Bai Wenjing, Tang Xia, Xiao Tong, Qiao Yangyang, Tian Xuyan, Zhu Bo, Chen Jiehong, Chen Chaoxin, Li Yuanyuan, Lin Xueying, Cai Jing, Lin Yuan, Zhu Wenbo, Yan Guangmei, Liang Jiankai, Hu Jun
Department of Pharmacology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510080, China.
Department of Microbiology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510080, China.
Mol Ther Oncol. 2024 May 6;32(2):200813. doi: 10.1016/j.omton.2024.200813. eCollection 2024 Jun 20.
The immune response plays a crucial role in the functionality of oncolytic viruses. In this study, Albendazole, an antihelminthic drug known to modulate the immune checkpoint PD-L1, was combined with the oncolytic virus M1 (OVM1) to treat mice with either prostate cancer (RM-1) or glioma (GL261) tumors. This combination therapy enhanced anti-tumor effects in immunocompetent mice, but not in immunodeficient ones, without increasing OVM1 replication. Instead, it led to an increase in the number of CD8 T cells within the tumor, downregulated the expression of PD1 on CD8 T cells, and upregulated activation markers such as Ki67, CD44, and CD69 and the secretion of cytotoxic factors including interferon (IFN)-γ, granzyme B, and tumor necrosis factor (TNF)-α. Consistently, it enhanced the tumor-killing activity of lymphocytes from tumor-draining lymph nodes or spleens. The synergistic effect of Albendazole on OVM1 was abolished by depleting CD8 T cells, suggesting a CD8 T cell-dependent mechanism. In addition, Albendazole and OVM1 therapy increased CTLA4 expression in the spleen, and the addition of CTLA4 antibodies further enhanced the anti-tumor efficacy . In summary, Albendazole can act synergistically with oncolytic viruses via CD8 T cell activation, and the Albendazole/OVM1 combination can overcome resistance to CTLA4-based immune checkpoint blockade therapy.
免疫反应在溶瘤病毒的功能中起着关键作用。在本研究中,已知能调节免疫检查点PD-L1的抗蠕虫药物阿苯达唑与溶瘤病毒M1(OVM1)联合使用,用于治疗患有前列腺癌(RM-1)或胶质瘤(GL261)肿瘤的小鼠。这种联合疗法增强了免疫健全小鼠的抗肿瘤效果,但对免疫缺陷小鼠无效,且未增加OVM1的复制。相反,它导致肿瘤内CD8 T细胞数量增加,下调CD8 T细胞上PD1的表达,并上调诸如Ki67、CD44和CD69等激活标志物以及包括干扰素(IFN)-γ、颗粒酶B和肿瘤坏死因子(TNF)-α在内的细胞毒性因子的分泌。一致地,它增强了来自肿瘤引流淋巴结或脾脏的淋巴细胞的肿瘤杀伤活性。通过耗尽CD8 T细胞消除了阿苯达唑对OVM1的协同作用,提示其依赖CD8 T细胞的机制。此外,阿苯达唑和OVM1疗法增加了脾脏中CTLA4的表达,添加CTLA4抗体进一步增强了抗肿瘤疗效。总之,阿苯达唑可通过激活CD8 T细胞与溶瘤病毒协同作用,且阿苯达唑/OVM1联合疗法可克服对基于CTLA4的免疫检查点阻断疗法的耐药性。