173 The Effects of the Calreticulin on the Immune Response Induced by DNA Vaccine Containing the Classical Swine Fever Virus E2 Gene in Mouse Model Molecular Therapy Volume 18, Supplement 1, May 2010[.]
Trang 1Molecular Therapy Volume 18, Supplement 1, May 2010 Copyright © The American Society of Gene & Cell Therapy
S66
INFECTIOUS DISEASES AND VACCINES: VACCINE
RELATED GENE TRANSFER RESEARCH
measles, mumps and rubella and has an excellent safety record after
millions of doses administered in children On the other hand, MV is
an attractive vector platform for expression of foreign antigens and
vaccine development Here we present characterization and immune
response to MV strains encoding HP-NAP antigen
Results: HP-NAP from two different H pylori strains was cloned
into the MV Edmoston vector platform (NAP-26695 and
MV-NAP-43504) in position upstream of N gene To facilitate production
and extracellular secretion of the protein, the NAP gene was inserted
in the human lambda light immunoglobulin chain replacing a large
part of variable domain We generated MV strains expressing two
different secretory NAP forms: MV-lambda-NAP (encoding the full
length constant lambda domain) and MV-s-NAP (encoding only the
N-terminus of immunoglobulin molecule with the leader peptide)
Both vectors expressed high levels of the secretory NAP antigen (>
4µg/106 infected cells) Growth kinetics data showed that the NAP
insert did not interfere and did not inhibit viral replication Secretion
of biologically active NAP by MV-s-NAP infected cells triggered
signi cant Th1 cytokine and IL-8 production in THP-1 monocytic
cells A singe i.p injection of NAP-expressing strains induced a
robust humoral and cellular response against MV in Ifnarko-CD46Ge
transgenic mice There was no signi cant difference in MV-speci c
antibody response between mice immunized with NAP-expressing
MV strains and those injected with control MV-GFP (MV expressing
green uorescent protein) The anti-measles immunity was
long-lasting and after 9 months the serum neutralizing titer was still
above level considered protective for humans (>1:120 PNT50) The
animals immunized with MV-lambda-NAP and MV-s-NAP developed
stronger anti-NAP response compared to MV-NAP injected groups
The NAP-speci c antibody titer reached the peak (>1:10,000 in
ELISA) 2-4 weeks post vaccination In addition, puri ed HP-NAP
antigen stimulated IFN-γ expression in lymphocytes from immune
animals indicating that NAP-encoding MV vectors induced also
NAP-speci c cell-mediated immunity
Conclusions: Our data demonstrated that MV is an excellent
platform for expression of bacterial antigens and development of
vaccines against H pylori Expression of HP-NAP does not affect
virus replication and induction of protective anti-measles immunity
In contrast to puri ed H pylori antigen formulated vaccines, MVs
encoding secretory NAP induced strong humoral and cellular immune
response * This work was supported by Atwater grant, P50CA116201
and Paul Leibson Memorial Fund
171 Generation of Chimeric GB Virus B Clones
Encoding the Hepatitis C Virus E1E2p7 and
coreE1E2p7 toward the Infected Marmoset Models
Tingting Li,1 Lifang Shuai,1 Zixuan Chen,1 Anqi Wang,1 Wenjing
Wang,1 Chengyao Li.1
1 School of Biotechnology, Southern Medical University,
Guangzhou, Guangdong, China.
The development of novel therapy and vaccination for hepatitis C
virus (HCV) has been hampered by a lack of a small primate model
GB virus B (GBV-B) is closely related to HCV that causes acute or
chronic hepatitis in marmosets, and thus, is an attractive surrogate
model for HCV Even more attractive, for mostly mimicking HCV
infection in marmoset models, is the idea of constructing chimeric
viruses by replacing GBV-B elements with its HCV counterpart of
interest Two infectious GBV-B chimeric genomes, HCV E1E2p7/
GBV-B and HCV coreE1E2p7/GBV-B, containing the coding region
of E1 E2 p7 proteins and core E1 E2 p7 proteins were constructed,
respectively Overlapping PCR and restriction-enzyme digestion
methods were used to generate the chimeric plasmids and then RNA
transcripts were synthesized in vitro The chimera may prove useful
for establishing HCV infected marmoset models and determining
HCV epitopes and immune responses in vivo
172 Characterization of Immune Response
in Mice Induced by Recombinant Vaccinia Virus (Tiantan) Based Multivalent H5N1 Avian In uenza Vaccines
Wen Wang, Yao Deng, Wenjie Tan, Hong Chen, Li Ruan, Yuelong Shu
National Institute for Viral Disease Control and Prevention, China CDC, Beijing, China.
