State Key Laboratory of Pharmaceutical Biotechnology, National Institute of Healthcare Data Science at Nanjing University, Jiangsu Key Laboratory of Molecular Medicine, Division of Hepatobiliary and Transplantation Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Medical School, Medical School & School of Life Sciences, Nanjing University, 22 Hankou Road, Nanjing 210093, China.
Jinan Microecological Biomedicine Shandong Laboratory, Shounuo City Light West Block, Jinan, China.
Cell Rep Med. 2024 Oct 15;5(10):101751. doi: 10.1016/j.xcrm.2024.101751. Epub 2024 Oct 1.
Although oncolytic adenoviruses are widely studied for their direct oncolytic activity and immunomodulatory role in cancer immunotherapy, the immunosuppressive feedback loop induced by oncolytic adenoviruses remains to be studied. Here, we demonstrate that type V adenovirus (ADV) induces the polarization of tumor-associated macrophages (TAMs) to the M2 phenotype and increases the infiltration of regulatory T cells (Tregs) in the tumor microenvironment (TME). By selectively compensating for these deficiencies, thymosin alpha 1 (Tα1) reprograms "M2-like" TAMs toward an antitumoral phenotype, thereby reprogramming the TME into a state more beneficial for antitumor immunity. Moreover, ADV is constructed by harnessing the merits of all the components for the aforementioned combinatorial therapy. Both exogenously supplied and adenovirus-produced Tα1 orchestrate TAM reprogramming and enhance the antitumor efficacy of ADV via CD8 T cells, showing promising prospects for clinical translation. Our findings provide inspiration for improving oncolytic adenovirus combination therapy and designing oncolytic engineered adenoviruses.
虽然溶瘤腺病毒因其在癌症免疫治疗中的直接溶瘤活性和免疫调节作用而被广泛研究,但溶瘤腺病毒诱导的免疫抑制反馈回路仍有待研究。在这里,我们证明了五型腺病毒(ADV)可诱导肿瘤相关巨噬细胞(TAMs)向 M2 表型极化,并增加肿瘤微环境(TME)中调节性 T 细胞(Treg)的浸润。通过选择性地补偿这些缺陷,胸腺肽α 1(Tα1)将“M2 样”TAMs 重新编程为抗肿瘤表型,从而将 TME 重塑为更有利于抗肿瘤免疫的状态。此外,ADV 通过利用上述组合疗法的所有成分的优点构建而成。外源性和腺病毒产生的 Tα1 共同协调 TAM 重编程,并通过 CD8 T 细胞增强 ADV 的抗肿瘤疗效,为临床转化提供了广阔的前景。我们的研究结果为改进溶瘤腺病毒联合治疗和设计溶瘤工程腺病毒提供了启示。