Agonist anti-GITR antibody significantly enhances the therapeutic efficacy of Listeria monocytogenes-based immunotherapy

Abstract Background We previously demonstrated that in addition to generating an antigen-specific immune response, Listeria monocytogenes (Lm)-based immunotherapy significantly reduces the ratio of regulatory T cells (Tregs)/CD4+ and myeloid-derived suppressor cells (MDSCs) in the tumor microenviron...

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Main Authors: Rajeev Shrimali, Shamim Ahmad, Zuzana Berrong, Grigori Okoev, Adelaida Matevosyan, Ghazaleh Shoja E. Razavi, Robert Petit, Seema Gupta, Mikayel Mkrtichyan, Samir N. Khleif
Format: Article
Language:English
Published: BMJ Publishing Group 2017-08-01
Series:Journal for ImmunoTherapy of Cancer
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40425-017-0266-x
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author Rajeev Shrimali
Shamim Ahmad
Zuzana Berrong
Grigori Okoev
Adelaida Matevosyan
Ghazaleh Shoja E. Razavi
Robert Petit
Seema Gupta
Mikayel Mkrtichyan
Samir N. Khleif
author_facet Rajeev Shrimali
Shamim Ahmad
Zuzana Berrong
Grigori Okoev
Adelaida Matevosyan
Ghazaleh Shoja E. Razavi
Robert Petit
Seema Gupta
Mikayel Mkrtichyan
Samir N. Khleif
author_sort Rajeev Shrimali
collection DOAJ
description Abstract Background We previously demonstrated that in addition to generating an antigen-specific immune response, Listeria monocytogenes (Lm)-based immunotherapy significantly reduces the ratio of regulatory T cells (Tregs)/CD4+ and myeloid-derived suppressor cells (MDSCs) in the tumor microenvironment. Since Lm-based immunotherapy is able to inhibit the immune suppressive environment, we hypothesized that combining this treatment with agonist antibody to a co-stimulatory receptor that would further boost the effector arm of immunity will result in significant improvement of anti-tumor efficacy of treatment. Methods Here we tested the immune and therapeutic efficacy of Listeria-based immunotherapy combination with agonist antibody to glucocorticoid-induced tumor necrosis factor receptor-related protein (GITR) in TC-1 mouse tumor model. We evaluated the potency of combination on tumor growth and survival of treated animals and profiled tumor microenvironment for effector and suppressor cell populations. Results We demonstrate that combination of Listeria-based immunotherapy with agonist antibody to GITR synergizes to improve immune and therapeutic efficacy of treatment in a mouse tumor model. We show that this combinational treatment leads to significant inhibition of tumor-growth, prolongs survival and leads to complete regression of established tumors in 60% of treated animals. We determined that this therapeutic benefit of combinational treatment is due to a significant increase in tumor infiltrating effector CD4+ and CD8+ T cells along with a decrease of inhibitory cells. Conclusion To our knowledge, this is the first study that exploits Lm-based immunotherapy combined with agonist anti-GITR antibody as a potent treatment strategy that simultaneously targets both the effector and suppressor arms of the immune system, leading to significantly improved anti-tumor efficacy. We believe that our findings depicted in this manuscript provide a promising and translatable strategy that can enhance the overall efficacy of cancer immunotherapy.
