Two distinct pathways of immuno-modulation improve potency of p53 immunization in rejecting established tumors

Cancer Res. 2004 Aug 1;64(15):5407-14. doi: 10.1158/0008-5472.CAN-04-0169.

Abstract

The p53 gene product is overexpressed by almost 50% of cancers, making it an ideal target for cancer immunotherapy. We previously demonstrated rejection of established p53-overexpressing tumors without stimulating autoimmunity by immunization with modified vaccinia Ankara-expressing murine p53 (MVAp53). Tumor rejection was enhanced through antibody-mediated CTL-associated antigen 4 (CTLA-4) blockade. We examined the role of synthetic oligodeoxynucleotides (ODN) containing unmethylated cytosine-phosphate-guanine (CpG) motifs (CpG ODN) in enhancing MVAp53-mediated tumor rejection. CpG ODN with MVAp53 resulted in tumor rejection in BALB/c mice bearing poorly immunogenic 11A-1 murine mammary carcinomas or Meth A sarcomas and C57Bl/6 mice bearing MC-38 colon carcinomas. The effect was similar to that seen in tumor-bearing mice treated with MVAp53 along with CTLA-4 blockade. Monoclonal antibody depletion experiments demonstrated that the adjuvant effects of CpG ODN and CTLA-4 blockades were CD8 dependent. CpG ODN were partially natural killer cell dependent and ineffective in Toll-like Receptor 9(-/-) and interleukin 6(-/-) mice, whereas CTLA-4 blockade was partially CD4 dependent and functional in Toll-like Receptor 9(-/-) and interleukin 6(-/-) mice. In addition, when administered with MVAp53, both adjuvants enhanced p53-specific cytotoxicity and demonstrated an additive effect when combined. The combination of CpG ODN and CTLA-4 blockade worked synergistically to reject palpable 11A-1 and MC-38 tumors. These experiments demonstrate the potential for augmenting MVAp53-mediated antitumor immunity using CpG ODN and CTLA-4 blockade. This cell-free immunotherapy approach is a candidate for evaluation in cancer patients.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adjuvants, Immunologic / pharmacology
  • Adjuvants, Immunologic / therapeutic use
  • Animals
  • Antibodies, Monoclonal / metabolism
  • Antigens, CD
  • Antigens, Differentiation / chemistry
  • CD8-Positive T-Lymphocytes / immunology*
  • CTLA-4 Antigen
  • Cells, Cultured
  • Colonic Neoplasms / genetics
  • Colonic Neoplasms / immunology
  • Colonic Neoplasms / therapy*
  • Combined Modality Therapy
  • Cricetinae
  • Cytotoxicity Tests, Immunologic
  • DNA-Binding Proteins / genetics
  • DNA-Binding Proteins / physiology
  • Drug Synergism
  • Female
  • Homozygote
  • Humans
  • Immunization
  • Interleukin-6 / genetics
  • Interleukin-6 / physiology
  • Killer Cells, Natural / immunology
  • Killer Cells, Natural / metabolism
  • Mammary Neoplasms, Animal / genetics
  • Mammary Neoplasms, Animal / immunology
  • Mammary Neoplasms, Animal / therapy*
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Oligodeoxyribonucleotides / pharmacology
  • Receptors, Cell Surface / genetics
  • Receptors, Cell Surface / physiology
  • Sarcoma, Experimental / genetics
  • Sarcoma, Experimental / immunology
  • Sarcoma, Experimental / therapy*
  • Signal Transduction*
  • Toll-Like Receptor 9
  • Tumor Suppressor Protein p53 / genetics
  • Tumor Suppressor Protein p53 / pharmacology*

Substances

  • Adjuvants, Immunologic
  • Antibodies, Monoclonal
  • Antigens, CD
  • Antigens, Differentiation
  • CPG-oligonucleotide
  • CTLA-4 Antigen
  • CTLA4 protein, human
  • Ctla4 protein, mouse
  • DNA-Binding Proteins
  • Interleukin-6
  • Oligodeoxyribonucleotides
  • Receptors, Cell Surface
  • TLR9 protein, human
  • Tlr9 protein, mouse
  • Toll-Like Receptor 9
  • Tumor Suppressor Protein p53