journal article Open Access Mar 27, 2017

Rational combination of oncolytic vaccinia virus and PD-L1 blockade works synergistically to enhance therapeutic efficacy

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Abstract
AbstractBoth anti-PD1/PD-L1 therapy and oncolytic virotherapy have demonstrated promise, yet have exhibited efficacy in only a small fraction of cancer patients. Here we hypothesized that an oncolytic poxvirus would attract T cells into the tumour, and induce PD-L1 expression in cancer and immune cells, leading to more susceptible targets for anti-PD-L1 immunotherapy. Our results demonstrate in colon and ovarian cancer models that an oncolytic vaccinia virus attracts effector T cells and induces PD-L1 expression on both cancer and immune cells in the tumour. The dual therapy reduces PD-L1+ cells and facilitates non-redundant tumour infiltration of effector CD8+, CD4+ T cells, with increased IFN-γ, ICOS, granzyme B and perforin expression. Furthermore, the treatment reduces the virus-induced PD-L1+ DC, MDSC, TAM and Treg, as well as co-inhibitory molecules-double-positive, severely exhausted PD-1+CD8+ T cells, leading to reduced tumour burden and improved survival. This combinatorial therapy may be applicable to a much wider population of cancer patients.
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References
48
[1]
Bartlett, D. L. et al. Oncolytic viruses as therapeutic cancer vaccines. Mol. Cancer 12, 103 (2013). 10.1186/1476-4598-12-103
[2]
Lichty, B. D., Breitbach, C. J., Stojdl, D. F. & Bell, J. C. Going viral with cancer immunotherapy. Nat. Rev. Cancer 14, 559–567 (2014). 10.1038/nrc3770
[3]
Talimogene Laherparepvec Improves Durable Response Rate in Patients With Advanced Melanoma

Robert H.I. Andtbacka, Howard L. Kaufman, Frances Collichio et al.

Journal of Clinical Oncology 2015 10.1200/jco.2014.58.3377
[4]
Mellman, I., Coukos, G. & Dranoff, G. Cancer immunotherapy comes of age. Nature 480, 480–489 (2011). 10.1038/nature10673
[5]
Schlom, J. Therapeutic cancer vaccines: current status and moving forward. J. Natl. Cancer Inst. 104, 599–613 (2012). 10.1093/jnci/djs033
[6]
Restifo, N. P., Dudley, M. E. & Rosenberg, S. A. Adoptive immunotherapy for cancer: harnessing the T cell response. Nat. rev. Immunol. 12, 269–281 (2012). 10.1038/nri3191
[7]
Barrett, D. M., Singh, N., Porter, D. L., Grupp, S. A. & June, C. H. Chimeric antigen receptor therapy for cancer. Annu. rev. med. 65, 333–347 (2014). 10.1146/annurev-med-060512-150254
[8]
Mechanism-driven biomarkers to guide immune checkpoint blockade in cancer therapy

Suzanne L. Topalian, Janis M. Taube, Robert A. Anders et al.

Nature Reviews Cancer 2016 10.1038/nrc.2016.36
[9]
Melero, I. et al. Evolving synergistic combinations of targeted immunotherapies to combat cancer. Nat. rev. Cancer 15, 457–472 (2015). 10.1038/nrc3973
[10]
Oncolytic viruses: a new class of immunotherapy drugs

