1. Technical Field
This document relates to methods and materials involved in killing tumor cells (e.g., melanoma cells).
2. Background Information
Most current strategies designed to generate immune-mediated responses to tumors involve the use of tumor-associated antigens. Effective strategies promote the release of tumor-associated antigens in the presence of potent inflammatory signals to induce T cell-mediated killing of tumor cells (Pardoll, Nat. Rev. Immunol., 2:227-38 (2002); Huang et al., Science, 264:961-5 (1995); Gallucci et al., Nat. Med., 5:1249-55 (1994); Melcher et al., J. Mol. Med., 77:824-33 (1999); Liu et al., J. Exp. Med., 196:1091-7 (2002); Mougneau et al., J. Exp. Med., 196:1013-6 (2002)). These strategies require time-consuming and expensive protocols to isolate tumor-derived materials (e.g., tumor-derived cells, tumor-derived cell lysates, tumor-derived proteins, or tumor-derived peptides).
This document provides methods and materials related to treating cancer. The methods and materials provided herein are based, in part, on the discovery that CD40 ligand (CD40L) polypeptides and chaperone polypeptides (e.g., hsp70 polypeptides) can be used together with a cytotoxic polypeptide to trigger an immune response directed against cancer cells.
In general, one aspect of this document features an isolated nucleic acid comprising, or consisting essentially of, (a) a sequence encoding a CD40L polypeptide, a sequence encoding a chaperone polypeptide, and a sequence encoding a cytotoxic polypeptide; (b) a sequence encoding a CD40L polypeptide and a sequence encoding chaperone polypeptide; or (c) a sequence encoding a CD40L polypeptide and a sequence encoding a cytotoxic polypeptide. The CD40L polypeptide can be a human CD40L polypeptide. The chaperone polypeptide can be a human hsp70 polypeptide. The cytotoxic polypeptide can be a herpes simplex virus thymidine kinase polypeptide or a fusogenic membrane G glycoprotein of vesicular stomatitis virus. The nucleic acid can be a plasmid. The nucleic acid can be a viral vector.
In another aspect, this document features a composition comprising, or consisting essentially of, (a) a nucleic acid molecule encoding a CD40L polypeptide, a nucleic acid molecule encoding a chaperone polypeptide, and a nucleic acid molecule encoding a cytotoxic polypeptide; (b) a nucleic acid molecule encoding a CD40L polypeptide and a nucleic acid molecule encoding a chaperone polypeptide; or (c) a nucleic acid molecule encoding a CD40L polypeptide or a nucleic acid molecule encoding a cytotoxic polypeptide. The CD40L polypeptide can be a human CD40L polypeptide. The chaperone polypeptide can be a human hsp70 polypeptide. The cytotoxic polypeptide can be a herpes simplex virus thymidine kinase polypeptide or a fusogenic membrane G glycoprotein of vesicular stomatitis virus. One or more of the nucleic acid molecules can be a plasmid. One or more of the nucleic acid molecules can be a viral vector.
In another aspect, this document features a method for inducing immunity against cancer. The method comprises, or consists essentially of, administering nucleic acid encoding a CD40L polypeptide, a chaperone polypeptide, and a cytotoxic polypeptide to a mammal having the cancer under conditions wherein the CD40L polypeptide, the chaperone polypeptide, and the cytotoxic polypeptide are expressed. The mammal can be a human. The cancer can be a melanoma cancer or a prostatic cancer. The nucleic acid can be a single nucleic acid encoding the CD40L polypeptide, the chaperone polypeptide, and the cytotoxic polypeptide.
Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention pertains. Although methods and materials similar or equivalent to those described herein can be used to practice the invention, suitable methods and materials are described below. All publications, patent applications, patents, and other references mentioned herein are incorporated by reference in their entirety. In case of conflict, the present specification, including definitions, will control. In addition, the materials, methods, and examples are illustrative only and not intended to be limiting.
The details of one or more embodiments of the invention are set forth in the accompanying drawings and the description below. Other features, objects, and advantages of the invention will be apparent from the description and drawings, and from the claims.
This document provides methods and materials related to treating cancer (e.g., melanoma or prostate cancer). For example, this document provides methods and materials related to the use of a composition having nucleic acid encoding a cytotoxic polypeptide (e.g., a polypeptide encoded by a transcriptionally targeted cytotoxic gene), nucleic acid encoding a polypeptide having chaperone activity (e.g., heat shock protein (hsp70)), and nucleic acid encoding a polypeptide having CD40 ligand (CD40L) activity. Examples of polypeptides having chaperone activity include glycoprotein 96 (gp96), heat shock protein 90 (hsp90), heat shock protein 70 (hsp70), calreticulin, heat shock protein 110 (hsp110), heat shock protein 60 (hsp60), and glycoprotein 170 (gp 170). The cancer can comprise primary tumor cells or metastatic tumor cells. The cancer can be any type of cancer, including, without limitation, skin cancer (e.g., melanoma), prostate cancer, and breast cancer.
