[0001] This application is a regular application filed under 35 USC § 111(a), claiming priority from U.S. Provisional Application No. 60/044,005 filed Mar. 21, 1997.
[0003] Cytokine gene transfer to tumor cells has been used to increase local production of these immune modulating proteins, with the aim of enhancing tumor immunogenicity and consequent host recognition and elimination of tumor (Dranoff et al. 1993; Gansbacher et al. 1992). Production of irradiated, non-dividing tumor cells secreting cytokines such as Interleukin-2 (IL-2), gamma-interferon (γ-IFN), or granulocyte macrophage-colony stimulating factor (GM-CSF) represents a potential therapeutic strategy for treatment of malignant disease (Saito et al. 1994; Dranoff et al. 1993; Gansbacher et al. 1992), and one that is currently being evaluated in clinical trials (Lotze et al. 1994; Seigler et al. 1994; Rosenberg et al. 1992). Many methods have been examined for gene transfer (Davidson et al. 1993; Drazan et al. 1994; Yang et al. 1995; Paquereau & Le Cam, 1992; Jarnagin et al. 1992); the most successful have been those using retroviral vectors (Dranoff et al. 1993; Gansbacher et al. 1992).
[0004] An impediment to the production of autologous tumor vaccines has been logistic problems surrounding gene transfer to freshly harvested tumors. The most widely utilized approach for gene transfer to tumors relies on retroviral vectors, which are relatively inefficient and require replicating cells for gene expression (Wilson et al. 1988). The production of an autologous vaccine using retroviral vectors requires placing harvested tumor in tissue culture before in vitro transduction, selection, and isolation of the minority of cells in which gene transfer was successful. Such a process is therefore lengthy, expensive, and fraught with technical problems of establishing and maintaining primary cell culture. These difficulties have forced investigators to examine as alternative vaccine strategies the administration of established allogeneic cytokine secreting tumor cell lines (Patel et al. 1994), use of other vectors for gene transfer such as adenoviral vectors (Drazan et al. 1994; Yang et al. 1995), or the administration of cytokine-producing fibroblast cell lines along with the autologous tumor cells (Lotze et al. 1994).
[0005] It is an object of the present invention to provide a method for rapid production of autologous tumor vaccines which can be completed within hours, for example in less than four hours, permitting rapid treatment of tumor patients.
[0006] It is a further object of the invention to provide a method for rapid production with autologous tumor vaccines which can be applied to tumor cells in vivo without requiring surgical removal of tumor material.
[0007] It is still a further object of the present invention to provide compositions useful in the methods of the invention.
[0008] In accordance with the present invention an autologous vaccine to tumor cells is produced by transducing the tumor cells with a herpes simplex virus amplicon containing the gene for an immunomodulating protein to provide transient expression of the immunomodulating protein by the cells. The tumor cells may be transduced with the herpes simplex amplicons ex vivo or in vivo. Preferred immunomodulating protein used in the method of the invention include cytokines such as RANTES (a chemokine), interleukin-2 and GM-CSF, intracellular adhesion molecules such as ICAM-1, and costimulatory factors such as B7.1.
[0009] A particularly important aspect of the present invention is the fact that tumor cells may be readily transduced with a combination of amplicons containing genes for two or more different immunomodulating proteins, for example interleukin-2 and interleukin 12 or RANTES and B7.1. This greatly facilitates the production of multiply transduced cells for multi-targeted therapy.
[0010] FIGS.
[0011] FIGS.
[0012] FIGS.
[0013]
[0014]
[0015]
[0016]
[0017]
[0018]
[0019]
[0020]
[0021] FIGS.
[0022]
[0023] FIGS.
[0024] Herpes simplex virus (HSV) is a DNA virus capable of rapidly and efficiently infecting a wide variety of cell types (Leib & Olivo, 1993; Geiler & Federoff, 1991). Plasmid-based viral vectors derived from HSV, termed amplicons, are easily constructed and packaged into viral particles. The present invention uses herpes simplex virus amplicons containing genes encoding for immunomodulating proteins to transduce tumor cells with high efficiency either ex vivo or in vivo.
[0025] As used herein, the term “immunomodulating proteins” refers to a class of protein or peptide molecules which, when expressed by a target cell, enhance the development of an immune response to that cell. The term includes cytokines, including chemokines; intercellular adhesion molecules, and costimulatory factors necessary for activation of B or T cells.
[0026] Cytokines which may be used as immunomodulating proteins in the invention include but are not limited to interleukins, such as interleukin-2 (IL-2), interleukin-12 (IL-12); interferons, for example gamma interferon (γ-IFN), granulocyte macrophage colony-stimulating factor (GM-CSF) and tumor necrosis factor alpha (TNF-α). The immunomodulating protein may also be a chemokine such as RANTES, which is a β or C—C chemokine, that functions as a chemoattractant and activator for monocytes and macrophages. Other C—C chemokines, such as MCP-1, -2, and -3, DC-CK1 and MIP-1α, -3α, -β and -3β, and α or C—X—C chemokines such as IL-8, SDF-1β, 8DF-1α, GRO, PF-4 and MIP-2 could also be used. Other chemokines useful in the method are C family, for example lympotactin and CX3C family, for example fractal kine, chemokines.
[0027] Intercellular adhesion molecules are transmembrane proteins within the Ig superfamily that act as mediators of adhesion of leukocytes to vascular endothelium and to one another. A preferred intercellular adhesion molecule for use in the invention is ICAM-1 (also known as CD54), although other cell adhesion molecules that binds to T or B cells, including ICAM-2 and -3 could also be used.