Howard L. Kaufman, Frederick J. Kohlhapp, Andrew Zloza

Nature Reviews Drug Discovery 2015 10.1038/nrd4663
[11]
Kirn, D. H. & Thorne, S. H. Targeted and armed oncolytic poxviruses: a novel multi-mechanistic therapeutic class for cancer. Nat. rev. Cancer 9, 64–71 (2009). 10.1038/nrc2545
[12]
Kaufman, H. L. et al. Targeting the local tumor microenvironment with vaccinia virus expressing B7.1 for the treatment of melanoma. J. clin. invest. 115, 1903–1912 (2005). 10.1172/jci24624
[13]
Chard, L. S., Lemoine, N. R. & Wang, Y. New role of interleukin-10 in enhancing the antitumor efficacy of oncolytic vaccinia virus for treatment of pancreatic cancer. Oncoimmunology 4, e1038689 (2015). 10.1080/2162402x.2015.1038689
[14]
Liu, Z. et al. CXCL11-armed oncolytic poxvirus elicits potent antitumor immunity and shows enhanced therapeutic efficacy. Oncoimmunology 5, e1091554 (2016). 10.1080/2162402x.2015.1091554
[15]
Heo, J. et al. Randomized dose-finding clinical trial of oncolytic immunotherapeutic vaccinia JX-594 in liver cancer. Nat. med. 19, 329–336 (2013). 10.1038/nm.3089
[16]
Zeh, H. J. et al. First-in-man study of western reserve strain oncolytic vaccinia virus: safety, systemic spread, and antitumor activity. Mol. Ther. 23, 202–214 (2015). 10.1038/mt.2014.194
[17]
Downs-Canner, S. et al. Phase 1 study of intravenous oncolytic poxvirus (vvDD) in patients with advanced solid cancers. Mol. Ther. 24, 1492–1501 (2016). 10.1038/mt.2016.101
[18]
Francis, L. et al. Modulation of chemokines in the tumor microenvironment enhances oncolytic virotherapy for colorectal cancer. Oncotarget 7, 22174–22185 (2016). 10.18632/oncotarget.7907
[19]
Tumor-associated B7-H1 promotes T-cell apoptosis: A potential mechanism of immune evasion

Haidong Dong, Scott E. Strome, Diva R. Salomao et al.

Nature Medicine 2002 10.1038/nm730
[20]
Engagement of the Pd-1 Immunoinhibitory Receptor by a Novel B7 Family Member Leads to Negative Regulation of Lymphocyte Activation

Gordon J. Freeman, Andrew J. Long, Yoshiko Iwai et al.

Journal of Experimental Medicine 2000 10.1084/jem.192.7.1027
[21]
Restoring function in exhausted CD8 T cells during chronic viral infection

Daniel L. Barber, E. John Wherry, David Masopust et al.

Nature 2006 10.1038/nature04444
[22]
Shin, H. & Wherry, E. J. CD8 T cell dysfunction during chronic viral infection. Curr. opin. immunol. 19, 408–415 (2007). 10.1016/j.coi.2007.06.004
[23]
Topalian, S. L., Drake, C. G. & Pardoll, D. M. Immune checkpoint blockade: a common denominator approach to cancer therapy. Cancer Cell 27, 450–461 (2015). 10.1016/j.ccell.2015.03.001
[24]
Muhlbauer, M. et al. PD-L1 is induced in hepatocytes by viral infection and by interferon-alpha and -gamma and mediates T cell apoptosis. J. Hepatol. 45, 520–528 (2006). 10.1016/j.jhep.2006.05.007
[25]
Constitutive AP-1 Activity and EBV Infection Induce PD-L1 in Hodgkin Lymphomas and Posttransplant Lymphoproliferative Disorders: Implications for Targeted Therapy

Michael R. Green, Scott Rodig, Przemyslaw Juszczynski et al.

Clinical Cancer Research 2012 10.1158/1078-0432.ccr-11-1942
[26]
Lu, W. et al. Inflammation promotes oral squamous carcinoma immune evasion via induced programmed death ligand-1 surface expression. Oncol. Lett. 5, 1519–1526 (2013). 10.3892/ol.2013.1238
[27]
Abiko, K. et al. IFN-gamma from lymphocytes induces PD-L1 expression and promotes progression of ovarian cancer. Br. J. Cancer 112, 1501–1509 (2015). 10.1038/bjc.2015.101
[28]
Chen, L. & Han, X. Anti-PD-1/PD-L1 therapy of human cancer: past, present, and future. J. clin. invest. 125, 3384–3391 (2015). 10.1172/jci80011
[29]
Fortin, C., Huang, X. & Yang, Y. NK cell response to vaccinia virus is regulated by myeloid-derived suppressor cells. J. Immunol. 189, 1843–1849 (2012). 10.4049/jimmunol.1200584
[30]
Jiang, Y., Li, Y. & Zhu, B. T-cell exhaustion in the tumor microenvironment. Cell Death Dis. 6, e1792 (2015). 10.1038/cddis.2015.162
[31]
Speiser, D. E., Ho, P. C. & Verdeil, G. Regulatory circuits of T cell function in cancer. Nat. rev. Immunol. 16, 599–611 (2016). 10.1038/nri.2016.80
[32]
Safety and Activity of Anti–PD-L1 Antibody in Patients with Advanced Cancer

Julie R. Brahmer, Scott S. Tykodi, Laura Q.M. Chow et al.

