1. Repurposing the yellow fever vaccine for intratumoral immunotherapy
- Author
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Estanislao Nistal-Villán, Iñaki Etxeberria, Alfonso R. Sánchez-Paulete, Pedro Berraondo, Ignacio Melero, Inmaculada Rodriguez, Carmen Molina, Luna Cordeiro, Maria Angela Aznar, Arantza Azpilikueta, Sergio Rius-Rocabert, Saray Garasa, Alvaro Teijeira, and Maite Alvarez
- Subjects
0301 basic medicine ,Medicine (General) ,Cellular immunity ,medicine.drug_class ,medicine.medical_treatment ,Immunology ,Yellow fever vaccine ,CD8-Positive T-Lymphocytes ,QH426-470 ,Vaccines, Attenuated ,Monoclonal antibody ,Article ,Virus ,Mice ,17D ,03 medical and health sciences ,R5-920 ,0302 clinical medicine ,Cancer immunotherapy ,Neoplasms ,intratumoral administration ,Genetics ,medicine ,Animals ,Humans ,News & Views ,Virotherapy ,Cancer ,cancer immunotherapy ,business.industry ,yellow fever vaccine ,Drug Repositioning ,Articles ,Immunotherapy ,3. Good health ,Mice, Inbred C57BL ,030104 developmental biology ,Tumor progression ,Cancer research ,Molecular Medicine ,Female ,virotherapy ,business ,030217 neurology & neurosurgery ,medicine.drug - Abstract
Live 17D is widely used as a prophylactic vaccine strain for yellow fever virus that induces potent neutralizing humoral and cellular immunity against the wild‐type pathogen. 17D replicates and kills mouse and human tumor cell lines but not non‐transformed human cells. Intratumoral injections with viable 17D markedly delay transplanted tumor progression in a CD8 T‐cell‐dependent manner. In mice bearing bilateral tumors in which only one is intratumorally injected, contralateral therapeutic effects are observed consistent with more prominent CD8 T‐cell infiltrates and a treatment‐related reduction of Tregs. Additive efficacy effects were observed upon co‐treatment with intratumoral 17D and systemic anti‐CD137 and anti‐PD‐1 immunostimulatory monoclonal antibodies. Importantly, when mice were preimmunized with 17D, intratumoral 17D treatment achieved better local and distant antitumor immunity. Such beneficial effects of prevaccination are in part explained by the potentiation of CD4 and CD8 T‐cell infiltration in the treated tumor. The repurposed use of a GMP‐grade vaccine to be given via the intratumoral route in prevaccinated patients constitutes a clinically feasible and safe immunotherapy approach., The attenuated vaccine for yellow fever virus exerts antitumor effects when intratumorally injected which are mediated by immune responses and enhanced in pre‐vaccinated mice.
- Published
- 2019
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