UCSF Helen Diller Family Comprehensive Cancer Center, Cardiovascular Research Institute and Department of Anatomy, University of California, San Francisco, San Francisco, California.
Centre for Innovative Cancer Therapeutics, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Cancer Res. 2018 Feb 15;78(4):922-937. doi: 10.1158/0008-5472.CAN-15-3308. Epub 2017 Dec 19.
Oncolytic viruses pose many questions in their use in cancer therapy. In this study, we assessed the potential of mpJX-594 (mouse-prototype JX-594), a replication-competent vaccinia virus administered by intravenous injection, to target the tumor vasculature, produce immune activation and tumor cell killing more widespread than the infection, and suppress invasion and metastasis. These actions were examined in RIP-Tag2 transgenic mice with pancreatic neuroendocrine tumors that developed spontaneously and progressed as in humans. mpJX-594 initially infected tumor vascular endothelial cells, leading to vascular pruning and prolonged leakage in tumors but not in normal organs; parallel effects were observed in U87 gliomas. Viral infection spread to tumor cells, where tumor cell killing was much more widespread than the infection. Widespread tumor cell killing at 5 days was prevented by depletion of CD8 T lymphocytes and did not require GM-CSF, as mpJX-594 variants that expressed human, mouse, or no GM-CSF produced equivalent amounts of killing. The antivascular, antitumor, and antimetastatic effects of mpJX-594 were amplified by concurrent or sequential administration of sunitinib, a multitargeted receptor tyrosine kinase inhibitor. These effects were not mimicked by selective inhibition of VEGFR2 despite equivalent vascular pruning, but were accompanied by suppression of regulatory T cells and greater influx of activated CD8 T cells. Together, our results showed that mpJX-594 targets tumor blood vessels, spreads secondarily to tumor cells, and produces widespread CD8 T-cell-dependent tumor cell killing in primary tumors and metastases, and that these effects can be amplified by coadministration of sunitinib. These findings reveal multiple unrecognized features of the antitumor properties of oncolytic vaccinia viruses, all of which can be amplified by the multitargeted kinase inhibitor sunitinib. .
溶瘤病毒在癌症治疗中的应用存在诸多问题。在本研究中,我们评估了静脉注射复制型单纯疱疹病毒 mpJX-594(鼠原型 JX-594)靶向肿瘤血管、产生比感染更广泛的免疫激活和肿瘤细胞杀伤以及抑制侵袭和转移的潜力。这些作用在自发性发生并在人类中进展的 RIP-Tag2 转基因小鼠胰腺神经内分泌肿瘤中进行了检查。mpJX-594 最初感染肿瘤血管内皮细胞,导致血管修剪和肿瘤中延长的渗漏,但在正常器官中没有;在 U87 神经胶质瘤中也观察到类似的效果。病毒感染扩散到肿瘤细胞,肿瘤细胞杀伤比感染更广泛。在 5 天时,CD8 T 淋巴细胞耗竭可防止广泛的肿瘤细胞杀伤,并且不需要 GM-CSF,因为表达人、鼠或无 GM-CSF 的 mpJX-594 变体产生相当数量的杀伤。mpJX-594 的抗血管、抗肿瘤和抗转移作用通过同时或序贯给予舒尼替尼(一种多靶点受体酪氨酸激酶抑制剂)而放大。尽管血管修剪相当,但血管内皮生长因子受体 2 的选择性抑制并不能模拟这些作用,而是伴随着调节性 T 细胞的抑制和更多激活的 CD8 T 细胞的涌入。总之,我们的结果表明,mpJX-594 靶向肿瘤血管,其次感染肿瘤细胞,并在原发性肿瘤和转移瘤中产生广泛的 CD8 T 细胞依赖性肿瘤细胞杀伤,并且这些作用可以通过舒尼替尼的联合给药来放大。这些发现揭示了溶瘤单纯疱疹病毒抗肿瘤特性的多个未被认识的特征,所有这些特征都可以通过多靶点激酶抑制剂舒尼替尼来放大。