New England Journal of Medicine 2012 10.1056/nejmoa1200694
[33]
Herbst, R. S. et al. Predictive correlates of response to the anti-PD-L1 antibody MPDL3280A in cancer patients. Nature 515, 563–567 (2014). 10.1038/nature14011
[34]
Dias, J. D. et al. Targeted cancer immunotherapy with oncolytic adenovirus coding for a fully human monoclonal antibody specific for CTLA-4. Gene Ther. 19, 988–998 (2012). 10.1038/gt.2011.176
[35]
Engeland, C. E. et al. CTLA-4 and PD-L1 checkpoint blockade enhances oncolytic measles virus therapy. Mol. Ther. 22, 1949–1959 (2014). 10.1038/mt.2014.160
[36]
Zamarin, D. et al. Localized oncolytic virotherapy overcomes systemic tumor resistance to immune checkpoint blockade immunotherapy. Sci. transl. med. 6, 226ra232 (2014). 10.1126/scitranslmed.3008095
[37]
Quetglas, J. I. et al. Virotherapy with a Semliki Forest virus-based vector encoding IL12 synergizes with PD-1/PD-L1 blockade. Cancer Immunol. Res. 3, 449–454 (2015). 10.1158/2326-6066.cir-14-0216
[38]
Rajani, K. et al. Combination therapy with reovirus and anti-PD-1 blockade controls tumor growth through innate and adaptive immune responses. Mol. Ther. 24, 166–174 (2016). 10.1038/mt.2015.156
[39]
Woller, N. et al. Viral infection of tumors overcomes resistance to PD-1-immunotherapy by broadening neoantigenome-directed T-cell responses. Mol. Ther. 23, 1630–1640 (2015). 10.1038/mt.2015.115
[40]
PD-L1 is a novel direct target of HIF-1α, and its blockade under hypoxia enhanced MDSC-mediated T cell activation

Muhammad Zaeem Noman, Giacomo Desantis, Bassam Janji et al.

Journal of Experimental Medicine 2014 10.1084/jem.20131916
[41]
Flies, D. B. & Chen, L. The new B7s: playing a pivotal role in tumor immunity. J. Immunother. 30, 251–260 (2007). 10.1097/cji.0b013e31802e085a
[42]
Keir, M. E., Butte, M. J., Freeman, G. J. & Sharpe, A. H. PD-1 and its ligands in tolerance and immunity. Annu. Rev. Immunol. 26, 677–704 (2008). 10.1146/annurev.immunol.26.021607.090331
[43]
Guo, Z. S., Liu, Z. & Bartlett, D. L. Oncolytic immunotherapy: dying the right way is a key to eliciting potent antitumor immunity. Front. oncol. 4, 74 (2014).
[44]
Breitbach, C. J. et al. Oncolytic vaccinia virus disrupts tumor-associated vasculature in humans. Cancer res. 73, 1265–1275 (2013). 10.1158/0008-5472.can-12-2687
[45]
Kleffel, S. et al. Melanoma cell-intrinsic PD-1 receptor functions promote tumor growth. Cell 162, 1242–1256 (2015). 10.1016/j.cell.2015.08.052
[46]
Kuang, D. M. et al. Activated monocytes in peritumoral stroma of hepatocellular carcinoma foster immune privilege and disease progression through PD-L1. J. Exp. Med. 206, 1327–1337 (2009). 10.1084/jem.20082173
[47]
Chalikonda, S. et al. Oncolytic virotherapy for ovarian carcinomatosis using a replication-selective vaccinia virus armed with a yeast cytosine deaminase gene. Cancer Gene Ther. 15, 115–125 (2008). 10.1038/sj.cgt.7701110
[48]
Li, Q., O’Malley, M. E., Bartlett, D. L. & Guo, Z. S. Homeobox gene Rhox5 is regulated by epigenetic mechanisms in cancer and stem cells and promotes cancer growth. Mol. cancer 10, 63 (2011). 10.1186/1476-4598-10-63
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Published
Mar 27, 2017
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Cite This Article
Zuqiang Liu, Roshni Ravindranathan, Pawel Kalinski, et al. (2017). Rational combination of oncolytic vaccinia virus and PD-L1 blockade works synergistically to enhance therapeutic efficacy. Nature Communications, 8(1). https://doi.org/10.1038/ncomms14754
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