Department of NanoEngineering, University of California San Diego, 9500 Gilman Drive, La Jolla, California 92039, United States.
Center for Nano-ImmunoEngineering, University of California San Diego, 9500 Gilman Drive, La Jolla, California 92039, United States.
ACS Nano. 2022 Nov 22;16(11):18315-18328. doi: 10.1021/acsnano.2c06143. Epub 2022 Oct 20.
Cowpea mosaic virus (CPMV) is a nucleoprotein nanoparticle that functions as a highly potent immunomodulator when administered intratumorally and is used as an in situ vaccine. CPMV in situ vaccination remodels the tumor microenvironment and primes a highly potent, systemic, and durable antitumor immune response against the treated and untreated, distant metastatic sites (abscopal effect). Potent efficacy was demonstrated in multiple tumor mouse models and, most importantly, in canine cancer patients with spontaneous tumors. Data indicate that presence of anti-CPMV antibodies are not neutralizing and that in fact opsonization leads to enhanced efficacy. Plant viruses are part of the food chain, but to date, there is no information on human exposure to CPMV. Therefore, patient sera were tested for the presence of immunoglobulins against CPMV, and indeed, >50% of deidentified patient samples tested positive for CPMV antibodies. To get a broader sense of plant virus exposure and immunogenicity in humans, we also tested sera for antibodies against tobacco mosaic virus (>90% patients tested positive), potato virus X (<20% patients tested positive), and cowpea chlorotic mottle virus (no antibodies were detected). Further, patient sera were analyzed for the presence of antibodies against the coliphage Qβ, a platform technology currently undergoing clinical trials for in situ vaccination; we found that 60% of patients present with anti-Qβ antibodies. Thus, data indicate human exposure to CPMV and other plant viruses and phages. Next, we thought to address agronomical safety; i.e., we examined the fate of CPMV after intratumoral treatment and oral gavage (to mimic consumption by food). Because live CPMV is used, an important question is whether there is any evidence of shedding of infectious particles from mice or patients. CPMV is noninfectious toward mammals; however, it is infectious toward plants including black-eyed peas and other legumes. Biodistribution data in tumor-bearing and healthy mice indicate little leaching from tumors and clearance via the reticuloendothelial system followed by biliary excretion. While there was evidence of shedding of RNA in stool, there was no evidence of infectious particles when plants were challenged with stool extracts, thus indicating agronomical safety. Together these data aid the translational development of CPMV as a drug candidate for cancer immunotherapy.
豇豆花叶病毒(CPMV)是一种核蛋白纳米颗粒,当瘤内给药时,它作为一种高效的免疫调节剂发挥作用,并被用作原位疫苗。CPMV 原位疫苗可重塑肿瘤微环境,并对治疗和未治疗的远处转移性部位(远隔效应)产生高效、全身和持久的抗肿瘤免疫反应。该疗法在多种肿瘤小鼠模型中表现出强大的疗效,最重要的是,在患有自发性肿瘤的犬科癌症患者中也表现出疗效。数据表明,抗 CPMV 抗体的存在并非中和性的,实际上调理作用会增强疗效。植物病毒是食物链的一部分,但迄今为止,尚无关于人类接触 CPMV 的信息。因此,我们检测了患者血清中针对 CPMV 的免疫球蛋白,事实上,超过 50%的匿名患者样本的 CPMV 抗体检测呈阳性。为了更广泛地了解人类对植物病毒的暴露和免疫原性,我们还针对烟草花叶病毒(>90%的患者检测呈阳性)、马铃薯 X 病毒(<20%的患者检测呈阳性)和豇豆斑驳花叶病毒(未检测到抗体)的抗体对血清进行了检测。此外,我们还分析了患者血清中针对噬菌体 Qβ的抗体,Qβ是一种目前正在进行原位疫苗临床试验的平台技术;我们发现 60%的患者存在抗 Qβ抗体。因此,数据表明人类接触了 CPMV 和其他植物病毒和噬菌体。接下来,我们考虑了农业安全性;也就是说,我们研究了 CPMV 瘤内治疗和口服灌胃(模拟通过食物摄入)后的命运。由于使用了活 CPMV,一个重要的问题是是否有证据表明从老鼠或患者身上脱落传染性颗粒。CPMV 对哺乳动物无感染性,但对包括豇豆在内的植物和其他豆类具有感染性。荷瘤和健康小鼠的生物分布数据表明,肿瘤中的浸出物很少,通过网状内皮系统清除后经胆汁排泄。虽然粪便中存在 RNA 脱落的证据,但当用粪便提取物挑战植物时,没有发现传染性颗粒,因此表明具有农业安全性。这些数据共同为 CPMV 作为癌症免疫疗法的候选药物的转化发展提供了帮助。
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