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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Oncolytic adenoviruses expressing checkpoint inhibitors for cancer therapy
Daoyuan Xie1, Yaomei Tian1,2, Die Hu1
1Department of Biotherapy, Cancer Center and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, 610041, China.
Abstract:
Despite the remarkable success of immune checkpoint inhibitors (ICIs), primary resistance to ICIs causes only subsets of patients to achieve durable responses due to the complex tumor microenvironment (TME). Oncolytic viruses (OVs) can overcome the immunosuppressive TME and promote systemic antitumor immunity in hosts. Engineered OVs armed with ICIs would likely have improved effectiveness as a cancer therapy. According to the diverse immune cell landscapes among different types of tumors, we rationally and precisely generated three recombinant oncolytic adenoviruses (OAds): OAd-SIRPα-Fc, OAd-Siglec10-Fc and OAd-TIGIT-Fc. These viruses were designed to locally deliver SIRPα-Fc, Siglec10-Fc or TIGIT-Fc fusion proteins recognizing CD47, CD24 or CD155, respectively, in the TME to achieve enhanced antitumor effects. Our results suggested that OAd-SIRPα-Fc and OAd-Siglec10-Fc both showed outstanding efficacy in tumor suppression of macrophage-dominated tumors, while OAd-TIGIT-Fc showed the best antitumor immunity in CD8+ T-cell-dominated tumors. Importantly, the recombinant OAds activated an inflammatory immune response and generated long-term antitumor memory. In addition, the combination of OAd-Siglec10-Fc with anti-PD-1 significantly enhanced the antitumor effect in a 4T1 tumor model by remodeling the TME. In summary, rationally designed OAds expressing ICIs tailored to the immune cell landscape in the TME can precisely achieve tumor-specific immunotherapy of cancer.
Insights
Engineered oncolytic viruses (OVs) delivering immune checkpoint inhibitors (ICIs) can overcome tumor resistance. Tailored OVs targeting specific tumor microenvironments (TME) demonstrated potent, long-term antitumor immunity and memory.
Area of Science:
- Oncology
- Immunotherapy
- Virology
Background:
- Immune checkpoint inhibitors (ICIs) show limited efficacy due to tumor microenvironment (TME) resistance.
- Oncolytic viruses (OVs) can modulate the TME and enhance systemic antitumor immunity.
- Tailoring therapies to tumor-specific immune landscapes is crucial for effective cancer treatment.
Purpose of the Study:
- To engineer novel oncolytic adenoviruses (OAds) armed with ICIs to overcome TME-mediated resistance.
- To investigate the efficacy of OAds expressing SIRPα-Fc, Siglec10-Fc, and TIGIT-Fc against tumors with diverse immune cell compositions.
- To evaluate the potential of OAds in combination with existing immunotherapies.
Main Methods:
- Generation of three recombinant OAds: OAd-SIRPα-Fc, OAd-Siglec10-Fc, and OAd-TIGIT-Fc.
- In vivo assessment of OAd efficacy in tumor suppression and immune response modulation.
- Evaluation of combination therapy with anti-PD-1 in a 4T1 tumor model.
Main Results:
- OAd-SIRPα-Fc and OAd-Siglec10-Fc demonstrated significant efficacy in macrophage-dominated tumors.
- OAd-TIGIT-Fc exhibited potent antitumor immunity in CD8+ T-cell-dominated tumors.
- Recombinant OAds induced inflammatory responses, generated long-term antitumor memory, and combination therapy enhanced efficacy.
Conclusions:
- Rationally designed OAds expressing ICIs can be tailored to specific TME immune landscapes for precise cancer immunotherapy.
- Engineered OVs offer a promising strategy to enhance ICI efficacy and overcome treatment resistance.
- Targeted OV-based immunotherapies hold potential for durable antitumor responses and long-term cancer control.
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