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The Journal of Immunology, 1998, 160: 4457-4464.
Copyright © 1998 by The American Association of Immunologists

In Situ Cancer Vaccination: An IL-12 Defective Vector/Replication-Competent Herpes Simplex Virus Combination Induces Local and Systemic Antitumor Activity1

Masahiro Toda*, Robert L. Martuza*, Hidefumi Kojima{ddagger} and Samuel D. Rabkin2,*,{dagger}

* Department of Neurosurgery and Georgetown Brain Tumor Center and {dagger} Department of Microbiology and Immunology, Georgetown University Medical Center, Washington, DC 20007, and {ddagger} Laboratory of Immunology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Intratumoral inoculation of replication-competent, attenuated herpes simplex virus (HSV) mutants inhibits tumor growth by direct cytotoxic viral replication and induction of a tumor-specific immune response. To boost the antitumor response, we describe a defective HSV vector encoding IL-12 as an adjuvant to in situ vaccination by the replication-competent HSV helper virus. The defective HSV vector system consists of defective particles containing tandem repeats of the cytokine genes (p40 and p35) in combination with a HSV helper virus. Heterodimeric IL-12 was expressed and secreted after IL-12 defective vector infection of tumor cells. In a syngeneic, bilateral established tumor model with CT26 murine colon carcinoma, unilateral intratumoral inoculation with an IL-12 defective/replication-competent HSV vector combination significantly reduced tumor growth of the inoculated and noninoculated contralateral tumors. This antitumor effect was significantly greater than with a lacZ-defective/replication-competent HSV vector combination, which itself was significantly greater than the mock inoculation. Efficacy is associated with enhancement of tumor-specific CTL activity, including specificity against the CT26 immunodominant MHC class I restricted Ag AH1, and IFN-{gamma} production. There was no significant tumor growth inhibition after intratumoral inoculation of s.c. CT26 tumors in athymic mice. We conclude that this defective HSV vector system is an effective method for cytokine gene delivery to tumors in situ and IL-12 expression in tumors synergizes the antitumor activity mediated by the replication-competent HSV helper virus.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Immunotherapy for tumors is rapidly evolving as we increase our understanding of the molecular events involved in the host’s antitumor response and we develop methods to augment this response. This strategy is attractive because it harnesses the body’s own defense mechanisms rather than using standard toxic therapeutic agents, has the potential to destroy metastatic tumors too small to detect, and provides immunity against recurrent tumors. Cancer vaccination strategies have focused on the use of killed tumor cells or lysates delivered in combination with adjuvants or cytokines. Expression or administration of cytokines at the site of tumors has improved the efficacy of cytokine therapy and decreased the toxic side effects (1). A major difficulty in the therapeutic use of "cancer vaccines" has been the need to obtain and culture a patient’s autologous tumor cells for manipulation in vitro, including transduction with cytokine genes, irradiation, and subsequent vaccination. The ability to elicit antitumor immunity by in situ inoculation of a tumor would be a large advance. This likely will require unmasking tumor antigens for appropriate presentation in the context of cytokines to stimulate cell-mediated immunity. In this study, we combined the immunomodulatory effects of local cytokine expression with a viral cancer vaccination strategy where tumors are infected in situ.

We have developed a multigene mutant of herpes simplex virus type-1 (HSV-1),3 G207 with deletions in the {gamma}34.5 gene and a lacZ insertion in the ICP6 gene, that has proved efficacious in tumor therapy and is nonpathogenic (2). G207 replicates in dividing cells with resultant cell death, whereas its growth in nondividing cells is highly attenuated. Inoculation of established tumors in athymic mice with G207 leads to inhibition of tumor growth and prolonged animal survival due to tumor selective replication (2, 3). Additionally, in immunocompetent mice, intratumoral G207 inoculation induces a tumor-specific immune response that is able to inhibit the growth of noninoculated tumors (4). In this case, G207 is behaving as an "in situ cancer vaccine."

We have used a defective HSV vector to deliver IL-12 in combination with G207 as a helper virus. Defective HSV vectors consist of defective particles containing tandem repeats of an amplicon plasmid (encoding IL-12 in this case) and helper HSV (5). Any conditional-lethal or replication-competent HSV mutant can be used as helper virus. Because a viral genome length of DNA (~153 kb) is packaged, each defective particle contains ~15 copies of the IL-12 gene that can transduce both dividing and nondividing cells at high efficiency. The viral DNA does not integrate into the infected cell genome (6) and with the CMV promoter driving IL-12, expression is strong but transient (7). Integrating vectors run the risk of long term transgene expression with chronic cytokine stimulation of the immune system.

