In vivo dendritic cell reprogramming for cancer immunotherapy

Affiliations
  • 1Molecular Medicine and Gene Therapy, Lund Stem Cell Centre, Lund University, 221 84 Lund, Sweden.
  • 2Wallenberg Centre for Molecular Medicine at Lund University, 221 84 Lund, Sweden.
  • 3Asgard Therapeutics AB, Medicon Village, 223 81 Lund, Sweden.
  • 4InSphero AG, 8952 Schlieren, Switzerland.
  • 5Department of Oncology, National Center of Cancer Immune Therapy (CCIT-DK), Copenhagen University Hospital, 2730 Herlev, Denmark.
  • 6Department of Health Technology, Technical University of Denmark, 2800 Kongens Lyngby, Denmark.
  • 7Department of Otorhinolaryngology, Head & Neck Surgery, Skåne University Hospital, 221 85 Lund, Sweden.
  • 8Department of Clinical Sciences, Lund University, 221 84 Lund, Sweden.
  • 9Department of Immunotechnology, Lund University, Medicon Village, 223 81 Lund, Sweden.
  • 10Centre for Neuroscience and Cell Biology, University of Coimbra, Largo Marquês do Pombal, 3004-517 Coimbra, Portugal.

Published on:

Abstract

Immunotherapy can lead to long-term survival for some cancer patients, yet generalized success has been hampered by insufficient antigen presentation and exclusion of immunogenic cells from the tumor microenvironment. Here, we developed an approach to reprogram tumor cells in vivo by adenoviral delivery of the transcription factors PU.1, IRF8, and BATF3, which enabled them to present antigens as type 1 conventional dendritic cells. Reprogrammed tumor cells remodeled their tumor microenvironment, recruited, and expanded polyclonal cytotoxic T cells; induced tumor regressions; and established long-term systemic immunity in multiple mouse melanoma models. In human tumor spheroids and xenografts, reprogramming to immunogenic dendritic-like cells progressed independently of immunosuppression, which usually limits immunotherapy. Our study paves the way for human clinical trials of in vivo immune cell reprogramming for cancer immunotherapy.