To develop an effective and broad immune protective H5N1 vaccine, We rst developed two recombinant vaccinia(Tiantan strain) virus(rTTV) based H5N1 vaccines, which consisted of bicistron expressing the hemagglutinin(HA) and matrix protein 2(M2),or bicistron expressing the neuraminidase(NA) and matrix protein 1(M1) The expression of H5N1 protein in rTTVs was con rmed
We immunized the Balb/C mice twice with two kind of dose (104 pfu,
107 pfu) using different combination Subsequently, we assessed the humoral and cellular immune response in vaccinated mice Our data showed that rTTV-based H5N1 vaccine induced rapidly robust HA- and NA-speci c antibody level and IFNγ secreting form cell(SFC) with either single dose of 107 pfu or twice dose of 104 pfu or 107 pfu
We also detected signi cant neutralizing antibody and matrix-speci c immune response In addition, we found that immunization with two kind of rTTV-based H5N1 vaccines induced much high level
of matrix 2-speci c antibody than that with single of rTTV-based H5N1 vaccine In conclusion, rTTV-based H5N1 vaccines elicit board array of immunity and our study offers a promising alternative H5N1 prevaccine candidates with favorable potential to prevent various H5N1 pandemic
173 The Effects of the Calreticulin on the Immune Response Induced by DNA Vaccine Containing the Classical Swine Fever Virus E2 Gene in Mouse Model
Ming Kun Hsieh, Chia Chin You, Chienjin Huang
Graduate Institute of Microbiology and Public Health, National Chung Hsing University, Taichung, Taiwan.
The structural glycoprotein E2 of the Classical swine fever virus (CSFV) can stimulate the production of neutralizing antibody which can protect pigs against CSF Previous reports showed that DNA vaccine containing the E2 gene of CSFV was able to provide protective immunity Calreticulin (CRT) has demonstrated the ability
to enhance MHC class I presentation and elicit antigen-speci c CD8+
T cell immune responses The purpose of this study was to determine whether the mouse CRT gene can enhance the immune response
of DNA vaccine by fusing with the E2 gene of CSFV in mouse model Protein expression of plasmids containing CSFV E2 gene (pcDNA4/E2), mouse CRT gene (pcDNA4/CRT) or both (pcDNA4/
CRT-E2) were con rmed by immuno uorescent assay (IFA) In the trial one, six-week-old BALB/c mice were intramuscularly injected four times with various doses of pcDNA4/E2 or plasmid vector at two-week intervals Mice receiving 100 mg of pcDNA4/E2 showed signi cantly higher (P<0.1) anti-E2 ELISA titers and signi cantly higher (P<0.05) stimulation index (SI) of splenocytes proliferative response with stimulations of Con A or 20 mg of CSFV E2 protein than those of mice receiving plasmid vector only The results of trial one showed that DNA vaccine containing CSFV E2 gene was able
to induce humoral and cellular immune responses in mouse model
In the trial two, mice were vaccinated with vector, pCDNA4/CRT, pcDNA4/E2 or pcDNA4/CRT-E2 three times at two-week intervals
by intramuscularly injection or gene gun Mice receiving pcDNA4/E2 and pcDNA4/CRT-E2 showed signi cantly higher (P<0.05) anti-E2 ELISA titers and signi cantly higher (P<0.05) SI of splenocytes proliferative response with stimulation of 20 mg of CSFV E2 protein than those of mice receiving plasmid vector or pcDNA4/CRT only
Molecular Therapy Volume 18, Supplement 1, May 2010 Copyright © The American Society of Gene & Cell Therapy S67
CANCER - IMMUNOTHERAPY I
The result of trial two indicated that both DNA vaccine pcDNA4/E2 and pcDNA4/CRT-E2 were also able to induce humoral and cellular immune responses in mouse model However, the mouse CRT fusing
to E2 gene did not enhance the immune responses when compare
to those of mouse receiving pcDNA4/E2, no matter which deliver method, intramuscular injection or gene gun was used