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spelling doaj.art-61811cabb1744d598da3309ba03659cc2022-12-21T18:15:59ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262017-08-01511910.1186/s40425-017-0266-xAgonist anti-GITR antibody significantly enhances the therapeutic efficacy of Listeria monocytogenes-based immunotherapyRajeev Shrimali0Shamim Ahmad1Zuzana Berrong2Grigori Okoev3Adelaida Matevosyan4Ghazaleh Shoja E. Razavi5Robert Petit6Seema Gupta7Mikayel Mkrtichyan8Samir N. Khleif9Augusta University, Georgia Cancer CenterAugusta University, Georgia Cancer CenterAugusta University, Georgia Cancer CenterAugusta University, Georgia Cancer CenterAugusta University, Georgia Cancer CenterAugusta University, Georgia Cancer CenterAdvaxis ImmunotherapiesAugusta University, Georgia Cancer CenterAugusta University, Georgia Cancer CenterAugusta University, Georgia Cancer CenterAbstract Background We previously demonstrated that in addition to generating an antigen-specific immune response, Listeria monocytogenes (Lm)-based immunotherapy significantly reduces the ratio of regulatory T cells (Tregs)/CD4+ and myeloid-derived suppressor cells (MDSCs) in the tumor microenvironment. Since Lm-based immunotherapy is able to inhibit the immune suppressive environment, we hypothesized that combining this treatment with agonist antibody to a co-stimulatory receptor that would further boost the effector arm of immunity will result in significant improvement of anti-tumor efficacy of treatment. Methods Here we tested the immune and therapeutic efficacy of Listeria-based immunotherapy combination with agonist antibody to glucocorticoid-induced tumor necrosis factor receptor-related protein (GITR) in TC-1 mouse tumor model. We evaluated the potency of combination on tumor growth and survival of treated animals and profiled tumor microenvironment for effector and suppressor cell populations. Results We demonstrate that combination of Listeria-based immunotherapy with agonist antibody to GITR synergizes to improve immune and therapeutic efficacy of treatment in a mouse tumor model. We show that this combinational treatment leads to significant inhibition of tumor-growth, prolongs survival and leads to complete regression of established tumors in 60% of treated animals. We determined that this therapeutic benefit of combinational treatment is due to a significant increase in tumor infiltrating effector CD4+ and CD8+ T cells along with a decrease of inhibitory cells. Conclusion To our knowledge, this is the first study that exploits Lm-based immunotherapy combined with agonist anti-GITR antibody as a potent treatment strategy that simultaneously targets both the effector and suppressor arms of the immune system, leading to significantly improved anti-tumor efficacy. We believe that our findings depicted in this manuscript provide a promising and translatable strategy that can enhance the overall efficacy of cancer immunotherapy.http://link.springer.com/article/10.1186/s40425-017-0266-xListeria vaccineLm-LLO-E7Anti-GITR antibodyCo-stimulationImmune toleranceImmunotherapy
spellingShingle Rajeev Shrimali
Shamim Ahmad
Zuzana Berrong
Grigori Okoev
Adelaida Matevosyan
Ghazaleh Shoja E. Razavi
Robert Petit
Seema Gupta
Mikayel Mkrtichyan
Samir N. Khleif
Agonist anti-GITR antibody significantly enhances the therapeutic efficacy of Listeria monocytogenes-based immunotherapy
Journal for ImmunoTherapy of Cancer
Listeria vaccine
Lm-LLO-E7
Anti-GITR antibody
Co-stimulation
Immune tolerance
Immunotherapy
title Agonist anti-GITR antibody significantly enhances the therapeutic efficacy of Listeria monocytogenes-based immunotherapy
title_full Agonist anti-GITR antibody significantly enhances the therapeutic efficacy of Listeria monocytogenes-based immunotherapy
title_fullStr Agonist anti-GITR antibody significantly enhances the therapeutic efficacy of Listeria monocytogenes-based immunotherapy
title_full_unstemmed Agonist anti-GITR antibody significantly enhances the therapeutic efficacy of Listeria monocytogenes-based immunotherapy
title_short Agonist anti-GITR antibody significantly enhances the therapeutic efficacy of Listeria monocytogenes-based immunotherapy
title_sort agonist anti gitr antibody significantly enhances the therapeutic efficacy of listeria monocytogenes based immunotherapy
topic Listeria vaccine
Lm-LLO-E7
Anti-GITR antibody
Co-stimulation
Immune tolerance
Immunotherapy
url http://link.springer.com/article/10.1186/s40425-017-0266-x
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