[0028] Costimulatory factors which may be used as the immunomodulatory protein in the present invention are cell surface molecules other than an antigen receptor and its ligand that are required for an efficient response of lymphocytes to an antigen. Examples of such costimulatory factors include B7 (also knows as CD80).
[0029] HSV vector systems are efficient vehicles for gene transfer to tumor cells. In experiments using HSVlac, over 50% of the target cells are transduced using an MOI of 1. The efficiency of transduction is further reflected by the high levels of IL-2 produced by HSVil2-transduced cells. Production of levels greater than 1 μg/10
[0030] A major advantage of using HSV vectors for gene transfer is the ability to transduce non-replicating or slowly replicating cells (Geller & Federoff, 1991). This physical property of HSV translates into important clinical advantages. Freshly isolated tumor cells may be transduced without the need to provide a tissue culture environment conducive to cell replication. This advantage is clearly demonstrated by the rapidity with which freshly harvested human tumors were transduced in the current experiments. Within 20 min, efficient gene transfer was produced, suggesting that vaccines prepared by this method could be ready for administration to patients within a single operative procedure. That HSV-mediated gene transfer is independent of cell division and is supported by a transduction efficiency that was not reduced by prior irradiation of tumor cells. Thus, gene transfer to tumor cells may be performed either before or after radiation according to irradiation source availability, providing greater flexibility in the clinical care of patients.
[0031] HSV-immunomodulatory protein amplicons and cells transduced with such amplicons are able to confer specific antitumor immunity that protects against tumor growth in vivo. The amplicons may be introduced indirectly by administration of transduced cells into a living organism or patient (mammalian, including human). Alternatively, the HSV-immunomodulatory protein amplicon may be introduced directly into tumor tissue (e.g. by peritumoral injection) within a living organism or patient to generate an antitumor immunity which leads to reduction in tumor size. This latter approach is useful, for example, in the case of inoperable tumors.
[0032] In accordance with the present invention, HSV-immunomodulatory protein amplicons may be administered, directly or indirectly, as individual species in order to provide a therapeutic and/or prophylactic benefit. For example, as described in the examples set forth herein, it has been determined that administration of HSV-immunomodulatory protein amplicons encoding cytokines such as IL-2, GM-CSF and RANTES, intercellular adhesion molecules such as ICAM-1 and costimulatory factors such as B7.1 all provide therapeutic benefit in the form of reduction or preexisting tumor size, a vaccine-effect protecting against tumor growth after a subsequent challenge, or both.
[0033] HSV-immunomodulatory protein amplicons may also be administered, directly or indirectly, with other species of HSV-immunomodulatory transduced cells or in combination with cytokine therapy. Such administrations may be concurrent or they may be done sequentially. Thus, in one embodiment of the invention, HSV amplicons or cells transformed with an HSV amplicon encoding an immunomodulatory protein are injected into a living organism or patient, after a pre-treatment with a therapeutically effective amount of a cytokine. Both HSVil2 and HSVgm-csf have been shown to have increased efficacy when administered following a pretreatment of γ-IFN.
[0034] In another embodiment of the invention, populations of HSV amplicons or cells transduced with HSV amplicons encoding a plurality of different immunomodulatory proteins may be coadministered to the subject. For example, populations of tumor cells transduced with HSVil2 and HSVil12 may be coadministered. As shown in the examples, such coadministration is somewhat more effective than administration of individual populations. Coadministration of cells expressing these two cytokines appears to be most effective, however, when a single population of cells that has been transduced with two different cytokine-encoding amplicons is used. Such populations can be made either with separate amplicons species, one encoding each immunomodulatory protein, or which a single amplicon species encoding a plurality of immunomodulatory proteins.
[0035] The ability to use separate amplicon species to transduce cells to produce multiple immunomodulatory proteins is a major advantage over prior methods, such as use of retroviral vectors, for introduction of genetic material into target cells. In these prior methods, the frequency of transduction is so low that no reasonable percentage of cells would be tranduced with multiple genes if two or more separate viral vectors were used. Therefore, therapies of this type require the preparation of a unique and complicated construct containing multiple genes for each separate form of multi-targeted gene therapy. Using the method of the present invention, however, each target gene can be constructed in its own amplicon, and multi-transduced cells produced by simply mixing combinations of desired amplicon species.
[0036] Another example of the benefits of coadministration of a plurality of HSV-immunomodulatory protein amplicons is seen with the chemokine RANTES and the costimulatory factor B7.1. Although peritumoral administration of either HSVB7.1 or HSVrantes resulted in tumor rejection is a significant number of test subjects, when HSV amplicons encoding these two immunomodulatory proteins are combined, an increased number of animals reject the tumors.
[0037] Thus, the present invention provides a method for production of autologous vaccine to tumor cells comprising transducing the tumor cells with a herpes simplex virus amplicon containing the gene for an immunomodulatory protein to provide transient expression of the immunomodulatory protein by the cells. The tumor cells may be transduced with the herpes simplex amplicons ex vivo or the may be transduced with the herpes simplex amplicons in vivo. The tumor cells may be transduced with one or more species of amplicon containing the genes for more than one kind of immunomodulatory protein and expressing more than one kind of immunomodulatory protein.
[0038] The invention also provides a method for inducing a protective immune response to tumor cells in a patient (animal or human) comprising the step of transducing the tumor cells with a herpes simplex virus amplicon containing the gene for at least one immunomodulatory protein to provide transient expression of the immunomodulatory protein by the cells. The tumor cells may be transduced with the amplicon ex vivo, in which case the method further comprises the step of introducing the transduced tumor cells into the patient. The tumor cells may also be transduced in vivo by injecting the HSV amplicons into the site of the tumor cells.
