This disclosure generally relates to the field of oncology and oncolytic viruses. More particularly, it concerns compositions and methods of treating cancer in a patient using oncolytic poxviruses deleted of immunomodulatory genes.
Chemotherapy and radiotherapy are often used as a non-surgical means to treat many malignancies today. However, these treatments are considerably non-specific and have many detrimental side effects. Oncolytic virotherapy uses replication-competent viruses to kill tumour cells while leaving normal cells unscathed. Several viruses have been examined as potential virotherapy agents such as Newcastle disease virus (NDV), reovirus (RV), measles virus (MV), herpes simplex virus (HSV), vesicular stomatitis virus (VSV), and poxviruses such as vaccinia virus (VV). Some viruses usually replicate in non-human hosts but are found to be naturally oncotropic (e.g. NDV, RV) while other oncolytic viral vectors are tumour-selective based on engineered attributes (e.g. VV, VSV, MV) (Antonio Chiocca 2002).
The basic concept and prior art in the field of oncolytic virus has been described, for examples, in U.S. Pat. Nos. 8,778,328, 8,980,246, 8,986,674, and 9,005,602. These documents are incorporated herein by reference.
U.S. Pat. No. 8,778,328 relates a poxvirus comprising a defective F4L and/or I4L gene and compositions involving such poxvirus useful for the treatment of cancer.
U.S. Pat. No. 8,980,246 relates to methods that include a thymidine kinase deficient vaccinia virus. The methods include administering the vaccinia virus at increased viral concentrations.
U.S. Pat. No. 8,986,674 relates to methods and compositions for the treatment of cancer and cancer cells using altered poxviruses, including a vaccinia virus that has been altered to generate a more effective therapeutic agent. The methods and compositions involve poxviruses that possess mutations that result in poxviruses with diminished or eliminated capability to implement an antiviral response in a host.
U.S. Pat. No. 9,005,602 relates to viruses and methods for preparing modified vaccinia viruses. The modified viruses can be used in methods of treatment of diseases, such as proliferative and inflammatory disorders, including cancer, and as anti-tumour and/or antiangiogenic agents.
Currently, the safety of oncolytic VVs in clinical development, such as double deleted VV (vvDD), a Western Reserve vaccinia virus with two non-essential gene deletions from its genome (i.e. deleted thymidine kinase (TK) and vaccinia growth factor (VGF); McCart et al., 2001), is enhanced by improving the inherent ability of the virus to selectively infect and kill fast-dividing cells, such as tumours.
Dosages used in oncolytic virus treatment against tumours are typically found in the 108-109 pfu range. In a patient with two large melanoma lesions, intratumoural treatment with 3×109 PFU vvDD in one lesion resulted in viral replication in both injected and non-injected masses, yet the 1 mm strip of normal skin between them was spared (Zeh et al., 2015). In a trial, a randomized trial with JX-594 (Wyeth strain VV with deletion in thymidine kinase, expressing GM-CSF), overall survival was 14.1 months compared to 6.7 months between advanced hepatocellular carcinoma patients treated intratumourally with 1×109 pfu compared to 1×108 pfu, respectively (Heo et al., 2013), suggesting that higher viral dosage results in improved anti-tumour response.
Alternate or improved oncolytic viruses are desirable.
More potent but equally safe VVs may be generated by exploiting the dampened ability to respond to virus infections in many tumours.
In the present disclosure, a deletion in poxvirus immunomodulatory genes (i.e., N1L, K1L, K3L, A46R, or A52R) yields oncolytic poxviruses such as VVs, against cancers such as colon and ovarian cancer. As described in the present disclosure, imparting tumour-selectivity via this strategy increases oncolytic virus potency by generating safe and effective VVs for cancer therapy that could be used at lower doses than clinical candidate vvDD.
Recombinant oncolytic poxvirus' comprising an inactivated immunomodulatory gene, including N1L, K1L, K3L, A46R and A52R, are generated and isolated. The disclosure demonstrates that poxviruses such as vaccinia viruses (VVs) with a deletion of an above said immunomodulatory gene have similar or improved in vitro replication, spread, and/or cytotoxicity in colon cancer cells compared to vvDD and exhibit oncolytic activity against ovarian cancer cells. Remarkably, several VV deletion mutants (ΔK1L VV, ΔA46R VV, and ΔA52R VV) demonstrated tumour-selectivity and prolonged tumour-survival at doses 20-1000 times lower than treatment dose with clinical candidate vvDD (Western Reserve VV with deletions in TK and VGF).
Accordingly, the present disclosure provides a recombinant vector comprising:
In a preferred embodiment, the poxvirus gene is selected from K1L, A46R and A52R.
In one embodiment, the detectable interrupter expression cassette directs the expression of one or more polypeptides, optionally a fluorescent protein, a luciferase enzyme or a xanthine-guanine phosphoribosyltransferase (gpt) protein.
In another embodiment, the recombinant vector is a shuttle plasmid, optionally comprising one or more fluorescent proteins, luciferase enzymes or gpt proteins, wherein the poxvirus gene is selected from N1L, K1L, K3L, A46R or A52R, preferably K1L, A46R or A52R.
In an embodiment, each flanking portion of a poxvirus gene comprises about 200-600 nucleotide residues, preferably about 300-500 nucleotide residues, of flanking sequence.
In another embodiment, the flanking sequence has at least 80%, at least 85%, at least 90%, or at least 95% sequence identity to corresponding sequence in a poxvirus, optionally Accession number: NC_006998.1.
In an embodiment, the recombinant oncolytic poxvirus or viral DNA thereof was constructed using the recombinant vector as described herein.
In another embodiment, a cell is transfected with a recombinant vector described herein, optionally infected with a poxvirus, preferably a vaccinia virus.
In an embodiment, a recombinant oncolytic poxvirus, optionally a recombinant oncolytic vaccinia virus or viral DNA thereof, comprising one or more inactivated poxvirus genes selected from N1L, K1L, K3L, A46R, and/or A52R, preferably selected from K1L, A46R and/or A52R, optionally further comprising an inactivated TK gene and/or one or more inactivated growth factor genes, optionally VGF genes.
In an embodiment, a poxvirus gene, optionally an immunomodulatory gene selected from N1L, K1L, K3L, A46R and A52R, is inactivated by one or more mutations, optionally deletion mutation comprising deletion of all or a portion of the gene.
In another embodiment, an inactivated poxvirus gene is inactivated by replacing the poxvirus genes with a detectable interrupter expression cassette, optionally the detectable interrupter expression cassette comprises one or more fluorescent proteins, luciferase enzymes or gpt proteins.
In an embodiment, a recombinant oncolytic poxvirus or viral DNA thereof described herein is constructed using any of the recombinant vectors described herein.
In another embodiment, the recombinant oncolytic poxvirus or viral DNA thereof is constructed using a parental strain selected from Lister, Wyeth, modified vaccinia Ankara, CV-1, Western Reserve, Copenhagen, Tian Tian, NYCBH, Lister, modified vaccinia Ankara, Lederle, Temple of Heaven, Tashkent, USSR, Evans, Praha, LIVP, Ikeda, IHD, IHD-W, DPP25, IOC, Dls, LC16, EM-63, IC, Malbran, DUKE, Acambis, 3737, CVA, VJS6 and AS.
In an embodiment, a cell is infected an oncolytic recombinant poxvirus or comprising oncolytic viral DNA described herein.
In another embodiment, the cell is a tumour cell, optionally an ovarian cancer cell, a colorectal cancer cell, a hepatocellular carcinoma cell, a lung cancer cell, a mesothelioma cell, a prostate cancer cell, a melanoma cell, a renal cell carcinoma cell, a head and neck cancer cell, a pancreatic cancer cell, a glioma cell, a gastric cancer cell and/or a breast cancer cell.
In an embodiment, a composition comprises a recombinant vector, cell or recombinant oncolytic poxvirus or viral DNA thereof described herein, and a suitable diluent, optionally a pharmaceutically suitable diluent.
In another embodiment, a composition comprises a recombinant oncolytic poxvirus described herein, optionally a recombinant oncolytic poxvirus, optionally a recombinant vaccinia virus, wherein concentration of the recombinant oncolytic poxvirus is between 1×106 and 5×107 pfu/dose, optionally 1×106, 1×107, or 5×107 pfu/dose.
The present disclosure also provides an in vitro method of making any recombinant oncolytic poxvirus or viral DNA thereof described herein, comprising
The present disclosure further provides a method of killing cancer cells, comprising contacting the cancer cells or administering to a subject with a cancer or a tumour comprising cancer cells, an effective amount of a recombinant oncolytic poxvirus or viral DNA thereof described herein. Also provided is use of an effective amount of a recombinant oncolytic poxvirus or viral DNA thereof described herein for killing cancer cells. Also provided is use of an effective amount of a recombinant oncolytic poxvirus or viral DNA thereof described herein in the manufacture of a medicament for treating a subject with cancer. Even further provided is an effective amount of a recombinant oncolytic poxvirus or viral DNA thereof described herein for use in treating a subject with cancer.
In an embodiment, the cancer cells are solid tumour cells, optionally selected from ovarian cancer cells, colon cancer cells, hepatocellular carcinoma cells, lung cancer cells, mesothelioma cells, prostate cancer cells, melanoma cells, renal cell carcinoma cells, head and neck cancer cells, pancreatic cancer cells, glioma cells, gastric cancer cells and breast cancer cells, wherein the cancer is a blood cancer, optionally myeloma or leukemia, or wherein the cancer is a blood cell tumour, optionally lymphoma.
In another embodiment, the subject has late stage cancer, optionally having peritoneal carcinomatosis (PC).
The present disclosure also provides an isolated DNA molecule used for amplifying flanking regions of a poxvirus gene selected from N1L, K1L, K3L, A46R and A52R, optionally the isolated DNA molecule selected from SEQ ID NOs: 1-20.
In an embodiment, an isolated DNA molecule comprises 5′ and/or 3′ overhang and sequence of flanking portion of a poxvirus gene selected from N1L, K1L, K3L, A46R and A52R, wherein the sequence amplified using a primer pair, optionally the primer pair selected from SEQ ID NOs: 1-20.