The terms “nucleic acid” and “polynucleotide” are used interchangeably herein, and refer to both RNA and DNA, including cDNA, genomic DNA, synthetic DNA, and DNA (or RNA) containing nucleic acid analogs. Polynucleotides can have any three-dimensional structure. A nucleic acid can be double-stranded or single-stranded (i.e., a sense strand or an antisense strand). Non-limiting examples of polynucleotides include genes, gene fragments, exons, introns, messenger RNA (mRNA), transfer RNA, ribosomal RNA, siRNA, micro-RNA, ribozymes, cDNA, recombinant polynucleotides, branched polynucleotides, plasmids, vectors, isolated DNA of any sequence, isolated RNA of any sequence, nucleic acid probes, and primers, as well as nucleic acid analogs.
An “isolated” nucleic acid can be, for example, a naturally-occurring DNA molecule, provided one of the nucleic acid sequences normally found immediately flanking that DNA molecule in a naturally-occurring genome is removed or absent. Thus, an isolated nucleic acid includes, without limitation, a DNA molecule that exists as a separate molecule, independent of other sequences (e.g., a chemically synthesized nucleic acid, or a cDNA or genomic DNA fragment produced by the polymerase chain reaction (PCR) or restriction endonuclease treatment). An isolated nucleic acid also refers to a DNA molecule that is incorporated into a vector, an autonomously replicating plasmid, or a virus. In addition, an isolated nucleic acid can include an engineered nucleic acid such as a DNA molecule that is part of a hybrid or fusion nucleic acid. A nucleic acid existing among hundreds to millions of other nucleic acids within, for example, cDNA libraries or genomic libraries, or gel slices containing a genomic DNA restriction digest, is not to be considered an isolated nucleic acid.
Isolated nucleic acid molecules can be produced by standard techniques. For example, polymerase chain reaction (PCR) techniques can be used to obtain an isolated nucleic acid containing a nucleotide sequence described herein. PCR can be used to amplify specific sequences from DNA as well as RNA, including sequences from total genomic DNA or total cellular RNA. Various PCR methods are described, for example, in PCR Primer: A Laboratory Manual, Dieffenbach and Dveksler, eds., Cold Spring Harbor Laboratory Press, 1995. Generally, sequence information from the ends of the region of interest or beyond is employed to design oligonucleotide primers that are identical or similar in sequence to opposite strands of the template to be amplified. Various PCR strategies also are available by which site-specific nucleotide sequence modifications can be introduced into a template nucleic acid. Isolated nucleic acids also can be chemically synthesized, either as a single nucleic acid molecule (e.g., using automated DNA synthesis in the 3′ to 5′ direction using phosphoramidite technology) or as a series of oligonucleotides. For example, one or more pairs of long oligonucleotides (e.g., >100 nucleotides) can be synthesized that contain the desired sequence, with each pair containing a short segment of complementarity (e.g., about 15 nucleotides) such that a duplex is formed when the oligonucleotide pair is annealed. DNA polymerase is used to extend the oligonucleotides, resulting in a single, double-stranded nucleic acid molecule per oligonucleotide pair, which then can be ligated into a vector. Isolated nucleic acids of the invention also can be obtained by mutagenesis of, e.g., a naturally occurring DNA.
Vectors containing nucleic acids such as those described herein also are provided. A “vector” is a replicon, such as a plasmid, into which another DNA segment may be inserted so as to bring about the replication of the inserted segment. Generally, a vector is capable of replication when associated with the proper control elements. Suitable vector backbones include, for example, those routinely used in the art such as plasmids and viruses. The term “vector” includes cloning and expression vectors, as well as viral vectors and integrating vectors. An “expression vector” is a vector that includes a regulatory region. Suitable expression vectors include, without limitation, plasmids and viral vectors derived from, for example, bacteriophage, baculoviruses, and retroviruses. Numerous vectors and expression systems are commercially available from such corporations as Novagen (Madison, Wis.), Clontech (Palo Alto, Calif.), Stratagene (La Jolla, Calif.), and Invitrogen/Life Technologies (Carlsbad, Calif.).
As used herein, a cytotoxic polypeptide or cytotoxic gene is a polypeptide or nucleic acid that, when expressed in a cell, causes the cell to die. Cell death can be by apoptosis or necrosis. A cytotoxic polypeptide or gene can cause a cell to die immediately upon expression or can require the presence of a prodrug (e.g., gancyclovir). A herpes simplex virus thymidine kinase (HSVtk) gene is an example of a cytotoxic gene.
Any type of mammal having a cancer can be treated using the methods and materials provided herein including, without limitation, mice, rats, dogs, cats, horses, cows, pigs, monkeys, and humans. Any appropriate method can be used to administer a composition provided herein to a mammal. For example, a composition provided herein can be administered via injection (e.g., intramuscular injection, intradermal injection, or intravenous injection).
A composition comprising a nucleic acid encoding a cytotoxic polypeptide, a nucleic acid encoding a chaperone polypeptide, and nucleic acid encoding CD40L polypeptide can be administered following surgical resection of a tumor. In some cases, a composition provided herein can be administered prior to surgical resection of a tumor.