[0039] The invention also provides a method for production of an autologous vaccine to tumor cells comprising transducing the tumor cells with one or more species herpes simplex virus amplicon containing the gene for an immunomodulatory protein and at least one additional therapeutic gene to provide transient expression of the immunomodulatory protein and the therapeutic gene product by the cells. As noted from the specific examples in this application, the additional gene may be a gene encoding a second immunomodulatory protein. However, the therapeutic gene product is not limited to immunomodulatory proteins, and may include any protein or peptide which it is desirable to have expressed by autologous tumor vaccine cells. Thus, for example, the gene might code for an enzyme which is used for pro-drug conversion (for example, thymidine kinase), or for a protein which promotes apoptosis (BAX or BCLX
[0040] The invention also provides HSV amplicons which contain the gene for one or more immunomodulatory proteins, and cells transduced with such amplicons.
[0041] The invention will now be further described with reference to the specific examples which follow. It should be understood, however, that these are merely offered as examples and are not intended to limit the scope of the invention. Thus, other immunomodulatory proteins not specifically mentioned, and other combinations of immunomodulatory proteins, including combination of three or more immunomodulatory proteins may be used and are considered to be within the scope of the present invention as defined in the claims of this application.
[0042] Herpes viral vectors: construction and packaging: The replication defective HSV amplicon vector expressing human IL-2 was constructed by directionally cloning the gene, excised from r-IL-2 (Saito et al. 1994) with Sac I and EcoRI, into HSV PrPUC (Bergold et al. 1993) digested with the same enzymes. The HSV vector expressing β-galactosidase (HSVlac) has been previously described (Geller & Breakefield, 1988). Both amplicon vectors were packaged as previously described (Federoff, 1996; Geller & Breakefield, 1988). HSVPrPUC contains the HSV immediate early 4/5 promoter, a multiple cloning site and SV40 A sequence and has been described previously (Paterson & Everett, 1990; Johnson et al. 1992; Xu et al. 1994; Linnik et al. 1995; Bergold et al. 1993). The RR1 cells used for packaging HSV amplicons were maintained in Dulbecco's modified Eagle's medium (DMEM) containing high glucose (HG, 4.5 g/l), 10% FCS, 1% penicillin/streptomycin and 400 μg/ml of bioactive geneticin (G418, Gibco) at 37° C., 5% CO
[0043] Titers of amplicon stocks: HSVlac titers were between 2×10
[0044] Murine hepatoma cells were transduced ex vivo using amplicons prepared as in example 1. Murine HEPA 1-6 hepatoma cells (ATCC, Rockville, Md.) were maintained in DMEM+HG+10% FCS. This is a non-immunogenic hepatoma cell line (Engvall et al. 1977). Cells were plated at either 2 or 10×10
[0045] The results of these experiments on the efficiency of gene transfer according to the invention are summarized in
[0046] Although IL-2 secretory rates from HSVil2-infected hepatoma cells were appreciable and in the range previously demonstrated to be immunomodulatory, it was possible that additional IL-2 might remain in an intracellular compartment. To address this issue, IL-2 measurements were made on infected cell lysates and compared with the levels found in media conditioned by these cells (
[0047] Because radiation treatment of tumor cells has been viewed as an important part of producing non-dividing tumor vaccines, the affects of the timing of cell irradiation relative to HSV infection on gene transfer efficiency was investigated. As shown in
[0048] Human tumor cells were transduced in vitro using an amplicon containing the interleukin-2 gene produced in accordance with Example 1. This study was performed with approval and under the guidelines of the Institutional Review Board of the Memorial Sloan-Kettering Cancer Center. Tumor biopsies of approximately 5 grams were obtained from four patients undergoing liver resection for hepatobiliary malignancies. The patient characteristics are listed in Table 1. All specimens were removed prior to any vascular interruption or Pringle maneuvers. Histologic verification of tumor was obtained in all cases. Tumor specimens were immediately placed in cold (4° C.) RPMI-1640 for transport to the laboratory. Each specimen was then mixed into fine pieces and treated with 0.125% trypsin/0.125% EDTA in PBS without Ca″ or Mg″ for 5 min. The treated tumor was then teased apart and filtered through a sterile 85 μm nylon mesh into RPMI-1640 medium (4° C.) containing 10% human serum. Freshly-isolated cells in suspension were irradiated at 10,000 rads at room temperature with a 6-mV Varian CL6-100 linear accelerator at a dose rate of 100 rads/min. Aliquots of 10
[0049] While no IL-2 was produced by any of these tumor cells prior to HSVil2 infection (Table 1), infection with HSVil2 resulted in IL-2 production by cells from all four of the tumors. In addition, as with the murine hepatoma cell lines, efficiency of gene expression was unaffected by irradiation with 10,000 rads. Finally, it is noteworthy that the entire procedure, including the radiation time, required less than 4 h, a time period that would be commensurate with intraoperative autologous vaccine generation, allowing potential reimplantation into exposed tumor sites during the same operative procedure.