174 Evaluation of the Multi-Electrode Array for
Use in DNA Vaccination Against Bacillus anthracis
Amy L Donate,1 Richard Heller.2
1 Molecular Medicine, University of South Florida, Tampa, FL;
2 Frank Reidy Research Center for Bioelectrics, Old Dominion University, Norfolk, VA.
The Multi-electrode array (MEA) has been developed by our lab to enhance gene expression and decrease discomfort from Electroporation (EP) Our group has demonstrated that as compared
to other non-penetrating skin electrodes the MEA enhances reporter gene expression and decreases muscle twitching The MEA has also been previously evaluated for use in DNA vaccination Our lab has
previously used Hepatitis B as a model We have shown that EP with
the MEA signi cantly increased antibody levels in serum as compared
to injection alone Here we evaluate the MEA for use in DNA
vaccination against a potential bioterrorist agent, Bacillus anthracis
The current available FDA approved vaccine for B anthracis,
Biothrax®, requires several initial intramuscular injections (0, 4, 6, 12, and 18 months) and annual boosters are recommended This method of injecting Biothrax® has been shown to decrease the side effects from vaccination as compared to the original s.c vaccine However, new methods will still need to be developed to alleviate production burdens and make vaccination possible for the general public We propose that electrically mediated DNA vaccination with the MEA will be an
effective mediator of immunity against B anthracis.To determine the
effectiveness of the MEA in DNA vaccination, a plasmid expressing
a protective antigen (PA), a component of the B anthracis toxins,
was injected i.d and immediately EP’ed Various EP conditions were evaluated including eld strength, number of injections/boosts, and injection volume Total serum antibodies were measured by indirect ELISA at several time-points over 12 weeks Toxin neutralizing
antibodies were also measured as an in vitro model for protection
Our results indicate that speci c antibodies can be generated and are signi cantly increased over injection only Antibodies levels achieved from the MEA are similar to those generated from s.c injection of recombinant PA Toxin neutralizing antibodies can also be generated with Electroporation conditions of 150-175 V/cm Future work will compare immunity to the newer vaccine modality of i.m injection of recombinant PA This work demonstrates the potential for the MEA
to be an effective method of enhancing DNA vaccination
Cancer – Immunotherapy I
175 Enhancing the Priming of Tumor Antigen Speci c T Cell Responses Using Oncolytic Viruses
Phonphimon Wongthida,1 Rosa Diaz,1 Feorillo Galivo,1 Karen Kaluza,1 Jill Thompson,1 Timothy Kottke,1 Richard Vile.1
1 Department of Molecular Medicine, Mayo Clinic, Rochester, MN.
We have reported that direct intratumoral injection of VSV leads
to the generation of low levels of CD8+ T cells speci c for tumor associated antigens (TAA), consistent with the hypothesis that viral-mediated oncolysis of established tumors will release tumor associated antigens in the context of a pro-in ammatory immune
activatory signal (Cancer Res 2007 15:2840) However, the
predominant T cell responses primed in vivo are a) speci c for viral associated antigens and b) non-antigen speci c (Hum.Gene Ther
2009, in press) In contrast, when we engineered the virus to encode
a model TAA, the frequency of TAA-speci c T cells generated by intratumoral oncolytic virotherapy was signi cantly enhanced in the tumor draining lymph node, which also correlated with improved anti tumor therapy These data are consistent with our previous reports that oncolytic viruses, which can both access and induce release
of TAA in the tumor draining lymph nodes, are more effective in
priming therapeutic anti tumor immune responses (Nat Med 2008
14: 37; Clin.Can.Res 2009 15: 4374) These data suggest that the
pathways of antigen presentation associated with delivery by viral gene infection/gene expression leads to improved T cell priming and activation compared to that induced by antigen presentation of the same TAA expressed solely within the tumor Moreover, these data also indicate that increasing the frequency of TAA-speci c T cells
in vivo can enhance immune-mediated tumor clearance Therefore,
to further increase the frequency of circulating TAA-speci c T cells,
we combined oncolytic virotherapy with a TAA encoded by the virus with adoptive transfer of T cells with speci city for the viral encoded TAA Direct intratumoral injection of VSV-ova, combined with adoptive transfer of naive OT-I T cells, led to signi cantly enhanced traf cking of TAA-speci c T cells to tumors, higher levels
of activated TAA-speci c T cells in the lymph nodes and better anti tumor therapy compared to the use of virus or adoptive T cell therapy alone Taken together, our results suggest that it is possible to improve the therapeutic effects of oncolytic virotherapy by manipulating the pathways by which TAA are presented to the immune system In particular, this can be optimized by engineering the virus to present TAA, by enhancing access of these TAA-encoding viruses to the lymph nodes, as opposed to the tumor itself, and by combining these TAA-priming viruses with adoptive transfer of T cells with speci city for the one or more TAA
176 AdCD40L Immunogene Therapy for Bladder Carcinoma – A Phase I/IIa Trial
Per-Uno Malmstrom,1 Angelica S I Loskog,2 Camilla A
Lindqvist,2 Sara M Mangsbo,2 Moa Fransson,2 Alkwin Wanders,3
Truls Gardmark,1 Thomas H Totterman.2
1 Division of Urology, Uppsala University & University Hospital, Uppsala, Sweden; 2 Division of Clinical Immunology, Uppsala University, Uppsala, Sweden; 3 Division of Pathology, Uppsala University & University Hospital, Uppsala, Sweden.