In one embodiment, a pharmaceutical composition comprising a recombinant oncolytic poxvirus, optionally a recombinant vaccinia virus, wherein the recombinant poxvirus comprises one of more inactivated poxvirus genes selected from N1L, K1L, K3L, A46R and A52R, preferably selected from K1L, A46R and A52R, wherein concentration of the recombinant oncolytic poxvirus is between 1×106 and 5×107 pfu/dose, optionally 1×106, 1×107, or 5×107 pfu/dose.
In another embodiment, a pharmaceutical composition comprising a recombinant oncolytic poxvirus, optionally a recombinant vaccinia virus, for the treatment of cancer in a subject, wherein the cancer is a solid tumour cancer, optionally selected from ovarian cancer, colon cancer, hepatocellular carcinomas, lung cancer, mesothelioma, prostate cancer, melanoma, renal cell carcinoma, head and neck cancer, pancreatic cancer, glioma, gastric cancer, and breast cancer cells, wherein the cancer is a blood cancer, optionally myeloma or leukemia, or wherein the cancer is a blood cell tumour, optionally lymphoma.
Other features and advantages of the present disclosure will become apparent from the following detailed description. It should be understood, however, that the detailed description and the specific Examples while indicating preferred embodiments of the disclosure are given by way of illustration only, since various changes and modifications within the spirit and scope of the disclosure will become apparent to those skilled in the art from this detailed description.
Embodiments are described below in relation to the drawings in which:
The term “vaccinia virus” or VV as used herein means any vaccinia virus strain including recombinant vaccinia strains. Vaccinia virus strains include Western Reserve, Lister, Wyeth, modified vaccinia Ankara (MVA), CV-1, NYCBH, Lederle, Temple of Heaven, Tashkent, USSR, Evans, Praha, LIVP, Ikeda, IHD, IHD-W, DPP25, IOC, Dls, LC16, EM-63, IC, Malbran, DUKE, Acambis, 3737, CVA, Copenhagen, Tian Tian and VJS6 strain/recombinant virus. For example, the recombinant viruses described below were made using parental Western Reserve (WR) vaccinia virus F13L+(wildtype virus with lacZ insertions (Roper & Moss, 1999)) parental viruses. Copenhagen strain, for example, or any strain comprising the gene to be modified could also be used as a parental strain to manufacture the VV comprising an inactivated poxvirus gene described herein.
The term “inactivated gene” refers to a gene comprising one or more mutations, such as a point mutation, a dominant negative mutation and/or a deletion mutation that produces a deletion of at least a portion of the gene, wherein either no protein is expressed or a biological function of the protein encoded by the gene (e.g. see Table 3), and/or a biological function of any complex in which the protein participates, is inactivated, e.g. reduced by at least 90%, at least 95%, or more and/or ablated, e.g. totally inhibited compared to a wild type molecule. The gene can be inactivated by recombinant methods, where for example the coding sequence or the gene can be deleted entirely and/or partially, or a mutation can be introduced ablating its biological function, for example enzymatic and/or structural functions of the encoded protein, the encoded protein can act as a dominant negative (such as a catalytic mutant) and form inactive complexes, and/or the encoded protein can be structurally and/or catalytically inactive (e.g. when the gene encodes an enzyme). Mutations can also be introduced by chemical selection. Preferably, the inactivation is a deletion mutant wherein all or a portion of the gene is deleted such that there is no expression of the protein normally encoded by the gene or at least no expression of a protein with biological function. For example portions of the gene that can be deleted include the start codon, a replicate of 1 or 2 nucleotides from the coding region such that the frame is disturbed or the entire coding portion of the gene. Also for example, the promoter of a gene can be deleted, inactivating the gene's normal function by inhibiting its expression.
As an example, “inactivated N1L gene” means a N1L gene comprising one or more mutations, such as a point mutation, a dominant negative mutation and/or a deletion mutation that produces a deletion of at least a portion of the gene wherein no protein is expressed or any encoded protein has no biological activity. The N1L coding sequence can be mutated, for example, by deleting or mutating sequence encoding one or more important binding residues, deleting a sequence encoding a BH3 binding domain or other mutation that inhibits N1L protein expression and/or biological activity. Similar definitions apply for the other poxvirus genes inactivated herein. Biological activities are provided in Table 3. A person skilled in the art, based on the present disclosure would readily, by comparing to wildtype and/or a mutant described herein, be able to determine if a particular mutation or deletion inactivated a poxvirus gene.
The term “left flanking portion of a poxvirus gene” refers to a nucleic acid cassette that includes sequence that is immediately upstream of the gene, part of the upstream portion of the gene (e.g. first exon) and does not include sequence relating to a different gene. For example depending on the orientation of the gene, the sequence can be immediately upstream of or include the 3′ part of the gene but does not include any upstream gene.
The term “right flanking portion of a poxvirus gene” refers to a nucleic acid cassette that includes sequence that is immediately downstream of the gene, part of the downstream portion of the gene (e.g. last exon) and does not include sequence relating to a different gene. For example, depending on the orientation of the gene, the sequence can be immediately downstream of or include the 5′ part of the gene but does not include any downstream gene.
The term “N1L” as used herein refers to the gene that encodes Protein N1 of viruses, including but not limited to poxviruses, such as vaccinia viruses. Alternative names for Protein N1 include, but are not limited to, “putative virulence factor”, “virokine”, and “N1L protein”. Also, viral N1L gene when referring to the vaccinia virus WR strain is denoted as VACWR028. The term “K1L” as used herein refers to the gene that encodes Interferon antagonist K1L of viruses, including but not limited to poxviruses, such as vaccinia viruses. Alternative names for Interferon antagonist K1L include, but are not limited to, “ankyrin-like protein”, “32.5 kDa protein”, and “Host range protein 1”. Also, viral K1L gene when referring to the vaccinia virus WR strain is denoted as VACWR032. The term “K3L” as used herein refers to the gene that encodes Protein K3 of viruses, including but not limited to poxviruses, such as vaccinia viruses. Alternative names for Protein K3 include, but are not limited to “interferon resistance protein” and “Protein K2”. Also, viral K3L gene when referring to the vaccinia virus WR strain is denoted as VACWR034. The term “A46R” as used herein refers to the gene that encodes Protein A46 of viruses, including but not limited to poxviruses, such as vaccinia viruses. Alternative name for Protein A46 includes, but is not limited to “Toll/IL1-receptor”. Also, viral A46R gene when referring to the vaccinia virus WR strain is denoted as VACWR172. The term “A52R” as used herein refers to the gene that encodes Protein A52 of viruses, including but not limited to poxviruses, such as vaccinia viruses. Alternative name for Protein A52 includes, but is not limited to “Toll/IL-receptor-like protein”. Also, viral A52R gene when referring to the vaccinia virus WR strain is denoted as VACWR178. A person skilled in the art would be familiar with the various nomenclatures used for poxvirus genes, such as vaccinia virus genes. For example, the more common, nomenclature for vaccinia genes uses letter-based designations (i.e. N1L and K1L).
The term “vvDD” or “double deleted VV” refers to a Western Reserve vaccinia virus with two non-essential gene deletions from its genome (i.e. deleted thymidine kinase (TK) and vaccinia growth factor (VGF); McCart et al., 2001).
The term “neoplastic disorder” as used herein refers to proliferative and/or dysplastic disorders including for example cancers of any kind and origin as well as precursor stages thereof, including for example, colon dysplasia and the like.
The term “cancer” as used herein refers to a cancer of any kind and origin including tumour-forming cells, blood cancers and/or transformed cells.
The term “neoplastic disorder cell” refers to one or more cells derived from or phenotypically similar to proliferative and/or dysplastic disorder cells such as cancer cells of any kind and origin as well as precursor stages thereof, including for example, neoplastic cells, precancer cells and/or tumour cells.
The term “cancer cell” includes cancer or tumour-forming cells, transformed cells or a cell that is susceptible to becoming a cancer or tumour-forming cell.
The term “a cell” includes a single cell as well as a plurality or population of cells administering a composition to a cell includes both in vitro and in vivo administrations.
The term “resistant cancer” or “chemotherapeutic resistant cancer” refers to a cancer that has decreased sensitivity to one or more chemotherapeutic drugs, for example by amplifying a gene that allows it to persist in the presence of the drugs. In an embodiment, a method of killing resistant cancer cells or chemotherapeutic resistant cancer cells comprises contacting the cancer cells or administering to a subject with a resistant cancer, a chemotherapeutic resistant cancer, or a tumour comprising resistant cancer cells or chemotherapeutic resistant cancer cells, an effective amount of a recombinant oncolytic poxvirus or viral DNA thereof described herein.
The term “peritoneal carcinomatosis” (PC) refers to a late stage cancer where cancer of primary tumour origin such as colon and ovary spreads to the peritoneum, disseminates throughout the peritoneal cavity.
The term “isolated poxvirus” as used herein includes but is not limited to naturally occurring, selected, such as chemically selected, and recombinant poxviruses that have been isolated, for example substantially purified, for example by a method known to a person of skill in the art. Methods such as plaque purification and limiting dilution can be used.
The term “recombinant poxvirus” refers to an engineered poxvirus, such as a vaccinia virus engineered to comprise a deletion that inactivates the activity of a gene product, that is generated in vitro using recombinant DNA technology and/or a poxvirus derived from such a recombined poxvirus (e.g., progeny virus).
The term “oncolytic” as used herein refers to a tumour-selective replicating virus that induces cell death in the infected cell, and/or tissue. Although normal or non-tumour cells may be infected, tumour cells are infected and lysed selectively in comparison to the normal or non-tumour cells. For example, an isolated poxvirus is oncolytic if it induces at least 2-fold, at least 5-fold, at least 6-fold, at least 10-fold, at least 15-fold, or at least 20-fold more cell death in a population of neoplastic disorder cells compared to control cells.