[0050] Media and cell lysate from HSVil2-transduced tumor cells were harvested at 48 h and immediately frozen at −70° C. until assay. Immunoreactive IL-2 levels were determined by standard sandwich ELISA (Biosource International,
[0051] To evaluation transduction efficiency, histochemical analysis was performed on tumor cells transduced with HSVlac. The cells were fixed at 48 h and histochemically stained with X-gal (Dannenberg & Suga, 1981). Briefly, plates containing transduced cells were fixed for 5 min with 1% glutaraldehyde, washed 3 times with PBS, then incubated with X-gal solution (X-gal (pH=7.4)[1 mg/ml] in PBS containing 2 mM MgCl
[0052] To determine the in vivo effects of tumor vaccines produced using HSV-mediated gene transfer, syngeneic C57B1/6j mice were immunized using murine HEPA 1-6 hepatoma cells radiated with 10,000 rads and then exposed to HSVil2 at an multiplicity of infection (MOI) of 1 for twenty minutes. The hepatoma cells (10
[0053] In order to determine if vaccinations with HSV-modified tumor vaccine may alter in vivo response to tumor, C57B1/6j mice were immunized by intrasplenic injection with 1) 10
[0054] Splenocyte isolation was carried out as follows. Spleens were harvested from pentobarbital anesthetized animals under sterile conditions. Each spleen was placed in a petri dish containing 10 ml of PBS, brought into the hood and transferred to a new petri dish with 10 ml of RPMI+10% FCS+50 μg/ml gentamicin. Splenocytes were washed from the spleen by repeated injection with media. Cells will be spun (300 g, 5 min) and resuspended in 5 ml of red blood cell lysis solution (pH=7.4) (0.15 M NH
[0055] The experiments summarized above examining the effects of the route and number of injections on immunization, by the subcutaneous route or intraperitoneal route, showed that three injections were necessary for specific tumor immunity. However, for the intrasplenic route, the hepatoma cell line tested elicited specific immunity with a single injection (FIGS.
[0056] Mice pretreated by intrasplenic injection of either 1) irradiated, HSV-treated tumor (HSV-control) or 2) irradiated, HSVil2 treated tumor were subsequently challenged with intraportal injection of 10
[0057] K562 or tumor cells served as targets in in vitro europium release cytotoxicity assays. 5×10
[0058] HSV vectors containing the gene for either IL-2 (HSVil2) or LacZ (HSVlac) were constructed in accordance with Example 1. Twenty-five Fischer rats with bilateral flank squamous cell lung tumors were randomized to receive left flank injections of either HSVil2, HSVlac, saline or no injection on weeks 5, 7 and 9 post-implantation. Tumor volume was measured 3 times weekly for 6 weeks. There were no significant differences in tumor growth and volume among the HSVlac, saline and non-injected groups. At 6 weeks, the HSVil2 group had an 81% reduction in mean tumor volume in the injected left flank compared to controls. There was also an 88% reduction in mean tumor volume in the opposite, non-injected flank, thus indicating that in vivo transfection of tumor by HSV vectors containing cytokine genes is effective to stimulate a systemic antitumor response. Four of the 5 HSVil2-treated animals were clinical responders. Staining studies for LacZ revealed transfection of tumor and surrounding stromal cells only on the treated side.
[0059] Murine GM-CSF, human IL-2 and LacZ genes were cloned directionally into HSVprPUC which contains the HSV immediate early 4/5 promoter, a multiple cloning site, and an SV40 A sequence, and packaged as previously described by Geller et al. (1990). RR1 cells (BHK cells stably transfected with the HSV IE3 gene) (20), along with D30 EBA helper virus (a strain 17-derived IE3 mutant deleted from codons 83 to 1236 and maintained in Dulbecco's modified Eagle medium (DME) containing high glucose [HG, 4.5 g/liter], 10% FCS, 1% penicillin/streptomycin, and 400 μg/ml of bioactive geneticin [G418; Gibco BRL, Gaithersburg, Md.] at 37° C. and 5% CO2) were used for packaging HSV amplicons. To package amplicon vectors, 3×106 RR1 cells were plated in media containing 10% FCS and transfected 4 h later by adding 40 μl of Lipofectin (Gibco), waiting 5 min, and adding amplicon DNA solution dropwise (30 μg at 1 μg/μl in DME). 6 h later, plates were fed with media containing 5% FCS. 20 h after transfection, D30 EBA virus in 50-100 μl was added to achieve an moi of 0.2. 5 ml of complete media with 5% FCS were added to each plate after 1 h, and amplicon virus stocks were harvested 2 d later. After overnight storage at 70° C., fresh RR1 cells (4×10
[0060] To assess in vitro production of cytokines, 10
[0061] As shown in
[0062] Hepatoma cells in culture were irradiated with 10,000 rad, allowed to rest for 1 h, then exposed to HSVil2, HSVGM-CSF, HSVlac or media for 20 min at an moi of one. Cells were then washed 2× with media, and 10
[0063] There was no significant effect on tumor growth as a result of vaccination with irradiated cells or vaccination with irradiated cells transduced with HSVlac compared to vaccination with medium alone. As shown in
[0064] To assess the effects of vaccination on tumor growth following a partial hepatectomy (shown to be immunosuppressive and to accelerate the growth of hepatic tumors), animals were immunized intrasplenically with hepatoma vaccines (HSVil2, HSVGM-CSF, HSVlac) produced as above. On day 18, half the animals in each group received either 5×104 U of IFN intraperitoneally, or normal saline for 3 d. On day 21, all animals received a challenge of 5×105 hepatoma cells/200 μl intrasplenically followed by splenectomy 10 min later. Half the animals in each group underwent 70% partial hepatectomy 1 h after tumor injection. One control group did not undergo vaccination or partial hepatectomy. Animals were killed 18 d after tumor challenge, and nodules were counted. In previous experiments, the number of surface nodules was shown to correlate directly with tumor volume as measured by water displacement.