Before administering the composition described herein to a mammal, the mammal can be assessed to determine whether or not the mammal has a cancer. Any suitable method can be used to determine whether or not a mammal has cancer. For example, a mammal (e.g., a human) can be identified as having a cancer using standard diagnostic techniques. In some cases, a tissue biopsy can be collected and analyzed to determine whether or not a mammal has a cancer.
After identifying a mammal as having a cancer, the mammal can be treated with the composition described herein. Such compositions can be administered to a mammal in any amount, at any frequency, and for any duration effective to achieve a desired outcome (e.g., to reduce the progression rate of melanoma or to induce prostate cancer regression). In some cases, the composition described herein can be administered to a mammal to reduce the progression rate of a cancer by 5, 10, 25, 50, 75, or 100 percent. For example, the progression rate can be reduced such that no additional cancer progression is detected. Any standard method can be used to determine whether or not the progression rate of a cancer is reduced. For example, the progression rate of a cancer can be assessed by measuring a tumor at different time points and determining the size of the tumor. The size of the tumor determined at different times can be compared to determine the progression rate. After treatment with a composition provided herein, the progression rate can be determined again over another time interval. In some cases, the stage of a cancer after treatment can be determined and compared to the stage before treatment to determine whether or not the progression rate is reduced.
An effective amount of a composition provided herein can be any amount that reduces the progression rate of a cancer without producing significant toxicity to the mammal. Typically, an effective amount can be any amount greater than or equal to about 10 μg each of a nucleic acid molecule encoding a cytotoxic polypeptide (e.g., polypeptide encoded by a transcriptionally targeted cytotoxic gene), a nucleic acid molecule encoding a chaperone polypeptide, and a nucleic acid molecule encoding CD40L polypeptide provided that that amount does not induce significant toxicity to the mammal upon administration. In some cases, the effective amount can be between 50 μg and 500 μg. In some cases, a composition can be administered such that the mammal receives between 50 ng and 1 g of a nucleic acid molecule encoding a cytotoxic polypeptide, a nucleic acid molecule encoding a chaperone polypeptide, and a nucleic acid molecule encoding CD40L polypeptide each. If a particular mammal fails to respond to a particular amount, then the amount can be increased by, for example, ten fold. After receiving this higher concentration, the mammal can be monitored for both responsiveness to the treatment and toxicity symptoms, and adjustments made accordingly. When injected, an effective amount can be between 50 μg and 100 μg. The effective amount can remain constant or can be adjusted as a sliding scale or variable dose depending on the mammal's response to treatment.
Various factors can influence the actual effective amount used for a particular application. For example, the frequency of administration, duration of treatment, use of multiple treatment agents, route of administration, and severity of the cancer may require an increase or decrease in the actual effective amount administered.
The frequency of administration can be any frequency that reduces the progression rate of a cancer without producing significant toxicity to the mammal. For example, the frequency of administration can be from about four times a day to about once every other month, or from about once a day to about once a month, or from about one every other day to about once a week. In addition, the frequency of administration can remain constant or can be variable during the duration of treatment. Any of the compositions provided herein can be administered daily, twice a day, five days a week, or three days a week. Such compositions can be administered for five days, 10 days, three weeks, four weeks, eight weeks, 48 weeks, one year, 18 months, two years, three years, or five years. A course of treatment with the disclosed compositions can include rest periods. For example, a composition comprising a nucleic acid molecule encoding cytotoxic polypeptide, a nucleic acid molecule encoding a chaperone polypeptide, and a nucleic acid molecule encoding CD40L polypeptide can be administered for five days followed by a nine-day rest period, and such a regimen can be repeated multiple times. As with the effective amount, various factors can influence the actual frequency of administration used for a particular application. For example, the effective amount, duration of treatment, use of multiple treatment agents, route of administration, and severity of the cancer may require an increase or decrease in administration frequency.
An effective duration for administering a composition provided herein can be any duration that reduces the progression rate of cancer without producing significant toxicity to the mammal. Thus, the effective duration can vary from several days to several weeks, months, or years. In general, the effective duration for the treatment of a cancer can range in duration from several days to several months. In some cases, an effective duration can be for as long as an individual mammal is alive. Multiple factors can influence the actual effective duration used for a particular treatment. For example, an effective duration can vary with the frequency of administration, effective amount, use of multiple treatment agents, route of administration, and severity of the cancer.
After administering a composition provided herein to a mammal, the mammal can be monitored to determine whether or not the cancer was treated. For example, a mammal can be assessed after treatment to determine whether or not the progression rate of melanoma was reduced or stopped). As described herein, any method can be used to assess progression rates.
The invention will be further described in the following examples, which do not limit the scope of the invention described in the claims.
The murine melanoma B16.F1 tumor cell line used in the following experiments was described elsewhere (Linardakis et al., Cancer Res., 62:5495-5504 (2002)). The plasmids used in these experiments were described elsewhere (Daniels et al., Nature Biotechnol., 22:1125-1132 (2004)). Briefly, the Tyr-HSVtk plasmid contains a hybrid promoter of three tandem copies of a 200 by element of the murine tyrosinase enhancer (Ganss et al., Embo. J., 13:3083-3093 (1994)) upstream of a 270 by fragment of the tyrosinase promoter (Vile and Hart, Cancer Res., 53:962-967 (1993)) to drive expression of the HSVtk gene (Vile and Hart, Cancer Res., 53:3860-3864 (1993)). In CMV-hsp70, the murine hsp70 gene (Melcher et al., Nature Medicine, 4:581-587 (1998)) is driven by the CMV promoter in pCR3.1 (Invitrogen). In pCD40L, the murine CD40L gene is driven by the CMV promoter. The adenovirus expressing murine TNF-α was obtained from Dr Zhou Xing, McMaster University, Canada.
