Development of improved therapeutic mesothelin-based vaccines for pancreatic cancer

Michael White1, Andrew Freistaedter2, Gwendolyn J B Jones2

  • 1Department of Surgery, Brody School of Medicine, East Carolina University, Greenville, NC, United States of America.

Plos One
|February 24, 2018
PubMed

Insights

A novel poxvirus vaccine targeting mesothelin shows safety and induces T cell responses in mice. However, it did not inhibit pancreatic tumor growth, possibly due to mesothelin shedding.

Area of Science:

  • Oncology
  • Immunology
  • Virology

Background:

  • Pancreatic cancer is a leading cause of cancer mortality with limited treatment options.
  • Mesothelin is a tumor-associated antigen, making it a potential target for cancer therapy.
  • Modified vaccinia virus Ankara (MVA) is a poxvirus platform with potential for vaccine development.

Purpose of the Study:

  • To develop and evaluate an anti-mesothelin cancer vaccine using an enhanced MVA platform.
  • To assess the safety, immunogenicity, and anti-tumor efficacy of the MVA-based vaccine in preclinical models.

Main Methods:

  • Engineered MVA to express mesothelin, including a variant lacking the immunosuppressive A35 gene.
  • Evaluated vaccine safety and induction of IFN-gamma secreting T cells in mice.
  • Assessed in vitro oncolytic activity against Panc02 pancreatic cancer cells.
  • Tested in vivo anti-tumor efficacy in immunocompetent mice with Panc02 tumors.

Main Results:

  • Both MVA-mesothelin vaccines were safe in mice and induced mesothelin-specific T cell responses.
  • The MVA virus demonstrated in vitro oncolytic activity against Panc02 cells.
  • Deletion of the A35 gene enhanced T cell responses.
  • No significant inhibition of Panc02 tumor growth was observed in vivo.

Conclusions:

  • MVA-based vaccines targeting mesothelin are safe and immunogenic but lack efficacy in a preclinical pancreatic cancer model.
  • Mesothelin shedding from tumor cells may represent a mechanism of immune evasion, limiting vaccine effectiveness.
  • Further strategies are needed to overcome immune suppression and enhance therapeutic outcomes for pancreatic cancer.

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