IL-12 is a heterodimeric cytokine, composed of 35 kDa (p35) and 40 kDa (p40) subunits, that binds to receptors present on NK and T cells (8). The high affinity receptor is composed of two ß-type cytokine receptor subunits that individually behave as low affinity receptors (9). IL-12 plays a multifunctional role in the immune system, augmenting the proliferation and cytotoxic activity of T cells and NK cells, regulating IFN-{gamma} production, and promoting the development of CD4+ Th1 cells (10, 11). The antitumor activity of IL-12 has been demonstrated in a number of different murine tumor models, both solid and metastatic, with systemic administration of recombinant IL-12 (12, 13, 14, 15), fibroblasts or tumor cells engineered to secrete IL-12 (16, 17, 18, 19), viral vectors expressing IL-12 (20, 21). However, IL-12 immunotherapy is less effective with other tumor cell lines such as CT26 (22), C26 (18), MCH-1-A1 (23), and TS/A (24).

We have chosen to use the murine colorectal carcinoma cell line CT26, which is poorly immunogenic and does not induce detectable tumor-specific CTLs (25, 26). CT26 tumors are somewhat refractory to IL-12 treatment (22, 27), although with sufficient levels of IL-12, tumor regression can be induced (14, 18). The immunodominant MHC class I-restricted Ag for CT26 has been identified as a nonamer peptide derived from the envelope protein (gp70) of an endogenous ecotropic murine leukemia provirus (26). Adoptive transfer studies have established the correlation between induction of tumor-specific CTL and an antitumor effect on established s.c. CT26 tumors (26). In these studies, we demonstrate that local expression of IL-12 can enhance the antitumor activity of replication-competent attenuated HSV in both inoculated and noninoculated established CT26 tumors.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell culture

African green monkey kidney (Vero) cells (kindly provided by Dr. D. Knipe, Harvard Medical School) were cultured in DMEM containing 10% calf serum. CT26 is a colon epithelial tumor cell line (H-2d) derived by intrarectal injections of N-nitroso-N-methylurethan from a female BALB/c mouse (28, 29) (kindly provided by Dr. N. P. Restifo, National Cancer Institute, National Institutes of Health, Bethesda, MD). MC-38 mouse colon adenocarcinoma (obtained from Dr. N. P. Restifo) (15), Harding-Passey mouse melanoma (kindly provided by Dr. N. W. Fraser, Wistar Institute) (30, 31), MDA-MB-435 human breast adenocarcinoma (obtained from the Lombardi Cancer Center, Georgetown University Medical Center) (32), and CT26 cells were grown in DMEM containing 10% heat-inactivated FCS (HyClone, Logan, UT) and penicillin-streptomycin (Sigma Chemical, St. Louis, MO). A20, a B cell lymphoma cell line (Ig+, Ia+, H-2d) derived from a spontaneous reticulum cell neoplasm in BALB/c mice (33) (American Type Culture Collection, Rockville, MD, ATCC TIB 208), was grown in RPMI 1640 containing 10% heat-inactivated FCS, 50 µM 2-ME, 2 mM glutamine, 20 mM HEPES buffer, and penicillin-streptomycin.

Generation of dvs

The double-cassette amplicon plasmid pHCL-tk was constructed by inserting the HSV-1 thymidine kinase (TK) gene, blunt-ended BamHI fragment from pHSV-106 (Life Technologies, Rockville, MD) into the blunt-ended SpeI site of pHCL (7) (Fig. 1GoA). The cDNA for murine IL-12 p40 (BL-pSV40) was kindly provided by Dr. U. Gubler (Hoffmann-La Roche) (34). The cDNA for murine IL-12 p35 and the internal ribosome entry site (IRES) of equine encephalomyocarditis virus from DFG-mIL-12 (19) was kindly provided by Dr. H. Tahara (University of Pittsburgh, Pittsburgh, PA). The coding regions of p40, BamHI fragment from BL-pSV40, and the IRES-p35, BamHI fragment from DFG-mIL12, were subcloned into LITMUS 28 (New England Biolabs, MA) at the BglII/BamHI site to generate p40-IRES-p35. The IL-12-encoding double-cassette amplicon plasmid pHCIL12-tk was constructed by insertion of the p40-IRES-p35 cassette, SnaB1/AflII fragment, into the blunt-ended SalI site of pSR-ori (7) and then inserting the HSV TK blunt-ended BamHI fragment into the blunt-ended SphI site to produce pHCIL12-tk (Fig. 1GoB).



