Department of Neurosurgery, Brain Tumor Research Center, Massachusetts General Hospital, Boston, Massachusetts.
Stem Cells and Cancer Laboratory, Translational Research Program, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.
Clin Cancer Res. 2021 Feb 1;27(3):889-902. doi: 10.1158/1078-0432.CCR-20-2400. Epub 2020 Nov 30.
PURPOSE: Extracellular matrix (ECM) component hyaluronan (HA) facilitates malignant phenotypes of glioblastoma (GBM), however, whether HA impacts response to GBM immunotherapies is not known. Herein, we investigated whether degradation of HA enhances oncolytic virus immunotherapy for GBM. EXPERIMENTAL DESIGN: Presence of HA was examined in patient and murine GBM. Hyaluronidase-expressing oncolytic adenovirus, ICOVIR17, and its parental virus, ICOVIR15, without transgene, were tested to determine if they increased animal survival and modulated the immune tumor microenvironment (TME) in orthotopic GBM. HA regulation of NF-κB signaling was examined in virus-infected murine macrophages. We combined ICOVIR17 with PD-1 checkpoint blockade and assessed efficacy and determined mechanistic contributions of tumor-infiltrating myeloid and T cells. RESULTS: Treatment of murine orthotopic GBM with ICOVIR17 increased tumor-infiltrating CD8 T cells and macrophages, and upregulated PD-L1 on GBM cells and macrophages, leading to prolonged animal survival, compared with control virus ICOVIR15. High molecular weight HA inhibits adenovirus-induced NF-κB signaling in macrophages , linking HA degradation to macrophage activation. Combining ICOVIR17 with anti-PD-1 antibody further extended the survival of GBM-bearing mice, achieving long-term remission in some animals. Mechanistically, CD4 T cells, CD8 T cells, and macrophages all contributed to the combination therapy that induced tumor-associated proinflammatory macrophages and tumor-specific T-cell cytotoxicity locally and systemically. CONCLUSIONS: Our studies are the first to show that immune modulatory ICOVIR17 has a dual role of mediating degradation of HA within GBM ECM and subsequently modifying the immune landscape of the TME, and offers a mechanistic combination immunotherapy with PD-L1/PD-1 blockade that remodels innate and adaptive immune cells.
目的:细胞外基质(ECM)成分透明质酸(HA)促进胶质母细胞瘤(GBM)的恶性表型,然而,HA 是否影响 GBM 的免疫治疗反应尚不清楚。在此,我们研究了 HA 的降解是否增强溶瘤病毒免疫疗法治疗 GBM。
实验设计:检查患者和小鼠 GBM 中 HA 的存在。表达透明质酸酶的溶瘤腺病毒 ICOVIR17 及其无转基因的亲本病毒 ICOVIR15 被测试,以确定它们是否增加动物存活率并调节原位 GBM 的免疫肿瘤微环境(TME)。检查病毒感染的鼠巨噬细胞中 NF-κB 信号的 HA 调节。我们将 ICOVIR17 与 PD-1 检查点阻断联合使用,并评估疗效,并确定肿瘤浸润性髓样细胞和 T 细胞的机制贡献。
结果:与对照病毒 ICOVIR15 相比,用 ICOVIR17 治疗小鼠原位 GBM 可增加肿瘤浸润的 CD8 T 细胞和巨噬细胞,并上调 GBM 细胞和巨噬细胞上的 PD-L1,从而延长动物的存活时间。高分子量 HA 抑制腺病毒诱导的巨噬细胞中的 NF-κB 信号传导,将 HA 降解与巨噬细胞激活联系起来。将 ICOVIR17 与抗 PD-1 抗体联合使用进一步延长了 GBM 荷瘤小鼠的存活时间,一些动物实现了长期缓解。从机制上讲,CD4 T 细胞、CD8 T 细胞和巨噬细胞都有助于诱导肿瘤相关促炎巨噬细胞和肿瘤特异性 T 细胞细胞毒性的组合疗法,从而在局部和全身重塑 TME 的先天和适应性免疫细胞。
结论:我们的研究首次表明,免疫调节型 ICOVIR17 具有双重作用,即在 GBM ECM 中介导 HA 的降解,随后修饰 TME 的免疫景观,并提供一种与 PD-L1/PD-1 阻断联合的机制性组合免疫疗法,重塑先天和适应性免疫细胞。
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