[0065] As shown in
[0066] To assess the effect of vaccination and IFN on splenocyte and Kupfer cell (KC) function, animals underwent vaccination and IFN treatment as described in Example 11, and splenocytes and KC were harvested on day 21 post-vaccination. Tumoricidal activity was assessed by mixing effectors with Europium-labeled tumor cells in an in vitro assay. Labeled cells were plated at a concentration of 5×10
[0067] Vaccination with HSVlac or irradiated cells had no significant effect on either KC function or splenocyte activity. Splenocytes from animals vaccinated with HSVil2 or HSVgm-csf exhibited significantly greater killing of targets than splenocytes from control or γ-IFN-treated animals. γ-IFN did not appear to affect splenocyte activity. KC from rats pretreated with γ-IFN had significantly greater killing of targets than KC from controls. KC from rats vaccinated with HSVil2 also had significantly greater killing of targets than KC form controls, but not as great as KC from γ-IFN-treated rats. Vaccines secreting GM-CSF did not appear to affect KC activity.
[0068] Murine IL12m35, murine IL12m40, human IL2 and LacZ genes were cloned directionally into HSV/PRPuc and packaged as previously described. (Geller et al. (1990), Geller and Breakefield (1988), Federoff (1996). To produce HSVm75, the m35 and m40, genes were cloned directionally using appropriate restriction enzymes into HSV/PRPuc separated by an IRES fragment. HSVPrPUC contains the HSV immediate early 4/5 promoter, a multiple cloning site and SV40 A sequence. The RR1 cells used for packaging HSV amplicons were maintained in Dulbecco's modified Eagle's medium (DMEM) containing high glucose (HG, 4.5 g/l), 10% FCS; 1% penicillin/streptomycin and 400 μg/ml of bioactive geneticin (G418, Gibco) at 37 C., 5% CO
[0069] HSVlac titers were between 2×10
[0070] Efficiency of transduction with HSVm35+HSVm40 vs. HSVm75 was assessed by measuring in vitro production of cytokines. To assess in vitro production of cytokines, 10
[0071] Control cells not exposed to cytokine gene-containing vectors do not produce cytokines. IL12 production was not detected in cells transduced with either HSVm35 or HSVm40 alone. Transduction using 2 vectors produced levels of IL12 similar to transduction using a single vector carrying both genes, which peak on day 1 and decrease thereafter
[0072] To determine the effect of vaccination on hepatic tumor growth, hepatoma cells in culture were radiated with 10000 rads, rested for 1 h, then exposed to HSVil2, HSVm75, HSVil2+HSVm75, HSVm35+HSVm40, or media for 20 min at an MOI of 1-4. Cells were washed 2× with media, and 10
[0073] Animals immunized with cells transduced by HSVm35+HSVm40, HSVm75 or HSVil2 had significantly fewer tumor nodules than control. Vaccination with 2 tumor cell populations, one secreting IL2 and one secreting IL12, was more effective than vaccination with a single population of cytokine-secreting cells. Vaccination with a single population of cells transduced by both HSVil2 and HSVm75 was the most effective treatment, significantly better than any single treatment or two population treatment.
[0074] To access the effect of vaccination on splenocyte and KC Function, animals underwent vaccination as described in Example 15, and splenocytes and KC were harvested on day 21 post-vaccination and assessed for tumoricidal activity by standard Europium-release assay. Briefly, tumoricidal activity was assessed by mixing effectors with Europium-labeled tumor cells in vitro. Labeled cells were plated at a concentration of 5×10
[0075] Splenocytes from animals vaccinated by either HSVil2 or HSVm75 had significantly greater killing of targets than splenocytes from animals vaccinated by radiated cells. Splenocytes from animals vaccinated by cells transduced by HSVm75 and HSVil2 had significantly greater killing of targets than splenocytes from animals vaccinated by a single cytokine at an effector to target ratio of 100:1.
[0076] KC from rats vaccinated with HSVil2 or HSVm75 had significantly greater tumoricidal activity than KC from controls (p<0.05) at effector to target ratio of 50:1 KC from animals vaccinated by cells transduced by HSVm75 and HSVil2 had significantly greater killing of targets than KC from animals vaccinated by a single cytokine at an effector to target ratio of 100:1.
[0077] Human ICAM-1 and
[0078] To package amplicon vectors, 3×10
[0079] The D30 EBA helper virus in each stock was titered by plaque assay on RR1 cells, and the cytokine-containing vectors were titered by slot blot analysis. For slot blot analysis, viral DNA was extracted twice from packaged virus by phenol/chloroform, ethanol-precipitated with single-strand calf thymus DNA as carrier, denatured at room temperature with 0.2 N NaOH, 0.5 M NaCl for 10 minutes, and loaded on a nylon membrane with a slot blot apparatus. The membrane was backed for 2 hours at 64° C. and probed with a [32p]-labeled 435 bp SspI and PvuI fragment containing part of the Beta-lactamase gene from pBR322 (nucleotides 3733-4168). After stringent washing (0.1×SSC 2× for 15 min), blots were exposed to x-ray film, and various timed exposures taken and densitometrically scanned (LKB Ultroscan; Pharmacia LKB Biotechnology Inc., Piscataway, N.J.). Band densities and the titers of HSVhicam1 (expressed as particles/ml) calculated from the density relative to HSVlac given that this latter amplicon was titered by an expression assay, were compared. HSVlac titers were between 1-2×10
[0080] The tumor cell line Morris Hepatoma McA-RH7777 (ATCC CRL 1601) was maintained in culture (DME, 6.25% FCS, 20% Horse serum, 2 mM L-Glutamine) and periodically implanted into buffalo rat flanks to ensure tumorigenicity. This cell line was tested to be free of mycoplasma and viral infection.
