Difference between revisions of "Team:Evry/Project/Chassis"

Chassis selection for in vivo DC target

For personalized therapies based on our prediction of target antigen, we need a customizable chassis to present this antigen to the immune system. We went through a selection process for the chassis presenting the best features to deliver the patient tumor antigen to the immune dendritic cells (DCs). We chose to target DCs because they are considered the best candidate for T-cells activation against cancer (8). The chassis must be immunogenic to serve as an adjuvant for the antigen, because immature DCs presenting a tumor antigen without danger signal will induce T cell tolerance. Micro-organisms are natural adjuvants bearing the danger signal as well as the antigen targeted. In addition, they can be standardized and target DCs in vivo, thereby reducing production costs. However, skeptic shock or cytokine storm must be absolutely prevented.

Bacteria are well-adapted vector for in vivo therapy with Dendritic Cells (DCs). First, they naturally increase tumor immunogenicity because their toll-like receptors induce an inflammatory cytokine response that attract DCs. Second, they are able to deliver tumor antigens to DCs through variant mechanisms. However, they raise safety concerns for virulent reversion in patient. P. aeruginosa, a human pathogen, has been designed to inject directly the tumor antigen with its type III secretion system (T3SS) in DCs cytosol (9). In a curative assay on mice with melanoma, injection of the vaccine vector after tumor implantation led to a complete cure in five of six animals (10). This virulent bacterium is attenuated with the killed but metabolically active (KBMA) method. While this system has shown to attenuate toxicity both in vitro and in murine model, it also reduces antigen presentation by 70 % in comparison with the live vector, raising both safety and efficiency problem  (11).

Listeria monocytogenes is a natural choice because this intracellular pathogen has the ability to enter DCs and to activate MHC I Pathway. Once inside the phagosome, it releases a lysosomal enzyme that is active at acidic pH to degrade the phagolysosome, the Listeriolysine O (LLO). This therapy performed well in Phase I clinical trial against invasive carcinoma of the cervix (12). However, Listeria has to be genetically modified to suppress genes that could cause virulence reversion and raises again safety concerns. In addition, Listeria immunotherapy is not as adapted as E. coli for metabolic engineering to overproduce antigens and co-stimulatory molecules within DCs for a strong immune response.

E. coli has therefore been proposed to inject the tumor antigen in DCs with the heterologous LLO from Listeria. Immunization of mice by direct injection of E. coli LLO/OVA provided a potent anti-tumor response, resulting in complete protection in 75% of mice (13). The drawback is LLO toxicity for the cell, with the absence of regulation by E. coli on the contrary of Listeria. In addition, even if E. coli is less pathogenic than Listeria, a live vector that replicates inside a patient raises safety issues. (13). 

To address both safety and efficiency, we selected S. cerevisiae for the following advantages:

A. S. cerevisiae is non pathogenic : phase I clinical trial with subcutaneous injection of heat-killed yeasts S. cerevisiae against hepatitis C showed no dose-related toxicity (14), demonstrating the safety of this vector for future human applications in cancer immunotherapy.

B. S. cerevisiae has a strong adjuvant effect, explaining why zymosan, an extract of S. cerevisiae cell wall, has been used to stimulate inflammation for 50 years (15). In particular, the mannose stimulate pro-inflammatory cytokines production in monocytes and dendritic cells, making the vector appropriate for APC targeting (16,17). 

C. S. cerevisiae already proved its anti-tumor capacity : the first demonstration of recombinant yeast to induce adaptative immunity was shown in 2001 by Stubbs et al against ovalbumin tumor cells (18). Yeast expressing the mutated RAS protein inside their cytosol induced reduction of lung tumors in mice and a quarter of the tumors were eradicated (19). Tumor antigen MART-1 was also expressed in yeast cytosol and induced both CD4+ and CD8+ in mice. (20)

D. S. cerevisiae prior immunization with the wild type do not create a response neutralizing the antigen expressing yeast, allowing repeated injections of the vector. (21)

References

8. J Banchereau & R M. Steinman, Dendritic cells and the control of immunity, Nature 392, 245-252 (19 March 1998) | doi:10.1038/32588

9. Wang Yan, Development of anti-tumor immunotherapy mediated by type III secretion system- based live attenuated bacterial vectors. Human health and pathology. Université de Grenoble, 2012. French.

