Genetically Engineered Probiotic <i>Limosilactobacillus reuteri</i> Releasing IL-22 (LR-IL-22) Modifies the Tumor Microenvironment, Enabling Irradiation in Ovarian Cancer

Despite recent advances in cancer therapy, ovarian cancer remains the most lethal gynecological cancer worldwide, making it crucial and of the utmost importance to establish novel therapeutic strategies. Adjuvant radiotherapy has been assessed historically, but its use was limited by intestinal toxi...

Full description

Bibliographic Details
Main Authors: Diala F. Hamade, Michael W. Epperly, Renee Fisher, Wen Hou, Donna Shields, Jan-Peter van Pijkeren, Brian J. Leibowitz, Lan G. Coffman, Hong Wang, M. Saiful Huq, Ziyu Huang, Claude J. Rogers, Anda M. Vlad, Joel S. Greenberger, Amitava Mukherjee
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/16/3/474
_version_ 1797319046825246720
author Diala F. Hamade
Michael W. Epperly
Renee Fisher
Wen Hou
Donna Shields
Jan-Peter van Pijkeren
Brian J. Leibowitz
Lan G. Coffman
Hong Wang
M. Saiful Huq
Ziyu Huang
Claude J. Rogers
Anda M. Vlad
Joel S. Greenberger
Amitava Mukherjee
author_facet Diala F. Hamade
Michael W. Epperly
Renee Fisher
Wen Hou
Donna Shields
Jan-Peter van Pijkeren
Brian J. Leibowitz
Lan G. Coffman
Hong Wang
M. Saiful Huq
Ziyu Huang
Claude J. Rogers
Anda M. Vlad
Joel S. Greenberger
Amitava Mukherjee
author_sort Diala F. Hamade
collection DOAJ
description Despite recent advances in cancer therapy, ovarian cancer remains the most lethal gynecological cancer worldwide, making it crucial and of the utmost importance to establish novel therapeutic strategies. Adjuvant radiotherapy has been assessed historically, but its use was limited by intestinal toxicity. We recently established the role of <i>Limosilactobacillus reuteri</i> in releasing IL-22 (LR-IL-22) as an effective radiation mitigator, and we have now assessed its effect in an ovarian cancer mouse model. We hypothesized that an LR-IL-22 gavage would enable intestinal radioprotection by modifying the tumor microenvironment and, subsequently, improving overall survival in female C57BL/6MUC-1 mice with widespread abdominal syngeneic 2F8cis ovarian cancer. Herein, we report that the LR-IL-22 gavage not only improved overall survival in mice when combined with a PD-L1 inhibitor by inducing differential gene expression in irradiated stem cells but also induced PD-L1 protein expression in ovarian cancer cells and mobilized CD8+ T cells in whole abdomen irradiated mice. The addition of LR-IL-22 to a combined treatment modality with fractionated whole abdomen radiation (WAI) and systemic chemotherapy and immunotherapy regimens can facilitate a safe and effective protocol to reduce tumor burden, increase survival, and improve the quality of life of a locally advanced ovarian cancer patient.
first_indexed 2024-03-08T04:01:07Z
format Article
id doaj.art-f567c6c83dde4f999e7419fd73b9be68
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-08T04:01:07Z
publishDate 2024-01-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-f567c6c83dde4f999e7419fd73b9be682024-02-09T15:08:39ZengMDPI AGCancers2072-66942024-01-0116347410.3390/cancers16030474Genetically Engineered Probiotic <i>Limosilactobacillus reuteri</i> Releasing IL-22 (LR-IL-22) Modifies the Tumor Microenvironment, Enabling Irradiation in Ovarian CancerDiala F. Hamade0Michael W. Epperly1Renee Fisher2Wen Hou3Donna Shields4Jan-Peter van Pijkeren5Brian J. Leibowitz6Lan G. Coffman7Hong Wang8M. Saiful Huq9Ziyu Huang10Claude J. Rogers11Anda M. Vlad12Joel S. Greenberger13Amitava Mukherjee14Department of Radiation Oncology, UPMC Hillman Cancer Center, Pittsburgh, PA 15232, USADepartment of Radiation Oncology, UPMC Hillman Cancer Center, Pittsburgh, PA 15232, USADepartment of Radiation Oncology, UPMC Hillman Cancer Center, Pittsburgh, PA 15232, USADepartment of Radiation Oncology, UPMC Hillman Cancer Center, Pittsburgh, PA 15232, USADepartment of Radiation Oncology, UPMC Hillman Cancer Center, Pittsburgh, PA 15232, USADepartment of Food Science, University of Wisconsin-Madison, Madison, WI 53706, USADepartment of Radiation Oncology, UPMC Hillman Cancer Center, Pittsburgh, PA 15232, USADepartment of Medicine, University of Pittsburgh, Pittsburgh, PA 15260, USADepartment of Biostatistics, University of Pittsburgh, Pittsburgh, PA 15260, USADepartment of Radiation Oncology, UPMC Hillman Cancer Center, Pittsburgh, PA 15232, USADepartment of Biostatistics, University of Pittsburgh, Pittsburgh, PA 15260, USAChromoLogic, LLC, Monrovia, CA 91016, USADivision of Cancer Prevention, National Cancer