Abstract

BackgroundListeria monocytogenes is a promising therapeutic vaccine vector for cancer immunotherapy. Although highly attenuated, three cases of systemic listeriosis have been reported in people following treatment with Listeria-based therapeutic vaccines. This complication has thus far not been reported in canine patients.Case presentationA dog previously diagnosed with osteoblastic osteosarcoma was presented for care following administration of three doses of the Canine Osteosarcoma Vaccine-Live Listeria Vector. On routine staging chest radiographs, mild sternal lymphadenopathy and a right caudoventral thoracic mass effect were noted. Further evaluation of the mass effect with computed tomography and ultrasound revealed a cavitated mass associated with the 7th right rib. Aspirates of the mass cultured positive for Listeria monocytogenes. The mass and associated ribs were surgically removed. Histopathology was consistent with metastatic osteoblastic osteosarcoma. Treatment was continued with doxorubicin chemotherapy and at the time of publication, the dog was alive over 1 year following diagnosis with no evidence of further disease progression. Genotyping of the abscess-derived L. monocytogenes was consistent with the vaccine strain.ConclusionsThis case represents the first veterinary case to describe development of a Listeria abscess following administration of a Listeria-based therapeutic vaccine.

Highlights

  • Listeria monocytogenes is a promising therapeutic vaccine vector for cancer immunotherapy

  • Listeria monocytogenes is a facultative intracellular bacterium that is capable of activating strong CD8 and CD4 T-lymphocyte responses via dual presentation on major histocompatibility complex molecules class I and II [3]

  • Case description A 6-year-old, male-castrated English Pointer was presented to the Iowa State University Hixson-Lied Small Animal Hospital for evaluation following three planned administrations of the conditionally licensed Canine Osteosarcoma Vaccine-Live Listeria Vector (COV-LLV) (Aratana Therapeutics, Inc.)

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Summary

Introduction

Listeria monocytogenes is a promising therapeutic vaccine vector for cancer immunotherapy. Conclusions: This case represents the first veterinary case to describe development of a Listeria abscess following administration of a Listeria-based therapeutic vaccine. [2] In this clinical study of 18 patients, the median survival time was significantly longer for those that received the vaccine in addition to standard-of-care amputation and chemotherapy (956 days) compared to a historical control group treated with standard-of-care alone (423 days; P = .014) [2].

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