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FIGURE 1. Structure of the amplicon plasmids. A, pHCL-tk contains E. coli lacZ under control of the CMVIE promoter and SV40 polyadenylation sequence (SV40 poly(A)). B, pHCIL12-tk contains the p40-IRES-p35 cassette under control of the CMVIE promoter and SV40 polyadenylation sequence. The amplicon plasmids also contain HSV cis-acting sequences, HSV a, the HSV-1 cleavage/packaging signal, and HSV ori, the HSV-2 origin of DNA replication; HSV TK under control of the HSV-1 TK promoter; and bacterial plasmid sequences, AmpR, ß-lactamase (ampicillin resistance) and the ColE1 ori, plasmid origin of DNA replication.

 
HSV-1 G207, containing deletions in both copies of the {gamma}34.5 gene and an Escherichia coli lacZ insertion inactivating the ICP6 gene (2), was used as helper virus for the generation of defective vector (dv) stocks. Vero cells were cotransfected with purified amplicon plasmid DNA (pHCIL12-tk and pHCL-tk) and G207 viral DNA using lipofectAMINE (Life Technologies), as described by the manufacturer, and then cultured at 34.5°C until cells exhibited complete cytopathic effect. Virus was then harvested and passaged at a 1:4 dilution in Vero cells until inhibition of helper virus replication was observed (7). For ease, the IL-12-containing dv will be termed dvIL12/G207 and the lacZ-containing dv will be termed dvlacZ/G207.

Titering of dv stocks

Defective vector stocks were titered after a freeze-thaw/sonication regimen and removal of cell debris by low speed centrifugation (2000 x g for 10 min at 4°C). G207 helper virus titer was expressed as the number of plaque-forming units (PFUs) after plaque assay on Vero cells at 34.5°C. For dvIL12/G207, IL-12 expression was determined and the passage with the highest level was used (passage 4), with a G207 helper virus titer of 5 x 107 PFU/ml. The titer of dvlacZ/G207, determined by counting 5-bromo-4-chloro-3-indolyl-ß-D-glactopyranoside histochemistry-positive single cells (defective particle units (DPU)) after formation of plaques by G207, was 5 x 106 DPU/ml and 5 x 107 PFU/ml of helper virus.

Detection of IL-12

Cells were infected with dvIL12/G207 at a multiplicity of infection (MOI) of 1 PFU per cell, and 24 h postinfection aliquots of infected cell supernatant were removed, quick frozen in a dry ice/ethanol bath, and stored at -80°C for detection of IL-12. Tumors and blood were collected from dv-treated mice and snap-frozen in a dry ice/ethanol bath. Frozen tissue was homogenized in ice-cold PBS containing 500 µM PMSF, 0.5 µg/ml leupeptin, and 0.7 µg/ml pepstatin. The homogenate was then sonicated twice for 10 s and cleared by centrifugation in a microfuge for 5 min at 4°C. Immunoreactive IL-12 levels were determined by sandwich ELISA, using Ab pairs and rIL-12 kindly provided by Dr. D. H. Presky (Hoffmann-La Roche, Nutley, NJ) (35). The rIL-12 standards were diluted in the same media or buffer as the samples (i.e., mouse serum for the serum samples). Briefly, 96-well plates coated with an anti-mouse IL-12 mAb (9A5) were incubated overnight at room temperature with the test samples. After washes, the plates were incubated with peroxidase-labeled anti-mouse IL-12 p40 Ab (5C3) for 2 h and developed. Absorbance was measured at 450 nm.

s.c. tumor model

BALB/c and BALB/c-nu/nu mice were obtained from the National Cancer Institute or Charles River (Wilmington, MA). All animal procedures were approved by the Georgetown University Animal Care and Use Committee. For surgical procedures, each mouse was anesthetized with an i.p. injection of a 0.25- to 0.30-ml solution consisting of 84% bacteriostatic saline, 10% sodium pentobarbital (1 mg/ml; Abbott Laboratories, Chicago, IL), and 6% ethyl alcohol. CT26 tumor cells (1 x 105) were injected s.c. in the bilateral flanks of mice. When s.c. tumors were palpably growing (~5 mm in maximal diameter), mice were unilaterally inoculated into the right side tumor with either 50 µl of defective HSV vector (7 x 105 PFU of helper virus) in virus buffer (150 mM NaCl, 20 mM Tris, pH 7.5) or 50 µl of virus buffer, followed by a second injection 7 days later. For some studies, where indicated, mock extract (2) was used in place of virus buffer. Tumor size was measured by external caliper, and tumor volume was calculated (V = h x w x d). If animals appeared moribund or the diameter of their s.c. tumors reached 18 mm, they were killed and this was recorded as the date of death for survival studies. Statistical differences were calculated using StatView 4.5 (Abacus Concepts, Berkeley, CA) where mean tumor volume was assessed by unpaired t test, survival means by ANOVA (Fisher’s post hoc comparisons), and differences in survival by log rank (Mantel-Cox) test.

