溶瘤性疱疹病毒治疗犬胶质瘤患者免疫参数的评价

M. Chambers, J. Foote, R. T. Bentley, D. Botta, D. Crossman, D. D. Manna, D. Estevez-Ordonez, J. Koehler, C. Langford, Michael A. Miller, J. Markert, A. Olivier, N. Omar, S. Platt, D. Rissi, A. Shores, D. Sorjonen, E. Yang, A. B. Yanke, G. Gillespie
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引用次数: 7

摘要

目的:研究犬胶质瘤患者应用溶瘤性人表达il -12的单纯疱疹病毒(M032)治疗naïve犬胶质瘤前后肿瘤微环境的分子特征和免疫参数。方法:我们对患有偶发性胶质瘤的宠物狗进行了1期兽医临床试验,该试验旨在确定M032(一种转基因溶瘤性单纯疱疹病毒)肿瘤内肿瘤病毒治疗的安全性。采用免疫组织化学、NanoString、Luminex细胞因子谱和多参数流式细胞术对试验犬和未参加试验犬的标本进行评估。结果:未经治疗的犬胶质瘤微环境中Iba1阳性巨噬细胞富集,T细胞和B细胞数量较少,这与先前将这些肿瘤确定为免疫“冷”的研究一致。NanoString mRNA谱分析显示,肿瘤内在通路的富集与抑制肿瘤特异性免疫和支持肿瘤进展一致。溶瘤病毒治疗在83%(5/6)的犬胶质瘤患者中诱导肿瘤特异性免疫应答的肿瘤内mRNA转录特征。这些变化包括与干扰素信号、淋巴细胞和髓细胞活化、募集以及T细胞和B细胞免疫相关的mRNA特征。多路蛋白分析发现,在治疗后14至28天,少突胶质细胞瘤患者的IL-2、IL-7、IL-6、IL-10、IL-15、TNFα、GM-CSF浓度升高,有证据表明CD4+ T细胞活化,CD4+和CD8+ T细胞中IL-4和IFNγ的产生受到调节。结论:M032可调节犬胶质瘤模型的肿瘤免疫微环境。
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Evaluation of immunologic parameters in canine glioma patients treated with an oncolytic herpes virus
Aim: To molecularly characterize the tumor microenvironment and evaluate immunologic parameters in canine glioma patients before and after treatment with oncolytic human IL-12-expressing herpes simplex virus (M032) and in treatment naïve canine gliomas. Methods: We assessed pet dogs with sporadically occurring gliomas enrolled in Stage 1 of a veterinary clinical trial that was designed to establish the safety of intratumoral oncoviral therapy with M032, a genetically modified oncolytic herpes simplex virus. Specimens from dogs in the trial and dogs not enrolled in the trial were evaluated with immunohistochemistry, NanoString, Luminex cytokine profiling, and multi-parameter flow cytometry. Results: Treatment-naive canine glioma microenvironment had enrichment of Iba1 positive macrophages and minimal numbers of T and B cells, consistent with previous studies identifying these tumors as immunologically “cold”. NanoString mRNA profiling revealed enrichment for tumor intrinsic pathways consistent with suppression of tumor-specific immunity and support of tumor progression. Oncolytic viral treatment induced an intratumoral mRNA transcription signature of tumor-specific immune responses in 83% (5/6) of canine glioma patients. Changes included mRNA signatures corresponding with interferon signaling, lymphoid and myeloid cell activation, recruitment, and T and B cell immunity. Multiplexed protein analysis identified a subset of oligodendroglioma subjects with increased concentrations of IL-2, IL-7, IL-6, IL-10, IL-15, TNFα, GM-CSF between 14 and 28 days after treatment, with evidence of CD4+ T cell activation and modulation of IL-4 and IFNγ production in CD4+ and CD8+ T cells isolated from peripheral blood. Conclusion: These findings indicate that M032 modulates the tumor-immune microenvironment in the canine glioma model.
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