[0081] Hepatoma cells from culture were radiated with 10,000 rads and rested for 1 hour. Cells were then exposed to HSVhicam1, HSVlac or nothing at an MOI of 1 for 20 minutes at 37° C. Cells were then washed with media twice and maintained in culture until analysis. To assess the cell surface expression of hICAM1, cells were harvested at 1, 2, 5 and 7 days after transduction and washed twice with HBSS containing 10 mM HEPES. Separate aliquots of cells were then incubated on ice for 20 minutes with anti-human ICAM-1 (Clone MEM111, Caltag, Burlingame, Calif.) and anti-rat ICAM-1 (Clone IA29, Caltag, Burlingame, Calif.) antibodies conjugated to PE or FITC. Additional aliquots of cells were incubated with isotype controls (Caltag, Burlingame, Calif.) to account for nonspecific binding of antibodies. Cells were then analyzed with a FAC scanner (Becton Dickinson) for the presence of human and rat ICAM.
[0082] With PE labeling, greater than 90% of normal untreated rat hepatoma cells expressed rat ICAM on the cell surface with mean fluorescent intensities ranging from 200 to 288. There was no difference in rat ICAM expression between transduced and non transduced cells. Cells transduced with HSVlac or nothing had no detectable surface human ICAM-1. Flow cytometric analysis of rat hepatoma cells transduced with HSVhicam1 showed that a 20 minute exposure, at an MOI 1 resulted in high level expression of human ICAM on the surface of tumor cells. Peak cell surface positivity for human ICAM-1 was found 24 hours after transduction and tapered off by 1 week (Percent of cells positive for hICAM1 was 25%, 16%, and 9% on days 1, 2 and 5 post transduction). Mean fluorescent intensity of human ICAM-1 on HSVhicam1-transduced cells was 450, 271, and 124 on days 1, 2 and 5 respectively. On day 7 post transduction with HSVhicam1, cell viability was limited, but approximately 4% of viable cells were positive for surface hICAM1.
[0083]
[0084] To determine if ICAM-1 transduced hepatoma cells bound lymphocytes more avidly, a modification of previously reported adhesion assays (Miki, et al., 1993) was performed. Briefly, hepatoma cells were radiated with 10,000 rads, exposed to HSVhicam1, HSVlac or nothing for 20 minutes at 37° C. and washed with media twice. Cells were then plated in nearly confluent monolayers in 96 well plates. Splenocytes were harvested from normal Buffalo rats one day prior to each assay and cultured overnight in Complete RPMI (0.01 mM NEAA, 1 mM NaPyruvate, 2 mM L-Glutamine, 50 μM 2-ME, Pcn/Step) containing 10% FCS, 50 U/ml IL2 (Chiron Corporation, Emeryville, Calif.), 5 μg/ml Con A (Sigma, St. Louis, Mo.), and 50 ng/ml PMA (Phorbol 12-Myristate 13-Acetate) (Sigma, St. Louis, Mo.). On the day of the assay, nonadherent splenocytes were harvested at a concentration of 10
[0085] In order to determine if hICAM1 gene transfer would alter lymphocyte binding by tumor, an in vitro lymphocyte binding assay was used. There was a significant increase in the number of adherent lymphocytes per hepatoma target cell in wells containing HSVhicam1-transduced cells compared to lac-transduced and untreated cell (
[0086] In order to determine if transduction of hepatoma cells with the ICAM-1 gene altered in vitro growth properties, cell proliferation assays were performed. Replicating rat hepatoma cells were exposed to HSVhicam1, HSVlac or nothing at an MOI of 1 for 20 minutes at 37° C. Cells were then plated in 24 well plates at a concentration of 10
[0087] Male Buffalo rats (Harlan Sprague Dawley) were housed 2 per cage in a temperature (22° C.) and humidity controlled environment and were given water and standard rat chow (PMI Mills, St. Louis, Mo.) ad libitum. They were maintained in 12 hour light/dark cycles. All surgical procedures were carried out through a midline laparotomy under i.p. pentobarbital (50 mg/kg) anesthesia. For major abdominal operations, 3 ml of 0.9% saline was administered i.p. for resuscitation post operatively. All animals received care under approved protocols in compliance with Memorial Sloan-Kettering Cancer Centers Institutional Animal Care and Use Committee guidelines.
[0088] Tumorigenicity Experiments
[0089] In order to analyze the effects of ICAM-1 overexpression on the in vivo growth characteristics of hepatoma cells, flank tumorigenicity experiments were performed. Animals (n=5 per group) were randomized to receive subcutaneous left flank injections of 10
[0090] There was significantly decreased tumor growth in the left flanks of animals injected with HSVhicam1-transduced cells compared to controls (
[0091] Immunohistochemistry
[0092] In order to assess potential immunologic mechanisms of tumor regression, Immunohistochemical analysis of cell infiltrates in tumors was carried out. Animals from additional tumorigenicity experiments had tumors excised at 1 week and 3 weeks after injection of cells (n=5 per time point) and placed immediately in 10% buffered formalin. Twenty four hours later, tumors were embedded in paraffin using standard techniques. Five μm sections were made. Hematoxylin and Eosin staining was performed using standard techniques. The following antibodies were used for immunohistochemical analysis; mouse monoclonal anti-rat CD4 (IgG
[0093] A single pathologist blinded to the experiment reviewed slides and graded them in the following way. Tumor cells were assessed for the presence or absence of MHC II staining. The degree of infiltration with MHC II staining non-tumor cells was graded from 1 to 4. The degree of infiltration of tumors with the total amount of CD4 and CD8 positive lymphocytes was graded from 1 to 4. The relative percentage of CD4 and CD8 positive cells was then assessed and expressed as a ratio. Rat splenic tissue was used as a positive control for each experiment.