To generate lymphocytes for CTL assays, FACS analysis, and IFN-{gamma} production assays, mice were killed 12 days after virus inoculation, and their spleens were isolated. Single-cell suspensions of splenocytes from individual inoculated mice were prepared in ACK lysing buffer (BioWhittaker, Walkersville, MD) followed by washing in RPMI 1640 medium containing 10% heat-inactivated FCS.

IFN-{gamma} assays

Single-cell suspensions of splenocytes were washed and resuspended in RPMI 1640 medium containing 10% inactivated FCS. Cells (3 x 106/ml) were cultured in 24-well plates for 24 h. Supernatants were collected and assayed by a sandwich ELISA using anti-IFN-{gamma} Ab pairs obtained from Endogen (Woburn, MA).

Flow cytometry analysis

Single-cell suspensions of splenocytes were washed and resuspended in PBS containing 0.3% BSA and 0.1% sodium azide. Briefly, aliquots of 3 x 106 cells were stained with FITC-conjugated anti-mouse CD4 mAb and R-phycoerythrin (PE)-conjugated anti-mouse CD8a mAb (PharMingen, San Diego, CA) for 30 min at 4°C. After staining, samples were fixed with 0.5% paraformaldehyde and analyzed on a FACScan flow cytometer focusing on the lymphocyte cluster (Becton Dickinson, Mountain View, CA).

Peptides

Peptide AH1 (nonamer SPSYVYHQF) is an immunodominant Ag identified in CT26 cells (26), derived from the envelope protein (gp70) of an endogenous ecotropic murine leukemia virus and presented by the MHC class I Ld molecule (26). The peptide was synthesized by Peptide Technologies (Washington, DC) to a purity of >99% as determined by HPLC and amino acid analysis. H-2Ld-restricted peptide P815AB, LPYLGWLVF, is an immunodominant Ag derived from murine mastocytoma P815 cells (36) (kindly provided by Dr. N. P. Restifo).

CTL Assays

Single-cell suspensions of splenocytes were cultured in RPMI 1640 medium with 10% inactivated FCS, 50 µM 2-ME, 2 mM glutamine, 20 mM HEPES, and penicillin-streptomycin in 24-well plates at a concentration of 3 x 106 cells/ml. In addition, either 1 x 106 inactivated CT26 cells or 1 µg/ml peptide AH1 was added to the medium. For inactivation, CT26 tumor cells were incubated for 1 h in culture medium containing 100 µg/ml of mitomycin C and then washed twice. Effector cells were harvested after 6 days of in vitro culture.

Four-hour 51Cr release assays were performed as previously described (37). In brief, target cells were incubated with 50 µCi of Na51CrO4 (51Cr) for 60 min. A20 cells were pulsed with 1 µg/ml of the Ld-restricted peptides AH1 or P815AB for 1 h before labeling. Target cells were then mixed with effector cells for 4 h at the E:T ratios indicated. The amount of 51Cr release was determined by gamma counting, and the percentage of specific lysis was calculated from triplicate samples as: [(experimental cpm - spontaneous cpm)/(maximum cpm - spontaneous cpm)] x 100.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Generation of defective HSV vectors

Amplicon plasmids, pHCIL12-tk and pHCL-tk, of similar size encoding the two subunits of murine IL-12, p40 and p35, or lacZ, respectively, under control of the CMVIE promoter (Fig. 1Go) were constructed. IL-12 is functional as a heterodimer, and therefore both subunits were expressed from a single dv as a bicistronic message using an IRES. dv stocks were generated from these amplicon plasmids using HSV-1 G207 as helper virus. Infection of CT26 cells with dvIL12/G207 or G207 alone results in cell death with >99% cytotoxicity by 4 days postinfection at a MOI of 1 (data not shown). The expression and secretion of IL-12 heterodimer were determined by ELISA assay after infection of tumor cells in culture. Infection of CT26 (murine colon carcinoma), Harding-Passey (murine melanoma), MCA38 (murine colon adenocarcinoma), and MDA-MB-435 (human breast adenocarcinoma) cells with dvIL12/G207 resulted in secretion of up to 1.5 ng of murine IL-12/105 tumor cells/24 h (Fig. 2Go). No IL-12 was detected in the supernatants of uninfected tumor cell cultures or those infected with dvlacZ/G207. Levels of IL-12 synthesis and secretion peaked 1 day after dvIL12/G207 infection of CT26 cells and decreased to undetectable by 3 days postinfection, likely due to cell death.