Immunotherapy such as bacillus Calmette-Guerin (BCG) instillations is recommended for high-risk non-muscle invasive bladder cancer but is not effective in more advanced tumors Immunostimulating gene therapy with adenoviral vectors (AdCD40L) expressing CD40L has shown ef cacy in experimental tumor models CD40L is a potent stimulator of systemic immunity and may be effective in both local and invasive disease Patients with invasive bladder cancer scheduled for cystectomy or patients with high-risk super cial tumors were enrolled in a Phase I/IIa trial Patients were treated with three cycles of Clorpactin WCS-90 bladder wash followed by AdCD40L instillation seven days apart Safety, gene transfer, and anti-tumor responses were monitored Eight recruited patients were treated and therapy was well tolerated The main adverse effect was transient local pain during Clorpactin wash No adverse events were considered due to vector therapy Gene transfer was detected in biopsies and the bladders were heavily in ltrated with T-cells The effector marker IFNg increased in the biopsies while levels of systemic T regulatory cells were reduced Histological evaluation indicated that AdCD40L therapy reduced the load of malignant cells In conclusion, local AdCD40L gene therapy was safe, increased immune cell in ltration into the bladder, and should
be further evaluated as single or adjuvant therapy for urothelial malignancies
Trang 2Molecular Therapy Volume 18, Supplement 1, May 2010 Copyright © The American Society of Gene & Cell Therapy
S66
INFECTIOUS DISEASES AND VACCINES: VACCINE
RELATED GENE TRANSFER RESEARCH
measles, mumps and rubella and has an excellent safety record after
millions of doses administered in children On the other hand, MV is
an attractive vector platform for expression of foreign antigens and
vaccine development Here we present characterization and immune
response to MV strains encoding HP-NAP antigen
Results: HP-NAP from two different H pylori strains was cloned
into the MV Edmoston vector platform (NAP-26695 and
MV-NAP-43504) in position upstream of N gene To facilitate production
and extracellular secretion of the protein, the NAP gene was inserted
in the human lambda light immunoglobulin chain replacing a large
part of variable domain We generated MV strains expressing two
different secretory NAP forms: MV-lambda-NAP (encoding the full
length constant lambda domain) and MV-s-NAP (encoding only the
N-terminus of immunoglobulin molecule with the leader peptide)
Both vectors expressed high levels of the secretory NAP antigen (>
4µg/106 infected cells) Growth kinetics data showed that the NAP
insert did not interfere and did not inhibit viral replication Secretion
of biologically active NAP by MV-s-NAP infected cells triggered
signi cant Th1 cytokine and IL-8 production in THP-1 monocytic
cells A singe i.p injection of NAP-expressing strains induced a
robust humoral and cellular response against MV in Ifnarko-CD46Ge
transgenic mice There was no signi cant difference in MV-speci c
antibody response between mice immunized with NAP-expressing
MV strains and those injected with control MV-GFP (MV expressing
green uorescent protein) The anti-measles immunity was
long-lasting and after 9 months the serum neutralizing titer was still
above level considered protective for humans (>1:120 PNT50) The
animals immunized with MV-lambda-NAP and MV-s-NAP developed
stronger anti-NAP response compared to MV-NAP injected groups
The NAP-speci c antibody titer reached the peak (>1:10,000 in
ELISA) 2-4 weeks post vaccination In addition, puri ed HP-NAP
antigen stimulated IFN-γ expression in lymphocytes from immune
animals indicating that NAP-encoding MV vectors induced also
NAP-speci c cell-mediated immunity
Conclusions: Our data demonstrated that MV is an excellent
platform for expression of bacterial antigens and development of
vaccines against H pylori Expression of HP-NAP does not affect
virus replication and induction of protective anti-measles immunity
In contrast to puri ed H pylori antigen formulated vaccines, MVs
encoding secretory NAP induced strong humoral and cellular immune
response * This work was supported by Atwater grant, P50CA116201
and Paul Leibson Memorial Fund
171 Generation of Chimeric GB Virus B Clones
Encoding the Hepatitis C Virus E1E2p7 and
coreE1E2p7 toward the Infected Marmoset Models
Tingting Li,1 Lifang Shuai,1 Zixuan Chen,1 Anqi Wang,1 Wenjing
Wang,1 Chengyao Li.1
1 School of Biotechnology, Southern Medical University,
Guangzhou, Guangdong, China.