[0094] The amount of infiltration of tumors with both CD4 and CD8 positive T lymphocytes did not differ between treatment groups at 1 and 3 weeks. The ratio of CD4 to total CD4 and CD8 positive T cells did not differ between groups at 1 week, but at 3 weeks, there was a significant increase in this ratio in the HSVhicam1-treated animals compared to HSVlac and untreated animals (0.42 vs. 0.25 and 0.24 p<0.05). There was no significant difference in the degree of infiltration of tumors with MHC II staining immune cells between treatment groups at 1 and 3 weeks. Tumor cells did not stain positively for MHC II expression in any case.
[0095] In order to determine whether previous exposure to ICAM-1 transduced hepatoma cells would protect against future challenges with the parental tumor, vaccination experiments were performed. Whole tumor cell vaccines were prepared as follows. Rat hepatoma cells were radiated with 10,000 rads, exposed to HSVhICAM1, HSVlac or nothing at an MOI of 1 to 20 minutes at 37° C. and washed twice with media. Animals (n=19 per group) were then randomized to receive either cell type by intrasplenic injections of 10
[0096] Throughout the experiment, there was no difference in weight gain in all treatment groups and all animals maintained normal grooming habits. As illustrated in
[0097] The coding sequences for human B7.1 or human RANTES were cloned into the polylinker region of the pHSVPrPUC plasmid. To form the HSV-B7.1 amplicon, pBJ.huB7.1 plasmid (kindly provided by Dr. Lewis Lanier, DNAX, Palo Alto, Calif.) was digested with HindIII and was filled in to generate a blunt end and. Subsequently, this plasmid was digested with XbaI. A The HindIII blunt/XbaI fragment encoding the for the human B7.1 cDNA was gel purified and used as insert in the ligation with the vector. The HSV amplicon vector pHSVPrPUC plasmid was digested with EcoRI and filled in with Klenow to make a blunt end, followed by XbaI digestion. The EcoRI blunt/XbaI vector fragment was gel purified and ligated with the insert. The constructed amplicon plasmid was analyzed for the orientation of the coding sequences of huB7.1 with respect to the HSV-1 IE4/5 promoter, and the amplicon used in the generation of the HSVB7.1 amplicon virus.
[0098] To form the HSV-RANTES amplicon, SK+pBS-RANTES plasmid (kindly provided by Dr. Tom Schall, ChemoCentryx, Mountain View, Calif.) was partially digested with KpnI followed by digestion with XbaI. The KpuI/XbaI fragment encoding human RANTES cDNA was gel purified and used as insert in the ligated to the HSV amplicon vector pHSVPrPUC plasmid digested with KpnI and XbaI. Orientation of the coding sequences for huRANTES with respect to the HSV-1 IE4/5 promoter was verified, and the amplicon used in the generation of the HSVrantes amplicon virus. The HSV amplicons are shown schematically in
[0099] Amplicon DNA was packaged into HSV-1 particles by transfecting 5 μg of plasmid DNA into RR1 cells with lipofectamine as recommended by the manufacturer (GIBCO-BRL). Following incubation for 24 hours the transfected monolayer was superinfected with the HSV strain 17, IE3 deletion mutant virus D30EBA (Paterson et al., 1990) at a multiplicity of infection (MOI) of 0.2. Once cytopathic changes were observed in the infected monolayer, the cells were harvested, freeze-thawed, and sonicated using a cup sonicator (Misonix, Inc.). Viral supernatants were clarified by centrifugation at 5000 g for 10 min prior to repeat passage on RR1 cells. This second viral passage was harvested as above and concentrated overnight by ultracentrifugation in a 25% sucrose gradient as previously described (Tung et al., 1996). Viral pellets were resuspended in PBS (Ca2+ and Mg2+ free) and stored at −80° C. for future use. Stocks were titered for helper virus by standard plaque assay methods. Amplicon titers were determined as follows: NIH 3T3 cells were plated in a 24-well plate at a density of 1×10
[0100] EL4 cells were infected in vitro either with HSVB7.1, or HSVlac amplicon virus at an MOI of 0.5-1-5 pfu per cell. Specifically, 10
[0101] Control uninfected EL4 cells or EL4 cells infected with HSVlac were negative for the B7.1 expression (
[0102] The bioactivity of HSV vector-expressed B7.1 was studied in an in vitro proliferation assay. Murine T-cells were enriched using a murine T-cell enrichment column (R&D Systems). 10
[0103] When stimulated with anti-CD3 antibody (2C11) or a mixture of phorbol myristate acetate (PMA) and ionophore to provide ‘signal one,’ a significant proliferative response was observed for T-cells cocultured with HSVB7.1, but not HSVlac infected stimulator cells. The B7.1 dependent T-cell proliferative response observed with the HSVB7.1 infected EL4 cells was comparable to that seen with the retrovirally transduced control stimulator cells EL4-B7.1 or CHO-B7.1.