The term “cell death” as used herein includes all forms of cell death including for example cell lysis and/or apoptosis. Vaccinia virus for example is known to induce cell death by cell lysis and/or apoptosis. Cell death of a poxvirus infected cell and/or neighbouring cell may also refer for example to elimination of the cell by host immune system functions.
The term “normal tissue” as used herein refers to non-neoplastic tissue and/or tissue derived from a subject that is free of cancer of the particular tissue (e.g., when the tissue is pancreas, “normal tissue” can be derived from a subject that does not have pancreatic cancer). The term “normal cell of the same tissue type” as used herein refers to a cell or cells derived from such normal tissue.
As used herein, to “inhibit”, “reduce”, or “decrease” a function or activity, is any reduction in the function or activity when compared to otherwise same conditions except for a condition or parameter of interest, or alternatively, as compared to another condition.
As used herein “vector backbone” refers to a nucleic acid molecule that is used as a vehicle to deliver one or more nucleic acid molecules into a cell, e.g., to allow recombination. The vector backbone can refer optionally to the plasmid construct that is used to generate virus or to a virus genome (e.g., the non-recombined virus genome). Optionally, the vector backbone is constructed to permit deletion of one or more poxvirus genes (e.g., a shuttle plasmid created to facilitate homologous recombination with poxvirus to generate deletion mutants). A vector backbone into which has been inserted one or more nucleic acids to be transferred to a cell, is referred to as a vector construct, or a shuttle plasmid.
The term “isolated vector construct”, or “isolated recombinant vector” as used herein refers to a nucleic acid that is a vector construct substantially free of cellular material or culture medium when produced, for example, by recombinant DNA techniques.
The term “interrupter expression cassette” is used to refer to a polynucleotide that directs expression of one or more molecules that act as a cell marker and that optionally provides for a mode of isolating cells expressing said marker. The molecules are optionally used to select infected or transfected cells or to determine the efficiency of cell transduction or transfection. Molecules that are useful as cell markers, selection markers, or detection agents comprise, for example, fluorescent proteins such as EGFP, or derivatives thereof such as YFP and RFP, GFP or derivatives thereof such as YFP and RFP, enhanced GFP, mCherry, β-glucuronidase, β-galactosidase, HSA, xanthine-guanine phosphoribosyltransferase, luciferase enzymes such as firefly or renilla luciferase, etc. One skilled in the art will recognize that other fluorescent and non-fluorescent molecules can similarly be used.
The term “isolated nucleic acid” as used herein refers to a nucleic acid substantially free of cellular material or culture medium when produced by recombinant DNA techniques, or chemical precursors, or other chemicals when chemically synthesized. An “isolated nucleic acid” is also substantially free of sequences which naturally flank the nucleic acid (i.e. sequences located at the 5′ and 3′ ends of the nucleic acid) from which the nucleic acid is derived. The term “nucleic acid” is intended to include DNA and RNA and can be either double stranded or single stranded. The nucleic acid sequences contemplated by the present disclosure include isolated nucleotide sequences which hybridize to a RNA product of a gene, nucleotide sequences which are complementary to a RNA product of a gene of the present disclosure, nucleotide sequences which act as probes, markers, or nucleotide sequences which are sets of specific primers.
The term “wildtype” is used to describe an object that can be found in nature as distinct from being artificially produced or manipulated by man. For example, a virus which can be isolated from a source in nature and which has not been intentionally modified by man in the laboratory, is naturally occurring.
The term “pfu” stands for plaque forming units and is a quantitative measure of live virus particles.
The term “primer” as used herein refers to a nucleic acid sequence, whether produced purified restriction digest or produced synthetically, which is capable of acting as a point of synthesis of when placed under conditions in which synthesis of a primer extension product, which is complementary to a nucleic acid strand is induced (e.g., in the presence of nucleotides and an inducing agent such as DNA polymerase and at a suitable temperature and pH). The primer must be sufficiently long to prime the synthesis of the desired extension product in the presence of the inducing agent. The exact length of the primer will depend upon factors, including temperature, sequences of the primer and the methods used. A primer may contain 15-30 or more nucleotides, although it can contain less. The factors involved in determining the appropriate length of primer are readily known to one of ordinary skill in the art.
The term “sequence identity” as used herein refers to the percentage of sequence identity between two nucleic acid sequences or two polypeptide sequences. To determine the percent identity of two nucleic acid sequences or two amino acid sequences, the sequences are aligned for optimal comparison purposes (e.g., gaps can be introduced in the sequence of a first nucleic acid or amino acid sequence for optimal alignment with a second nucleic acid or amino acid sequence). The nucleotides or amino acid residues at corresponding nucleotide positions or amino acid positions are then compared. When a position in the first sequence is occupied by the same nucleotide or amino acid residue as the corresponding position in the second sequence, then the molecules are identical at that position. The percent identity between the two sequences is a function of the number of identical positions shared by the sequences (i.e., % identity=number of identical overlapping positions/total number of positions times 100%). In one embodiment, the two sequences are the same length. The determination of percent identity between two sequences can also be accomplished using a mathematical algorithm. A preferred, non-limiting example of a mathematical algorithm utilized for the comparison of two sequences is the algorithm of Karlin and Altschul (1990), modified as in Karlin and Altschul (1993). Such an algorithm is incorporated into the NBLAST and XBLAST programs of Altschul et al. (1990). BLAST nucleotide searches can be performed with the NBLAST nucleotide program parameters set, e.g., for score=100, wordlength=12 to obtain nucleotide sequences homologous to a nucleic acid molecules of the present disclosure. BLAST protein searches can be performed with the XBLAST program parameters set, e.g., to score=50, wordlength=3 to obtain amino acid sequences homologous to a protein molecule of the present disclosure. To obtain gapped alignments for comparison purposes, Gapped BLAST can be utilized as described in Altschul et al. (1997). Alternatively, PSI-BLAST can be used to perform an iterated search which detects distant relationships between molecules (Altschul et al., 1997). When utilizing BLAST, Gapped BLAST, and PSI-Blast programs, the default parameters of the respective programs (e.g., of XBLAST and NBLAST) can be used (see, e.g., the NCBI website). Another non-limiting example of a mathematical algorithm utilized for the comparison of sequences is the algorithm of Myers and Miller (1988). Such an algorithm is incorporated in the ALIGN program (version 2.0) which is part of the GCG sequence alignment software package. When utilizing the ALIGN program for comparing amino acid sequences, a PAM120 weight residue table, a gap length penalty of 12, and a gap penalty of 4 can be used. The percent identity between two sequences can be determined using techniques similar to those described above, with or without allowing gaps. In calculating percent identity, typically only exact matches are counted.
The term “treating” or “treatment” as used herein is well understood in the art, means an approach for obtaining beneficial or desired results, including clinical results. Beneficial or desired clinical results can include, but are not limited to, alleviation or amelioration of one or more symptoms or conditions, diminishment of extent of disease, stabilized (i.e., not worsening) state of disease, preventing spread of disease, delay or slowing of disease progression, amelioration or palliation of the disease state, diminishment of the reoccurrence of disease, and remission (whether partial or total), whether detectable or undetectable. “Treating” and “Treatment” can also mean prolonging survival as compared to expected survival if not receiving treatment. “Treating” and “treatment” as used herein also include prophylactic treatment. For example, a subject with early stage neoplastic disorder can be treated to prevent progression or alternatively a subject in remission can be treated with an isolated or recombinant poxvirus or composition described herein to prevent recurrence. Treatment methods comprise administering to a subject a therapeutically effective amount of one or more isolated or recombinant poxvirus or compositions described in the present disclosure, and optionally consist of a single administration, or alternatively comprise a series of applications. For example, the isolated and/or recombinant poxviruses and compositions described herein may be administered at least once a week, from about one time per week to about once daily for a given treatment or the isolated, or recombinant poxviruses and/or compositions described herein may be administered twice daily. As another example, the isolated or recombinant poxvirus is administered once only, or for example every 3 weeks for 4 cycles. The length of the treatment period depends on a variety of factors, such as the severity of the disease, the age of the patient, the concentration, the activity of the isolated or recombinant poxviruses and/or compositions described herein, and/or a combination thereof. It will also be appreciated that the effective dosage used for the treatment or prophylaxis may increase or decrease over the course of a particular treatment or prophylaxis regime. Changes in dosage may result and become apparent by standard diagnostic assays known in the art. In some instances, chronic administration may be required.
The dosage administered will vary depending on the use and known factors such as the pharmacodynamics characteristics of the particular biologic, such as a recombinant poxvirus, and its mode and route of administration, age, health, and weight of the individual recipient, nature and extent of symptoms, kind of concurrent treatment, frequency of treatment, and the effect desired. Dosage regime may be adjusted to provide the optimum therapeutic response.
The terms “reducing,” or “preventing” or any variation of these terms, when used in the claims and/or the specification in the context of a treatment includes any measurable decrease or complete inhibition to achieve a desired result. Desired results include but are not limited to palliation, reduction, slowing, or eradication of a cancerous or proliferative or dysplastic condition, as well as an improved quality or extension of life.
The term “potency” as used herein refers to a measure of viral activity expressed in terms of the amount for example in pfu, required to produce an effect of given intensity. For example, higher potency virus evokes a given response at lower concentrations, while lower potency virus may evoke the same response at higher concentrations.
The term “subject” as used herein includes all members of the animal kingdom including mammals, and suitably refers to humans.
As used herein, “contemporaneous administration” and “administered contemporaneously” means that two biologics, such as two recombinant poxviruses, are administered to a subject such that they are both biologically active in the subject at the same time. The exact details of the administration will depend on the pharmacokinetics of the two biologics in the presence of each other, and can include administering one substance within 24 hours of administration of the other, if the pharmacokinetics is suitable. Designs of suitable dosing regimens are routine for one skilled in the art. In particular embodiments, two biologics will be administered substantially simultaneously, i.e., within minutes of each other, or in a single composition that comprises both substances.