The development of novel therapy and vaccination for hepatitis C
virus (HCV) has been hampered by a lack of a small primate model
GB virus B (GBV-B) is closely related to HCV that causes acute or
chronic hepatitis in marmosets, and thus, is an attractive surrogate
model for HCV Even more attractive, for mostly mimicking HCV
infection in marmoset models, is the idea of constructing chimeric
viruses by replacing GBV-B elements with its HCV counterpart of
interest Two infectious GBV-B chimeric genomes, HCV E1E2p7/
GBV-B and HCV coreE1E2p7/GBV-B, containing the coding region
of E1 E2 p7 proteins and core E1 E2 p7 proteins were constructed,
respectively Overlapping PCR and restriction-enzyme digestion
methods were used to generate the chimeric plasmids and then RNA
transcripts were synthesized in vitro The chimera may prove useful
for establishing HCV infected marmoset models and determining
HCV epitopes and immune responses in vivo
172 Characterization of Immune Response
in Mice Induced by Recombinant Vaccinia Virus (Tiantan) Based Multivalent H5N1 Avian In uenza
Vaccines
Wen Wang, Yao Deng, Wenjie Tan, Hong Chen, Li Ruan, Yuelong Shu
National Institute for Viral Disease Control and Prevention, China CDC, Beijing, China.
To develop an effective and broad immune protective H5N1 vaccine, We rst developed two recombinant vaccinia(Tiantan strain) virus(rTTV) based H5N1 vaccines, which consisted of bicistron expressing the hemagglutinin(HA) and matrix protein 2(M2),or bicistron expressing the neuraminidase(NA) and matrix protein 1(M1) The expression of H5N1 protein in rTTVs was con rmed
We immunized the Balb/C mice twice with two kind of dose (104 pfu,
107 pfu) using different combination Subsequently, we assessed the humoral and cellular immune response in vaccinated mice Our data showed that rTTV-based H5N1 vaccine induced rapidly robust HA- and NA-speci c antibody level and IFNγ secreting form cell(SFC) with either single dose of 107 pfu or twice dose of 104 pfu or 107 pfu
We also detected signi cant neutralizing antibody and matrix-speci c immune response In addition, we found that immunization with two kind of rTTV-based H5N1 vaccines induced much high level
of matrix 2-speci c antibody than that with single of rTTV-based H5N1 vaccine In conclusion, rTTV-based H5N1 vaccines elicit board array of immunity and our study offers a promising alternative H5N1 prevaccine candidates with favorable potential to prevent various
H5N1 pandemic
173 The Effects of the Calreticulin on the Immune Response Induced by DNA Vaccine
Containing the Classical Swine Fever Virus E2 Gene in Mouse Model
Ming Kun Hsieh, Chia Chin You, Chienjin Huang
Graduate Institute of Microbiology and Public Health, National Chung Hsing University, Taichung, Taiwan.