Skin samples at the site of plasmid injection were snap frozen in liquid nitrogen. RNA was prepared with the QIAGEN RNA extraction kit. One mg total cellular RNA was reverse transcribed in a 20 μL volume using oligo-(dT) as a primer. A cDNA equivalent of 1 ng RNA was amplified by PCR for a variety of murine cytokines or melanoma/melanocyte antigens as described elsewhere (Linardakis et al., supra; and Vile et al., Int. J. Cancer, 71:267-274 (1997)).
Splenocytes enriched in lymphocytes were prepared from spleens by standard techniques (Coligan et al., 1998, Current Protocols in Immunology. Wiley and Sons, Inc.) and Lympholyte-M density separation (Cedarlane, Ontario, Calif.). CD8+ T cells were purified from spleens using the MACS CD8a (Ly-2) Microbead magnetic cell sorting system (Miltenyi Biotec, Auburn, Calif.).
Freshly purified splenocyte populations were washed in PBS and pulsed with 5 μM peptide for 2 hours at 37° C. before being incubated with purified CD8+ T cells or splenocytes harvested from mice from the appropriate treatment groups. 72 hours later splenocytes were subjected to FACS analysis or cell free supernatants were tested for IFN-γ by ELISA (Pharmingen). The synthetic, H-2 Kb-restricted polypeptides hgp10025-33, KVPRNQDWL (SEQ ID NO:1), TRP-2180-188 SVYDFFVWL (SEQ ID NO:2) (Dyall et al., J. Exp. Med., 188:1553-1561 (1998)) and Ova SIINFEKL (SEQ ID NO:3) (Hogquist et al., Cell, 76:17 (1994)) were synthesized at the Mayo Foundation Core facility. An altered ligand from hgp100 was used, as opposed to the murine epitope, because it has been shown to be presented more effectively in the context of H-2 Kb− restricted murine DC (Overwijk et al., J. Exp. Med., 198:569-580 (2003)). Tetramers bound with the H-2 Kb-restricted SIINFEKL (SEQ ID NO:3) or TRP-2180-188 SVYDFFVWL (SEQ ID NO:2) polypeptides were commercially available from Beckman Coulter, Chino, Calif.
IFN-γ ELISPOT assays were purchased from Pharmingen and used as recommended. Splenocytes were stimulated in the presence of the appropriate polypeptide in triplicate cultures at a density of 250,000 splenocytes per well. Spot numbers were determined 72 hours later by computer assisted image analyzer.
C57BL/10ScNJ mice contain a deletion of the Tlr4 gene. B6; 12956-Tnftm1Gkl/J mice are TNF-deficient. C57BL/10ScNJ and B6; 12956-Tnftm1Gkl/J mice were purchased from the Jackson Laboratory (stock numbers 003752 and 003008, respectively). C57BL/6 mice were age and sex-matched for individual experiments. To establish subcutaneous tumors, 2×105 B16 cells were injected s.c. (100 μL) into the flank region. Animals were examined daily until the tumor became palpable, whereafter the diameter, in two dimensions, was measured thrice weekly using calipers. Animals were killed when tumor size was approximately 1.0×1.0 cm in two perpendicular directions. In all experiments, 10 mice per group were used unless indicated otherwise in the figures.
Plasmid injections were carried out by intradermal injection (Daniels et al., supra; and Bonnotte et al., Cancer Res., 63:2145-2149 (2003)) in a final volume of 50 μL in PBS. For LN/cell tracking studies, Cell Tracker Green (5′-chloro-methyl-fluorescein diacetate) (Molecular Probes, Eugene, Oreg.) was added to the plasmid mix at a final concentration of 25 μM prior to intradermal injections.
For protocols aimed at treating established subcutaneous tumors, 2×105 B16 cells were seeded subcutaneously in the right flank of C57BL/6 mice (day 0). At the appropriate day following tumor seeding, 20 μg or 30 μg of plasmid DNA was injected intradermally on the contralateral flank. GCV at 50 mg/kg was administered i.p. A 3-day established tumor was usually palpable under the skin, and a 9 day established tumor was usually about 0.3-0.4 cm in its longest diameter.
Data from the animal studies were analyzed by the logrank test (Altman, D. G. 1991. Analysis of survival times. In: Practical Statistics for Medical Research, pp. 365-395). Statistical significance was determined at the level of p<0.05.
