Intravenous administration of BCG in mice promotes natural killer and T cell-mediated antitumor immunity in the lung

Abstract Intravesical administration of Bacillus Calmette-Guérin (BCG) was one of the first FDA-approved immunotherapies and remains a standard treatment for bladder cancer. Previous studies have demonstrated that intravenous (IV) administration of BCG is well-tolerated and effective in preventing t...

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Main Authors: Eduardo Moreo, Aitor Jarit-Cabanillas, Iñaki Robles-Vera, Santiago Uranga, Claudia Guerrero, Ana Belén Gómez, Pablo Mata-Martínez, Luna Minute, Miguel Araujo-Voces, María José Felgueres, Gloria Esteso, Iratxe Uranga-Murillo, Maykel Arias, Julián Pardo, Carlos Martín, Mar Valés-Gómez, Carlos del Fresno, David Sancho, Nacho Aguiló
Format: Article
Language:English
Published: Nature Portfolio 2023-10-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-41768-8
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author Eduardo Moreo
Aitor Jarit-Cabanillas
Iñaki Robles-Vera
Santiago Uranga
Claudia Guerrero
Ana Belén Gómez
Pablo Mata-Martínez
Luna Minute
Miguel Araujo-Voces
María José Felgueres
Gloria Esteso
Iratxe Uranga-Murillo
Maykel Arias
Julián Pardo
Carlos Martín
Mar Valés-Gómez
Carlos del Fresno
David Sancho
Nacho Aguiló
author_facet Eduardo Moreo
Aitor Jarit-Cabanillas
Iñaki Robles-Vera
Santiago Uranga
Claudia Guerrero
Ana Belén Gómez
Pablo Mata-Martínez
Luna Minute
Miguel Araujo-Voces
María José Felgueres
Gloria Esteso
Iratxe Uranga-Murillo
Maykel Arias
Julián Pardo
Carlos Martín
Mar Valés-Gómez
Carlos del Fresno
David Sancho
Nacho Aguiló
author_sort Eduardo Moreo
collection DOAJ
description Abstract Intravesical administration of Bacillus Calmette-Guérin (BCG) was one of the first FDA-approved immunotherapies and remains a standard treatment for bladder cancer. Previous studies have demonstrated that intravenous (IV) administration of BCG is well-tolerated and effective in preventing tuberculosis infection in animals. Here, we examine IV BCG in several preclinical lung tumor models. Our findings demonstrate that BCG inoculation reduced tumor growth and prolonged mouse survival in models of lung melanoma metastasis and orthotopic lung adenocarcinoma. Moreover, IV BCG treatment was well-tolerated with no apparent signs of acute toxicity. Mechanistically, IV BCG induced tumor-specific CD8+ T cell responses, which were dependent on type 1 conventional dendritic cells, as well as NK cell-mediated immunity. Lastly, we also show that IV BCG has an additive effect on anti-PD-L1 checkpoint inhibitor treatment in mouse lung tumors that are otherwise resistant to anti-PD-L1 as monotherapy. Overall, our study demonstrates the potential of systemic IV BCG administration in the treatment of lung tumors, highlighting its ability to enhance immune responses and augment immune checkpoint blockade efficacy.