The structural glycoprotein E2 of the Classical swine fever virus (CSFV) can stimulate the production of neutralizing antibody which can protect pigs against CSF Previous reports showed that DNA vaccine containing the E2 gene of CSFV was able to provide protective immunity Calreticulin (CRT) has demonstrated the ability
to enhance MHC class I presentation and elicit antigen-speci c CD8+
T cell immune responses The purpose of this study was to determine whether the mouse CRT gene can enhance the immune response
of DNA vaccine by fusing with the E2 gene of CSFV in mouse model Protein expression of plasmids containing CSFV E2 gene (pcDNA4/E2), mouse CRT gene (pcDNA4/CRT) or both (pcDNA4/
CRT-E2) were con rmed by immuno uorescent assay (IFA) In the trial one, six-week-old BALB/c mice were intramuscularly injected four times with various doses of pcDNA4/E2 or plasmid vector at two-week intervals Mice receiving 100 mg of pcDNA4/E2 showed signi cantly higher (P<0.1) anti-E2 ELISA titers and signi cantly higher (P<0.05) stimulation index (SI) of splenocytes proliferative response with stimulations of Con A or 20 mg of CSFV E2 protein than those of mice receiving plasmid vector only The results of trial one showed that DNA vaccine containing CSFV E2 gene was able
to induce humoral and cellular immune responses in mouse model
In the trial two, mice were vaccinated with vector, pCDNA4/CRT, pcDNA4/E2 or pcDNA4/CRT-E2 three times at two-week intervals
by intramuscularly injection or gene gun Mice receiving pcDNA4/E2 and pcDNA4/CRT-E2 showed signi cantly higher (P<0.05) anti-E2 ELISA titers and signi cantly higher (P<0.05) SI of splenocytes proliferative response with stimulation of 20 mg of CSFV E2 protein than those of mice receiving plasmid vector or pcDNA4/CRT only
Molecular Therapy Volume 18, Supplement 1, May 2010 Copyright © The American Society of Gene & Cell Therapy S67
CANCER - IMMUNOTHERAPY I
The result of trial two indicated that both DNA vaccine pcDNA4/E2 and pcDNA4/CRT-E2 were also able to induce humoral and cellular immune responses in mouse model However, the mouse CRT fusing
to E2 gene did not enhance the immune responses when compare
to those of mouse receiving pcDNA4/E2, no matter which deliver method, intramuscular injection or gene gun was used
174 Evaluation of the Multi-Electrode Array for
Use in DNA Vaccination Against Bacillus anthracis
Amy L Donate,1 Richard Heller.2
1 Molecular Medicine, University of South Florida, Tampa, FL;
2 Frank Reidy Research Center for Bioelectrics, Old Dominion University, Norfolk, VA.
The Multi-electrode array (MEA) has been developed by our lab to enhance gene expression and decrease discomfort from Electroporation (EP) Our group has demonstrated that as compared
to other non-penetrating skin electrodes the MEA enhances reporter gene expression and decreases muscle twitching The MEA has also been previously evaluated for use in DNA vaccination Our lab has
previously used Hepatitis B as a model We have shown that EP with
the MEA signi cantly increased antibody levels in serum as compared
to injection alone Here we evaluate the MEA for use in DNA
vaccination against a potential bioterrorist agent, Bacillus anthracis
The current available FDA approved vaccine for B anthracis,
Biothrax®, requires several initial intramuscular injections (0, 4, 6, 12, and 18 months) and annual boosters are recommended This method of injecting Biothrax® has been shown to decrease the side effects from vaccination as compared to the original s.c vaccine However, new methods will still need to be developed to alleviate production burdens and make vaccination possible for the general public We propose that electrically mediated DNA vaccination with the MEA will be an
effective mediator of immunity against B anthracis.To determine the
effectiveness of the MEA in DNA vaccination, a plasmid expressing
a protective antigen (PA), a component of the B anthracis toxins,
was injected i.d and immediately EP’ed Various EP conditions were evaluated including eld strength, number of injections/boosts, and injection volume Total serum antibodies were measured by indirect ELISA at several time-points over 12 weeks Toxin neutralizing
antibodies were also measured as an in vitro model for protection
Our results indicate that speci c antibodies can be generated and are signi cantly increased over injection only Antibodies levels achieved from the MEA are similar to those generated from s.c injection of recombinant PA Toxin neutralizing antibodies can also be generated with Electroporation conditions of 150-175 V/cm Future work will compare immunity to the newer vaccine modality of i.m injection of recombinant PA This work demonstrates the potential for the MEA
to be an effective method of enhancing DNA vaccination
Cancer – Immunotherapy I
175 Enhancing the Priming of Tumor Antigen Speci c T Cell Responses Using Oncolytic Viruses
Phonphimon Wongthida,1 Rosa Diaz,1 Feorillo Galivo,1 Karen Kaluza,1 Jill Thompson,1 Timothy Kottke,1 Richard Vile.1