As used herein, the phrase “effective amount” or “therapeutically effective amount” means an amount effective, at dosages and for periods of time necessary to achieve the desired result. For example in the context or treating a neoplastic disorder, an effective amount is an amount that for example induces remission, reduces tumour burden, and/or prevents tumour spread or growth compared to the response obtained without administration of the isolated or recombinant poxviruses and/or compositions described herein. Effective amounts may vary according to factors such as the disease state, age, sex, weight of the subject. The amount of a given isolated or recombinant poxvirus and/or composition described herein that will correspond to such an amount will vary depending upon various factors, such as the given isolated or recombinant poxvirus and/or composition described herein, the pharmaceutical formulation, the route of administration, the type of disease or disorder, the identity of the subject or host being treated, and the like, but can nevertheless be routinely determined by one skilled in the art.
The use or administration of composition comprising recombinant poxviruses to a subject can comprise injection. The route of injection includes but not limited to intradermal, subcutaneous, intramuscular, intravenous, intraosseous, intraperitoneal, intrathecal, intracerebral, and intratumoural, such as described in U.S. Pat. Nos. 5,399,363, 5,543,158, and 5,641,515, each incorporated herein by reference in its entirety.
Intratumoural injection or injection directly into the tumour vasculature is specifically contemplated for discrete, solid, accessible tumours. Local, regional or systemic administration also may be appropriate. For tumours of >4 cm, the volume to be administered will be about 4-10 ml (preferably 10 ml), while for tumors of <4 cm, a volume of about 1-3 ml will be used (preferably 3 ml). Multiple injections delivered as single dose comprise about 0.1 to about 0.5 ml volumes. The viral particles may advantageously be contacted by administering multiple injections to the tumour, spaced at approximately 1 cm intervals. In the case of surgical intervention, the present invention may be used preoperatively, to render an inoperable tumor subject to resection. Continuous administration also may be applied where appropriate, for example, by implanting a catheter into a tumor or into tumor vasculature. Such continuous perfusion may take place for a period from about 1-2 hours, to about 2-6 hours, to about 6-12 hours, or about 12-24 hours following the initiation of treatment. Generally, the dose of the therapeutic composition via continuous perfusion will be equivalent to that given by a single or multiple injections, adjusted over a period of time during which the perfusion occurs. It is further contemplated that limb perfusion may be used to administer therapeutic compositions of the present invention, particularly in the treatment of melanomas and sarcomas.
In certain embodiments, the tumour being treated may not, at least initially, be resectable. Treatments with therapeutic viral constructs may increase the resectability of the tumor due to shrinkage at the margins or by elimination of certain particularly invasive portions. Following treatments, resection may be possible. Additional treatments subsequent to resection will serve to eliminate microscopic residual disease at the tumour site.
In understanding the scope of the present disclosure, the term “comprising” and its derivatives, as used herein, are intended to be open ended terms that specify the presence of the stated features, elements, components, groups, integers, and/or steps, but do not exclude the presence of other unstated features, elements, components, groups, integers and/or steps. The foregoing also applies to words having similar meanings such as the terms, “including”, “having” and their derivatives. Finally, terms of degree such as “substantially”, “about” and “approximately” as used herein mean a reasonable amount of deviation of the modified term such that the end result is not significantly changed. These terms of degree should be construed as including a deviation of at least ±5% of the modified term if this deviation would not negate the meaning of the word it modifies.
As used in this specification and the appended claims, the singular forms “a”, “an” and “the” include plural references unless the content clearly dictates otherwise. Thus, for example, a composition containing “a virus” includes a mixture of two or more viruses. It should also be noted that the term “or” is generally employed in its sense including “and/or” unless the content clearly dictates otherwise.
The definitions and embodiments described in particular sections are intended to be applicable to other embodiments herein described for which they are suitable as would be understood by a person skilled in the art
The disclosure relates to recombinant oncolytic poxviruses, for example vaccinia virus, with inactivated poxvirus genes, for example N1L, K1L, K3L, A46R and/or A52R, recombinant vectors for making said recombinant oncolytic poxviruses and methods of using these viruses. These recombinant oncolytic poxviruses exhibit an enhanced potency in that they evoke similar anti-tumour efficacy at lower concentration as compared to vvDD, while maintaining tumour-selectivity.
An aspect includes a recombinant oncolytic poxvirus, such as vaccinia virus (VV), or viral DNA thereof, comprising one or more inactivated poxvirus genes selected from N1L, K1L, K3L, A46R, and/or A52R, preferably selected from K1L, A46R and/or A52R.
In an embodiment, the one or more inactivated poxvirus genes are inactivated by deletion of all or a portion of the gene. In one embodiment, the entire gene is deleted from the recombinant poxvirus. In another embodiment, a portion of the gene, such as the start codon, is mutated or deleted from the recombinant poxvirus. In another embodiment, the reading frame of the gene is changed such that the gene would not be expressed.
In an embodiment, the inactivated VV genes are inactivated by replacing the poxvirus gene with a detectable interrupter expression cassette, optionally the detectable interrupter expression cassette comprising one or more of the components selected from a fluorescent protein, a luciferase enzyme and a gpt protein, and wherein the poxvirus gene is selected from N1L, K1L, K3L, A46R and A52R, preferably K1L, A46R and A52R.
In other embodiments, the inactivated VV genes are inactivated by replacing the poxvirus gene with an inactivated version of the poxvirus gene, for example deleted for the start codon, a required domain etc such that the replaced inactivated version either does not produce any expression product or produces only an inactive expression product with inactivated biological function (e.g. no or virtually no activity (e.g. less than 10%) of an activity for the activities listed in Table 3).
In an embodiment, the recombinant oncolytic poxvirus or viral DNA thereof is constructed using a recombinant vector described herein.
In an embodiment, the recombinant oncolytic poxvirus or viral DNA thereof comprises two, three, four or five inactivated genes selected from N1L, K1L, K3L, A46R, A52R, TK and growth factor genes such as VGF.
In an embodiment, the recombinant oncolytic poxvirus or viral DNA thereof further comprises an inactivated TK gene and one or more inactivated growth factor genes, optionally VGF.
In some embodiments, the recombinant oncolytic poxvirus or viral DNA thereof is isolated.
The group of poxviruses that are expected to be useful include for example poxviruses that are able to infect mammalian cells, particularly human cells and which in their wild type form express immunomodulatory genes N1L, K1L, K3L, A46R and/or A52R. Accordingly in an embodiment, the wild type poxvirus comprises immunomodulatory genes N1L, K1L, K3L, A46R and/or A52R and is infectious for mammalian cells. In an embodiment, the poxvirus is infectious for human cells. In a further embodiment, the poxvirus is optionally an Orthopoxvirus such as a vaccinia virus, a Leporipoxvirus, a Suipoxvirus, a Capripoxvirus, a Cervidpoxvirus, an Avipoxyiurs, a Molluscipoxvirus, a Parapoxvirus, a Yatapoxvirus, a Myoxa virus, an Orf virus and a Crocodylidpoxvirus. Vaccinia viruses for example are useful as oncolytic agents. Vaccinia viruses, as well as many other Orthopoxviruses (e.g. ECTV), have a quick and efficient life cycle, forming mature virions in the order of 6 h and vaccinia virus spreads efficiently cell to cell thus increasing the efficacy of an in vivo infection. Vaccinia viruses can infect a wide range of human tissues and there is a large body of knowledge about its biology and extensive experience with it clinically as part of the smallpox vaccination program. Accordingly, in a preferred embodiment, the poxvirus is a vaccinia virus.
The experiments disclosed herein have been conducted in a laboratory adapted strain of vaccinia virus. A number of laboratories adapted and clinical strains are known to a person of skill in the art. For human applications, a clinical grade virus is useful. Accordingly in one embodiment, the isolated and/or recombinant poxvirus is a clinical grade virus. In an embodiment, the vaccinia virus is a vaccinia virus strain selected from Western Reserve (WR; Genbank accession: NC_006998.1), Tian Tian (AF095689), NYCBH, Wyeth, Copenhagen (M35027), Lister (AY678276), modified vaccinia Ankara (MVA; U94848), Lederle, Temple of Heaven, Tashkent, USSR, Evans, Praha, LIVP, Ikeda, IHD, IHD-W, DPP25, IOC, Dls, LC16 (AY678275), EM-63, IC, Malbran, DUKE (DQ439815), Acambis (AY313847), 3737 (DQ377945), CVA (AM501482), VJS6 and AS each of the foregoing incorporated herein by reference. In a preferred embodiment, the strain is Western Reserve or Copenhagen.
Another aspect includes a recombinant vector comprising a left flanking portion of a poxvirus gene selected from N1L, K1L, K3L, A46R, and A52R gene and a right flanking portion of said poxvirus gene, wherein the left flanking portion and the right flanking portion are operably linked to a detectable interrupter expression cassette, optionally comprising one or more of the components selected from a fluorescent protein, a luciferase enzyme and a gpt protein, and wherein the poxvirus gene is selected from N1L, K1L, K3L, A46R and A52R, preferably K1L, A46R and A52R. In an embodiment, the detectable interrupter expression cassette directs the expression of one or more polypeptides, optionally a fluorescent protein, a luciferase enzyme or a gpt protein.
In an embodiment, the recombinant vector is a shuttle plasmid, optionally comprising one or more of the components selected from a fluorescent protein, a luciferase enzyme and a gpt protein, and wherein the poxvirus gene is selected from N1L, K1L, K3L, A46R and A52R, preferably K1L, A46R and A52R.
In an embodiment, each flanking portion of a poxvirus gene comprises between 150 and 700 nucleotide residues, such as at least 150, 200, 250, 300, or 350 nucleotide residues, and at most 400, 450, 500, 550, 600, 650 and 700 nucleotide residues. In an embodiment, each flanking portion comprise about 200-600 nucleotide residues, preferably 300-500 nucleotide residues, of flanking sequence.