Three rounds of Tyr-HSVtk/CMV-hsp70/GCV treatment (a total of 9 intradermal plasmid injections and 15 i.p. injections of GCV) cures 70-100% of mice bearing three day established subcutaneous B16 tumors on the contralateral flank (Daniels et al., supra; and Sanchez-Perez et al., Cancer Res., 65:2009-2017 (2005)) (
Hsp70 was reported to act as a chaperone of immunogenic polypeptides, a cytokine, an immunogen, a maturation agent for dendritic cells, and as an inducer of pro-inflammatory cytokines from monocytes following ligation to Toll Like Receptors (TLR) 2 and 4. To understand which of these possible activities hsp70 is exerting, the protocol of inflammatory melanocyte killing in mice lacking key elements of these effector responses was tested. Whereas C57Bl/6 mice bearing 3 day established B16 tumors were cured by intradermal injections of Tyr-HSVtk/CMV-hsp70/GCV (
Local Expression of Hsp70 Induces Priming of Anti-Melanoma/Melanocyte Responses through induction of TNF-α
The site of hsp70 injection was examined for the expression of cytokines. Of the 7 different cytokines tested, TNF-α correlated consistently with the expression of hsp70 (
Local immune activation by hsp70, through TLR-4 mediated signaling and TNF-α induction, appears to induce migration of APC from the site of plasmid injection to the lymph nodes (LN). To test this, Cell Tracker Green (CTG) dye-labeled cells were tracked from the site of injection to the draining LN. No CTG+ve cells were detected in draining LN following i.d. injection of CTG alone, or with any plasmid combination in which hsp70 was not present (
To test the functional relevance of this LN migration, a plasmid (Tyr-ova) was co-delivered in which the cDNA of the model chick ovalbumin antigen, expressed from the tyrosinase promoter, is only expressed in melanocytes. CD8+ T cells specific for the H-2 Kb-restricted SIINFEKL (SEQ ID NO:3) polypeptide of ova could be detected in LN by tetramer analysis, but only if pTyr-ova was co-injected with Tyr-HSVtk+GCV (to kill melanocytes and release ova antigen) and CMV-hsp70 (consistent with migration to the LN of a putative APC population) (
Because the Mac3 marker is not truly specific for macrophages, transgenic OT-1 T cells (specific for H-2Kb-restricted SIINFEKL (SEQ ID NO:3)) were used to monitor which of the Mac3+ve, or CD11c+ve, cell populations migrating to the LN are presenting the melanocyte-derived (ova) antigen.
When the Tyr-HSVtk plasmid was replaced with a CMV-HSVtk plasmid (HSVtk cDNA expressed by the CMV promoter) in the therapeutic protocol of
It was investigated whether addition of CD40 ligation could replace hsp70, or whether it would enhance the quality, and/or quantity, of the T cell response against melanocyte antigens. A plasmid expressing CD40L from the CMV promoter (pCD40L) was added to the regimen of plasmid injections. When pCD40L was added to the curative protocol of
Whether addition of pCD40L could enhance the activity of hsp70-mediated inflammatory melanocyte killing was tested. Animals bearing 9 day established s.c. B16 tumors treated with only two rounds of Tyr-HSVtk/CMV-hsp70 and 10 i.p. injections of GCV, typically survive longer than controlled treated animals but nearly all eventually succumb to disease (Daniels et al., supra; and Sanchez-Perez et al., supra;
Co-Expression of pCD40L Increases the Number and Potency of TRP-2 Specific T Cells.
Hsp70-mediated inflammatory killing of melanocytes primes T cell responses specific to the TRP-2, but not gp100, antigens (Daniels et al., supra; and Sanchez-Perez et al., supra). Consistent with the increased therapeutic potential of expression of CD40L at the injection site, ELISPOT data indicated that there was a modest, but consistently significant (p<0.01), increase in the frequency of TRP-2 specific splenocytes generated in vivo 8 days following the first of three injections of Tyr-HSVtk/CMV-hsp70/pCD40L+GCV compared to treatment with Tyr-HSVtk/CMV-hsp70+GCV (
Injection of pCD40L did not increase the number of cell tracker green cells, or CD11c+ve cells, detected in the LN using either the PCR detection method (
In animals cured of 3 day established tumors by 9 injections of Tyr-HSVtk/CMV-hsp70/GCV, development of autoimmune disease was difficult to detect; only mice depleted of CD25+ T cells, which received Tyr-HSVtk/CMV-hsp70/GCV treatment, but never saw tumors, developed localized areas of depigmentation. In addition, long-term survivors (>100 days) could not reject re-challenge with B16. This indicates that the CD8+ T cell response from Tyr-HSVtk/CMV-hsp70/GCV therapy is short lived, due at least in part to the induction of putative suppressor cells in the CD4+CD25+ compartment (Daniels et al., supra). In contrast, animals cured by Tyr-HSVtk/CMV-hsp70/pCD40L intradermal injections developed alopecia-like symptoms with often severe but patchy hair loss across their abdomens. In addition, these mice were often unable to re-grow their hair in the shaved areas where the initial injections had been performed. Moreover, mice surviving the 9 day established tumors following Tyr-HSVtk/CMV-hsp70/pCD40L/GCV treatment developed stringent memory in 100% of the survivors (
Transgenic adenocarcinoma of the mouse prostate (TRAMP)-C2 (TC2) cells were derived from a prostate tumor that arose in a TRAMP mouse. These cell lines express a variety of prostate-specific genes, including PSMA, Hoxb-13, and NKX3.1. TC2 cells grow in an androgen-independent manner and have a reduced level of expression of MHC class I, which can be up-regulated by IFN-γ, making them susceptible to specific lysis by CTL. TC2 tumors are routinely grown in C57Bl/6 male mice. The murine melanoma B16.F1 tumor cell line has been previously described (supra). Cell lines were grown in DMEM (Invitrogen/Life Technologies, Carlsbad, Calif.) supplemented with 10% (v/v) FCS (Invitrogen/Life Technologies) and L-glutamine (Invitrogen/Life Technologies). All cell lines were monitored routinely and found to be free of Mycoplasma infection.