Institute, Rockville, MD 20850, USADepartment of Radiation Oncology, UPMC Hillman Cancer Center, Pittsburgh, PA 15232, USADepartment of Radiation Oncology, UPMC Hillman Cancer Center, Pittsburgh, PA 15232, USADespite recent advances in cancer therapy, ovarian cancer remains the most lethal gynecological cancer worldwide, making it crucial and of the utmost importance to establish novel therapeutic strategies. Adjuvant radiotherapy has been assessed historically, but its use was limited by intestinal toxicity. We recently established the role of <i>Limosilactobacillus reuteri</i> in releasing IL-22 (LR-IL-22) as an effective radiation mitigator, and we have now assessed its effect in an ovarian cancer mouse model. We hypothesized that an LR-IL-22 gavage would enable intestinal radioprotection by modifying the tumor microenvironment and, subsequently, improving overall survival in female C57BL/6MUC-1 mice with widespread abdominal syngeneic 2F8cis ovarian cancer. Herein, we report that the LR-IL-22 gavage not only improved overall survival in mice when combined with a PD-L1 inhibitor by inducing differential gene expression in irradiated stem cells but also induced PD-L1 protein expression in ovarian cancer cells and mobilized CD8+ T cells in whole abdomen irradiated mice. The addition of LR-IL-22 to a combined treatment modality with fractionated whole abdomen radiation (WAI) and systemic chemotherapy and immunotherapy regimens can facilitate a safe and effective protocol to reduce tumor burden, increase survival, and improve the quality of life of a locally advanced ovarian cancer patient.https://www.mdpi.com/2072-6694/16/3/474genetically engineeredprobiotic<i>Limosilactobacillus reuteri</i>
spellingShingle Diala F. Hamade
Michael W. Epperly
Renee Fisher
Wen Hou
Donna Shields
Jan-Peter van Pijkeren
Brian J. Leibowitz
Lan G. Coffman
Hong Wang
M. Saiful Huq
Ziyu Huang
Claude J. Rogers
Anda M. Vlad
Joel S. Greenberger
Amitava Mukherjee
Genetically Engineered Probiotic <i>Limosilactobacillus reuteri</i> Releasing IL-22 (LR-IL-22) Modifies the Tumor Microenvironment, Enabling Irradiation in Ovarian Cancer
Cancers
genetically engineered
probiotic
<i>Limosilactobacillus reuteri</i>
title Genetically Engineered Probiotic <i>Limosilactobacillus reuteri</i> Releasing IL-22 (LR-IL-22) Modifies the Tumor Microenvironment, Enabling Irradiation in Ovarian Cancer
title_full Genetically Engineered Probiotic <i>Limosilactobacillus reuteri</i> Releasing IL-22 (LR-IL-22) Modifies the Tumor Microenvironment, Enabling Irradiation in Ovarian Cancer
title_fullStr Genetically Engineered Probiotic <i>Limosilactobacillus reuteri</i> Releasing IL-22 (LR-IL-22) Modifies the Tumor Microenvironment, Enabling Irradiation in Ovarian Cancer
title_full_unstemmed Genetically Engineered Probiotic <i>Limosilactobacillus reuteri</i> Releasing IL-22 (LR-IL-22) Modifies the Tumor Microenvironment, Enabling Irradiation in Ovarian Cancer
title_short Genetically Engineered Probiotic <i>Limosilactobacillus reuteri</i> Releasing IL-22 (LR-IL-22) Modifies the Tumor Microenvironment, Enabling Irradiation in Ovarian Cancer
title_sort genetically engineered probiotic i limosilactobacillus reuteri i releasing il 22 lr il 22 modifies the tumor microenvironment enabling irradiation in ovarian cancer
topic genetically engineered
probiotic
<i>Limosilactobacillus reuteri</i>
url https://www.mdpi.com/2072-6694/16/3/474
work_keys_str_mv AT dialafhamade geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT michaelwepperly geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT reneefisher geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT wenhou geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT donnashields geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT janpetervanpijkeren geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT brianjleibowitz geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT langcoffman geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT hongwang geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT msaifulhuq geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT ziyuhuang geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT claudejrogers geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT andamvlad geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT joelsgreenberger geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer
AT amitavamukherjee geneticallyengineeredprobioticilimosilactobacillusreuteriireleasingil22lril22modifiesthetumormicroenvironmentenablingirradiationinovariancancer