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在结直肠癌模型中,溶瘤呼肠孤病毒与PD1-PDL1抑制剂联合使用时可增强CEA免疫疗法的效果。

Oncolytic reovirus enhances the effect of CEA immunotherapy when combined with PD1-PDL1 inhibitor in a colorectal cancer model.

作者信息

Yari Atefeh, Hosseini Seyed Younes, Asiyabi Sanaz, Hajiahmadi Nazila, Farahmand Mohammad, Bamdad Taravat

机构信息

Department of Virology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

Bacteriology and Virology Department, Medical Sciences University, Shiraz, Iran.

出版信息

Immunotherapy. 2025 Apr;17(6):425-435. doi: 10.1080/1750743X.2025.2501926. Epub 2025 May 12.


DOI:10.1080/1750743X.2025.2501926
PMID:40353308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12091906/
Abstract

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.

摘要

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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本文引用的文献

[1]
A comprehensive review of immune checkpoint inhibitors for cancer treatment.

Int Immunopharmacol. 2024-12-25

[2]
The long-term effectiveness and mechanism of oncolytic virotherapy combined with anti-PD-L1 antibody in colorectal cancer patient.

Cancer Gene Ther. 2024-9

[3]
New immunotherapy approaches for colorectal cancer: focusing on CAR-T cell, BiTE, and oncolytic viruses.

Cell Commun Signal. 2024-1-19

[4]
Anti-PD-1/PD-L1 therapy for colorectal cancer: Clinical implications and future considerations.

Transl Oncol. 2024-2

[5]
Comparison of Three Different Methods of Transfection for the Production of Recombinant Adenovirus Expressing Human Carcinoembryonic Antigen Gene.

Arch Razi Inst. 2023-6

[6]
A new strategy for treating colorectal cancer: Regulating the influence of intestinal flora and oncolytic virus on interferon.

Mol Ther Oncolytics. 2023-8-24

[7]
Roles of tumor-associated macrophages in anti-PD-1/PD-L1 immunotherapy for solid cancers.

Mol Cancer. 2023-3-21

[8]
The Role of Inflammatory Cytokines in the Pathogenesis of Colorectal Carcinoma-Recent Findings and Review.

Biomedicines. 2022-7-11

[9]
Oncolytic viruses: challenges and considerations in an evolving clinical landscape.

Future Oncol. 2022-7-12

[10]
Tumor Necrosis Factor α: Taking a Personalized Road in Cancer Therapy.

Front Immunol. 2022-5-18

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