WO2023235633A2 - Improved salmonella vectored therapies for treatment of cancer - Google Patents
Improved salmonella vectored therapies for treatment of cancer Download PDFInfo
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Definitions
- Cancer represents a diversity of disease states characterized by unregulated proliferation of cells that are either freely multiplying in blood and/or lymph or organized into tumor masses. After cardiovascular disease, cancer ranks as the second most common cause of death in the US (1 ).
- Salmonella Typhimurium While obligate anaerobes, such as Bifidobacterium and Clostridium, are highly effective at accumulating and replicating in necrotic tumors, they do not grow in viable tumor tissues, which limits their efficacy as anti-cancer agents. S. Typhimurium is a facultative anaerobe, which can survive and grow in anoxic regions as well as in viable oxygenic regions of tumors. Salmonella also has ability to identify and penetrate tumors by detecting small molecules such as serine and aspartate in tumors, and accumulates in tumors that contain free amino acids, purines and pyrimidines that facilitate Salmonella growth.
- S. Typhimurium is widely investigated as an anti-cancer agent (see (5)).
- S. Typhimurium VNP20009 or its derivatives are widely investigated as the anti-cancer agent or as a vector to investigate efficacy of anti-cancer activities (see (5, 9)).
- VNP20009 carrying a purine auxotrophic mutation (pur/) and lipid A mutation (msbB) and its derivatives demonstrated good anti-tumor efficacy in mice
- anti-cancer efficacy in human trials was not achieved in phase I clinical trials in patients with metastatic melanoma and renal carcinoma (10, 11).
- VNP20009-immunized dogs with a variety of malignant tumors bacterial colonization of tumors was observed but only 4 of 35 dogs tested were completely cured (12). Even intratumoral injection in humans with cancer only led to colonization in 2 out of 3 patients (13).
- the reasons for failure in human clinical trials may be that the parent of VNP20009 is not highly virulent and its genetic construction is not precise.
- VNP20009 is derived from ATCC 14028, which does not show high virulence and invasiveness compared to other S. Typhimurium strains (14) and we demonstrated that an attenuated aroA mutant of 14028 was not as immunogenic and did not induce as high protective immune levels as did an isogenic derivative of the S. Typhimurium UK-1 strain (15) and furthermore was not as effective as a UK-1-derived strain in ablating colorectal tumors in mice (16).
- construction of VPN20009 is based on UV- and Tn10 transposon-induced mutations, which may result in other mutations and over-attenuation (17). It has been shown that the design method causes strain VPN20009 lost chemotactic ability (18).
- the msbB mutation in VNP20009 is a bad choice because it leads to production of penta- acylated lipid A, which is a good pro-inflammatory stimulator in mice, but is an antagonist to inhibit stimulating human innate immunity (19-22).
- the second S. Typhimurium strain widely used for cancer therapy is A1-R, which is also derived from ATCC 14028 and is a leu-arg auxotroph (23, 24). Notable, the parent of A1-R (25), A1 is screened through nitrosoguanidine mutagenesis (24). A1-R exhibited good tumor- seeking features and has antitumor efficacy against major types of cancer in mice (24- 26), but no clinical trials in humans or dogs have been performed.
- the 3 rd strain is VXM01, which is based on the S. Typhi strain Ty21a vaccine carrying an eukaryotic expression plasmid for VEGFR2, could induce anti-angiogenic activity when delivered by the oral route in pancreatic cancer. But only 1 of 13 patients showed an improved clinical outcome (27).
- the 4 th strain tested was ⁇ 4550 delivering IL-2 to induce responses in dogs and humans, respectively (28-30). All the these strains lack specific tumor targeting ability although VPN20009 and A1-R preferentially colonize tumors. Nevertheless, the results showed their targeting ability is not enough for high efficacy.
- Salmonella has ability to regress tumors because of its natural toxicity and can also be used as vectors to deliver other anti-cancer molecules including cytotoxic agents such as Cytolysin A (ClyA), FAS ligand (FasL) and TNF-related apoptosis- inducing ligand (TRAIL), cytokines such as IL-2, and tumor antigens such as 3urviving and other factors such as tyrosinase which enhance its anti-cancer effectiveness (see (5, 9). FasL and TRAIL are belonging to the TNF ⁇ family.
- ClyA Cytolysin A
- FasL FAS ligand
- TRAIL TNF-related apoptosis- inducing ligand
- IL-2 tumor antigens
- tumor antigens such as 3urviving and other factors such as tyrosinase which enhance its anti-cancer effectiveness
- FasL specifically induces apoptosis in cells that possess the FAS receptor and TRAIL is cytotoxic to many cancer cells via death receptor pathways, which activate caspases 8 and 3 (31, 32).