The replication-defective adenoviral vectors used in this study were all E1 deleted serotype 5 vectors that contains the cytomegalovirus (CMV) immediate-early gene promoter-enhancer driving the inserted transgene. Ad-VSV-G expresses the cDNA of the fusogenic membrane G glycoprotein of vesicular stomatitis virus (VSV-G; Linardakis et al., supra; Bateman et al., Cancer Res., 62:5466-6578 (2002); and Higuchi et al., Cancer Res. 60:6396-6402 (2000)); Ad-hsp70 contains the cDNA of the inducible murine heat shock protein 70 gene (Melcher et al., Hum. Gene Ther., 10:1431-1442 (1999)); and Ad-GFP contains the cDNA of the green fluorescent protein gene (Ahmed et al., Nat. Biotechnol., 21:771-777 (2003)). In the CMV-ova plasmid (CMV-ova), the ovalbumin gene is driven by the CMV promoter in pCR3.1 (Invitrogen).
Prostates were harvested and fixed in 10% Formalin in PBS, then paraffin embedded and sectioned. Hematoxylin and eosin- (H&E-) stained sections were prepared for analysis of tissue destruction and gross infiltrate. Two independent pathologists examined H&E sections, blinded to the experimental design, and scored the degree of necrosis.
Organ samples were snap frozen in liquid nitrogen. RNA was prepared using a Qiagen (Valencia, Calif.) RNA extraction kit. One microgram of total cellular RNA was reverse transcribed in a 20 μL volume using oligo-(dT) as a primer. A cDNA equivalent of 1 ng RNA was amplified by PCR for a variety of murine cytokines or vector-derived transgenes as described previously (Linardakis et al., supra; and Vile et al., supra).
Treg-Mediated Inhibition of IFNγ Secretion from Activated T Cells
OT-I mice are transgenic mice whose T cells express the Vα2 chain of the transgenic OT-I T-cell receptor that specifically recognizes the SIINFEKL (SEQ ID NO:3) peptide from the chicken ovalbumin protein (ova) in the context of H-2Kb as expressed by B16ova tumor cells (Hogquist et al., supra). For preparation of naive OT-I T cells, spleen and lymph nodes from OT-I-transgenic mice were combined and crushed through a 100-nm filter to prepare a single-cell suspension. RBC were removed by a 2-minute incubation in ACK buffer (sterile dH2O containing 0.15 mol/L NH4Cl, 1.0 mmol/L KHCO3, and 0.1 mmol/L EDTA adjusted to pH 7.2-7.4). OT-I T cells were activated by incubation of splenocyte populations with the cognate antigen recognized by the OT-I T cells. Single-cell suspensions from spleen and lymph nodes were adjusted to 1.0×106 cells/mL in Iscove's modified Dulbecco's medium plus 5% FCS, 105 mol/L 2-ME, 100 units/mL penicillin, and 100 μg/mL streptomycin and stimulated with 1 μg/mL SIINFEKL (SEQ ID NO:3) peptide and 50 IU/mL human IL-2 (Mayo Clinic Pharmacy). This routinely induces large amounts of IFN-γ to be expressed from the activated OT-I T cells.
To assay for the presence of T-cell suppressive (Treg) activity within splenocyte populations from intraprostatically injected mice, 250,000 freshly harvested splenocytes from treatment groups were plated along with 105 naive OT-1 CD8+ T cells in the presence of either no added peptide, an irrelevant nonactivating peptide (TRP-2180188 SVYDFFVWL (SEQ ID NO:2; Dyall et al., supra), or with the synthetic H-2Kb-restricted ova peptide SIINFEKL (SEQ ID NO:3; Hogquist et al., supra) in tissue culture wells. Splenocyte/OT-I cocultures were stimulated in triplicate and supernatants were assayed for IFN-γ production by ELISA. The degree of suppressive activity in the test splenocyte cultures was reflected by their ability to inhibit the IFN-γ response of the naïve OT-I T cells when presented with their cognate, activating SIINFEKL (SEQ ID NO:3) antigen. The dependence of any such T-cell suppressive activity on expression of transforming growth factor-β (TGF-β; Thomas and Massague, Cancer Cell, 8:369-380 (2005)) was assayed using the recombinant human TGF-β sRII/Fc chimera (R&D Systems, Minneapolis Minn.), a 159 amino acid extracellular domain of human TGF-β receptor type II fused to the Fc region of human IgG 1.
