Article 2: Targeting CXCL12/CXCR4 signaling with oncolytic virotherapy disrupts tumor vasculature and inhibits breast cancer metastases Flashcards

1
Q

what is the goal of this paper?

A

combine VV oncolysis with dismantling of vasculature via preventing CXCL12/CXCR4 to prevent metastasis

VV mediated + CXCR4-A-mediated –> direct oncolysis + block metastasis –> tumor clearance

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2
Q

what are VV’s modifications for specificity in this paper?

A
  • vaccinia growth factor (VGF) has homology to epidermal growth factor –> paracrine mediator, primes neighboring cells for incoming viruses
  • delthaVGF
  • deltaTK + CXCR4 antagonist
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3
Q

why add a CXCR4 antagonist?

A

CXCR4 is expressed on many types of solid tumors, including breast, prostate, brain, colon and lung

CXCL12 = cytokine; CXCR4 = receptor

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4
Q

why target CXCR4/CXCL12?

A
  • CXCL12 can induce CXCR4+ cancer cells to secrete VEGF and IL-6 to promote angiogenesis in tumors
  • CXCL12 can recruit endothelial progenitor cells to sires of neovascularization in tumors to promote angiogenesis
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5
Q

what can be expressed by an OV to stop CXCL12/CXCR4?

A

CTCE-9908 is a 17aa peptide analog of CXCL12 that functions as a CXCR4 antagonist by blocking the interaction of the CXCR4 receptor with CXCL12

dimerized (helps binding) sequence of the disordred N-term region of CXCL12-A and was designed to block the CXCR4 receptor

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6
Q

how to express the dimerized antagonist from a gene?

A

use the antibody Fc region –> transgene: CXCR4-A-Fc controlled under the TK promoter

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7
Q

Q1: what is the effectiveness of soluble and virally derived CXCR4-A-mFc in inhibiting tumor growth

method?

A
  • induced tumor growth in immunodeficient mice by injecting 4T1 breast cancer tumor cells
  • controlled for initial tumor size of 150mm3
  • intravenous injection of soluble CXCR4-A-mFc for 7 days vs single injection of OVV-CXCR4-A-mFc
  • 7 day treatment of soluble antagonist used to match 7 days of viral replication
  • measured volume of tumor after treatment
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8
Q

Q1: what is the effectiveness of soluble and virally derived CXCR4-A-mFc in inhibiting tumor growth
results and conclusions?

A

results

  • soluble antagonist inhibited tumor growth for two weeks, but growth returned to similar rates as the controls
  • virally derived antagonist inhibits tumor growth for the first 3 weeks and results in continues diminsed rates of growth compared to controls
  • reduction in tumor growth by OVV-EGFP

conclusions

  • OVV-CXCR4-A-mFc seems more effective at reducing tumor growth than its soluble counterpart
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9
Q

Q2: are the differences in tumor growth reduction between soluble and virally derived CXCR4-A-mFc due to differences in their intratumoral concentrations?

method?

A
  • collect tumor tissue and serum (how much is getting out of the tumor environment?)
  • used ELISA to detect concentration of CXCR4-A-hFc present in each sample
  • measured samples on days 4 and 8
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9
Q

Q2: are the differences in tumor growth reduction between soluble and virally derived CXCR4-A-mFc due to differences in their intratumoral concentrations?

results and conclusions?

A

results

  • OVV-CXCR4-A-hFc is present in higher concentrations in the tumor but not the sera compared to the soluble antagonist

conclusion

  • OVV-CXCR4-A-mFC’s increased ability to reduce tumor growth correlates with its higher intratumoral concerntrations than soluble antagonist
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9
Q

Q3: can the oncolytic virus CXCR4-A-mFc reduce tumor vasculature?

experimental and control groups?

A

groups

  • PBS
  • OVV + GFP
  • OVV + CXCR4-A
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10
Q

Q3.1: does vascular disruption caused by the treatments affect tumor perfusion?

methods, results and conclusions?

