Mitchell Leah A, Yagiz Kader, Hofacre Andrew, Viaud Sophie, Munday Anthony W, Espinoza Fernando Lopez, Mendoza Daniel, Rodriguez-Aguirre Maria E, Bergqvist Simon, Haghighi Ali, Miner Marin V, Accomando William P, Burrascano Cynthia, Gammon Dawn, Gruber Harry E, Jolly Douglas J, Lin Amy H
Tocagen Inc., San Diego, 92121, CA, USA.
Biofizik, Inc., San Diego, 92121, CA, USA.
Oncotarget. 2019 Mar 19;10(23):2252-2269. doi: 10.18632/oncotarget.26785.
Immune checkpoint inhibitors (CPIs) are associated with a number of immune-related adverse events and low response rates. We provide preclinical evidence for use of a retroviral replicating vector (RRV) selective to cancer cells, to deliver CPI agents that may circumvent such issues and increase efficacy. An RRV, RRV-scFv-PDL1, encoding a secreted single chain variable fragment targeting PD-L1 can effectively compete with PD-1 for PD-L1 occupancy. Cell binding assays showed trans-binding activity on 100% of cells in culture when infection was limited to 5% RRV-scFv-PDL1 infected tumor cells. Further, the ability of scFv PD-L1 to rescue PD-1/PD-L1 mediated immune suppression was demonstrated in a co-culture system consisting of human-derived immune cells and further demonstrated in several syngeneic mouse models including an intracranial tumor model. These tumor models showed that tumors infected with RRV-scFv-PD-L1 conferred robust and durable immune-mediated anti-tumor activity comparable or superior to systemically administered anti-PD-1 or anti PD-L1 monoclonal antibodies. Importantly, the nominal level of scFv-PD-L1 detected in serum is ∼50-150 fold less than reported for systemically administered therapeutic antibodies targeting immune checkpoints. These results support the concept that RRV-scFv-PDL1 CPI strategy may provide an improved safety and efficacy profile compared to systemic monoclonal antibodies of currently approved therapies.
免疫检查点抑制剂(CPI)与多种免疫相关不良事件及低反应率相关。我们提供了临床前证据,证明使用一种对癌细胞具有选择性的逆转录病毒复制载体(RRV)来递送CPI药物,可能会规避此类问题并提高疗效。一种编码靶向PD-L1的分泌型单链可变片段的RRV,即RRV-scFv-PDL1,能够有效地与PD-1竞争占据PD-L1。细胞结合试验表明,当感染限于5%的RRV-scFv-PDL1感染的肿瘤细胞时,其对培养物中100%的细胞具有反式结合活性。此外,在由人源免疫细胞组成的共培养系统中证明了scFv PD-L1拯救PD-1/PD-L1介导的免疫抑制的能力,并在包括颅内肿瘤模型在内的几种同基因小鼠模型中进一步得到证实。这些肿瘤模型显示,感染RRV-scFv-PD-L1的肿瘤赋予了强大且持久的免疫介导抗肿瘤活性,与全身给药的抗PD-1或抗PD-L1单克隆抗体相当或更优。重要的是,血清中检测到的scFv-PD-L1的名义水平比针对免疫检查点的全身给药治疗性抗体报道的水平低约50-150倍。这些结果支持了这样一种概念,即与目前批准疗法的全身单克隆抗体相比,RRV-scFv-PDL1 CPI策略可能提供更好的安全性和疗效。