Splenocytes enriched in lymphocytes were prepared from spleens from treated/vaccinated animals by standard techniques (Coligan et al., Current Protocols in Immunology, Wiley and Sons, Inc. (1998)). Freshly purified splenocyte populations were washed in PBS and either incubated with target tumor cells (TC2 or B16) typically at ratios of 100:1, 10:1, or 1:1 or, where appropriate, were pulsed with 1 μg/mL of the target peptide for which antigen specificity of response was being tested [SIINFEKL (SEQ ID NO:3) for induced responses to ova (Hogquist et al., supra) or TRP-2180188 SVYDFFVWL (SEQ ID NO:2; Dyall et al., supra) as the negative irrelevant antigen control]. Forty-eight to seventy-two hours later, cell-free supernatants were tested for IFN-γ by ELISA (PharMingen). The synthetic H-2 Kb-restricted peptides TRP-2180188 SVYDFFVWL (SEQ ID NO:2) and Ova SIINFEKL (SEQ ID NO:3) were synthesized at the Mayo Foundation Core facility.
For ELISA, cell-free supernatants were collected from sample wells and tested by specific ELISA for IFN-γ or IL-6 (BD OptEIA IFN-γ; BD Biosciences, San Jose, Calif.) or IL-17 (R&D Systems) according to the manufacturers' instructions.
C57Bl/6 mice or B6.129S2-IL6tm1Kopf/J [IL-6 knockout (IL-6KO); Jackson; No. 002650] were purchased from The Jackson Laboratory (Bar Harbor, Me.) at ages 6 to 8 weeks. To establish s.c. tumors, 2×105 B16 cells or 2×106 TC2 cells in 100 μL of PBS were injected into the flank of mice. Intraprostatic injections (50 μL) were performed on mice under anesthetic, typically at day 6 after tumor establishment. For survival studies, tumor diameter in two dimensions was measured thrice weekly using calipers, and mice were killed when tumor size was about 1.0×1.0 cm in two perpendicular directions.
Immune cell depletions were performed by i.p. injections (0.1 mg per mouse) of anti-CD8 (Lyt 2.43) and anti-CD4 (GK1.5), both from the Monoclonal Antibody Core Facility, Mayo Clinic; and IgG control (ChromPure Rat IgG; Jackson ImmunoResearch, West Grove, Pa.) at day 4 after tumor implantation and then weekly thereafter. For Treg depletion, 0.5 mg of PC-61 antibody (Monoclonal Antibody Core Facility, Mayo Clinic) per mouse was given i.p. 4 days after tumor implantation and 2 days before the first viral injection. Fluorescence-activated cell sorting analysis of spleens and lymph nodes confirmed subset specific depletions.
Survival data from the animal studies was analyzed using the log-rank test (Altman, supra), and the two-sample unequal variance Student's t test analysis was applied for in vitro assays. Statistical significance was determined at the level of P value of <0.05.
Previously, plasmids expressing the HSVtk suicide gene and hsp70 were used to target killing of normal melanocytes in the skin (Sanchez-Perez et al., J. Immunol. 177:4168-4177 (2006); Daniels et al., supra; and Sanchez-Perez et al. (2005), supra). Because HSVtk requires active division of target cells for cytotoxicity, an adenoviral vector expressing VSV-G, the fusogenic membrane glycoprotein (FMG) from VSV (Linardakis et al., supra), was used in the current studies to induce killing of normal prostate cells. It has been shown that killing induced by fusion of cells using viral FMG can be potently immunogenic through the fusion of cells into multinucleated syncytia (Linardakis et al., supra; and Bateman et al., supra). In addition, a second adenoviral vector was used to express the murine hsp70 gene (Melcher et al., supra).
Direct intraprostatic injection of an adenovirus-expressing GFP (Ad-GFP) did not induce any detectable lasting damage to the prostates of C57Bl/6 mice either in terms of the architecture of the organ or immune infiltration. Injection of Ad-hsp70 alone induced an inflammatory response associated with a dense inflammatory infiltrate and some loss of normal architecture. Significant immune infiltration also was observed with injection of Ad-VSV-G alone and, in addition, syncytial-like structures were observed in injected prostates, consistent with the fusogenic activity of the VSV-G protein. Intraprostatic injection of Ad-VSV-G and Ad-hsp70 caused severe infiltration, necrosis, and tissue destruction consistent with results from intradermal injection of plasmids expressing HSVtk and hsp70 (Daniels et al., supra; and Sanchez-Perez et al. (2005), supra). Unlike those experiments, however, the dense infiltration with immune cells was persistently present in prostate tissue and did not significantly resolve up to 3 weeks postinjection. This persistent inflammation was associated with an ongoing autoimmune destruction of the prostate as reflected by a progressive decrease of the wet weight of prostates recovered from treated animals (P<0.01 for Ad-GFP and Ad-VSV-G+Ad-hsp70).