In an embodiment, the flanking sequence has at least 80%, at least 85%, at least 90%, at least 95%, at least 97%, at least 98%, at least 99% or has 100% sequence identity to corresponding sequence in Accession number: NC_006998.1 or is for example from VJS6 virus. In an embodiment, the flanking sequence has at least 80%, at least 85%, at least 90%, at least 95%, at least 97%, at least 98%, at least 99% or has 100% sequence identity to corresponding sequence in a vaccinia virus strain selected from Tian Tian (AF095689), NYCBH, Wyeth, Copenhagen (M35027), Lister (AY678276), modified vaccinia Ankara (MVA; U94848), Lederle, Temple of Heaven, Tashkent, USSR, Evans, Praha, LIVP, Ikeda, IHD, IHD-W, DPP25, IOC, Dls, LC16 (AY678275), EM-63, IC, Malbran, DUKE (DQ439815), Acambis (AY313847), 3737 (DQ377945), CVA (AM501482) and AS. Each of the foregoing strain is incorporated herein by reference.
In an embodiment, the isolated or recombinant vaccinia virus WR strain comprises an inactivated N1L, K1L, K3L, A46R, and/or A52R which is deleted for at least 2, at least 5, at least 10, at least 20, at least 30, at least 35, at least 40, at least 50, at least 60, at least 70, at least 80, at least 90, at least 100, at least 110, at least 120, at least 130, at least 140, at least 150, at least 160, at least 170, at least 180, at least 190, at least 200, at least 210, at least 220, at least 230, at least 240, at least 250, at least 260, at least 270, at least 280, at least 290, at least 300, at least 310, at least 320, at least 350, at least 400, at least 500, at least 750, at least 1000, at least 2000, at least 3000 nucleotides residues of Accession number: NC_006998.1. In another embodiment, the isolated or recombinant poxvirus and/or vaccinia virus comprises an inactivated N1L, K1L, K3L, A46R, and/or A52R by insertion, deletion and/or mutation for at least 1, at least 2, at least 5, at least 10, at least 20, at least 30, at least 35, at least 40, at least 50, at least 60, at least 61, at least 70, at least 80, at least 90, at least 100, at least 110, at least 120, at least 130, at least 140, at least 150, at least 160, at least 170, at least 180, at least 190, at least 200, at least 210, at least 220, at least 230, at least 240, at least 250, at least 260, at least 270, at least 280, at least 290, at least 300, at least 310, at least 320, at least 350, at least 400, at least 500, at least 750, at least 1000, at least 2000, at least 3000 nucleotide residues, wherein the vaccinia virus is at least 80%, at least 85%, at least 90%, at least 95, at least 98%, at least 99% or more identical to nucleotide residues of Accession number: NC_006998.1. The insertion, deletion and/or mutation can also be described referring to specific genomic positions for a particular strain, e.g. WR strain. Accordingly in an embodiment, nucleotides corresponding to nucleotides 21819-22172, 25071-25925, 27306-27572, 153147-153869 and/or 158743-159315 of WR genome are deleted. In an embodiment, the inactivated N1L gene comprises a disruption in the N1L ORF such that an insertion, a deletion or a mutation is made in between nucleotides 21819 and 21821 in the WR genome which causes disruption of the start codon. In another embodiment, the inactivated K1L gene comprises a disruption in the K1L ORF such that an insertion, a deletion or a mutation is made in between nucleotides 25071 and 25073 in the WR genome which causes disruption of the start codon. In another embodiment, the inactivated K3L gene comprises a disruption in the K3L ORF such that an insertion, a deletion or a mutation is made in between nucleotides 27306 and 27308 in the WR genome which causes disruption of the start codon. In another embodiment, the inactivated A46R gene comprises a disruption in the A46R ORF such that an insertion, a deletion or a mutation is made in between nucleotides 153147 and 153149 in the WR genome which causes disruption of the start codon. In yet another embodiment, the inactivated A52R gene comprises a disruption in the A52R ORF such that an insertion, a deletion or a mutation is made in between nucleotides 158743 and 158745 in the WR genome which causes disruption of the start codon. A person skilled in the art would readily be able to determine the corresponding positions in other strains. In an embodiment, the recombinant oncolytic poxvirus or viral DNA thereof is made according to a method described herein.
The deletion can also be described in terms of amino acid positions. For example, a deletion of at least 90 nucleotides of N1L, K1L, K3L, A46R, and/or A52R corresponds to a deletion of at least 30 amino acid residues. A further aspect includes a cell transfected with the recombinant vector described herein, and optionally infected with wildtype WR VV.
It is also disclosed herein that additional functional inactivation, e.g. gene deletion or mutation, of other poxvirus genes such as thymidine kinase (also referred to as TK or J2R) and/or VGF, can be combined with the N1L, K1L, K3L, A46R and/or A52R. Accordingly in an embodiment, the virus further comprises an inactivated TK and/or VGF gene. Mutations including point mutations, dominant negative mutations and deletions that affect activity or expression levels are useful with the present methods. In an embodiment, the inactivated TK gene comprises a disruption in the TK ORF such that an insertion, a deletion or a mutation is made in between nucleotides 81001 and 81002 in the WR genome which causes disruption between amino acid 92 and 93 such that only the first 92 residues of TK are expressed. In another embodiment, the inactivated VGF gene comprises a disruption in the VGF ORF such that an insertion is made in between nucleotides 7333 and 7335, and/or between nucleotides 186957 and 186959 in the WR genome which causes disruption of the start codon.
Another aspect includes a cell infected by the recombinant oncolytic poxvirus, such as vaccinia virus, and/or comprising poxvirus DNA described herein.
In an embodiment, the cell is a neoplastic disorder cell optionally a cancer cell, optionally a solid tumour cell or a blood cancer cell. The cell can be any tumour or cancer cell. In an embodiment, the solid tumour cell is optionally an ovarian cancer cell, a colon cancer cell, a hepatocellular carcinoma cell, a lung cancer cell, a mesothelioma cell, a prostate cancer cell, a melanoma cell, a renal cell carcinoma cell, a head and neck cancer cell, a pancreatic cancer cell, a glioma cell, a gastric cancer cell, and a breast cancer cell. In an embodiment, the blood cancer is myeloma or leukemia. In an embodiment, the cancer cell is a lymphoma cell. The cell can be any cell including for example a cell type mentioned herein, and the skilled person can readily identify cells suitable for recombinant oncolytic poxvirus infection.
A further aspect is a composition comprising the recombinant vector, cell or recombinant oncolytic poxvirus or viral DNA thereof described herein and a suitable diluent optionally a pharmaceutically suitable diluent.
The treatments may include various “unit doses.” Unit dose is defined as containing a predetermined-quantity of the therapeutic composition. The quantity to be administered, and the particular route and formulation, are within the skill of those in the clinical arts. A unit dose need not be administered as a single injection but may comprise continuous infusion over a set period of time. Unit dose of the present invention may conveniently be described in terms of pfu for a viral construct. Unit doses range from 103, 104, 105, 106, 107, 108, 109, 1010, 1011, 1012, 1013 pfu and higher. Alternatively, depending on the kind of virus and the titer attainable, one will deliver 1 to 100, 10 to 50, 100-1000, or up to about or at least about 1×104, 1×105, 1×106, 1×107, 1×108, 1×109, 1×1010, 1×1011, 1×1012, 1×1013, 1×1014, or 1×1015 or higher infectious viral particles, including all values and ranges there between, to the tumour or tumour site. In an embodiment, the composition comprises recombinant oncolytic poxvirus, wherein the concentration of the recombinant oncolytic poxvirus is between 1×104 and 1×1015 pfu/dose, such as at least about 1, 10, 1000, 1×104, 1×105, 1×106, 2×106, 3×106, 4×106, 5×106, 6×106, 7×106, 8×106, 9×106, 1×107, or 2×107 pfu/dose, and at most 5×106, 6×106, 7×106, 8×106, 9×106, 1×107, 2×107, 3×107, 4×107, 5×107, 1×108, 1×109, 1×1010, 1×1011, 1×1012, 1×1013, 1×1014, or 1×1015 pfu/dose. In another embodiment, concentration of the recombinant oncolytic poxvirus is between 1×106 and 5×107 pfu/dose, optionally 1×106, 1×107, or 5×107 pfu/dose.
Also provided in another aspect is an in vitro method of making the recombinant oncolytic poxvirus, or viral DNA thereof described herein comprising introducing the recombinant vector described herein into cells infected with a poxvirus, under conditions suitable for recombination, and isolating the recombinant oncolytic poxvirus or viral DNA thereof comprising inactivated poxvirus gene selected from N1L, K1L, K3L, A46R, and A52R.
Another aspect is a method of killing neoplastic disorder cells, optionally cancer cells, the method comprising contacting the neoplastic disorder cells, optionally cancer cells or administering to a subject with a neoplastic disorder such as a cancer or tumour comprising cancer cells, an effective amount of the recombinant oncolytic poxvirus or viral DNA described herein. In an embodiment, the method is for reducing tumour burden and/or treating a subject afflicted with a solid tumour comprising solid tumour cells. In an embodiment, the subject has metastatic disease and/or late stage cancer and optionally has peritoneal carcinomatosis (PC). In another embodiment, the method comprises administrating the recombinant oncolytic virus prior to, concurrently, or after chemotherapy, palliative surgery, cytoreductive surgery, and/or hyperthermic intraperitoneal chemotherapy, to a cancer patient in need.
Uses and compositions for use for killing cancer cells, reducing tumour burden and treating a subject afflicted with a solid tumour are also provided.
In an embodiment, the recombinant oncolytic poxvirus or composition is administered to a subject by injection. In another embodiment, the route of injection includes but not limited to intradermal, subcutaneous, intramuscular, intravenous, intraosseous, intraperitoneal, intrathecal, intracerebral, and intratumoural.
The following non-limiting Examples are illustrative of the present disclosure:
Human colorectal adenocarcinoma cell line DLD-1, human ovarian cancer cell line A2780, and normal monkey kidney fibroblast cell line CV-1 were obtained from the American Type Culture Collection (ATCC; Manassas, Va., USA). MC38 murine colorectal adenocarcinoma cell line cells and C57BL/6 murine sarcoma cell line 24JK were obtained from the National Institute of Health (NIH; Bethseda, Md., USA). Cells were cultured at 37° C. and 5% CO2 in media supplemented with 10% fetal bovine serum (FBS; PAA Laboratories, Etobicoke, ON, Canada) and 1% penicillin-streptomycin (Invitrogen, GIBCO, Grand Island, N.Y., USA). All cell lines were maintained in Dulbecco's Modified Eagle Medium (DMEM; Sigma-Aldrich, St. Louis, Mont., USA) except A2780 cells which were maintained in Roswell Park Memorial Institute medium (RPMI 1640; in-house Toronto Medical Discovery Tower media, University Health Network, Toronto, ON, Canada).
