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Intratumoral Gene Transfer of mRNAs Encoding IL12 in Combination with Decoy-Resistant IL18 Improves Local and
Assunta Cirella1,2, Elixabet Bolaños1,2, Claudia Augusta Di Trani1,2
1Program of Immunology and Immunotherapy, Cima Universidad de Navarra, Pamplona, Spain.
Cancer Immunology Research
|December 8, 2022
Summary
Combining interleukin-12 (IL12) and decoy-resistant interleukin-18 (DR-18) mRNA gene therapy shows promise for cancer treatment. This approach enhances anti-tumor immune responses, particularly involving CD8+ T cells, offering a potential synergistic immunotherapy strategy.
Area of Science:
- Immunology
- Oncology
- Gene Therapy
Background:
- Interleukin-12 (IL12) based gene therapy is a key area in cancer research.
- mRNA constructs offer a platform for delivering therapeutic cytokines like IL12 and IL18.
- Decoy-resistant IL18 (DR-18) retains bioactivity and bypasses the IL18 binding protein decoy receptor.
Purpose of the Study:
- To investigate the synergistic effects of combining IL12 and DR-18 mRNA for local cancer gene therapy.
- To evaluate the anti-tumor efficacy and immune cell activation of this combination therapy.
- To explore enhancement of treatment efficacy through combination with anti-PD-1 mAb therapy.
Main Methods:
- Experimental testing of combined mRNA constructs encoding IL12 and decoy-resistant IL18 (DR-18).
- Intratumoral administration in B16OVA tumor-bearing mouse models.
- Assessment of cytokine release (IFNγ), tumor efficacy, immune cell populations (CD8+ T cells, cDC1 dendritic cells), and combination with anti-PD-1 mAb.
Main Results:
- IL12 and DR-18 mRNA synergize to induce significant IFNγ release.
- Intratumoral co-transfer demonstrated efficacy against treated tumors and delayed distant lesions.
- Treatment increased activated CD8+ T cells in tumors and relied on CD8+ T cells and cDC1 dendritic cells for efficacy.
- Combination with anti-PD-1 mAb enhanced efficacy against distant tumors.
Conclusions:
- Local co-delivery of IL12 and DR-18 mRNA is an effective anti-tumor strategy.
- The therapy enhances CD8+ T cell responses and requires cDC1 dendritic cells.
- Combining this mRNA gene therapy with anti-PD-1 blockade presents a feasible synergistic immunotherapy approach for cancer.

