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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Armed Oncolytic Adenovirus-Expressing PD-L1 Mini-Body Enhances Antitumor Effects of Chimeric Antigen Receptor T Cells
Kiyonori Tanoue1,2, Amanda Rosewell Shaw1,2, Norihiro Watanabe1,2
1Department of Medicine, Baylor College of Medicine, Houston, Texas.
Abstract:
Chimeric antigen receptor-modified T cells (CAR T cells) produce proinflammatory cytokines that increase expression of T-cell checkpoint signals such as PD-L1, which may inhibit their functionality against solid tumors. In this study, we evaluated in human tumor xenograft models the proinflammatory properties of an oncolytic adenovirus (Onc.Ad) with a helper-dependent Ad (HDAd) that expresses a PD-L1 blocking mini-antibody (mini-body; HDPDL1) as a strategy to enhance CAR T-cell killing. Coadministration of these agents (CAd-VECPDL1) exhibited oncolytic effects with production of PD-L1 mini-body locally at the tumor site. On their own, HDPDL1 exhibited no antitumor effect and CAd-VECPDL1 alone reduced tumors only to volumes comparable to Onc.Ad treatment. However, combining CAd-VECPDL1 with HER2.CAR T cells enhanced antitumor activity compared with treatment with either HER2.CAR T cells alone or HER2.CAR T cells plus Onc.Ad. The benefits of locally produced PD-L1 mini-body by CAd-VECPDL1 could not be replicated by infusion of anti-PD-L1 IgG plus HER2.CAR T cells and coadministration of Onc.Ad in an HER2+ prostate cancer xenograft model. Overall, our data document the superiority of local production of PD-L1 mini-body by CAd-VECPDL1 combined with administration of tumor-directed CAR T cells to control the growth of solid tumors. Cancer Res; 77(8); 2040-51. ©2017 AACR.
Insights
Combining a novel oncolytic adenovirus expressing a PD-L1 mini-body with CAR T cells significantly enhances anti-tumor activity against solid tumors by overcoming T-cell exhaustion.
Area of Science:
- Oncolytic virotherapy
- Immunotherapy
- Cancer research
Background:
- Chimeric antigen receptor (CAR) T cells can be inhibited by PD-L1 checkpoint signals on tumor cells.
- Oncolytic adenoviruses (Onc.Ad) can induce local immune responses.
- Developing strategies to enhance CAR T-cell efficacy against solid tumors is crucial.
Purpose of the Study:
- To evaluate a helper-dependent adenovirus (HDAd) expressing a PD-L1 blocking mini-antibody (HD*PDL1*) for enhancing CAR T-cell therapy.
- To assess the efficacy of coadministering HD*PDL1* with CAR T cells in human tumor xenograft models.
- To investigate the benefits of locally produced PD-L1 mini-body compared to systemic administration.
Main Methods:
- Co-administration of an oncolytic adenovirus (Onc.Ad) engineered to express a PD-L1 blocking mini-body (HD*PDL1*) with HER2.CAR T cells in human tumor xenograft models.
- Evaluation of oncolytic effects and local PD-L1 mini-body production at the tumor site.
- Comparison of combination therapy with CAR T cells alone, Onc.Ad alone, and systemic anti-PD-L1 antibody treatment.
Main Results:
- Coadministration of HD*PDL1* and CAR T cells (CAd-VEC*PDL1*) demonstrated enhanced antitumor activity compared to monotherapies.
- Local production of PD-L1 mini-body by CAd-VEC*PDL1* was superior to systemic anti-PD-L1 IgG administration in combination with CAR T cells.
- The combination therapy effectively controlled tumor growth in HER2+ prostate cancer xenograft models.
Conclusions:
- Local production of PD-L1 mini-body via engineered oncolytic adenovirus is a superior strategy to enhance CAR T-cell therapy.
- This approach overcomes PD-L1-mediated inhibition and improves CAR T-cell functionality against solid tumors.
- The combination of tumor-directed CAR T cells and locally produced PD-L1 blockade offers a promising therapeutic strategy for solid tumor treatment.
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