Abstract

BackgroundDNA vaccines against cancer held great promises due to the generation of a specific and long-lasting immune response. However, when used as a single therapy, they are not able to drive the generated immune response into the tumor, because of the immunosuppressive microenvironment, thus limiting their use in humans. To enhance DNA vaccine efficacy, we combined a new poly-epitope DNA vaccine encoding melanoma tumor associated antigens and B16F1-specific neoantigens with an oncolytic virus administered intratumorally.MethodsGenomic analysis were performed to find specific mutations in B16F1 melanoma cells. The antigen gene sequences were designed according to these mutations prior to the insertion in the plasmid vector. Mice were injected with B16F1 tumor cells (n = 7–9) and therapeutically vaccinated 2, 9 and 16 days after the tumor injection. The virus was administered intratumorally at day 10, 12 and 14. Immune cell infiltration analysis and cytokine production were performed by flow cytometry, PCR and ELISPOT in the tumor site and in the spleen of animals, 17 days after the tumor injection.ResultsThe combination of DNA vaccine and oncolytic virus significantly increased the immune activity into the tumor. In particular, the local intratumoral viral therapy increased the NK infiltration, thus increasing the production of different cytokines, chemokines and enzymes involved in the adaptive immune system recruitment and cytotoxic activity. On the other side, the DNA vaccine generated antigen-specific T cells in the spleen, which migrated into the tumor when recalled by the local viral therapy. The complementarity between these strategies explains the dramatic tumor regression observed only in the combination group compared to all the other control groups.ConclusionsThis study explores the immunological mechanism of the combination between an oncolytic adenovirus and a DNA vaccine against melanoma. It demonstrates that the use of a rational combination therapy involving DNA vaccination could overcome its poor immunogenicity. In this way, it will be possible to exploit the great potential of DNA vaccination, thus allowing a larger use in the clinic.

Highlights

  • Tumor immunogenicity is patient specific but inherently specific to the individual tumor itself [1]

  • CpG-enriched oncolytic adenovirus and poly-epitope Poly-epitope DNA vaccine (pDNA) vaccine synergy enhanced tumor regression in melanoma-bearing mice To improve the efficacy of DNA vaccination, a pDNA vaccine made of a mix of 4 plasmids encoding 2 melanoma tumor associated antigens (TAAs) and 3 neoantigens (Additional file 1) was injected and electroporated in the tibialis muscle of mice and combined with a CpG-enriched Oncolytic Adenovirus (OAd) virus [21], administered intratumorally (IT) (Fig. 1a)

  • PDNA and OAd increased the immune cell infiltration in the tumor microenvironment (TME); their combination allowed higher antigenspecific T cell infiltration and NK activity To study the mechanism underpinning the synergy between the plasmid and the oncolytic virus therapy, infiltration of immune cells was assessed in the tumors of mice 17 days after the tumor injection (Fig. 2)

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Summary

Introduction

Tumor immunogenicity is patient specific but inherently specific to the individual tumor itself [1]. Cancer vaccines allow the delivery of different tumor associated antigens (TAAs) and neoantigens that can be tailored to the individual tumor [2]. DNA vaccines alone fail to drive a strong immune response in the tumor, probably due to the highly immunosuppressive tumor microenvironment (TME) [8, 14]. For this reason, DNA cancer immunization usually needs the coadministration of other immunotherapeutic agents able to drive the generated immune response in the tumor border [1, 14]. To enhance DNA vaccine efficacy, we combined a new poly-epitope DNA vaccine encoding melanoma tumor associated antigens and B16F1-specific neoantigens with an oncolytic virus administered intratumorally

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