Department of Immunotherapeutics and Biotechnology, Jerry H Hodge School of Pharmacy, Texas Tech University Health Sciences Center, Abilene, TX, USA.
Cancer Immunol Immunother. 2023 Sep;72(9):2889-2903. doi: 10.1007/s00262-022-03352-9. Epub 2022 Dec 23.
Renal cell carcinoma (RCC) is the deadliest form of urological cancer and is projected to be the fourth most common neoplasm in the USA in males by 2040. In addition to the current poor prognosis with 5-year survival rates hardly reaching 15%, the prevalence of resistance to currently available systemic therapies has also established an urgent need to develop new treatment regimen(s) for advanced RCC. Interferon-stimulated gene 15 (ISG15) is the first identified ubiquitin-like modifier and has been intensively studied for its central role in innate immunity against intracellular pathogens. However, in this study, we identified ISG15 as a novel tumor-associated antigen and prognostic marker in RCC. Further, we therapeutically targeted elevated ISG15 expression by means of a Listeria monocytogenes (Lm)-based vaccine, designated Lm-LLO-ISG15, in both subcutaneous and orthotopic RCC mouse models. Treatment with Lm-LLO-ISG15 resulted in an influx of tumor-infiltrating effector T cells and significant anti-tumor efficacy in both subcutaneous and orthotopic RCC tumor models. Treatment with Lm-LLO-ISG15 also generated a robust interferon-gamma response and attracted a larger pool of polyfunctional T cells into the tumor microenvironment. Importantly, the therapeutic efficacy of Lm-LLO-ISG15 in RCC is comparable to that of anti-PD-1 and sunitinib, the current frontline therapies for RCC patients. Collectively, our work illustrates that targeting ISG15 in RCC with a CTL-based immunotherapy such as Lm-LLO-ISG15 is a promising and potentially translatable therapeutic strategy to enhance survival in RCC patients.
肾细胞癌(RCC)是最致命的泌尿系统癌症,预计到 2040 年,它将成为美国男性中第四种最常见的肿瘤。除了目前 5 年生存率几乎达不到 15%的预后较差外,目前可用的系统治疗方法的耐药性也已经确立,迫切需要为晚期 RCC 开发新的治疗方案。干扰素刺激基因 15(ISG15)是第一个被鉴定的泛素样修饰物,因其在针对细胞内病原体的固有免疫中的核心作用而受到深入研究。然而,在这项研究中,我们发现 ISG15 是 RCC 中的一种新型肿瘤相关抗原和预后标志物。此外,我们通过基于李斯特菌(Listeria monocytogenes,Lm)的疫苗(命名为 Lm-LLO-ISG15)来治疗性靶向升高的 ISG15 表达,该疫苗在皮下和原位 RCC 小鼠模型中均具有疗效。用 Lm-LLO-ISG15 治疗可导致肿瘤浸润效应 T 细胞的涌入,并在皮下和原位 RCC 肿瘤模型中均具有显著的抗肿瘤功效。用 Lm-LLO-ISG15 治疗还可引起强烈的干扰素-γ反应,并吸引更多的多功能 T 细胞进入肿瘤微环境。重要的是,Lm-LLO-ISG15 在 RCC 中的治疗效果与抗 PD-1 和舒尼替尼相当,这两种药物都是 RCC 患者的一线治疗方法。总的来说,我们的工作表明,用 CTL 为基础的免疫疗法(如 Lm-LLO-ISG15)靶向 RCC 中的 ISG15 是一种很有前途的、潜在可转化的治疗策略,可以提高 RCC 患者的生存率。