Duval Kayla E A, Wagner Robert J, Beiss Veronique, Fiering Steven N, Steinmetz Nicole F, Hoopes P Jack
Geisel School of Medicine, Dartmouth College, Hanover, NH, United States.
Thayer School of Engineering, Dartmouth College, Hanover, NH, United States.
Front Oncol. 2020 Dec 16;10:594614. doi: 10.3389/fonc.2020.594614. eCollection 2020.
Virus and virus-like nanoparticles (VNPs) have been used for a variety of preclinical treatments, including anti-cancer vaccination. The Cowpea mosaic virus (CPMV) is a VNP that has shown the ability to stimulate an anti-cancer immune response. The hypothesis of this study is two-fold: that intratumoral CPMV enhances the immunogenetic and cytotoxic response of hypofractionated radiation (15 Gy or 3 x 8 Gy), and that the effect differs between fraction regimens in the murine B16 flank melanoma model.
CPMV nanoparticles were delivered intratumorally, 100 μg/tumor to B16 murine melanoma flank tumors alone, and in combination with either 15 Gy or 3 x 8 Gy (3 consecutive days). Tumors were assessed for immune and cytotoxic gene and protein expression, and cytotoxic T cell infiltration 4 days post treatment. Treatment based tumor control was assessed by a 3-fold tumor growth assay.
Both CPMV and radiation alone demonstrated the activation of a number of important immune and cytotoxic genes including natural killer cell and T cell mediated cytotoxicity pathways. However, the combination treatment activated greater expression than either treatment alone. CPMV combined with a single dose of 15 Gy demonstrated greater immune and cytotoxic gene expression, protein expression, CD8+ T cell infiltration activity, and greater tumor growth delay compared to 3 x 8 Gy with CPMV.
CPMV presents a unique and promising hypofractionated radiation adjuvant that leads to increased anti-tumor cytotoxic and immune signaling, especially with respect to the immune mediated cytotoxicity, immune signaling, and toll-like receptor signaling pathways. This improvement was greater with a single dose than with a fractionated dose.
病毒和病毒样纳米颗粒(VNP)已被用于多种临床前治疗,包括抗癌疫苗接种。豇豆花叶病毒(CPMV)是一种VNP,已显示出刺激抗癌免疫反应的能力。本研究的假说是双重的:肿瘤内注射CPMV可增强低分割放疗(15 Gy或3×8 Gy)的免疫遗传和细胞毒性反应,且在小鼠B16侧腹黑色素瘤模型中,不同分割方案的效果有所不同。
将CPMV纳米颗粒瘤内注射,剂量为100μg/肿瘤,单独注射到B16小鼠黑色素瘤侧腹肿瘤中,或与15 Gy或3×8 Gy(连续3天)联合注射。在治疗后4天评估肿瘤的免疫和细胞毒性基因及蛋白表达,以及细胞毒性T细胞浸润情况。通过3倍肿瘤生长试验评估基于治疗的肿瘤控制情况。
单独的CPMV和放疗均显示出激活了许多重要的免疫和细胞毒性基因,包括自然杀伤细胞和T细胞介导的细胞毒性途径。然而,联合治疗比单独任何一种治疗激活的表达更高。与CPMV联合3×8 Gy相比,CPMV联合单剂量15 Gy显示出更高的免疫和细胞毒性基因表达、蛋白表达、CD8 + T细胞浸润活性以及更大的肿瘤生长延迟。
CPMV是一种独特且有前景的低分割放疗佐剂,可导致抗肿瘤细胞毒性和免疫信号增加,特别是在免疫介导的细胞毒性、免疫信号和Toll样受体信号通路方面。单剂量的改善比分割剂量更大。