A

method

  • inject fluorescent beads intravenously into mice –> collect tumors and fix –> fluorescence microscopy

results

  • PBS: high blood flow to periphery and core
  • OVV-EGFP: high blood flow to peripher and less to core
  • OVV-CXCR-A-mFc: less blood flow to periphery and core

conclusion

  • OVV-CXCR4-A-mFc decreased perfusion in both the tumor periphery and core
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11
Q

Q3.2: can the oncolytic virus CXCR4-A-mFc reduce markers of microvessel denisty and cell proliferation?

method, results, conclusion?

A

method

  • IHC of tumor: CD31 (contributes to tumor invasion, neasured by microvessel density; MVD) and Ki-67 (marker for proliferation, measured by number of proliferating cells)

results

  • PBS: high MVD in periphery and core; high Ki67 in periphery and core
  • OVV + EGFP: high MVD in periphery, low in core; high Ki67 in periphery, low in core
  • OVV-CXCR4-A-mFc: low MVD in periphery and core; low Ki67 in periphery and core

conclusions

  • OVV-CXCR4-A-mFc correlates witht the most consistent reduction in tumor vasculature and proliferating cells in core and periphery
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12
Q

Q3.3: what effects does OVV-CXCR4-A-mFc have on intratumoral expression of CXCL12 and VEGF, and recruitment of circulating endothelial cells (CEPs) and neutrophils/G-MDSCs?

methods, results and conclusion?

A

methods

  • ELISA for CXCL12 and VEGF in tumor
  • FCM for CEPs and neutrophils/G-MDSCs

results

  • oVV-CXCR4-A-mFc was most effective at reducing CXCL12 and VEGF in the tumor
  • OVV-CXCR-A-mFc was msot effective at reducing CEPs and neutrophils/G-MDSCs in tumor
  • virus alone tend to promote inflammatory neutrophils/G-MDSCs

conclusion

  • OVV-CXCR4-A-mFc reduces intratumoral expression of CXCL12 and VEGF, and reduces recruitment of CEPs and neutrophils/G-MDSCs
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13
Q

Q4: how effective is OVV-CXCR4-A-mFc at reducing metastatic burden?

methods/rationale, results and conclusion?

A

methods

  • 4T1 is highly metastatic –> produces metastatic colonies in the lungs at early stages (within 10 days)
  • metastatic growth in control and treatment groups were monitored by in vivo bioluminescence
  • lung metastases were assessed by histology on formalin-fixed and HE stained sections

results

  • OVV-CXCR4-A-mFc has the lowest amount of metastatic colonies in the lungs

conclusion

  • OVV-EGFP and OVV-CXCR4-A-mFc decrease metastatic burden
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14
Q

Q5: what effects do these OV versions have on anti-tumor Abs?

method, results, conclusion?

A

methods

  • mouse with 4T1 tumor –> collect serum over time –> ELISA for anti-4T1 Abs using wells coated with a Tumor associated Ag (TAA) expressed by 4T1

results

  • antitumor Abs were detected in both OVV-EGFP and OVV-CXCR4-A-mFc-treated mice
  • generally higher and more sustained in OVV-CXCR4-A-mFc-treated mice

conclusion

  • intial VV-mediated antitumor response was augmented by CXCR-4-A-mFc mediated changes in the tumor microenvironment
15
Q

Q6-1: how effective is OVV-CXCR4-A-mFc therapy in sites of established micrometastases in the lungs?

methods, results, conclusion?

A

methods

  • preoperative setting: 4T1 challenge –> treatment –> primary tumor resection –> monitor survival
  • postoperative setting: 4T1 challenge –> primary tumor resection –> treatment –> monitor survival

results

  • preoperative: OVV-CXCR4-A-mFc extended survival
  • postoperative: OVV-CXCR4-A-mFc extended survival even better than preoperative

conclusions

  • these OV’s still work after primary tumor is resected – they can still reach the micrometastases
16
Q

Q6-2: do survivng mice withstand tumor rechallenge? – if so then they must have establishes an antitumor response

method, results, conclusion?

A

method

  • 4T1 challenge –> primary tumor resection –> treatment –> tumor-free mice rechallenged –> monitor survival

results/conclusion

  • rechallenged mice survived longer upon challenge than naive mice