During the past few years, immune system-stimulating factors have emerged as promising means to treat malignant tumors. We aim to use cytokine-bearing oncolytic adenoviruses to improve and to extend the usage of adoptive T cell therapy, a treatment known to benefit a portion of melanoma and leukemia patients. Administered systemically or intratumorally the virus induces immune responses against the tumor by revealing tumor antigens, but immunostimulatory cytokines augment the effect further. We have shown that the most promising cytokines in this regard are interleukin (IL) -2 and Tumor Necrosis Factor alpha (TNFa). IL-2 is a common treatment for malignant melanoma and renal cell carcinoma, but systemic administration may lead to severe side effects. While IL-2 has a key role in recruiting and activating T cells, TNFa has prominent anti-immunosuppressive actions. Further, it directly promotes tumor cell death by apoptosis and necrosis. Armed oncolytic viruses accomplish local, long-lasting, high-level cytokine expression while systemic level remains low. Moreover, we have proven that adenoviruses enhance adoptive T cell therapy. In this study, we treated Syrian hamsters (Mesocricetus auratus) with Ad5/3-E2F-d24 virus bearing human IL-2, TNFa, or both in its E3 region. Hamster cell lines are semipermissive for 5/3-chimeric adenoviruses and produce active transgenes from these viruses. In addition, human IL-2 and TNFa are evidently active in hamsters. Hamster pancreatic cancer (HapT1) was implanted subcutaneously and treated once with TILs extracted from syngenic tumors, and with five viral injections. We saw synergy between unarmed virus and TILs, while the armed viruses turned out to be even more effective. When the cured animals were rechallenged with the same cancer cells, previous treatment with cytokine-armed viruses protected the animals against new tumors. Also, splenocytes derived from animals treated with cytokine-bearing viruses proliferated more actively ex vivo than the controls. To conclude, our data demonstrates the immunological benefit gained with viruses bearing IL-2 and TNFa, and further supports combining oncolytic viruses with adoptive cell transfer.
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