Western Reserve (WR) vaccinia virus F13L+(wildtype virus with lacZ insertions (Roper & Moss, 1999)) was used as the backbone virus in the creation of candidate viruses. All candidate viruses were compared to the previously described virus, vvDD (McCart et al., 2001), a WR vaccinia virus with a deletion in its thymidine kinase and vaccinia growth factor genes. Specifically, vvDD-R2R-Luc is used. The viral TK gene is interrupted with a sequence for red fluorescent protein (RFP) insertion conjoined with Renilla luciferase via a foot-and-mouth disease virus 2A motif to allow for bicistronic marker expression and the VGF genes found within the VV inverted terminal repeats are interrupted by a lacZ gene at both ends of the virus genome (Lun et al., 2009).
Wildtype WR vaccinia virus, F13L+, was used as a backbone virus for the creation of the vaccinia virus deletion mutants via homologous recombination by using a vaccinia virus shuttle plasmid. The final candidate viruses were wildtype WR vaccinia viruses with a deletion in one of the following genes: N1L, K1L, K3L, A46R, or A52R. The shuttle plasmid, pVX-R2R-Luc, has a RFP gene fused to Renilla luciferase via a foot-and-mouth disease virus 2A motif to facilitate bicistronic marker expression under the control of a synthetic late promoter pSyn/late and a xanthine-guanine phosphoribosyltransferase (gpt or alternately abbreviated xgprt) gene under regulation of the early/late p7.5 promoter. Five hundred base pair gene segments flanking the right and left regions of the wildtype candidate genes for deletion were generated by polymerase chain reaction (PCR) with the VJS6 virus DNA (VGF-WR vaccinia virus with lacZ gene insertions). The left flanking gene segments were digested with MfeI and SpeI and ligated between the MfeI and NheI (which has compatible ends with an SpeI digestion) on the plasmid. The right flanking gene segments were digested and ligated between the BssHII and PvuII sites on the plasmid. The final shuttle plasmids had the RFP/Renilla luciferase fusion and xgprt genes and the promoters mentioned above flanked with wildtype gene segments from the candidate genes to allow for homologous recombination. Monolayers of CV-1 cells at 80-90% confluence were infected with 1.25×104 F13L+(Western Reserve strain vaccinia virus with a lacZ insertion) in 500 μl of low-serum media (2.5% FBS) at 37° C. for 2 hours with intermittent shaking every 15 minutes. The supernatant was removed and a liposomal transfection (Lipofectamine 2000; Invitrogen, GIBCO) was conducted with OptiMEM media (Invitrogen, GIBCO) containing 2.5 μg shuttle plasmid DNA and 10 μl liposomes/well at 37° C. for 4 hours. The transfection media was removed and replaced with drugged media (10% FBS, supplemented with 250 μg/ml xanthine, 14.9 μg/ml hypoxanthine, 25 μg/ml mycophenolic acid; Sigma Aldrich) for selection. After 3 days of incubation at 37° C., cells were collected in drugged low-serum media (2.5% FBS), subjected to 3 freeze-thaw cycles, sonicated, and serially diluted (1/4, 1/5, and 1/10). Each dilution was re-infected in duplicate in 500 μl drugged low serum media (2.5% FBS) at 37° C. into a monolayer of confluent CV-1 cells that were incubated with drugged media for at least 24 hours. After 2 hours, the supernatant was replaced with 2 ml agarose/drugged media overlay and incubated at 37° C. Three days later, the monolayers were observed for RFP expression and viral plaque formation. Six RFP-positive plaques were isolated and resuspended in drugged low-serum media (2.5% FBS, supplemented with 250 g/ml xanthine, 14.9 μg/ml hypoxanthine, 25 μg/ml mycophenolic acid) for re-infection into another monolayer of drugged CV-1 cells. After 5-6 rounds of selection, all plaques were positive for RFP for all candidate viruses.
Confluent CV-1 monolayers were infected with half of each isolated plaque from the 5th or 6th round of selection or a small amount from the CV-1 propagation during virus production until complete cytopathic effect was seen. Cells were washed and collected in 1 ml homemade PCR buffer [50 mM KCl (Sigma Aldrich), 10 mM Tris HCl, pH 8 (Fisher Scientific, Fair Lawn, N.J., USA), 2.5 mM MgCl2, 0.1 mg/ml gelatin, 0.45% Tween 80, and 0.45% NP40 (BioShop, Burlington, Ontario, Canada)]. Viral DNA was released from cells by Proteinase K treatment (ThermoScientific, Lithuania) at 55° C. for an hour, then at 95° C. for 10 minutes to deactivate the enzyme prior to PCR. A standard PCR with the crude viral DNA extract was conducted with the primers originally used to produce inserts for the shuttle plasmid. Specifically, the forward primer from the left flanking insert and the reverse primer from the right flanking insert were used (Table 1). PCR validation was conducted after the 5th-6th cycle of selection, after propagation in CV-1 cells during virus stock production and at the end of the virus stock production (See Virus Stock Production below).
Half a plaque from the 5th-6th cycle of virus selection was reinfected into a monolayer of CV-1 cells in a 6-well plate. When complete cytopathic effect was seen, the cells were harvested with a CellScraper (Sarstedt, Sarstedt AG & Co, Germany) and reinfected into confluent CV-1 monolayers in two 175 cm2 flasks for 2 days and collected. After PCR re-validation with a small amount of cell suspension (see above), the candidate virus was propagated by reinfecting into thirty 144 cm2 plates of confluent 24JK cells. After 3 days, infected 24JK cells were harvested and centrifuged at 1500 rpm for 10 minutes (SLA-1500 rotor, Sorvall; ThermoScientific). The cell pellet was resuspended in 20 ml Tris-Cl (pH 9.0), subjected to 3 freeze/thaw cycles and mechanically homogenized with a sterile Dounce Grinder (Sigma-Aldrich). Ultracentrifugation of the cell lysate was performed at 25,000 rpm for 80 minutes (XL-70 Ultracentrifuge; Beckman Coulter, Brea, Calif., USA) at 4° C. over a 36% sucrose cushion. Finally, the virus pellet was resuspended in Tris-Cl (pH 9.0), aliquoted, and stored at −80° C.
CV-1 cells were seeded in 6-well plates with 3×105 cells/well and incubated at 37° C. for 2 days. Infected samples were subjected 3 freeze/thaw cycles and sonicated to release the virus from the cells. Viral lysates were serially diluted in low serum media (2.5% FBS) and used to infect the CV-1 monolayers with 400 μl per well at 37° C. with intermittent shaking every 10 minutes. Two hours later, 1.5 ml of media (10% FBS) was added and incubated at 37° C. Two days later, the cell monolayers were stained with crystal violet and plaques were counted.
Tumour cells (DLD-1, A2780) were seeded in 6-well plates until confluent, at which point the number of cells were determined. MC38 were seeded in 6-well plates with 5×106 cells/well and incubated overnight to achieve 80-90% confluency. Cells were infected at an MOI of 0.1 of either vvDD or one of the candidate viruses in 0.5 ml low serum media (2.5% FBS) at 37° C. for 2 hours with intermittent shaking every 10-15 minutes. Cells were supplemented with media (10% FBS) and incubated at 37° C. Cells and supernatants were harvested in triplicates at each time point (2, 24, 48, and 72 hpi using a Cell Scraper (Sarstedt, Sarstedt AG & Co, Germany) and stored at −80° C. until use. Virus was quantified by viral plaque assays on CV-1 cells where CV-1 cells were seeded at 3×105 cells/well in 6-well plates and incubated for 2 days at 37° C. until confluency. The virus treated samples were subjected to 3 freeze/thaw cycles and sonicated on ice before serial dilution in DMEM-2.5% FBS. Subsequently, 0.4 ml of the dilutions were added into a confluent well of CV-1 cells and incubated at 37° C. for 2 hours with intermittent shaking and then supplemented with DMEM-10% FBS and incubated at 37° C. Two days later, the monolayers were stained with crystal violet and plaques were counted.
MC38 cells were seeded in a 96-well plate with 5×103 cells/well and incubated overnight at 37° C. before infection. A2780 and DLD-1 cells were seeded in 96-well plates with 1×104 cells/well and incubated overnight at 37° C. before infection. Cells were infected at an MOI of 0.1, 1, or 5 in triplicate with either vvDD or one of the candidate viruses in 25 μl of media (2.5% FBS) for 2 hours at 37° C., then supplemented with 75 μl media (10% FBS). Cytotoxicity was evaluated at 2, 24, 48, and 72 hpi with 3-(4,5-dimethyl-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium (MTS) cell viability assay (CellTiter96® Aqueous One Solution, Promega, Madison, Wis., USA) according to the manufacturer's protocol. Relative cell viability was calculated by dividing the absorbance of infected wells with the absorbance of the mock-infected wells.
Experiments were conducted as described in the viral replication protocol. Before harvesting the cell monolayers, fluorescence microscopy was conducted to acquire brightfield and RFP images (acquired under the Cy3 lens) at 10× magnification using the Zeiss AxioObserver microscope (Carl Zeiss, Oberkochen, Germany) equipped with a Series 120Q Fluorescence Illumination unit (EXFO, Quebec City, Quebec, Canada). Images were taken with a Zyla 5.5 sCMOS camera (Andor Technologies, Belfast, United Kingdom). Percent area infected was measured with the Fiji ImageJ software with a uniform threshold based on RFP presence within the image.
