Intratumoral injection of the seasonal flu shot converts immunologically cold tumors to hot and serves as an immunotherapy for cancer

被引:144
作者
Newman, Jenna H. [1 ]
Chesson, C. Brent [1 ]
Herzog, Nora L. [1 ]
Bommareddy, Praveen K. [1 ]
Aspromonte, Salvatore M. [1 ]
Pepe, Russell [1 ,2 ]
Estupinian, Ricardo [1 ,3 ]
Aboelatta, Mones M. [1 ,4 ]
Buddhadev, Stuti [1 ]
Tarabichi, Saeed [2 ]
Lee, Michael [2 ]
Li, Shengguo [1 ]
Medina, Daniel J. [1 ]
Giurini, Eileena F. [3 ]
Gupta, Kajal H. [3 ]
Guevara-Aleman, Gabriel [3 ]
Rossi, Marco [3 ]
Nowicki, Christina [3 ]
Abed, Abdulkareem [3 ]
Goldufsky, Josef W. [3 ]
Broucek, Joseph R. [3 ,5 ]
Redondo, Raquel E. [3 ,6 ]
Rotter, David [1 ]
Jhawar, Sachin R. [1 ,7 ]
Wang, Shang-Jui [1 ]
Kohlhapp, Frederick J. [1 ]
Kaufman, Howard L. [8 ,9 ]
Thomas, Paul G. [10 ,11 ]
Gupta, Vineet [3 ]
Kuzel, Timothy M. [3 ]
Reiser, Jochen [3 ]
Paras, Joyce [1 ]
Kane, Michael P. [1 ]
Singer, Eric A. [1 ,2 ]
Malhotra, Jyoti [1 ]
Denzin, Lisa K. [12 ]
Sant'Angelo, Derek B. [12 ]
Rabson, Arnold B. [12 ]
Lee, Leonard Y. [2 ]
Lasfar, Ahmed [1 ,13 ]
Langenfeld, John [2 ]
Schenkel, Jason M. [14 ,15 ]
Fidler, Mary Jo [3 ]
Ruiz, Emily S. [16 ,17 ]
Marzo, Amanda L. [3 ]
Rudra, Jai S. [18 ]
Silk, Ann W. [19 ]
Zloza, Andrew [1 ,2 ,3 ]
机构
[1] Rutgers State Univ, Rutgers Canc Inst New Jersey, New Brunswick, NJ 08901 USA
[2] Rutgers State Univ, Rutgers Robert Wood Johnson Med Sch, Dept Surg, New Brunswick, NJ 08901 USA
[3] Rush Univ, Med Ctr, Sect Hematol Oncol & Cell Therapy, Dept Internal Med, Chicago, IL 60612 USA
[4] Columbia Univ, Irving Med Ctr, Inst Genom Med, New York, NY 10032 USA
[5] Vanderbilt Univ, Med Ctr, Dept Surg, Nashville, TN 37232 USA
[6] Franciscan Hlth, Dept Surg, Munster, IN 46321 USA
[7] Ohio State Univ, Arthur G James Comprehens Canc, Dept Radiat Oncol, Columbus, OH 43210 USA
[8] Massachusetts Gen Hosp, Div Surg Oncol, Boston, MA 02114 USA
[9] Replimune Inc, Woburn, MA 01801 USA
[10] St Jude Childrens Res Hosp, Dept Immunol, Memphis, TN 38105 USA
[11] Univ Tennessee, Hlth Sci Ctr, Integrated Biomed Sci Program, Memphis, TN 38105 USA
[12] Rutgers Robert Wood Johnson Med Sch, Child Hlth Inst New Jersey, New Brunswick, NJ 08901 USA
[13] Rutgers State Univ, Ernest Mario Sch Pharm, Dept Pharmacol & Toxicol, Piscataway, NJ 08854 USA
[14] MIT, Koch Inst Integrat Canc Res, Cambridge, MA 02139 USA
[15] Brigham & Womens Hosp, Dept Pathol, Boston, MA 02115 USA
[16] Brigham & Womens Hosp, Dept Dermatol, Boston, MA 02130 USA
[17] Harvard Med Sch, Boston, MA 02115 USA
[18] Washington Univ, McKelvey Sch Engn, Dept Biomed Engn, St Louis, MO 63105 USA
[19] Dana Farber Canc Inst, Dept Med Oncol, Boston, MA 02215 USA
关键词
influenza; vaccine; cancer; intratumoral; flu shot; T-CELLS; INFLUENZA VACCINE; CLINICAL-RESPONSE; VIRUS-INFECTION; PD-1; MICE; LYMPHOCYTES; TOLERANCE; BLOCKADE; MELANOMA;
D O I
10.1073/pnas.1904022116
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Reprogramming the tumor microenvironment to increase immune mediated responses is currently of intense interest. Patients with immune-infiltrated "hot" tumors demonstrate higher treatment response rates and improved survival. However, only the minority of tumors are hot, and a limited proportion of patients benefit from immunotherapies. Innovative approaches that make tumors hot can have immediate impact particularly if they repurpose drugs with additional cancer-unrelated benefits. The seasonal influenza vaccine is recommended for all persons over 6 mo without prohibitive contraindications, including most cancer patients. Here, we report that unadjuvanted seasonal influenza vaccination via intratumoral, but not intramuscular, injection converts "cold" tumors to hot, generates systemic CD8(+) T cell-mediated antitumor immunity, and sensitizes resistant tumors to checkpoint blockade. Importantly, intratumoral vaccination also provides protection against subsequent active influenza virus lung infection. Surprisingly, a squalene-based adjuvanted vaccine maintains intratumoral regulatory B cells and fails to improve antitumor responses, even while protecting against active influenza virus lung infection. Adjuvant removal, B cell depletion, or IL-10 blockade recovers its antitumor effectiveness. Our findings propose that antipathogen vaccines may be utilized for both infection prevention and repurposing as a cancer immunotherapy.
