Yari Atefeh, Hosseini Seyed Younes, Asiyabi Sanaz, Hajiahmadi Nazila, Farahmand Mohammad, Bamdad Taravat
Department of Virology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Bacteriology and Virology Department, Medical Sciences University, Shiraz, Iran.
Immunotherapy. 2025 Apr;17(6):425-435. doi: 10.1080/1750743X.2025.2501926. Epub 2025 May 12.
AIM: The effectiveness of immunotherapy with tumor associated antigen vaccines can be enhanced by combining oncolytic viruses with immune checkpoint inhibitors. This study evaluates the efficacy of oncolytic reovirus in combination with an adenovector expressing carcinoembryonic antigen (Ad-CEA) and a programmed death-1/programmed death-ligand 1 (PD-1/PD-L1) inhibitor in a mouse model. METHODS: Mice bearing CEA-expressing CT26 tumor cells were immunized with Ad-CEA along with a PD-1/PD-L1 inhibitor. Subsequently, three doses of reovirus were injected into the tumors. Tumor size, histopathological examination, CD8 and FOXP3 expression, the cytotoxicity of spleen T cell lymphocytes, and the secretion of Interferon-γ (IFN-γ) and Tumor necrosis factor- α (TNF-α) were examined. RESULTS: The triple therapy used in this study resulted in the lowest tumor growth and the highest level of cytotoxic immunity. The Foxp3 levels in the tumor microenvironment and TNF-α secretion decreased compared to other control groups. Additionally, this group exhibited the lowest number of mitotic figures and the highest amount of tumor-infiltrating lymphocytes. CONCLUSION: The combination of tumor vaccines with oncolytic viruses significantly improves treatment efficacy. Furthermore, inhibiting the PD-1/PD-L1 interaction during vaccination and also with virotherapy enhances immunovirotherapy by reducing immunosuppressive effects and stimulating the immune system, leading to improved therapeutic outcomes.
目的:溶瘤病毒与免疫检查点抑制剂联合使用可提高肿瘤相关抗原疫苗免疫治疗的有效性。本研究在小鼠模型中评估溶瘤呼肠孤病毒联合表达癌胚抗原的腺病毒载体(Ad-CEA)和程序性死亡蛋白1/程序性死亡配体1(PD-1/PD-L1)抑制剂的疗效。 方法:用Ad-CEA联合PD-1/PD-L1抑制剂对携带表达CEA的CT26肿瘤细胞的小鼠进行免疫。随后,向肿瘤内注射三剂呼肠孤病毒。检测肿瘤大小、组织病理学检查、CD8和FOXP3表达、脾T淋巴细胞的细胞毒性以及干扰素-γ(IFN-γ)和肿瘤坏死因子-α(TNF-α)的分泌。 结果:本研究中使用的三联疗法导致肿瘤生长最低,细胞毒性免疫水平最高。与其他对照组相比,肿瘤微环境中的Foxp3水平和TNF-α分泌降低。此外,该组的有丝分裂象数量最少,肿瘤浸润淋巴细胞数量最多。 结论:肿瘤疫苗与溶瘤病毒联合使用可显著提高治疗效果。此外,在疫苗接种期间以及病毒治疗期间抑制PD-1/PD-L1相互作用,通过降低免疫抑制作用和刺激免疫系统来增强免疫病毒治疗,从而改善治疗结果。
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