Spheroids were cultured using tumour cell lines MC38 and DLD-1. Cells were dissociated with Accutase and seeded at 1,000 cells/well in 96-well round-bottomed plates coated with 1% polyHEMA (Sigma Aldrich). Plates were subsequently spun at 1,500 rpm for 10 minutes and incubated at 37° C. for 72 hours prior to infection. vvDD, one of the candidate VVs (MOI=2) or media alone DMEM-2.5% FBS was used to infect the spheroids in triplicate for 2 hours at 37° C. and supplemented with media DMEM-10% FBS. Infection was confirmed by RFP expression visualized with a LSM 700 Confocal Microscope (Carl Zeiss). Tumour spheroid size was measured with the Fiji ImageJ software. Briefly, brightfield images of the spheroids were converted to 8-bit greyscale images where spheroids were converted into a binary mask and the major and minor axis of a fit elliptical were measured. Tumour volume was calculated based on the following equation assuming spheroid shape: V=4/3*π ([major axis]/2)([minor axis]/2)2. Clonogenic assays were also conducted 96 hpi. Approximately 30-50 spheroids were collected, centrifuged, and disaggregated with trypsin. Live cells were plated in 6-well plates at 25-100 cells/well in duplicate and incubated for 10 days before crystal violet staining. Surviving fraction was calculated by the number of colonies (>50 cells) divided by the number of cells originally seeded.
Female C57BL/6 mice and NU/NU athymic nude mice (Jackson Laboratory, Bar Harbor, Me., USA) were used as syngeneic and xenograft models, respectively. All mice were housed under standard conditions and given food and water ad lib. Experimental protocols were approved by the Animal Care Centre, University Health Network, Toronto. Mice were euthanized by CO2 asphyxiation when signs of morbidity were present including: viral toxicity, a subcutaneous tumour at the injection site >1.5 cm, difficulty breathing, moribund, cachectic or inability to obtain food or water.
Female C57BL/6 mice or NU/NU athmymic nude mice (n=6) were injected with the indicated doses of virus in HBSS+0.1% bovine serum albumin (BSA) or HBSS+0.1% BSA alone and observed for survival. Body weight was measured every 2-3 days.
Female C57BL/6 mice were injected intraperitoneally (IP) with 105 MC38 cells in serum-free media. Twelve days post-tumour injection, mice were injected with the indicated doses of virus in 1 ml Hanks-Buffered Saline Solution (HBSS; Invitrogen, GIBCO)+0.1% BSA or HBSS+0.1% BSA alone. Mice were followed for survival (n=8) or sacrificed 6 days post-infection for biodistribution studies (n=3).
Female NU/NU athymic nude mice were injected IP with either 5×106 DLD-1 cells or 107 A2780 cells in serum-free media. Twelve days post-tumour injection, mice were injected with the indicated doses of virus in HBSS+0.1% BSA or HBSS+0.1% BSA alone. Mice were followed for tumour survival (n=8) or sacrificed 6 days post-infection for biodistribution studies (n=3).
Mice from the syngeneic or xenograft model had tumours and virus injected as described above and then euthanized 6 days post-infection and the tumours, ovaries, kidneys, bowel, liver, spleen, lung, heart, brain and bone marrow were harvested and stored at −80° C. in HBSS. Tissues were homogenized with the TissueLyzer II (Qiagen, Hilden, Germany), subject to 3 freeze-thaw cycles, and sonicated prior to the viral plaque assay with CV-1 cells. Titers were normalized to total protein per sample (mg) measured with the Pierce™ bicinchoninic acid (BCA) protein assay kit (Thermo Fisher Scientific, Waltham, Md., USA). Relative titers in normal tissues were calculated by dividing the normalized tissue titer by the average normalized titer in tumours infected with the corresponding virus.
Data were analysed by a two-tailed independent samples t-test between candidate VV and vvDD where applicable. Survival curves were evaluated with the log-rank test. Graphs were generated with the GraphPad™ Prism 5 Software (GraphPad Software Inc., La Jolla, Calif., USA). Data are presented as Mean±SEM.
The methods described in Example 1 were used to generate Western Reserve (WR) vaccinia viruses (VVs) with a single gene deletion of one of candidate immunomodulatory VV genes (N1L, K1L, K3L, A46R, and A52R). The shuttle plasmids for poxvirus gene deletions were derived from a pre-existing plasmid called pVX-R2R-LUC. This vector was the same shuttle plasmid used to generate the vvDD-R2R-Luc as first described by Lun et al., herein incorporated by reference. Briefly, relevant features of the plasmid include 1) a VV synthetic early-late promoter upstream of a gene with RFP conjoined to Renilla luciferase via the foot-and-mouth disease virus 2A motif to facilitate bicistronic expression (i.e. referred to as R2R-Luc) and 2) a xanthine-guanine phosphoribosyltransferase (gpt) gene for viral selection under the VV p7.5 promoter, and 3) an ampicillin gene to enable bacterial selection (Lun et al., 2009). Sequences originally flanking the gene of interest (e.g. N1L) were cloned into the plasmid to flank the first 2 elements to create the shuttle plasmid (
Before manipulating the plasmid, the plasmid preparation was confirmed to be pVX-R2R-Luc by restriction enzyme digestion with SpeI and MfeI, yielding the expected band sizes of 6 kb and 600 bp. A second double digestion with BssHII and DrdI yielded the expected sizes of two 2.8 kb and one 1 kb bands (
The presently disclosed strategy was to delete poxvirus VV genes via homologous recombination by flanking the aforementioned marker genes in pVX-R2R-LUC with 300-500 bp sequences from either side of the candidate gene as determined by the Western Reserve (WR) VV genome sequence found in GenBank (Accession number: NC_006998.1, herein incorporated by reference). Shuttle plasmids were made to facilitate the deletion of the N1L, K1L, K3L, A52R and A46R VV gene. Using the ΔN1L VV shuttle plasmid, pVX-R2R-Luc,
Primer designs to amplify DNA sequences on the left and right side of the candidate genes were derived from the VV genome sequence (Table 1) to facilitate PCR cloning. The PCR reaction was performed using the VJS6 (WR VV with a TK gene deletion) viral DNA as template. The sizes of the PCR products for the left and right flanking sequences were confirmed by agarose gel electrophoresis (
The corresponding left DNA fragments were inserted into pVX-R2R-Luc first. The plasmid was digested with MfeI and SpeI and the PCR fragments were digested with MfeI and NheI (which makes compatible ends to SpeI overhangs). After ligation, bacterial transformation and ampicillin selection, at least 3 colonies were tested for the presence of the correct insert via colony PCR (
The plasmid preparation of one clone for each shuttle plasmid was used for subsequent cloning steps. The right side insert and the vectors with the corresponding left inserts were then double digested with PvuII and BssHII, ligated together, transformed into bacteria, and the final transformants were also confirmed by colony PCR first (
After confirmation by PCR and restriction enzyme digestion, the shuttle plasmids were amplified and transfected into F13L+(wildtype WR VV)-infected CV-1 cells. The cells were scraped up, serially diluted, and re-infected into a new monolayer of CV-1 cells growing in media supplemented with mycophenolic acid, hypoxanthine, and xanthine. Mycophenolic acid inhibits the salvage pathway for purine synthesis, specifically, the formation of guanine. If the F13L+ viruses undergo homologous recombination with the shuttle plasmid, in addition to the deletion of the candidate gene, the recombinant virus will express the RFP/Renilla luciferase marker gene and the Escherichia coli xgprt gene. The xgprt gene will allow the recombinant virus to circumvent the inhibition of mycophenolic acid and produce guanine to facilitate its replication while the wildtype virus will be able to infect cells, but not replicate (Mulligan & Berg, 1981). RFP expression was observed in single cells 72 h after the transfection/infection. After the initial re-infection of transfected cell suspension, RFP-expressing plaques were picked 72 hpi (Round 0) and re-infected into new monolayers of mycophenolic acid-treated CV-1 cells. Subsequent RFP-expressing plaques were picked for at least 5 rounds to dilute out the parental virus until the whole population was the desired recombinant virus as confirmed by PCR. Evidence of RFP expression after transfection and a sample RFP-expressing plaque at round 0 and 5 of selection are presented in
The PCR confirmation of selected plaques as parental-free are were visualized via agarose gel electrophoresis and presented in
During and after the process of amplifying the candidate VVs into viral stocks, the same PCR reaction described in
After confirmation that the virus stocks were free from parental virus, the candidate VVs were tested in vitro as described below.
Compare Candidate VV Deletion Mutants to vvDD in Terms of Viral Replication, Cytotoxicity, and Spread In Vitro in Colon and Ovarian Cancer Cell Lines.
The potential of candidate deletion mutants described in Example 2 as an oncolytic agent was evaluated by testing the capability of the constructs for viral replication, tumour-killing, and viral spread compared to a clinical oncolytic virus such as vvDD (see
Candidate VV Replication is Similar or More Efficient than vvDD in Monolayers of Colon and Ovarian Cells.
The viral replication of candidate VV deletion mutants and vvDD in cancer cells was assessed by infecting monolayers of MC38 (
VV replication for vvDD and VV deletion mutants in all cell lines resulted in a 2-3 log-fold increase in total viral particles by 72 hpi. In general, all candidate VVs exhibited similar or better viral replication compared to vvDD in both colon cancer cell lines at peak viral titers. The same can be concluded for most candidate VVs within A2780 cells except the ΔA46R VV. However, the replication efficiency of all tested VVs in A2780 cells were generally higher compared to the other two colon carcinoma cells [range of mean viral fold change compared to baseline at 72 hpi: 712.15-2177.47 (MC38), 109.43-1520.41([DLD-1), and 791.99-4405.20 (A2780)]. The ΔK1L VV shows the most efficient replication ability across all cell lines, with the average fold change in replication being 2.8, 13.9, and 2.3 times higher than the average fold change of vvDD.
Candidate VV Spread is Similar or Better than vvDD in Monolayers of Colon and Ovarian Carcinoma Cells.