引用
收藏
页码:1119 / 1128
页数:10
相关论文
共 60 条
[1]   PD-1 and PD-L1 Checkpoint Signaling Inhibition for Cancer Immunotherapy: Mechanism, Combinations, and Clinical Outcome [J].
Alsaab, Hashem O. ;
Sau, Samaresh ;
Alzhrani, Rami ;
Tatiparti, Katyayani ;
Bhise, Ketki ;
Kashaw, Sushil K. ;
Iyer, Arun K. .
FRONTIERS IN PHARMACOLOGY, 2017, 8
[2]   Dissection of T-cell Antigen Specificity in Human Melanoma [J].
Andersen, Rikke Sick ;
Thrue, Charlotte Albaek ;
Junker, Niels ;
Lyngaa, Rikke ;
Donia, Marco ;
Ellebaek, Eva ;
Svane, Inge Marie ;
Schumacher, Ton N. ;
Straten, Per Thor ;
Hadrup, Sine Reker .
CANCER RESEARCH, 2012, 72 (07) :1642-1650
[3]  
[Anonymous], 2011, ANIM RES GUIDE CARE
[4]  
[Anonymous], 1909, Mr J WARRINGTON HAWARD, DOI [10.1177/003591571000301601, DOI 10.1177/003591571000301601]
[5]   IFN-γ-related mRNA profile predicts clinical response to PD-1 blockade [J].
Ayers, Mark ;
Lunceford, Jared ;
Nebozhyn, Michael ;
Murphy, Erin ;
Loboda, Andrey ;
Kaufman, David R. ;
Albright, Andrew ;
Cheng, Jonathan D. ;
Kang, S. Peter ;
Shankaran, Veena ;
Piha-Paul, Sarina A. ;
Yearley, Jennifer ;
Seiwert, Tanguy Y. ;
Ribas, Antoni ;
McClanahan, Terrill K. .
JOURNAL OF CLINICAL INVESTIGATION, 2017, 127 (08) :2930-2940
[6]   Understanding the tumor immune microenvironment (TIME) for effective therapy [J].
Binnewies, Mikhail ;
Roberts, Edward W. ;
Kersten, Kelly ;
Chan, Vincent ;
Fearon, Douglas F. ;
Merad, Miriam ;
Coussens, Lisa M. ;
Gabrilovich, Dmitry I. ;
Ostrand-Rosenberg, Suzanne ;
Hedrick, Catherine C. ;
Vonderheide, Robert H. ;
Pittet, Mikael J. ;
Jain, Rakesh K. ;
Zou, Weiping ;
Howcroft, T. Kevin ;
Woodhouse, Elisa C. ;
Weinberg, Robert A. ;
Krummel, Matthew F. .
NATURE MEDICINE, 2018, 24 (05) :541-550
[7]   Learning from PD-1 Resistance: New Combination Strategies [J].
Bu, Xia ;
Mahoney, Kathleen M. ;
Freeman, Gordon J. .
TRENDS IN MOLECULAR MEDICINE, 2016, 22 (06) :448-451
[8]  
Centers for Disease Control and Prevention (CDC), EST INFL VACC COV AD
[9]   Pan-tumor genomic biomarkers for PD-1 checkpoint blockade-based immunotherapy [J].
Cristescu, Razvan ;
Mogg, Robin ;
Ayers, Mark ;
Albright, Andrew ;
Murphy, Erin ;
Yearley, Jennifer ;
Sher, Xinwei ;
Liu, Xiao Qiao ;
Lu, Hongchao ;
Nebozhyn, Michael ;
Zhang, Chunsheng ;
Lunceford, Jared ;
Joe, Andrew ;
Cheng, Jonathan ;
Webber, Andrea L. ;
Ibrahim, Nageatte ;
Plimack, Elizabeth R. ;
Ott, Patrick A. ;
Seiwert, Tanguy ;
Ribas, Antoni ;
McClanahan, Terrill K. ;
Tomassini, Joanne E. ;
Loboda, Andrey ;
Kaufman, David .
SCIENCE, 2018, 362 (6411) :197-+
[10]   Intratumoral delivery of inactivated modified vaccinia virus Ankara (iMVA) induces systemic antitumor immunity via STING and Batf3-dependent dendritic cells [J].
Dai, Peihong ;
Wang, Weiyi ;
Yang, Ning ;
Serna-Tamayo, Cristian ;
Ricca, Jacob M. ;
Zamarin, Dmitriy ;
Shuman, Stewart ;
Merghoub, Taha ;
Wolchok, Jedd D. ;
Deng, Liang .
SCIENCE IMMUNOLOGY, 2017, 2 (11)