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FIGURE 2. Production of mouse IL-12 by various human and mouse tumor cell lines infected with dvIL12/G207. Cells were infected with dvIL12/G207 at a MOI of 1 PFU G207 per cell. Culture supernatants were collected after 24 h and assayed for mouse IL-12 using a sandwich ELISA. Bars represent means ± SEM of 2 samples per group.

 
Treatment of established bilateral s.c. CT26 tumors

The antitumor efficacy of the combined dvIL12/G207 therapy was evaluated in the CT26 s.c. tumor model in syngeneic BALB/c mice. Bilateral tumors were established in the flanks of BALB/c mice by the implantation of 105 CT26 cells per side. Treatment was initiated when s.c. tumors reached ~5 mm in maximal diameter. Each animal then underwent a unilateral intratumoral inoculation of dv stock (7 x 105 PFU of G207 helper virus) in the right flank tumor, followed by a second inoculation 7 days later. dvlacZ/G207 rather than helper virus G207 alone was used as a control for dvIL12/G207 inoculation so that differences in viral factors (i.e., particle:PFU ratio) present in dv stocks vs G207 stocks would be accounted for. Both G207 and dvlacZ contain E. coli lacZ, and therefore no additional foreign Ags were expressed by the control dv. G207 infection of s.c. CT26 tumors results in anti-HSV immunity, as detected by production of neutralizing serum Ab (data not shown).

Inoculation with dvIL12/G207 elicited a very prominent antitumor effect, with both the inoculated tumors and their noninoculated contralateral counterparts demonstrating a significant reduction in tumor growth (Fig. 3Go, top). Two of six of the dvIL12/G207-inoculated tumors regressed to an undetectable size. Inoculation with dvlacZ/G207 also resulted in a significant reduction in tumor growth of both inoculated and noninoculated tumors compared with controls, although to a much lesser extent than dvIL12/G207 (Fig. 3Go, top). A similar degree of s.c. CT26 tumor growth inhibition (as seen with dvlacZ/G207) was detected after intratumoral inoculation of G207 alone (4). Mice were also followed for survival (Fig. 4Go), where sacrifice occurred when either of the bilateral tumors became larger than 18 mm in diameter. Survival of the dv-treated animals is therefore reflective of the growth of the noninoculated tumors and is significantly longer than control animals. Mice treated unilaterally with dvIL12/G207 survived longer than dvlacZ/G207-treated mice (Fig. 4Go). Heterodimeric IL-12 was detected in the dvIL12/G207-inoculated tumors 1 and 5 days postinoculation (~50–100 pg/tumor), with no IL-12 detected in the serum.



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FIGURE 3. Bilateral established s.c. CT26 tumor therapy. When bilateral s.c. tumors reached ~5 mm in maximal diameter, mice underwent unilateral intratumoral inoculation with defective HSV vectors (7 x 105 PFU of G207 helper virus) or virus buffer (Mock) into the right side tumor on day 0, followed by a second inoculation on day 7 (n = 6/group). Top, Syngeneic BALB/c mice containing bilateral CT26 tumors where the right side tumor (Rt) was inoculated and the left side tumor (Lt) was not inoculated. Both the inoculated tumors (Rt) and their noninoculated contralateral counterparts (Lt) demonstrated significant tumor growth reduction after infection with dvlacZ/G207 compared with Mock (p < 0.005 (Rt), p < 0.01 (Lt) on day 22 postinfection; unpaired t test). Vaccination with dvIL12/G207 was more effective in inhibiting bilateral tumor growth than vaccination with dvlacZ/G207 (p < 0.001 (Rt), p < 0.001 (Lt) on day 22 postinfection; unpaired t test). Bars represent means ± SEM. Bottom, Athymic BALB/c-nu/nu mice containing bilateral CT26 tumors where the right side tumor (Rt) was inoculated with defective HSV vectors (7 x 105 PFU of G207 helper virus) or virus buffer (Mock) and the left side tumor (Lt) was not inoculated. No significant difference in tumor growth was observed in any of the tumors. Bars represent means ± SEM.

 


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FIGURE 4. Survival of tumor-bearing mice treated with defective HSV vectors. When bilateral s.c. tumors reached ~5 mm in maximal diameter, mice underwent unilateral intratumoral inoculation with defective HSV vectors (7 x 105 PFU of G207 helper virus) or virus buffer (Mock) into the right side tumor on day 0, followed by a second inoculation on day 7 (n = 6/group) (experiment in Fig. 3Go). When mice became moribund or tumors reached >18 mm in diameter they were killed. Survival means (Mock, 20.3 ± 1.0; dvlacZ/G207, 29.2 ± 0.8; dvIL12/G207, 36 ± 3.4) were significantly different (Fisher’s protected least significant difference, p < 0.05). Survival of mice treated with dvIL12/G207 or dvlacZ/G207 was significantly greater than mice treated with Mock (p < 0.01, Mantel-Cox test) and dvIL12/G207-treated mice survived longer than dvlacZ/G207 (p = 0.06, Mantel-Cox test).

