Immune Design Corp., Seattle, WA, A wholly owned subsidiary of Merck & Co., Inc., Kenilworth, NJ, United States of America.
PLoS One. 2021 Dec 2;16(12):e0259301. doi: 10.1371/journal.pone.0259301. eCollection 2021.
Systemic interleukin-12 (IL12) anti-tumor therapy is highly potent but has had limited utility in the clinic due to severe toxicity. Here, we present two IL12-expressing vector platforms, both of which can overcome the deficiencies of previous systemic IL12 therapies: 1) an integrating lentiviral vector, and 2) a self-replicating messenger RNA formulated with polyethyleneimine. Intratumoral administration of either IL12 vector platform resulted in recruitment of immune cells, including effector T cells and dendritic cells, and the complete remission of established tumors in multiple murine models. Furthermore, concurrent intratumoral administration of the synthetic TLR4 agonist glucopyranosyl lipid A formulated in a stable emulsion (GLA-SE) induced systemic memory T cell responses that mediated complete protection against tumor rechallenge in all survivor mice (8/8 rechallenged mice), whereas only 2/6 total rechallenged mice treated with intratrumoral IL12 monotherapy rejected the rechallenge. Taken together, expression of vectorized IL12 in combination with a TLR4 agonist represents a varied approach to broaden the applicability of intratumoral immune therapies of solid tumors.
系统白介素-12(IL12)抗肿瘤治疗具有很强的功效,但由于严重的毒性,在临床上的应用有限。在这里,我们提出了两种表达 IL12 的载体平台,它们都可以克服以前的系统 IL12 治疗的缺陷:1)整合的慢病毒载体,和 2)用聚乙烯亚胺配制的自我复制信使 RNA。两种 IL12 载体平台的肿瘤内给药均导致免疫细胞的募集,包括效应 T 细胞和树突状细胞,并在多种小鼠模型中完全消退已建立的肿瘤。此外,同时肿瘤内给予稳定乳剂中配制的合成 TLR4 激动剂葡萄糖醛酸脂质 A(GLA-SE)诱导了系统记忆 T 细胞反应,介导了所有幸存小鼠(8/8 只再挑战小鼠)对肿瘤再挑战的完全保护,而仅接受肿瘤内 IL12 单一疗法治疗的 2/6 只再挑战小鼠拒绝了再挑战。总之,载体化的 IL12 与 TLR4 激动剂的表达相结合代表了拓宽实体瘤肿瘤内免疫治疗适用性的多样化方法。