[0104] EL4 cells were infected with HSVrantes or HSVlac amplicon at an MOI of 1. EL4 cells at 1×10
[0105] In uninfected EL4 cells or cells transduced with HSVlac, no detectable RANTES secretion was observed in culture supernatants. Cells infected with HSVrantes at an MOI of 0.5 produced 3.1 ng of RANTES/ml/24 hours/10
[0106] Adult C57BL/6 (H-2
[0107] The results of these experiments on growth of HSV-infected EL4 cells and on contralateral EL4 tumors are summarized in Table 3 and
[0108] Similar results were observed in the experiment to evaluate whether inoculation of HSV vector transduced cells would inhibit growth of concurrent contralaterally inoculated parental non-transduced EL4 cells. In 3/5 mice, regression of ex vivo HSVB7.1 infected EL4 tumor was concordant with regression of the contralateral EL4 tumor (
[0109] To test the efficacy of HSVB7.1 and HSVrantes on pre-established tumors using intratumoral inoculation of the HSV amplicons, 10
[0110] Complete tumor regression was observed in 17/26 mice injected with HSVB7.1 vector alone, in 11/22 mice injected with HSVrantes, and in 23/26 mice injected with the combination of HSVB7.1 and HSVrantes. Results of three independent experiments yielded similar results as summarized in Table 4.
[0111] To determine whether regression of tumor correlated with the development of systemic and memory T-cell immunity, mice manifesting complete tumor regression were rechallenged with parental EL4 cells in the on the other hind limb contralateral to the primary inoculation. All mice the rechallenged with parental EL4 cells showed no tumor growth (Table 4), thus indicating that tumor specific immunity was established by the antecedent direct intratumoral delivery of HSVB7.1 and/or HSVrantes into pre-established tumors.
[0112] To examine the induction of CTL responses in mice transduced intratumorally with the HSV amplicon vectors, splenocytes from the mice of Example 27 were evaluated. Spleens were harvested from C57BL/6 mice which had been inoculated with EL4 cells and injected intratumorally with either HSVB7.1 or HSVrantes alone or in combination. Control splenocytes were obtained from mice which were inoculated intratumorally with HSVlac virus or mice with PBS diluent alone. Splenocytes were prepared according to standard procedures and red blood cells lysed using AKC lysis buffer. To obtain cytolytic T-cells, splenocyte cell suspensions (2×1066/ml in RP-10) were cultured together with gamma-irradiated (7500 rads) EL4 cells (0.5×10
[0113] The mean spontaneous release for virus-infected and uninfected controls averaged between 10 to 20% of the total counts.
[0114] Significant specific CTL activity was seen in splenocytes from mice receiving HSVB7.1 or HSVrantes alone or in combination (FIGS.
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[0144] ZIER K. (1982) Functional and antigenic properties of cultured T cells in the cell mediated lympholysis (CML) assay. TABLE 1 Efficiency of IL-2 Secretion from Human Tumor Cells Transduced with HSVil2 Diagnosis MOI Patient CLinical Histologic Radiation 0 0.5 1 2 1 Met Colorectal Ca Moderately differentiated No 0 580 ± 40 6400 ± 200 10700 ± 70 Adenocarcinoma Yes 0 334 ± 4 5500 ± 100 10500 ± 50 2 Hepatoma Clear cell No 0 2100 ± 10 2600 ± 20 5900 ± 70 adenocarcinoma Yes 0 580 ± 40 2490 ± 40 6450 ± 70 3 Gallbladder Ca Moderately differentiated No 0 ND 12500 ± 700 ND Adenocarcinoma Yes 0 ND 4800 ± 100 ND 4 Hepatoma Poorly differentiated No 0 ND 17500 ± 500 ND Adenocarcinoma Yes 0 ND 19300 ± 600 ND
[0145] Table 2. Effect of timing of irradiation and HSV exposure on cell viability. Hepatoma cells were either exposed to radiation (10,000 rads) followed by a 20 minute exposure to HSV (Rad/HSV), or exposed to HSV for 20 minutes followed by irradiation (10,000 rads) (HSV/Rad). Cells (5×10Rad/HSV HSV/Rad MOI (×10 (×10 p 0 2.1 ± 0.1 1.8 ± 0.2 0.1 0.5 2.0 ± 0.1 1.8 ± 0.2 0.2 1.0 1.8 ± 0.1 1.5 ± 0.1 0.2
[0146] Table 3 Tumor growth of EL4 cells infected ex vivo with HSV amplicons. EL4 cells were infected in vitro with HSV amplicon virus and maintained in culture for 8 hours. 10# of mice with tumor/ HSV amplicon # of mice inoculated HSV-B7.1 3/6 HSV-RANTES 4/6 HSV-B7.1 & HSV-RANTES 1/6 HSV-LacZ 6/6
[0147] Table 4 Intratumoral delivery of HSV amplicons into pre-established EL4 tumors. EL4 cells were inoculated s.c. in mice and tumors allowed to develop to a 5-6 mm diameter. HSV amplicon virus was inoculated in two doses, on days 7 and 14, and tumor growth monitored and recorded after one month. The values reported correspond to the number of mice with tumor/total number of mice.
Primary Tumor Tumor Growth HSV amplicon Growth Following Rechallenge Experiment # 1 HSVB7.1 1/4 0/3 HSVB7.1 + HSVrantes 0/4 0/4 HSVlac 4/4 Experiment # 2 HSVB7.1 4/10 0/6 HSVrantes 5/10 0/5 HSVB7.1 + HSVrantes 1/10 0/9 HSVlac 5/5 Experiment # 3 HSVB7.1 4/12 0/4 HSVrantes 6/12 0/4 HSVB7.1 + HSVrantes 2/12 0/6 HSVlac 5/5