Abstract

KRAS G12A somatic point mutation in adenocarcinomas is categorized clinically as ineligibility criteria for anti-epidermal growth factor receptor (EGFR) monoclonal antibody therapies. In this study, a modified G12A-K-ras epitope (139A) with sequence-specific modifications to improve immunogenicity was developed as a potential vaccine against G12A-mutant KRAS cancers. Additionally, coupling of the 139A epitope with a tetanus toxoid (TTD) universal T-cell epitope to improve antigenicity was also reported. To facilitate convenient oral administration, Lactococcus lactis, which possesses innate immunomodulatory properties, was chosen as a live gastrointestinal delivery vehicle. Recombinant L. lactis strains secreting a G12A mutated K-ras control and 139A with and without TTD fusion were generated for comparative immunogenicity assessment. BALB/c mice were immunized orally, and high survivability of L. lactis passage through the gastrointestinal tract was observed. Elevations in B-cell count with a concomitant titre of antigen-specific IgG and interferon-γ secreting T-cells were observed in the 139A treated mice group. Interestingly, an even higher antigen-specific IgA response and interferon-γ secreting T-cell counts were observed in 139A-TTD mice group upon re-stimulation with the G12A mutated K-ras antigen. Collectively, these results indicated that an antigen-specific immune response was successfully stimulated by 139A-TTD vaccine, and a TTD fusion was successful in further enhancing the immune responses.

Highlights

  • Kirsten Rat Sarcoma (KRAS) is one of the most frequently mutated human protooncogenes, and is highly prevalent in pancreatic, colorectal (CRC), prostate and non-smallcell lung carcinoma (NSCLC) [1]

  • Usp45 signal peptide (SP) was fused to the N-terminal of both control (G12A) and therapeutic (139A, 139A-tetanus toxoid (TTD)) K-ras mimotopes

  • The poor immunogenicity of cancer vaccines and immunotolerance towards selfantigens such as mutant K-ras has made them inefficient in triggering a strong immune response when administered without further sequence modifications

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Summary

Introduction

Kirsten Rat Sarcoma (KRAS) is one of the most frequently mutated human protooncogenes, and is highly prevalent in pancreatic, colorectal (CRC), prostate and non-smallcell lung carcinoma (NSCLC) [1]. This aberration predominantly occurs in codons 12 and 13 of the KRAS gene, with a G12A, G12V, G12C, G12D, or G13D substitution in CRC. KRAS belongs to the RAS family, which encodes for a GTP-binding protein. It functions as a reversible plasma membrane-localized molecular switch that controls several downstream effector pathways, such as the Ras-Raf-MEK-ERK, mTOR, and PI3K/AKT pathways, affecting cell differentiation, proliferation, arrest, and apoptosis [1,2]. Oncogenic mutations in K-ras typically alters the GTP binding region, resulting in the inability to hydrolyze GTP, locking K-ras in a perpetually active state

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