 
To evaluate the possible role of T cells in the defective HSV vector-induced antitumor response, bilateral CT26 s.c. tumors were established in athymic BALB/c-nu/nu mice. As in the immunocompetent model, unilateral intratumoral inoculation of dvIL12/G207, dvlacZ/G207, or mock extract was performed into the right side tumors when they were palpable (~5 mm in maximal diameter) followed by a second inoculation 7 days later. Although there was a slight delay in growth of right side tumors injected with dvIL12/G207, no significant tumor growth inhibition was observed in either the inoculated or contralateral noninoculated tumors (Fig. 3Go, bottom). CT26 tumors grew somewhat more rapidly in the athymic mice than in the immunocompetent mice (Fig. 3Go).

Intratumoral inoculation with defective HSV vectors elicits a CT26-specific CTL response

To test whether inhibition of tumor growth was associated with increased CTL activity, we examined the capacity of intratumoral inoculation with defective HSV vectors to elicit CT26-specific CTL activity in vitro using a 51Cr release assay. BALB/c mice were inoculated with dvIL12/G207 or dvlacZ/G207 intratumorally when s.c. tumors reached ~5 mm in maximal diameter, followed by a second inoculation 7 days later. Effector cells were generated in vitro from splenocytes obtained 5 days after the second inoculation, by culture with mitomycin C-treated CT26 cells or 1 µg/ml of the CT26 immunodominant MHC class I-restricted peptide, AH1 (26). Effector cells, from dvIL12/G207-treated mice, restimulated with mitomycin C-treated CT26 cells exhibited specific lysis of CT26 target cells, as well as A20 cells pulsed with peptide AH1 (Fig. 5Go). No apparent lysis of A20 cells (data not shown) or A20 cells pulsed with Ld-restricted peptide P815AB, the immunodominant Ag derived from murine mastocytoma P815 cells (36), was observed (Fig. 5Go). Effector cells restimulated with peptide AH1, from mice treated with dvIL12/G207 or dvlacZ/G207, exhibited specific lysis of target A20 cells pulsed with peptide AH1 as well as CT26 cells but not unpulsed A20 cells (Fig. 6Go). The level of CTL activity generated by dvIL12/G207 was significantly greater than that generated by dvlacZ/G207. Effector cells from dvIL12/G207 inoculated animals, not restimulated, were able to specifically lyse CT26 but not A20 cells (data not shown).



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FIGURE 5. Induction of specific CTL response after intratumoral inoculation of defective HSV vectors. BALB/c mice with unilateral s.c. CT26 tumors were inoculated with dvIL12/G207 intratumorally, followed by a second inoculation 7 days later. Splenocytes were harvested 12 days after the first inoculation and stimulated in vitro with mitomycin-treated CT26 cells. After 6 days in culture, a 51Cr release assay was performed using as targets CT26 cells or A20 cells pulsed for 1 h before labeling with 1 µg/ml of the Ld-restricted peptide AH1 or the Ld-restricted peptide P815AB. Specific lysis of A20 cells pulsed with AH1 is significantly greater than that of A20 cells pulsed with P815AB at all E:T ratios (p < 0.05; unpaired t test) and specific lysis of CT26 cells is significantly greater than that of A20 cells pulsed with P815AB at E:T ratios of 30:1 and 10:1 (p < 0.05; unpaired t test). Bars represent means ± SEM of two mice (triplicate samples) per group.

 


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FIGURE 6. Induction of specific CTL response after intratumoral inoculation of defective HSV vectors. BALB/c mice with s.c. CT26 tumors were inoculated with dvIL12/G207 or dvlacZ/G207 intratumorally, followed by a second inoculation 7 days later. Splenocytes were harvested 12 days after the first inoculation and stimulated in vitro with 1 µg/ml of the Ld-restricted peptide AH1. After 6 days in culture, a 51Cr release assay was performed using as targets CT26 cells, A20 cells, or A20 cells pulsed for 1 h before labeling with 1 µg/ml of the Ld-restricted peptide AH1. The level of CTL activity generated by dvIL12/G207 was significantly greater than that generated by dvlacZ/G207 (*, p < 0.05; unpaired t test). Bars represent means ± SEM of three mice (triplicate samples) per group.