Hsp70 Induces IL-6 from Prostate Tissue
A screen of injected prostates by reverse transcriptase PCR (RT-PCR) for different cytokines indicated that IL-6 was consistently induced in prostates injected with Ad-hsp70 (whether or not Ad-VSV-G or Ad-GFP were also injected;
The ongoing autoimmune inflammation and destruction of the prostate, combined with detection of both IL-6 and TGF-β in the lymph node draining the injected prostates, suggested that Ad-VSV-G+Ad-hsp70 treatment of prostate may generate progressive autoimmunity through induction of a Th-17 response, differentiation of which is characterized by a combination of TGF-β and IL-6 (Veldhoen et al., Immunity, 24:179-189 (2006); Mangan et al., Nature, 441:231-234 (2006); and Bettelli et al., Nature, 441:235-238 (2006)). Consistent with this hypothesis, mRNA for IL-17 was detected in both prostates injected with Ad-VSV-G+Ad-hsp70 (
Studies were then conducted to test for generation of Treg responses. Splenocytes recovered from normal mice (uninjected) cannot significantly suppress IFN-γ secretion from activated T cells in the presence of their cognate antigen (
The repertoires of known tissue/tumor-associated antigens in prostate cancer are much less well-characterized than for the melanoma model. Therefore, the ova antigen was used as a model to characterize how inflammatory killing of normal cells affects the generation of antigen-specific responses. When a plasmid expressing the ova protein was coinjected into the prostates of C57Bl/6 mice along with different adenoviral treatments, both Ad-VSV-G (P<0.02 compared with Ad-hsp70/CMV-ova) and, more potently, Ad-VSV-G+Ad-hsp70 (P<0.01) primed easily detectable anti-ova responses in splenocytes from those mice (
Taken together, these data indicate that inflammatory killing of normal prostates does not induce a significant Treg response.
Loss of IL-6 Converts a Th17 Response into a Treg Response In Vivo
The above data suggest that the IL-6 response of prostate tissue to hsp70 expression drives the resultant immune response against tissue-associated self-antigens down a Th17 pathway. To test the central importance of IL-6, several of these experiments were repeated in IL-6KO mice. Whereas injection of Ad-VSV-G+Ad-hsp70 into the prostates of C57Bl/6 mice led to progressive chronic destruction of the prostates associated with intense immune infiltration, no significant damage or infiltration was observed in similarly injected prostates of IL-6KO mice, and there was no difference between injection of Ad-VSV-G+Ad-hsp70 or Ad-GFP. Similarly, there was no significant difference between the wet weights of prostates of IL-6KO mice injected with either Ad-VSV-G+Ad-hsp70, Ad-GFP, or PBS 60 days after viral injection—in contrast to the reduction in prostate weights of up to 50% seen in C57Bl/6 mice (
There was a dramatic difference, however, in the ability of splenocytes from IL-6KO mice injected intraprostatically with Ad-VSV-G+Ad-hsp70 to suppress IFN-γ secretion from activated T cells. Whereas splenocytes from Ad-VSV-G+Ad-hsp70-injected C57Bl/6 mice contained no detectable suppressive activity in this assay (
To confirm the transition of the immune response to inflammatory killing from a Th-17 autoimmune response to Treg protective immunity in these IL-6KO mice, the microenvironment of the injected prostates was examined As before, prostates of C57Bl/6 mice injected with Ad-VSV-G+Ad-hsp70 contained readily detectable levels of IL-6 and IL-17 but only minimal TGF-β (
Prostate Autoimmunity Correlates Closely with Tumor Rejection
Of particular interest, as described herein, was whether the autoimmune response induced by inflammatory killing of normal cells can be exploited to treat tumors of the same histologic type sharing common antigens with the tumor. TC2 cells are murine prostatic cancer cells syngeneic to C57Bl/6 mice. Direct intraprostatic injection of control adenoviruses into animals bearing 6 days established TC2 tumors growing s.c. was unable to affect the growth of the tumors (
Taken together, the results presented in this example demonstrate that inflammatory killing of normal prostate was highly effective at curing established metastatic prostatic tumors but not tumors of a different histologic type. These results are significant in at least the following respects. First, they show that autoimmune disease of the prostate can be induced by specific cytokine responses to one, or a few, key pathogenic-like signals. Second, they show that the intimate connectivity between autoimmune and antitumor rejection responses extends beyond the classic melanoma paradigm. In addition, they suggest that the principle of inflammatory killing of normal cells to treat neoplastic disease is applicable to tumors other than just melanoma.
It is to be understood that while the invention has been described in conjunction with the detailed description thereof, the foregoing description is intended to illustrate and not limit the scope of the invention, which is defined by the scope of the appended claims. Other aspects, advantages, and modifications are within the scope of the following claims.
This application claims priority from U.S. Provisional Application Ser. No. 60/905,861, filed Mar. 8, 2007, which is incorporated herein by reference in its entirety.
This invention was made with government support under grant nos. CA085931, CA094180, and CA107082, awarded by National Institutes of Health. The government has certain rights in the invention.
Filing Document | Filing Date | Country | Kind | 371c Date |
---|---|---|---|---|
PCT/US08/56223 | 3/7/2008 | WO | 00 | 8/2/2010 |
Number | Date | Country | |
---|---|---|---|
60905861 | Mar 2007 | US |