通过在肿瘤微环境中进行基于腺相关病毒载体和程序性死亡受体1(PD1)的疫苗接种来消除间皮瘤。

Eliminating mesothelioma by AAV-vectored, PD1-based vaccination in the tumor microenvironment.

作者信息

Tan Zhiwu, Chiu Mei Sum, Yan Chi Wing, Man Kwan, Chen Zhiwei

机构信息

AIDS Institute and Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, PR China.

Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, PR China.

出版信息

Mol Ther Oncolytics. 2021 Jan 21;20:373-386. doi: 10.1016/j.omto.2021.01.010. eCollection 2021 Mar 26.

Abstract

The potency of cancer vaccines is often compromised by a variety of immunoinhibitory mechanisms, including stimulation of the programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) immune checkpoint pathway. Here, to overcome inhibition, we determined the potential of recombinant adeno-associated virus (rAAV)-vectored, PD1-based vaccination in the tumor microenvironment (TME) to activate antigen-specific T cell responses in the immune-competent murine mesothelioma model. We found that our rAAV-soluble PD1 (sPD1)-TWIST1 vaccine elicited and maintained TWIST1-specific cytotoxic T lymphocyte (CTL) responses and the PD-1 blocker systemically against lethal mesothelioma challenge after intramuscular injection, which was more effective than rAAV-TWIST1 or rAAV-sPD1 alone. More importantly, intratumoral injection of rAAV-sPD1-TWIST1 significantly enhanced immune surveillance by inducing TWIST1-specific CTL responses against vaccine-encoded TWIST1 and bystander gp70-AH1 epitopes, increasing CTL infiltration into the TME and decreasing tumor-associated immunosuppression, leading to complete elimination of established mesothelioma in 5 of 8 tumor-bearing mice. In addition, direct oncosuppression synergized with recruitment of T cells after localized rAAV-sPD1-TWIST1 treatment in a humanized mouse model to inhibit growth of REN human mesothelioma. Our results warrant clinical development of the rAAV-sPD1-TWIST1 vaccine to enhance immunotherapy against a wide range of TWIST1-expressing tumors.

摘要

癌症疫苗的效力常常受到多种免疫抑制机制的影响,包括程序性细胞死亡蛋白1(PD-1)/程序性死亡配体1(PD-L1)免疫检查点途径的激活。在此,为了克服抑制作用,我们在免疫健全的小鼠间皮瘤模型中,确定了基于重组腺相关病毒(rAAV)载体、以PD1为基础的肿瘤微环境(TME)疫苗激活抗原特异性T细胞反应的潜力。我们发现,我们的rAAV可溶性PD1(sPD1)-TWIST1疫苗在肌肉注射后引发并维持了TWIST1特异性细胞毒性T淋巴细胞(CTL)反应,且该PD-1阻断剂对致死性间皮瘤攻击具有全身性保护作用,其效果比单独使用rAAV-TWIST1或rAAV-sPD1更有效。更重要的是,瘤内注射rAAV-sPD1-TWIST1通过诱导针对疫苗编码的TWIST1和旁观者gp70-AH1表位的TWIST1特异性CTL反应,显著增强了免疫监视,增加了CTL向TME的浸润并减少了肿瘤相关的免疫抑制,从而使8只荷瘤小鼠中的5只已形成的间皮瘤被完全清除。此外,在人源化小鼠模型中,局部注射rAAV-sPD1-TWIST1后,直接肿瘤抑制与T细胞募集协同作用,抑制了REN人源间皮瘤的生长。我们的结果为rAAV-sPD1-TWIST1疫苗的临床开发提供了依据,以增强针对多种表达TWIST1肿瘤的免疫治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd7a/7878991/0081e06c62f6/fx1.jpg

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