10. Epaulard O, Toussaint B, Quenee L, Derouazi M, Bosco N, Villiers C, Le Berre R, Guery B, Filopon D, Crombez L, N. Marche P, and Polack B, Anti-tumor Immunotherapy via Antigen Delivery from a Live Attenuated Genetically Engineered Pseudomonas aeruginosa Type III Secretion System-Based Vector, Mol Ther, doi:10.1016/j.ymthe.2006.06.01

11. Chauchet Xavier, Immunothérapie anti-tumorale active par vecteur bactérien vivant attenué : mise au point de l’approche vaccinale ”killed but metabolically active”. Pharmaceutical sciences. 2013.

12. Maciag PC, Radulovic S, Rothman J. The first clinical use of a live-attenuated Listeria monocytogenes vaccine: a Phase I safety study of Lm-LLO-E7 in patients with advanced carcinoma of the cervix. Vaccine. 2009 Jun 19;27(30):3975-83. doi: 10.1016/j.vaccine.2009.04.041

13. KJ Radford, DE Higgins, S Pasquini, EJ Cheadle, L Carta, AM Jackson, NR Lemoine and G Vassaux, A recombinant E. coli vaccine to promote MHC class I-dependent antigen presentation: application to cancer immunotherapy, Nature Gene Therapy (2002) 9, 1455–1463

14. Munson S, J Parker, TH King, Y Lio, V Kelley, Z Guo, V Borges, and A Franzusoff, Coupling innate and adaptive immunity with yeast-based cancer immunotherapy, 2008, Cancer Vaccines and Tumor Immunity, New York, p. 131-149

15. Underhill D, Macrophage recognition of zymosan particles. JEndotoxin, Res 9: 176-180. M. 2003

16. Tada H, E. Nemoto, H Shimauchi, T Watanabe, T Mikami, T Matsumoto, N Ohno, H Tamura, K Shibata, S Akashi, K Miyake, S Sugawara, and H Takada, Saccharomyces cerevisiae- and Candida albicans-derived mannan induced production of tumor necrosis factor alpha by human monocytes in a CD14- and Toll-like receptor 4- dependent manner. MicrobiolImmunol, 2002, 46: 503-512

17. Sheng, K-C, DS Pouniotis, MD Wright, CK Tang, E Lazoura, G A Pietersz, and V. Apostolopoulos, Mannan derivatives induce phenotypic and functional maturation of mouse dendritic cells. Immunology 2006, 118: 372-383

18. Stubbs AC, KS Martin, C Coeshott, SV Skaates, DR Kuritzkes, D Bellgrau, A Franzusoff, RC Duke, and CC Wilson, Whole recombinant yeast vaccine activates dendritic cells and elicits protective cell-mediated immunity, 2001, NatMed 7: 625- 629

19. Lu Y, D Bellgrau, LD Dwyer-Nield, AM Malkinson, RC Duke, TC Rodell, and A Franzusoff, Mutation-selective tumor remission with Ras-targeted, whole yeast- based immunotherapy, 2004, CancerRes 64: 5084-5088

20. Riemann H, J Takao, YG Shellman, WA Hines, CK Edwards, DA Norris and M Fujita, Generation of a prophylactic melanoma vaccine using whole recombinant yeast expressing MART-1, 2007, ExperimentalDermatology, 16: 814-822

21. Franzusoff A, RC Duke, TH King, Y Lu and TC Rodell, Yeasts encoding tumour antigens in cancer immunotherapy, 2005. Expert Opinion on Biological Therapy 5: 565- 575