IntroductionNovel anti-cancer immune therapeutic strategies, like various new antibody formats and/or tumour vaccines, show promising results in patients.However, due to the ‘immune-escape phenomenon’ driven by tumor-secreted Transforming Growth Factor-beta (TGF-beta), the host immune system of cancer bearing patients frequently fails to control tumour re-growth.Real-Time Tumour Vaccincation (RealTVac) approach aims at avoiding this „immune-escape phenomenon‘ by intratumoral inhibition of active TGF-beta isotypes while simultanously and synergistically inducing an efficient immune response by a highly potent combination of immune stimulating factors.Material and methodsThe synergistic effects of the proposed combination of a TGF-beta inhibitor with immunostimulating cytokines are demonstrated in in-vitro and in-vivo experiments:Effects of RealTVac components (ALK5-Inhibitor SD208 combined with T-cell stimulating interleukin-2 (IL-2) and Dendritic Cell (DC)-stimulatingGranulocyte/Macrophage-Colony Stimulating Factor (GM-CSF) in a pharmaceutical composition upon human peripheral blood mononuclear cells (PBMCs) proliferation and allogeneous cytotoxicity against human malignant glioma cells were studied in-vitro (Cell Proliferation Assay, CARE-LASS Assay).Effects of intratumoral RealTVac components (see above) upon in-vivo growth of malignant melanoma were studied in a syngeneic B16-Mouse Model.Results and discussionsBoth, immune cell proliferation and tumour cell cytotoxicity were significantly enhanced using components of RealTVac therapy.Initial experiments in a syngenic B16 melanoma xenograft model in immunocompetent mice indicate that Real-Time Tumour Vaccination of established subcutaneous B16 tumour xenografts reduced local tumour growth compared to untreated controls.ConclusionReal-time tumour vaccination (RealTVac) activates human immune cells in vitro and inhibits growth of established B16 subcutaneous melanoma tumours in vivo.We hypothesised that local, intratumoral generation of tertiary lymphoid structures by combined activation of T-cells and DC by immunostimulating/-modulating cytokines in TGF-beta-free context induces the host anti-tumour immune responses to personalisedTumor-Associated Antigens (TAAs) in real-time mode.Thus, intratumoral immunisation as applied for RealTVac may create a new paradigm for cancer therapy in the near future (Marabelle et al., Clin. Cancer Res., 2014).
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