 
We also determined whether intratumoral IL-12 expression had any effect on the accumulation of particular T lymphocyte subtypes or IFN-{gamma} production. Splenocytes were isolated 5 days after the second inoculation of dvIL12/G207 or dvlacZ/G207 and tested for IFN-{gamma} production by ELISA and splenic T lymphocyte subsets by FACS analysis. Similar percentages of Th cells (CD4) and cytotoxic T cells (CD8a) were found in dvIL12/G207 and dvlacZ/G207-treated mice (Fig. 7Go). Splenocytes from mice treated with dvIL12/G207 produced significantly greater amounts of IFN-{gamma} than those treated with dvlacZ/G207 (Table IGo).



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FIGURE 7. Splenic lymphocyte subsets determined by FACS analysis from mice intratumorally inoculated with dvlacZ/G207 (A) or dvIL12/G207 (B). Splenocytes were harvested 12 days after the first inoculation and analyzed using monoclonal anti-CD4 and anti-CD8 Abs. This diagram is representative of data from six animals/group, with mean percentages (±SEM) for dvIL12/G207 of 6.36 ± 0.21 for CD8+ cells and 13.53 ± 0.42 for CD4+ cells and dvlacZ/G207 of 6.05 ± 0.38 for CD8+ cells and 13.71 ± 0.93 for CD4+ cells, where there were no significant differences between dvIL12/G207 and dvlacZ/G207.

 

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Table I. Secretion of IFN-{gamma} from splenocytes isolated from dvIL12/G207- or dvlacZ/G207-intratumorally inoculated mice (n = 3/group)a

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The use of HSV as a vaccine as well as a gene expression vector is a novel and attractive approach for cancer immunotherapy. The defective HSV vector system, as described here, consists of G207, an attenuated replication-competent helper virus as a cancer vaccine, and a dv expressing both polypeptides of IL-12 as an adjuvant. Numerous manipulations of this system are possible including the use of: 1) different mutants of HSV with altered attenuation, replication, cytotoxic, or immunologic properties as helper virus; 2) any gene, or multiple genes of interest to be expressing from the dv; and 3) the mixing of any combination of such defective HSV vector stocks with different dvs and/or helper viruses to provide a mixture of agents.

The defective IL-12 vector infected a number of different tumor cells, which then produced and secreted IL-12 in vitro. B16 murine melanoma, which has been used in a large number of immunotherapy studies, is highly resistant to HSV infection (38) and did not produce detectable IL-12 after dvIL12/G207 infection (data not shown). The variation in IL-12 production by different cell lines could be due to different susceptibilities of the cells to defective HSV infection or lysis by the helper virus G207. Cells that are highly susceptible to HSV infection, but where G207 replicates poorly and are therefore not rapidly destroyed, may be the highest producers of IL-12 in vitro. The actual levels and timing of delivery or synthesis of IL-12 in vivo can have large effects on the outcome of therapy. For example, Noguchi et al. (39) found that a low dose of IL-12 induced the largest tumor-specific CTL response, whereas higher doses actually suppressed the CTL response, yet the highest doses of IL-12 had the most potent antitumor effect.

Systemic delivery of rIL-12 has been shown to have potent antitumor effects in various animal models (12, 13, 14, 15, 22, 27); however, prolonged exposure to IL-12 can have deleterious side effects like many cytokines (40, 41). Transfer of cytokine genes directly to the tumor cells is advantageous because cytokines are expressed within the tumor at the site of putative tumor Ags. Although localized gene therapy is very attractive, current retroviral-based vectors for gene transfer require ex vivo manipulation and therefore are not practical for routine clinical use.

The approach that we have chosen involves direct genetic modification of the tumors in situ, using defective HSV vectors to deliver cytokine genes, thereby making the tumor cells themselves a source of cytokine production. As a control for these studies, we used dvlacZ/G207. Both G207 and dvlacZ express ß-galactosidase and lacZ is under the same transcriptional control in dvlacZ as IL-12 is in dvIL12. In addition, it has been shown that CT26 cells stably transfected with lacZ are just as tumorigenic (42) and as poorly susceptible to systemic IL-12 therapy as CT26 cells (22). Mice vaccinated with a recombinant poxvirus expressing ß-galactosidase were not protected from challenge with CT26 cells (42). Therefore, even though ß-galactosidase is a MHC class I-processed Ag of foreign origin, it failed to illicit a measurable antitumor immune response and does not seem to have any independent effect on antitumor therapy.

