High-dose chemotherapy augments the efficacy of recombinant adenovirus vaccines and improves the therapeutic outcome

Cancer Gene Ther. 2009 Apr;16(4):338-50. doi: 10.1038/cgt.2008.89. Epub 2008 Nov 7.

Abstract

We have investigated the therapeutic potential of a prototypic melanoma vaccine based on recombinant adenovirus expressing human dopachrome tautomerase in the B16F10 murine melanoma model. We found that in the presence of a tumor, the magnitude of T-cell immunity evoked by the vaccine was significantly reduced. This impairment was compounded by defects in cytokine production and degranulation within the tumor-infiltrating lymphocytes (TILs). We showed that the combination of vaccination with high-dose cyclophosphamide was able to skew the response toward the target antigen and enhanced both the quantity and quality of antigen-specific CD8+ and CD4+ T-cell responses in tumor-bearing mice, which resulted in the inhibition of tumor growth. Furthermore, when tumor-specific antigens were targeted by the vaccine, the combination therapy could actually produce tumor regression, which appeared to result from the high frequency of antigen-specific T cells. These data show that recombinant adenovirus vaccines are compatible with conventional high-dose chemotherapy and that the combined treatment results in improved therapeutic outcomes relative to either agent individually.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenoviridae / genetics*
  • Animals
  • Antineoplastic Agents, Alkylating / administration & dosage
  • Cancer Vaccines / therapeutic use*
  • Cell Line, Tumor
  • Combined Modality Therapy
  • Cyclophosphamide / administration & dosage*
  • Female
  • Genetic Vectors
  • Humans
  • Immunity, Cellular / drug effects
  • Intramolecular Oxidoreductases / biosynthesis
  • Intramolecular Oxidoreductases / genetics
  • Intramolecular Oxidoreductases / immunology
  • Melanoma, Experimental / immunology
  • Melanoma, Experimental / therapy*
  • Membrane Glycoproteins / biosynthesis
  • Membrane Glycoproteins / genetics
  • Membrane Glycoproteins / immunology
  • Mice
  • Neoplasm Transplantation
  • Oxidoreductases / biosynthesis
  • Oxidoreductases / genetics
  • Oxidoreductases / immunology
  • Treatment Outcome
  • Vaccines, DNA / therapeutic use*

Substances

  • Antineoplastic Agents, Alkylating
  • Cancer Vaccines
  • Membrane Glycoproteins
  • Vaccines, DNA
  • Cyclophosphamide
  • Oxidoreductases
  • TYRP1 protein, human
  • Intramolecular Oxidoreductases
  • dopachrome isomerase