Q1 · MEDICINE
Article
Author: Chuy, Jennifer ; McAuliffe, John C. ; Li, Jenny ; DesMarais, Vera ; Libutti, Steven K. ; Zhang, Xusheng ; Koba, Wade ; Patel, Ankur ; Friedman, Madeline ; Quispe-Tintaya, Wilber ; Selvanesan, Benson Chellakkan ; Khouri, Olivia ; Beck, Amanda ; Yuan, Ziqiang ; Meena, Kiran ; Condeelis, John ; Gravekamp, Claudia ; Wang, Yarong ; Gabor, Lisa ; Jahangir, Arthee ; Entenberg, David ; Lin, Ken ; Alves Da Silva, Rodrigo Alberto ; Siddiqui, Sarah ; Tesfa, Lydia ; Jafari, Rojin ; Chandra, Dinesh ; Balachandran, Vinod
Pancreatic ductal adenocarcinoma (PDAC) is a highly metastatic disease. Tumors are poorly immunogenic and immunosuppressive, preventing T cell activation in the tumor microenvironment. Here, we present a microbial-based immunotherapeutic treatment for selective delivery of an immunogenic tetanus toxoid protein (TT
856-1313
) into PDAC tumor cells by attenuated
Listeria monocytogenes
. This treatment reactivated preexisting TT-specific memory T cells to kill infected tumor cells in mice. Treatment of KrasG12D,p53R172H, Pdx1-Cre (KPC) mice with
Listeria
-TT resulted in TT accumulation inside tumor cells, attraction of TT-specific memory CD4 T cells to the tumor microenvironment, and production of perforin and granzyme B in tumors. Low doses of gemcitabine (GEM) increased immune effects of
Listeria
-TT, turning immunologically cold into hot tumors in mice. In vivo depletion of T cells from
Listeria
-TT + GEM–treated mice demonstrated a CD4 T cell–mediated reduction in tumor burden. CD4 T cells from TT-vaccinated mice were able to kill TT-expressing Panc-02 tumor cells in vitro. In addition, peritumoral lymph node–like structures were observed in close contact with pancreatic tumors in KPC mice treated with
Listeria
-TT or
Listeria
-TT + GEM. These structures displayed CD4 and CD8 T cells producing perforin and granzyme B. Whereas CD4 T cells efficiently infiltrated the KPC tumors, CD8 T cells did not.
Listeria
-TT + GEM treatment of KPC mice with advanced PDAC reduced tumor burden by 80% and metastases by 87% after treatment and increased survival by 40% compared to nontreated mice. These results suggest that
Listeria
-delivered recall antigens could be an alternative to neoantigen-mediated cancer immunotherapy.