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      CXCL10-armed oncolytic adenovirus promotes tumor-infiltrating T-cell chemotaxis to enhance anti-PD-1 therapy

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          ABSTRACT

          Resistance remains an obstacle to anti-programmed cell death protein 1 (PD-1) therapy in human cancer. One critical resistance mechanism is the lack of T cell chemotaxis in the tumor microenvironment (TME). CXCL10-CXCR3 signaling is required for T cell tumor infiltration and tumor immunotherapy. Oncolytic viruses (OVs), including oncolytic adenoviruses (AdVs), induce effective T cell immunity and tumor infiltration. Thus, arming OV with CXCL10 would be an attractive strategy to overcome resistance to anti-PD1 therapy. Here, we successfully constructed a novel recombinant oncolytic adenovirus encoding murine CXCL10, named Adv-CXCL10. Through intratumoural injection, the continuous expression of the functional chemokine CXCL10 in the TME is realized to recruit more CXCR3 + T cells into the TME to kill tumor cells, and the recombinant adenovirus shows great power to ‘fire up’ the TME and enhance the antitumour efficiency of PD-1 antibodies.

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          Most cited references51

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          The blockade of immune checkpoints in cancer immunotherapy.

          Among the most promising approaches to activating therapeutic antitumour immunity is the blockade of immune checkpoints. Immune checkpoints refer to a plethora of inhibitory pathways hardwired into the immune system that are crucial for maintaining self-tolerance and modulating the duration and amplitude of physiological immune responses in peripheral tissues in order to minimize collateral tissue damage. It is now clear that tumours co-opt certain immune-checkpoint pathways as a major mechanism of immune resistance, particularly against T cells that are specific for tumour antigens. Because many of the immune checkpoints are initiated by ligand-receptor interactions, they can be readily blocked by antibodies or modulated by recombinant forms of ligands or receptors. Cytotoxic T-lymphocyte-associated antigen 4 (CTLA4) antibodies were the first of this class of immunotherapeutics to achieve US Food and Drug Administration (FDA) approval. Preliminary clinical findings with blockers of additional immune-checkpoint proteins, such as programmed cell death protein 1 (PD1), indicate broad and diverse opportunities to enhance antitumour immunity with the potential to produce durable clinical responses.
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            PD-1 Blockade in Tumors with Mismatch-Repair Deficiency.

            Somatic mutations have the potential to encode "non-self" immunogenic antigens. We hypothesized that tumors with a large number of somatic mutations due to mismatch-repair defects may be susceptible to immune checkpoint blockade.
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              PD-1 blockade induces responses by inhibiting adaptive immune resistance

              Therapies that target the programmed death-1 (PD-1) receptor have shown unprecedented rates of durable clinical responses in patients with various cancer types. 1–5 One mechanism by which cancer tissues limit the host immune response is via upregulation of PD-1 ligand (PD-L1) and its ligation to PD-1 on antigen-specific CD8 T-cells (termed adaptive immune resistance). 6,7 Here we show that pre-existing CD8 T-cells distinctly located at the invasive tumour margin are associated with expression of the PD-1/PD-L1 immune inhibitory axis and may predict response to therapy. We analyzed samples from 46 patients with metastatic melanoma obtained before and during anti-PD1 therapy (pembrolizumab) using quantitative immunohistochemistry, quantitative multiplex immunofluorescence, and next generation sequencing for T-cell receptors (TCR). In serially sampled tumours, responding patients showed proliferation of intratumoural CD8+ T-cells that directly correlated with radiographic reduction in tumour size. Pre-treatment samples obtained from responding patients showed higher numbers of CD8, PD1, and PD-L1 expressing cells at the invasive tumour margin and inside tumours, with close proximity between PD-1 and PD-L1, and a more clonal TCR repertoire. Using multivariate analysis, we established a predictive model based on CD8 expression at the invasive margin and validated the model in an independent cohort of 15 patients. Our findings indicate that tumour regression following therapeutic PD-1 blockade requires pre-existing CD8+ T cells that are negatively regulated by PD-1/PD-L1 mediated adaptive immune resistance.
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                Author and article information

                Journal
                Oncoimmunology
                Oncoimmunology
                Oncoimmunology
                Taylor & Francis
                2162-4011
                2162-402X
                31 August 2022
                2022
                31 August 2022
                : 11
                : 1
                : 2118210
                Affiliations
                [a ]Department of Oncology and Cancer Rehabilitation Centre, The First Affiliated Hospital of Nanjing Medical University; , Nanjing, Jiangsu, China
                [b ]State Key Laboratory of Pharmaceutical Biotechnology, School of Life Sciences, Nanjing University; , Nanjing, Jiangsu, China
                [c ]Department of Oncology, The Affiliated Huaian No. 1 People’s Hospital of Nanjing Medical University; , Huai’an, Jiangsu, China
                [d ]Jiangsu Key Laboratory of Molecular Medicine, Medical School of Nanjing University; , Nanjing, Jiangsu, China
                Author notes
                Jie Dong dongjie@ 123456nju.edu.cn Jiangsu Key Laboratory of Molecular Medicine, Medical School of Nanjing University; , Nanjing, Jiangsu, China
                Xingxin Wu xingxin.wu@ 123456nju.edu.cn State Key Laboratory of Pharmaceutical Biotechnology, School of Life Sciences, Nanjing University; , Nanjing, Jiangsu, China
                CONTACT Yanhong Gu guyhphd@ 123456163.com Department of Oncology and Cancer Rehabilitation Centre, The First Affiliated Hospital of Nanjing Medical University; , Nanjing, Jiangsu, China
                [*]

                These authors contributed equally to this work.

                Article
                2118210
                10.1080/2162402X.2022.2118210
                9450898
                36092638
                e24a3d66-d4ae-4e0b-aa78-a3a223c901ce
                © 2022 The Author(s). Published with license by Taylor & Francis Group, LLC.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License ( http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Page count
                Figures: 7, References: 51, Pages: 1
                Categories
                Research Article
                Original Research

                Immunology
                oncolytic virus,anti-pd-1,cxcr3,cxcl10,colorectal cancer
                Immunology
                oncolytic virus, anti-pd-1, cxcr3, cxcl10, colorectal cancer

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