Vaccines targeting p53 mutants elicit anti-tumor immunity

Dafei Chai1, Xu Wang1, Chunmei Fan1

  • 1Department of Medicine, Section of Epidemiology and Population Sciences, Dan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, TX, 77030, USA.

Cancer Letters
|December 31, 2024
PubMed

Insights

A novel DNA vaccine targeting the p53 S237G mutant demonstrated significant anti-tumor effects in preclinical models. This p53 mutant vaccine, combined with PD-1 blockade, offers a promising precision medicine strategy for cancers with p53 mutations.

Area of Science:

  • Oncology
  • Immunology
  • Vaccine Development

Background:

  • p53 tumor suppressor mutations are frequent in cancers, lacking effective targeted therapies.
  • The p53 S237G mutant is highly expressed in A20 murine tumor cells, presenting a therapeutic target.

Purpose of the Study:

  • To develop and evaluate a DNA vaccine (gWIZ-S237G) targeting the p53 S237G mutant.
  • To assess the vaccine's efficacy alone and in combination with PD-1 blockade against A20 tumors and liver metastasis.

Main Methods:

  • Intramuscular administration of the gWIZ-S237G DNA vaccine via electroporation.
  • Combination therapy with PD-1 blockade.
  • Assessment of anti-tumor immune responses, including T cell infiltration, dendritic cell maturation, and antibody production.
  • Evaluation in subcutaneous A20 tumor and A20 liver metastasis models.

Main Results:

  • The anti-p53-S237G vaccine induced robust protective responses against A20 tumors and liver metastasis.
  • Vaccination enhanced immune cell infiltration (CD8+ T cells, NK cells, DCs) and dendritic cell maturation.
  • The vaccine stimulated tumor-specific antibodies and Th1/CD8+ T cell responses, including multifunctional CD8+ T cells secreting IFN-γ and TNF-α.
  • Long-term anti-tumor effects were observed, dependent on memory CD8+ T cells.
  • Combination with PD-1 blockade showed superior tumor growth and metastasis inhibition.

Conclusions:

  • Targeting p53 mutants via vaccination is a viable precision medicine approach for p53-mutated cancers.
  • The gWIZ-S237G DNA vaccine elicits potent anti-tumor immunity and has therapeutic potential.
  • Combination therapy with PD-1 blockade enhances vaccine efficacy.

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