PADRE)的生物分布、免疫原性和安全性进行了表征,以便将这种疫苗推进到结直肠癌患者的临床试验中。Ad5-GUCY2C-PADRE在注射部位的水平最高,在体内主要分布到引流淋巴结、肝脏、脾脏,出乎意料的是还分布到骨髓。给予Ad5-GUCY2C-PADRE后的免疫反应表现为PADRE特异性CD4 T细胞、GUCY2C特异性B细胞和CD8 T细胞反应,产生针对肺部表达GUCY2C的结直肠癌转移灶的抗肿瘤免疫,且无急性或慢性自身免疫或其他毒性。总体而言,这些数据支持Ad5-GUCY2C-PADRE在临床前模型中作为一种安全有效的疫苗接种策略,并为Ad5-GUCY2C-PADRE在结直肠癌患者中进行I期临床试验奠定了基础。

相似文献

2
Split tolerance permits safe Ad5-GUCY2C-PADRE vaccine-induced T-cell responses in colon cancer patients.
J Immunother Cancer. 2019 Apr 23;7(1):104. doi: 10.1186/s40425-019-0576-2.
3
Epitope-targeted cytotoxic T cells mediate lineage-specific antitumor efficacy induced by the cancer mucosa antigen GUCY2C.
Cancer Immunol Immunother. 2012 May;61(5):713-23. doi: 10.1007/s00262-011-1133-0. Epub 2011 Nov 6.
4
GUCY2C-targeted cancer immunotherapy: past, present and future.
Immunol Res. 2011 Dec;51(2-3):161-9. doi: 10.1007/s12026-011-8253-7.
6
Prime-Boost Immunization Eliminates Metastatic Colorectal Cancer by Producing High-Avidity Effector CD8 T Cells.
J Immunol. 2017 May 1;198(9):3507-3514. doi: 10.4049/jimmunol.1502672. Epub 2017 Mar 24.
7
Tumor radiation therapy creates therapeutic vaccine responses to the colorectal cancer antigen GUCY2C.
Int J Radiat Oncol Biol Phys. 2014 Apr 1;88(5):1188-95. doi: 10.1016/j.ijrobp.2013.12.043.

引用本文的文献

2
Guanylyl cyclase C as a diagnostic and therapeutic target in colorectal cancer.
Per Med. 2022 Sep;19(5):457-472. doi: 10.2217/pme-2022-0026. Epub 2022 Aug 3.
6
Guanylyl cyclase 2C (GUCY2C) in gastrointestinal cancers: recent innovations and therapeutic potential.
Expert Opin Ther Targets. 2021 May;25(5):335-346. doi: 10.1080/14728222.2021.1937124. Epub 2021 Jun 15.
7
GUCY2C as a biomarker to target precision therapies for patients with colorectal cancer.
Expert Rev Precis Med Drug Dev. 2021;6(2):117-129. doi: 10.1080/23808993.2021.1876518. Epub 2021 Feb 2.
9
An update on guanylyl cyclase C in the diagnosis, chemoprevention, and treatment of colorectal cancer.
Expert Rev Clin Pharmacol. 2020 Oct;13(10):1125-1137. doi: 10.1080/17512433.2020.1826304. Epub 2020 Oct 6.

本文引用的文献

1
Detection of T cell responses to a ubiquitous cellular protein in autoimmune disease.
Science. 2014 Oct 17;346(6207):363-8. doi: 10.1126/science.1259077.
2
GUCY2C lysosomotropic endocytosis delivers immunotoxin therapy to metastatic colorectal cancer.
Oncotarget. 2014 Oct 15;5(19):9460-71. doi: 10.18632/oncotarget.2455.
3
Selective antigen-specific CD4(+) T-cell, but not CD8(+) T- or B-cell, tolerance corrupts cancer immunotherapy.
Eur J Immunol. 2014 Jul;44(7):1956-66. doi: 10.1002/eji.201444539. Epub 2014 May 21.
4
Association of the autoimmune disease scleroderma with an immunologic response to cancer.
Science. 2014 Jan 10;343(6167):152-7. doi: 10.1126/science.1246886. Epub 2013 Dec 5.
6
Epitope-targeted cytotoxic T cells mediate lineage-specific antitumor efficacy induced by the cancer mucosa antigen GUCY2C.
Cancer Immunol Immunother. 2012 May;61(5):713-23. doi: 10.1007/s00262-011-1133-0. Epub 2011 Nov 6.
7
A uroguanylin-GUCY2C endocrine axis regulates feeding in mice.
J Clin Invest. 2011 Sep;121(9):3578-88. doi: 10.1172/JCI57925. Epub 2011 Aug 25.
8
Role for the membrane receptor guanylyl cyclase-C in attention deficiency and hyperactive behavior.
Science. 2011 Sep 16;333(6049):1642-6. doi: 10.1126/science.1207675. Epub 2011 Aug 11.
10
Lineage-specific T-cell responses to cancer mucosa antigen oppose systemic metastases without mucosal inflammatory disease.
Cancer Res. 2009 Apr 15;69(8):3537-44. doi: 10.1158/0008-5472.CAN-08-3386. Epub 2009 Apr 7.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验