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Exploiting 4-1BB immune checkpoint to enhance the efficacy of oncolytic virotherapy for diffuse intrinsic pontine gliomas
Virginia Laspidea, Montserrat Puigdelloses, Sara Labiano, Lucía Marrodán, Marc Garcia-Moure, Marta Zalacain, Marisol Gonzalez-Huarriz, Naiara Martínez-Vélez, Iker Ausejo-Mauleon, Daniel de la Nava, Guillermo Herrador-Cañete, Javier Marco-Sanz, Elisabeth Guruceaga, Carlos E. de Andrea, María Villalba, Oren Becher, Massimo Squatrito, Verónica Matía, Jaime Gállego Pérez-Larraya, Ana Patiño-García, Sumit Gupta, Candelaria Gomez-Manzano, Juan Fueyo, Marta M. Alonso
Virginia Laspidea, Montserrat Puigdelloses, Sara Labiano, Lucía Marrodán, Marc Garcia-Moure, Marta Zalacain, Marisol Gonzalez-Huarriz, Naiara Martínez-Vélez, Iker Ausejo-Mauleon, Daniel de la Nava, Guillermo Herrador-Cañete, Javier Marco-Sanz, Elisabeth Guruceaga, Carlos E. de Andrea, María Villalba, Oren Becher, Massimo Squatrito, Verónica Matía, Jaime Gállego Pérez-Larraya, Ana Patiño-García, Sumit Gupta, Candelaria Gomez-Manzano, Juan Fueyo, Marta M. Alonso
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Research Article Immunology Oncology

Exploiting 4-1BB immune checkpoint to enhance the efficacy of oncolytic virotherapy for diffuse intrinsic pontine gliomas

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Abstract

Diffuse intrinsic pontine gliomas (DIPGs) are aggressive pediatric brain tumors, and patient survival has not changed despite many therapeutic efforts, emphasizing the urgent need for effective treatments. Here, we evaluated the anti-DIPG effect of the oncolytic adenovirus Delta-24-ACT, which was engineered to express the costimulatory ligand 4-1BBL to potentiate the antitumor immune response of the virus. Delta-24-ACT induced the expression of functional 4-1BBL on the membranes of infected DIPG cells, which enhanced the costimulation of CD8+ T lymphocytes. In vivo, Delta-24-ACT treatment of murine DIPG orthotopic tumors significantly improved the survival of treated mice, leading to long-term survivors that developed immunological memory against these tumors. In addition, Delta-24-ACT was safe and caused no local or systemic toxicity. Mechanistic studies showed that Delta-24-ACT modulated the tumor-immune content, not only increasing the number, but also improving the functionality of immune cells. All of these data highlight the safety and potential therapeutic benefit of Delta-24-ACT the treatment of patients with DIPG.

Authors

Virginia Laspidea, Montserrat Puigdelloses, Sara Labiano, Lucía Marrodán, Marc Garcia-Moure, Marta Zalacain, Marisol Gonzalez-Huarriz, Naiara Martínez-Vélez, Iker Ausejo-Mauleon, Daniel de la Nava, Guillermo Herrador-Cañete, Javier Marco-Sanz, Elisabeth Guruceaga, Carlos E. de Andrea, María Villalba, Oren Becher, Massimo Squatrito, Verónica Matía, Jaime Gállego Pérez-Larraya, Ana Patiño-García, Sumit Gupta, Candelaria Gomez-Manzano, Juan Fueyo, Marta M. Alonso

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Figure 5

Modulation of the tumor microenvironment by Delta-24-ACT treatment.

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Modulation of the tumor microenvironment by Delta-24-ACT treatment.
(A) ...
(A) Schedule of mechanistic studies in the NP53 model. NP53 cells were engrafted (day –3), and animals were treated with a mock control or Delta-24-ACT (106 PFUs) 3 days later. Animals were sacrificed 3 (3D), 7 (7D) or 10 (10D) days later for flow cytometry and 15 (15D) days later for NanoString and IHC multiplex analyses. (B) Representative heatmap of transcriptome profiling using gene set enrichment analysis of murine DIPG tumors from mock-treated and Delta-24-ACT–treated mice (n = 3) using the 770-gene pancancer immunoprofile panel in NanoString. (C) Flow cytometry analyses of different immune cell populations in the brains of mice bearing NP53 tumors on the indicated days after treatment with Delta-24-ACT (blue) or PBS (black). Data are shown as number of cells/mg tumor. Two-way ANOVA was performed, and P values are shown above respective bars. (D) CD137 expression (percentage) in T cell populations and NK cells 7 days after viral treatment. Multiple comparisons t test was performed (n = 4 each group), and P values are shown above respective bars. Data are shown as the mean ± SEM. (E) Flow cytometry analyses of different activation (GITR, OX40, CD69) and exhaustion (PD-1) markers were performed in the CD8+ and CD4+ cell subsets at 7 days after viral administration. Data are shown as the mean ± SEM (n = 4 each group), and P values are shown above respective bars. (F) The brains of mice bearing NP53 cells were subjected to multiplexed immunofluorescence analysis to detect the following immune cell markers: CD8 (light blue), CD4 (green), Foxp3 (yellow), CD31 (orange), F4/80 (red), and GFAP (pink). The nuclei were counterstained with DAPI (blue). Representative micrograph are shown (n = 3) Original magnification, ×20.

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