1 Department of Molecular Medicine, Mayo Clinic, Rochester, MN.
We have reported that direct intratumoral injection of VSV leads
to the generation of low levels of CD8+ T cells speci c for tumor associated antigens (TAA), consistent with the hypothesis that viral-mediated oncolysis of established tumors will release tumor associated antigens in the context of a pro-in ammatory immune
activatory signal (Cancer Res 2007 15:2840) However, the
predominant T cell responses primed in vivo are a) speci c for viral associated antigens and b) non-antigen speci c (Hum.Gene Ther
2009, in press) In contrast, when we engineered the virus to encode
a model TAA, the frequency of TAA-speci c T cells generated by intratumoral oncolytic virotherapy was signi cantly enhanced in the tumor draining lymph node, which also correlated with improved anti tumor therapy These data are consistent with our previous reports that oncolytic viruses, which can both access and induce release
of TAA in the tumor draining lymph nodes, are more effective in
priming therapeutic anti tumor immune responses (Nat Med 2008
14: 37; Clin.Can.Res 2009 15: 4374) These data suggest that the
pathways of antigen presentation associated with delivery by viral gene infection/gene expression leads to improved T cell priming and activation compared to that induced by antigen presentation of the same TAA expressed solely within the tumor Moreover, these data also indicate that increasing the frequency of TAA-speci c T cells
in vivo can enhance immune-mediated tumor clearance Therefore,
to further increase the frequency of circulating TAA-speci c T cells,
we combined oncolytic virotherapy with a TAA encoded by the virus with adoptive transfer of T cells with speci city for the viral encoded TAA Direct intratumoral injection of VSV-ova, combined with adoptive transfer of naive OT-I T cells, led to signi cantly enhanced traf cking of TAA-speci c T cells to tumors, higher levels
of activated TAA-speci c T cells in the lymph nodes and better anti tumor therapy compared to the use of virus or adoptive T cell therapy alone Taken together, our results suggest that it is possible to improve the therapeutic effects of oncolytic virotherapy by manipulating the pathways by which TAA are presented to the immune system In particular, this can be optimized by engineering the virus to present TAA, by enhancing access of these TAA-encoding viruses to the lymph nodes, as opposed to the tumor itself, and by combining these TAA-priming viruses with adoptive transfer of T cells with speci city for the one or more TAA
176 AdCD40L Immunogene Therapy for Bladder Carcinoma – A Phase I/IIa Trial
Per-Uno Malmstrom,1 Angelica S I Loskog,2 Camilla A
Lindqvist,2 Sara M Mangsbo,2 Moa Fransson,2 Alkwin Wanders,3
Truls Gardmark,1 Thomas H Totterman.2
1 Division of Urology, Uppsala University & University Hospital, Uppsala, Sweden; 2 Division of Clinical Immunology, Uppsala University, Uppsala, Sweden; 3 Division of Pathology, Uppsala University & University Hospital, Uppsala, Sweden.
Immunotherapy such as bacillus Calmette-Guerin (BCG) instillations is recommended for high-risk non-muscle invasive bladder cancer but is not effective in more advanced tumors Immunostimulating gene therapy with adenoviral vectors (AdCD40L) expressing CD40L has shown ef cacy in experimental tumor models CD40L is a potent stimulator of systemic immunity and may be effective in both local and invasive disease Patients with invasive bladder cancer scheduled for cystectomy or patients with high-risk super cial tumors were enrolled in a Phase I/IIa trial Patients were treated with three cycles of Clorpactin WCS-90 bladder wash followed by AdCD40L instillation seven days apart Safety, gene transfer, and anti-tumor responses were monitored Eight recruited patients were treated and therapy was well tolerated The main adverse effect was transient local pain during Clorpactin wash No adverse events were considered due to vector therapy Gene transfer was detected in biopsies and the bladders were heavily in ltrated with T-cells The effector marker IFNg increased in the biopsies while levels of systemic T regulatory cells were reduced Histological evaluation indicated that AdCD40L therapy reduced the load of malignant cells In conclusion, local AdCD40L gene therapy was safe, increased immune cell in ltration into the bladder, and should
be further evaluated as single or adjuvant therapy for urothelial malignancies