Other viral vectors (adenovirus and vaccinia virus) have been constructed to deliver both subunits of IL-12 in vivo by direct inoculation (21, 43). In this study, IL-12 production was detected in the inoculated tumor but not in the serum. The distribution of T cell subtypes was not significantly altered in the spleen by IL-12 expression at the tumor site; however, tumor-specific CTL activity and production of IFN-{gamma} by splenocytes were significantly enhanced. The local expression of IL-12, as an adjuvant, improved the antitumor efficacy of vaccination with the attenuated HSV helper virus in reducing growth of inoculated and noninoculated tumors. This improvement was correlated with heightened induction of tumor-specific CTL activity and IFN-{gamma} production by splenocytes. In contrast, use of rIL-12 as adjuvant with IL-2-transduced tumor cells as vaccine improved antitumor efficacy with enhanced IFN-{gamma} production but no effect on CTL activity (44).

It is unclear what mechanism(s) is involved in the generation of specific antitumor immunity after HSV infection of tumor cells. It has recently been shown that tumor Ags can be transferred to host bone marrow-derived APCs before MHC class I presentation to CD8+ T cells (26). Local HSV infection of the tumor might induce circulating precursors to differentiate into APCs. It has been suggested that GM-CSF plays an important role in the maturation and/or function of specialized APCs (1, 45). We found that intratumoral inoculation of GM-CSF-expressing defective HSV vectors had only limited antitumor efficacy compared with dvlacZ/G207 in the same s.c. CT26 tumor model (M. Toda, R. L. Martuza, and S. D. Rabkin, unpublished results). A subset of macrophages can process exogenous Ags by the same class I pathway as endogenous Ags and present them to CD8+ T cell clones (46, 47). Viral destruction of tumor cells might release tumor Ags that are then picked up by APCs, carried to the draining lymph nodes and presented to T cells. Histologically, the dvIL12-treated tumors had much larger areas of necrosis than the dvlacZ tumors, whereas the mock-treated tumors only had small areas of necrosis. Both dvIL12- and dvlacZ-treated tumors had a large influx of neutrophils, with none apparent in the mock-treated tumors (data not shown)

Although HSV-1 replicates in a wide variety of tumor cell types, G207, which is highly attenuated, is much more restricted and unable to grow in most rodent tumor cell lines. CT26 cells have only limited susceptibility to G207, so that at a MOI of 0.1 only ~60% of the cells are killed (data not shown), and G207 inoculation did not inhibit tumor growth in athymic mice. Therefore, in this system, G207 the helper virus is functioning much more as a tumor vaccine than by direct cytocidal action. The local production of IL-12 is acting as an adjuvant to the antitumor immunity induced by the helper virus. We did not find evidence of elevated IL-12 in the serum, but we did find elevated IL-12 in the contralateral, noninoculated tumor that is probably being produced endogenously. IL-12 is secreted by "professional" APCs, monocytes/macrophages, dendritic cells, and B cells (48). HSV infection of mice can lead to up-regulation of IL-12 expression (49), and this may be the cause of the elevated IL-12 in the noninoculated tumors or the inoculated tumors at later time points.

G207 has been found to be nonpathogenic in a number of animal models (2) and is progressing toward clinical trials for the treatment of primary human brain tumors. This vector combination of viral cancer vaccine and immune enhancement with cytokine expression can be administered directly into the tumor in situ without any ex vivo manipulations of the tumor cells or knowledge of tumor Ags. The presence of IL-12 in particles separate from the helper virus and the large number of copies of IL-12 delivered in each defective particle may account for the significant antitumor effect seen both in established inoculated tumors and distal noninoculated tumors.


    Acknowledgments
 
We thank Dr. Hideaki Tahara (Pittsburgh Cancer Institute, Pittsburgh, PA) for providing plasmids and helpful discussions, Dr. Nicholas Restifo (National Institutes of Health, Bethesda, MD) for providing cell lines, Dr. Ueli Gubler (Hoffmann-La Roche) for providing plasmids, Dr. David Presky (Hoffmann-La Roche) for providing rIL-12 and anti-IL-12 Abs, Dr. Yutaka Kawakami (National Cancer Institute, National Institutes of Health) for critical advice in manuscript preparation, Dr. Herbert Manz for assistance with pathology, and Dr. Periasamy Sundaresan and Ms. Anu Iyer for technical assistance.


    Footnotes
 
1 This study was supported in part by Grants NS32677 and NS33342 from the National Institutes of Health. Back

2 Address correspondence and reprint requests to Dr. Samuel D. Rabkin, Department of Neurosurgery, Georgetown University Medical Center, 3970 Reservoir Road, NW., Washington, DC 20007. Back

3 Abbreviations used in this paper: HSV, herpes simplex virus; PFU, plaque-forming unit; DPU, defective particle unit; MOI, multiplicity of infection; dv, defective vector; IRES, internal ribosome entry site; TK, thymidine kinase; PE, R-phycoerythrin. Back

Received for publication July 11, 1997. Accepted for publication December 29, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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