一种治疗性 DNA 疫苗和吉西他滨在临床前模型中协同作用,根除 HPV 相关肿瘤。

A therapeutic DNA vaccine and gemcitabine act synergistically to eradicate HPV-associated tumors in a preclinical model.

机构信息

Vaccine Development Laboratory, Department of Microbiology, Biomedical Sciences Institute, University of São Paulo, São Paulo, Brazil.

Laboratory of Tumor Immunology, Department of Immunology, Biomedical Sciences Institute, University of São Paulo, São Paulo, Brazil.

出版信息

Oncoimmunology. 2021 Jul 25;10(1):1949896. doi: 10.1080/2162402X.2021.1949896. eCollection 2021.

Abstract

Although active immunotherapies are effective strategies to induce activation of CD8 T cells, advanced stage tumors require further improvements for efficient control. Concerning the burden of cancer-related to Human papillomavirus (HPV), particularly the high incidence and mortality of cervical cancer, our group developed an approach based on a DNA vaccine targeting the HPV-16 E7 oncoprotein (pgDE7h). This immunotherapy is capable of inducing an antitumour CD8 T cell response but show only partial control of tumors in more advanced growth stages. Here, we combined a chemotherapeutic agent (gemcitabine- Gem) with pgDE7h to overcome immunosuppression and improve antitumour responses in a preclinical mouse tumor model. Our results demonstrated that administration of Gem had synergistic antitumor effects when combined with pgDE7h leading to eradication of both early-stages and established tumors. Overall, the antiproliferative effects of Gem observed and provided an optimal window for immunotherapy. In addition, the enhanced antitumour responses induced by the combined therapeutic regimen included enhanced frequencies of antigen-presenting cells (APCs), E7-specific IFN-γ-producing CD8 T cells, and cytotoxic CD8 T cells and, concomitantly, less pronounced accumulation of immunosuppressive myeloid-derived suppressor cells (MDSCs) and regulatory T cells (Tregs). These findings demonstrated that the combination of Gem and an active immunotherapy strategy show increased effectiveness, leading to a reduced need for multiple drug doses and, therefore, decreased deleterious side effects avoiding resistance and tumor relapses. Altogether, our results provide evidence for a new and feasible chemoimmunotherapeutic strategy that supports future clinical translation.

摘要

虽然主动免疫疗法是诱导 CD8 T 细胞激活的有效策略,但晚期肿瘤需要进一步改进以实现有效的控制。鉴于与人类乳头瘤病毒(HPV)相关的癌症负担,特别是宫颈癌的高发病率和死亡率,我们小组开发了一种针对 HPV-16 E7 癌蛋白(pgDE7h)的 DNA 疫苗的方法。这种免疫疗法能够诱导抗肿瘤 CD8 T 细胞反应,但在更晚期的生长阶段仅能部分控制肿瘤。在这里,我们将一种化疗药物(吉西他滨-Gem)与 pgDE7h 联合使用,以克服免疫抑制并改善临床前小鼠肿瘤模型中的抗肿瘤反应。我们的结果表明,当与 pgDE7h 联合使用时,Gem 的给药具有协同的抗肿瘤作用,导致早期和已建立的肿瘤都被消除。总的来说,观察到 Gem 的抗增殖作用 并 为免疫疗法提供了最佳的窗口。此外,联合治疗方案诱导的增强抗肿瘤反应包括增强抗原呈递细胞(APC)、E7 特异性 IFN-γ 产生的 CD8 T 细胞和细胞毒性 CD8 T 细胞的频率,同时,免疫抑制性髓源抑制细胞(MDSC)和调节性 T 细胞(Treg)的累积程度降低。这些发现表明,Gem 和主动免疫治疗策略的联合使用具有更高的有效性,从而减少了对多种药物剂量的需求,因此减少了有害的副作用,避免了耐药性和肿瘤复发。总之,我们的结果为一种新的可行的化疗免疫治疗策略提供了证据,支持未来的临床转化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a1c/8312617/b4f036b73255/KONI_A_1949896_UF0001_OC.jpg

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