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spelling doaj.art-cddf6509eb5149ae82e3ae71ebde63222023-11-20T09:52:17ZengNature PortfolioNature Communications2041-17232023-10-0114111710.1038/s41467-023-41768-8Intravenous administration of BCG in mice promotes natural killer and T cell-mediated antitumor immunity in the lungEduardo Moreo0Aitor Jarit-Cabanillas1Iñaki Robles-Vera2Santiago Uranga3Claudia Guerrero4Ana Belén Gómez5Pablo Mata-Martínez6Luna Minute7Miguel Araujo-Voces8María José Felgueres9Gloria Esteso10Iratxe Uranga-Murillo11Maykel Arias12Julián Pardo13Carlos Martín14Mar Valés-Gómez15Carlos del Fresno16David Sancho17Nacho Aguiló18Grupo de Genética de Micobacterias, Departamento de Microbiología, Pediatría, Radiología y Salud Pública, Facultad de Medicina, Universidad de Zaragoza, IIS-AragonCentro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC)Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC)Grupo de Genética de Micobacterias, Departamento de Microbiología, Pediatría, Radiología y Salud Pública, Facultad de Medicina, Universidad de Zaragoza, IIS-AragonGrupo de Genética de Micobacterias, Departamento de Microbiología, Pediatría, Radiología y Salud Pública, Facultad de Medicina, Universidad de Zaragoza, IIS-AragonGrupo de Genética de Micobacterias, Departamento de Microbiología, Pediatría, Radiología y Salud Pública, Facultad de Medicina, Universidad de Zaragoza, IIS-AragonHospital la Paz Institute for Health Research (IdiPAZ)Hospital la Paz Institute for Health Research (IdiPAZ)Grupo de Genética de Micobacterias, Departamento de Microbiología, Pediatría, Radiología y Salud Pública, Facultad de Medicina, Universidad de Zaragoza, IIS-AragonDepartamento de Inmunología y Oncología, Centro Nacional de Biotecnología (CNB-CSIC)Departamento de Inmunología y Oncología, Centro Nacional de Biotecnología (CNB-CSIC)Grupo de Inmunoterapia, Inmunidad y Cáncer, Departamento de Microbiología, Pediatría, Radiología y Salud Pública, Facultad de Medicina, Universidad de Zaragoza, IIS-AragonGrupo de Inmunoterapia, Inmunidad y Cáncer, Departamento de Microbiología, Pediatría, Radiología y Salud Pública, Facultad de Medicina, Universidad de Zaragoza, IIS-AragonGrupo de Inmunoterapia, Inmunidad y Cáncer, Departamento de Microbiología, Pediatría, Radiología y Salud Pública, Facultad de Medicina, Universidad de Zaragoza, IIS-AragonGrupo de Genética de Micobacterias, Departamento de Microbiología, Pediatría, Radiología y Salud Pública, Facultad de Medicina, Universidad de Zaragoza, IIS-AragonDepartamento de Inmunología y Oncología, Centro Nacional de Biotecnología (CNB-CSIC)Hospital la Paz Institute for Health Research (IdiPAZ)Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC)Grupo de Genética de Micobacterias, Departamento de Microbiología, Pediatría, Radiología y Salud Pública, Facultad de Medicina, Universidad de Zaragoza, IIS-AragonAbstract Intravesical administration of Bacillus Calmette-Guérin (BCG) was one of the first FDA-approved immunotherapies and remains a standard treatment for bladder cancer. Previous studies have demonstrated that intravenous (IV) administration of BCG is well-tolerated and effective in preventing tuberculosis infection in animals. Here, we examine IV BCG in several preclinical lung tumor models. Our findings demonstrate that BCG inoculation reduced tumor growth and prolonged mouse survival in models of lung melanoma metastasis and orthotopic lung adenocarcinoma. Moreover, IV BCG treatment was well-tolerated with no apparent signs of acute toxicity. Mechanistically, IV BCG induced tumor-specific CD8+ T cell responses, which were dependent on type 1 conventional dendritic cells, as well as NK cell-mediated immunity. Lastly, we also show that IV BCG has an additive effect on anti-PD-L1 checkpoint inhibitor treatment in mouse lung tumors that are otherwise resistant to anti-PD-L1 as monotherapy. Overall, our study demonstrates the potential of systemic IV BCG administration in the treatment of lung tumors, highlighting its ability to enhance immune responses and augment immune checkpoint blockade efficacy.https://doi.org/10.1038/s41467-023-41768-8
spellingShingle Eduardo Moreo
Aitor Jarit-Cabanillas
Iñaki Robles-Vera
Santiago Uranga
Claudia Guerrero
Ana Belén Gómez
Pablo Mata-Martínez
Luna Minute
Miguel Araujo-Voces
María José Felgueres
Gloria Esteso
Iratxe Uranga-Murillo
Maykel Arias
Julián Pardo
Carlos Martín
Mar Valés-Gómez
Carlos del Fresno
David Sancho
Nacho Aguiló
Intravenous administration of BCG in mice promotes natural killer and T cell-mediated antitumor immunity in the lung
Nature Communications
title Intravenous administration of BCG in mice promotes natural killer and T cell-mediated antitumor immunity in the lung
title_full Intravenous administration of BCG in mice promotes natural killer and T cell-mediated antitumor immunity in the lung
title_fullStr Intravenous administration of BCG in mice promotes natural killer and T cell-mediated antitumor immunity in the lung
title_full_unstemmed Intravenous administration of BCG in mice promotes natural killer and T cell-mediated antitumor immunity in the lung
title_short Intravenous administration of BCG in mice promotes natural killer and T cell-mediated antitumor immunity in the lung
title_sort intravenous administration of bcg in mice promotes natural killer and t cell mediated antitumor immunity in the lung
url https://doi.org/10.1038/s41467-023-41768-8
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