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Virus-induced tumor inflammation facilitates effective DC cancer immunotherapy in a Treg-dependent manner in mice
Norman Woller, … , Stefan Kubicka, Florian Kühnel
Norman Woller, … , Stefan Kubicka, Florian Kühnel
Published June 6, 2011
Citation Information: J Clin Invest. 2011;121(7):2570-2582. https://doi.org/10.1172/JCI45585.
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Research Article Oncology

Virus-induced tumor inflammation facilitates effective DC cancer immunotherapy in a Treg-dependent manner in mice

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Abstract

Vaccination using DCs pulsed with tumor lysates or specific tumor-associated peptides has so far yielded limited clinical success for cancer treatment, due mainly to the low immunogenicity of tumor-associated antigens. In this study, we have identified intratumoral virus-induced inflammation as a precondition for effective antitumor DC vaccination in mice. Administration of a tumor-targeted DC vaccine during ongoing virus-induced tumor inflammation, a regimen referred to as oncolysis-assisted DC vaccination (ODC), elicited potent antitumoral CD8+ T cell responses. This potent effect was not replicated by TLR activation outside the context of viral infection. ODC-elicited immune responses mediated marked tumor regression and successful eradication of preestablished lung colonies, an essential prerequisite for potentially treating metastatic cancers. Unexpectedly, depletion of Tregs during ODC did not enhance therapeutic efficacy; rather, it abrogated antitumor cytotoxicity. This phenomenon could be attributed to a compensatory induction of myeloid-derived suppressor cells in Treg-depleted and thus vigorously inflamed tumors, which prevented ODC-mediated immune responses. Consequently, Tregs are not only general suppressors of immune responses, but are essential for the therapeutic success of multimodal and temporally fine-adjusted vaccination strategies. Our results highlight tumor-targeting, replication-competent viruses as attractive tools for eliciting effective antitumor responses upon DC vaccination.

Authors

Norman Woller, Sarah Knocke, Bettina Mundt, Engin Gürlevik, Nina Strüver, Arnold Kloos, Bita Boozari, Peter Schache, Michael P. Manns, Nisar P. Malek, Tim Sparwasser, Lars Zender, Thomas C. Wirth, Stefan Kubicka, Florian Kühnel

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Figure 3

ODC requires intratumoral inflammation and antigen presence in the tumor tissue.

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ODC requires intratumoral inflammation and antigen presence in the tumor...
(A) DBA/2 mice bearing KLN-HA tumors were i.v. injected with 1 × 109 infectious particles of dl309. 3 days after treatment, mice were sacrificed, livers and tumors were explanted, and virus-induced tumor inflammation was investigated on H&E-stained sections. Shown are representative sections of 3 mice per group. Original magnification, ×200 (all panels). (B) Viral DNA load of liver and tumor tissue was quantified on day 3 after i.v. injection of virus by hexon qPCR. (C) On day 3 after i.v. dl309, KLN-HA tumor–bearing mice were treated with HA- or lacZ-pulsed DCs and compared with i.t. injection of dl309 prior to vaccination. Infection with hTert-Ad i.t. followed by DC vaccination was performed as ODC reference. After 14 days, mice were sacrificed, and harvested splenocytes were subjected to ELISpot analyses to determine the HA-specific response (n = 3 per group, 2 experiments). (D) Serum from 3 animals per group was analyzed for virus-specific Igs by ELISA. (E) DBA/2 mice with s.c. KLN-GFP or KLN-HA tumors received ODC with HA peptide–pulsed DCs. The same experiment was performed in corresponding C57BL/6 CMT-GFP and CMT-OVA mice, who received ODC using hTert-Ad and OVA-pulsed DCs. 14 days after initial treatment, splenocytes were subjected to ELISpot analysis to determine the respective HA- and OVA-specific responses (n = 3 per group, experiments repeated twice with similar results). **P < 0.01; ***P < 0.001.

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