The viral spread of the candidate VV deletion mutants were compared to vvDD in monolayers of colon and ovarian cell lines infected at an MOI of 0.1 by fluorescence microscopy. Differential interference contrast (DIC) images and fluorescent images with the Cy3 lens were taken at 2 (baseline), 24, 48, and 72 hpi. Images at peak viral spread based on RFP expression are presented: 72 hpi of MC38 and DLD-1 cells and 48 hpi of A2780 cells (
The viral spread of all candidate VVs was similar or better than vvDD in all cell lines tested, as confirmed by both visual assessment and quantitative analysis. Statistical significance was achieved in MC38 cells for these viruses, and visual assessment of viral spread confirms the quantified trend of superior spread in ΔK1L VV, ΔN1L VV, and ΔA52R VV in all cell lines. The best performer, ΔA52R VV, demonstrated consistently significant advantage in viral spread in all cell lines, infecting approximately half of all cell lines at its peak [% infected area: 55.57%±6.076% (MC38), 39.68%±8.51% (DLD-1), 65.48%±4.06% (A2780). As such, mean ΔA52R VV spread was 11.75% to 33.72% better relative to vvDD at peak time points in all tested cell lines.
Candidate VVs are Similarly or More Cytotoxic to Monolayers of Colon and Ovarian Carcinoma Cells Compared to vvDD.
The cytotoxicity of candidate VVs were compared to vvDD at multiple doses (MOI 0.1, 1, and 5) and multiple time points (2, 24, 48, and 72 hpi) in monolayers of colon and ovarian cell lines. Cell viability was measured via the colorimetric MTS ([3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium inner salt) assay. Percent viability is presented as absorbance values relative to mock-treated cells (
Similar to the results of the viral replication experiments, the cytotoxicity of the candidate VVs is either equal or higher in the colon cancer cell lines, MC38 and DLD-1, compared to vvDD. The difference in cytotoxicity of all candidate VVs compared to vvDD was the most dramatic in MC38 cells, where candidate VV treatment at 72 hpi at MOI of 1 reduced the mean cell viability relative to mock controls by at least 1.92 times compared to vvDD (range: 1.92 to 2.39 times, p<0.05). Some of the constructed VVs were statistically less toxic to A2780 cells than vvDD, however, the VVs were still very effective at killing A2780 cells. Dramatically, cytotoxicity of all candidate VVs and vvDD towards A2780 cells demonstrated significant cytopathic effect at a low MOI of 0.1 by 72 hpi (mean % viability: 24.61% to 63.00%). The cytotoxicity against all tumour cell lines of all candidate VVs was similar by 72 hpi. Among them, the ΔA46R VV was the most cytotoxic [mean % viability at MOI 1: 40.07%0.29% (MC38), 40.32%±2.00% (DLD-1), and 4.75%+1.08% (A2780)].
Candidate VVs Exhibit Equal or Better Viral Spread in Tumour Spheroids Compared to vvDD.
Tumour spheroids mimic the 3D structure and microenvironment of a tumour and allow for a more relevant and realistic in vitro investigation (Casagrande et al., 2014) of the candidate VVs. In this study, the MC38 and DLD-1 spheroids were formed, infected at an MOI of 2, and viral spread was observed through the Cy3 lens of a confocal microscope to track virally-induced RFP expression throughout the spheroid over time. The spheroid diameter was approximately 250-300 μm at the time of infection. The images presented are representative fluorescent images approximately halfway into the spheroid (˜130 μm) (
Viral spread into tumour spheroids were qualitatively evaluated via viral RFP marker expression. The viruses varied in their ability to penetrate into the centre of the 3D structures. Small amounts of RFP expression associated with vvDD infection could be seen at 130 μm deep into MC38 spheroids at 72 hpi. In contrast, the ΔN1L VV, ΔK1L VV, ΔA46R VV, and ΔA52R VV infected at least most of the rim and demonstrated some penetration into the MC38 spheroids. The DLD-1 spheroids were more resistant to infection as vvDD and most candidate VVs resulted in small dispersed foci of RFP by 72 hpi. However, the ΔA52R VV was able to infect a larger portion of the DLD-1 spheroids. Out of all the tested viruses, ΔA52R VV could spread most efficiently in both MC38 and DLD-1 spheroids.
Candidate VVs and vvDD are Cytotoxic to Tumour Spheroids.
The cytotoxicity of vvDD and candidate VVs towards MC38 and DLD-1 spheroids were evaluated by a clonogenic assay at 96 hpi of spheroids that were infected at an MOI of 2. This time point was chosen based on the MC38 tumour volume calculated from the brightfield images taken from confocal microscopy. Specifically, at 96 hpi for MC38 spheroids, the decrease in tumour spheroid volume started to plateau (
The percent surviving fraction of virus-treated MC38 spheroids was low or undetectable (range of mean surviving fraction 0-3.3%). MC38 spheroids treated with ΔA46R or ΔN1L VV did not yield a detectable surviving fraction (
Three candidate VVs were chosen for initial in vivo investigation. Candidate VVs were assessed against vvDD for viral replication, spread, and tumour cytotoxicity in MC38, DLD-1, and A2780 cells and results are summarized in Table 2, ranking the performance of each virus starting with the best performer on top. ΔK1L VV demonstrated at the greatest viral replication, ΔA46R VV was the most cytotoxic, and ΔA52R demonstrated the most viral spread in tumours. These three recombinant VVs were tested in in vivo models of cancer, in particular, established models of peritoneal carcinomatosis (PC).
Assess the Tumour-Selectivity and Anti-Tumour Efficacy of Candidate VV Treatment Compared to vvDD at Maximum Tolerable Doses (MTD) in Nude and Immunocompetent Mice.
To further investigate the potential of the presently disclosed candidate VVs as an oncolytic virus, the best performers from in vitro assays were tested in nude (NU/NU) and immunocompetent mice (C57BL/6). A maximum tolerable dose (MTD) was determined for each candidate VV and used for subsequent investigation. For both the biodistribution and tumour survival studies, tumour generation was performed via IP injection of either DLD-1 human colon carcinoma cells or A2780 human ovarian carcinoma cells into NU/NU mice or MC38 murine colon carcinoma cells into immunocompetent C57BL/6 mice. These mouse models are established models of peritoneal carcinomatosis (PC).
Before assessing the anti-tumour efficacy of each candidate VV treatment, a treatment dose must be determined for the IP treatment. Non-tumour-bearing mice were injected IP at different doses and followed for toxicity. Common adverse events of virus treatment in nude mice included pox formation, usually on its paws or tail, and weight loss. However, in C57BL/6 mice, only weight loss, if at all, was observed after virus treatment.
When C57BL/6 mice were injected at the same dose as the established vvDD IP dose of 109 pfu, the mice treated with candidate VVs reached endpoint within a week. Subsequent studies tested doses one at a time and observed for at least 30 days or until the first death before the initiation of another study with an adjusted dose. Doses were increased or decreased by 0.5 log-fold in the next study accordingly. For most of the dose titration experiments, no mock group was used. Instead, vvDD was injected at the same dose as the candidate VVs for each study. According to literature, vvDD was shown to be non-toxic to mice even at an IP dose of 109, though transient weight loss after injection was observed (McCart et al., 2001; Ottolino-Perry et al., 2014). Thus, no deaths were expected from the vvDD-treated group, especially at lower doses. Hence, the vvDD group served as 1) a negative control similar to mock, and 2) the treatment group to compare to other virus treatment groups for in vivo toxicity since the vvDD treatment could still cause weight loss.
MTDs were determined by injecting varying doses of VV IP into non-tumour-bearing mice. Doses at which mice survived for 4 weeks or more were deemed the MTD and used for subsequent tumour survival studies. For immunocompetent C57BL/6 mice, the IP MTD for the ΔK1L VV was 5×107 pfu, while the MTD of ΔA46R VV and ΔA52R VV was 1×107 pfu (
Candidate VVs have Improved or Similar In Vivo Tumour-Selectivity and Anti-Tumour Effect Compared to vvDD
The tumour efficacy and tumour-selectivity of IP-delivered candidate VVs, vvDD, and mock treatment were compared in tumour-bearing models of PC. Specifically, a syngeneic model of C57BL/6 mice bearing IP MC38 tumours and xenograft models of nude (NU/NU) mice bearing IP A2780 or DLD-1 tumours were used. Mice were injected IP with tumour cells and treated with VVs 12 days later at indicated doses.
Despite significantly lower treatment doses, candidate VV deletion mutants improved survival similar to or better than vvDD with respect to mock-treated controls. In the MC38 tumour-bearing C57BL/6 syngeneic model (
The efficacy of the candidate VVs was also similar or better than vvDD in xenograft models of PC despite a 1000-fold lower treatment dose. In DLD-1 tumour-bearing NU/NU mice (
VV replication preferentially targeted the tumour and the ovaries in all cancer mouse models tested (
Candidate VVs and vvDD Treatment are Associated with Increased Immune Cells Infiltration into Tumours
A portion of the tumours from the biodistribution studies in the MC38 and DLD-1 tumour mouse models were used for immunohistochemistry and stained for B220 (B-cells), CD3 (T-cells), F4/80 (macrophages), and Ly6G (neutrophils). The percent positively-stained pixels in the tumour sections were quantified using the Imagescope Positive Pixel Algorithm (
All publications, patents and patent applications mentioned in the specification are indicative of the level of those skilled in the art to which this disclosure pertains. All publications, patents and patent applications are herein incorporated by reference to the same extent as if each individual publication, patent, or patent application was specifically and individually indicated to be incorporated by reference. The mere mentioning of the publications, patents and patent applications does not necessarily constitute an admission that they are prior art to the instant disclosure.
Although the foregoing disclosure has been described in some detail by way of illustration and example for purposes of clarity of understanding, it is to be understood that the disclosure is not limited to the disclosed example. To the contrary, the disclosure is intended to cover various modifications and equivalent arrangements included within the spirit and scope of the appended claims.
This application claims the benefit or priority of U.S. Provisional Application No. 62/402,574 filed on Sep. 30, 2016, the content of which is incorporated herein in its entirety, including drawings.
Filing Document | Filing Date | Country | Kind |
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PCT/CA2017/051171 | 10/2/2017 | WO | 00 |
Number | Date | Country | |
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62402574 | Sep 2016 | US |