- ClyA is a bacterial toxin inducing apoptosis and when delivered by S. Typhimurium reduced tumor growth in mice (33, 34).
- Cytokine IL-2 is widely investigated for its anti-cancer ability because IL-2 can activate the cytolytic function of NK cells and promotes lymphocyte proliferation (35-37). Cytotoxic agents and cytokines can induce apoptosis or stimulate immune cells to directly kill cancer cells, while tumor antigens such as 3urviving function to sensitize the immune system to fight against cancer cells.
- Survivin is a member of the inhibitor-of-apoptosis protein family involved in regulation of apoptosis and T-cell responses in anti-tumor immunity. It is over-expressed in many tumor cells. Blocking 3urviving function is thus a promising anti-tumor therapeutic method via induction of immune responses against (38-41).
- a patent application was filed on use of attenuated derivatives of pathogenic bacteria to deliver recombinant protective antigens from heterologous pathogens to induce protective immunity to the pathogens whose antigens were delivered by the vaccine construct.
- Salmonella was the chosen pathogen and it has been continuously improved and perfected as a means for using Salmonella as an antigen and DNA vaccine delivery vector (42, 43).
- the protein is encoded by codon-optimized sequences to enhance mRNA stability and efficiency of transcription and translation in Salmonella (58-60). Since immune responses against recombinant proteins are improved by secretion of antigens rather than their retention in the RASV cytosol (61, 62), we perfected use of type 3 and type 2 secretion systems (T3SS & T2SS) (52, 55, 63) to export proteins out of the RASV or into the periplasmic space to enhance production of outer membrane vesicles that are highly immunogenic (49, 64).
- T3SS & T2SS type 3 and type 2 secretion systems
- higher levels of induced protective immunity can be induced by vaccine strains displaying the regulated delayed lysis phenotype than by strains not undergoing lysis (45, 52, 65-68).
- Figure 3. Plasmid map of pG8R314 encoding OmpA with PLZ4 insert (ompA ⁇ plz4).
- Figure 9. Plasmid maps of pG8R341 derived from pG8R314 by insertion of sequence encoding GFP3 as an operon fusion and pG8R342 derived from pG8R320 by insertion of sequence encoding EGFP.
- Plasmid maps of pG8R347 , pG8R348, pG8R349 and pG8R350 are derived from pG8R320 by insertion of sequences for 5’ HLA, HLA leading and Tail peptides and 3’ HLA.
- pG8R348, pG8R349 and pG8R350 are derived from pG8R347 by insertion of sequence encoding EGFP, neo-antigen BBM963 and MB49, respectively.
- Figure 13 Plasmid pG8R361 derived from pG8R320 by insertion of sequence from PEF1 ⁇ promoter.
- Plasmid maps of pG8R362, pG8R363, pG8R364 and pG8R365 Plasmid maps of pG8R362, pG8R363, pG8R364 and pG8R365.
- pG8R362 and pG8R363 are derived from pG8R320 by insertion of sequence encoding HAC-PD1 fused with human CXCL11 and HAC-PD1 fused with mouse CXCL11, respectively.
- pG8R364 and pG8R365 are derived from pG8R361 by insertion of sequence encoding HAC-PD1 fused with human CXCL11, HAC-PD1 fused with mouse CXCL11, respectively.
- Figure 15 Figure 15
- Figure 16 Plasmid maps of pG8R372, pG8R373, pG8R374 and pG8R375 derived from pG8R320 by insertion of sequence encoding IL2 SS fused with HAC-PD1.
- Figure 17. Plasmid maps of pG8R380 derived from pG8R320 by insertion of sequence encoding operon fusion of OmpA with LHRH insertion and GFP and pG8R381 derived from pG8R380 by insertion of OmpA with LHRH insertion, respectively.
- Figure 19 Plasmid maps of pG8R385 derived from pG8R320 by insertion of sequence encoding operon fusion of OmpA with Her2 scFv insertion and GFP and pG8R386 derived from pG8R385 by insertion of OmpA with Her2 scFv insertion, respectively.
- Figure 20 Plasmid maps of pG8R382, pG8R383 and pG8R384 derived from pG8R320 by insertion of sequence encoding haPD1-IgG, haPD1-IgG and
- Figure 21 Plasmid maps of pG8R390, pG8R391, and pG8R418.
- pG8R390 is derived from pG8R381 by insertion of sequence encoding KillerRed fused with neuromodulin N terminal sequence
- pG8R391 is derived from pG8R386 by insertion of sequence encoding KillerRed fused with neuromodulin N terminal sequence.
- pG8R418 is derived from pG8R385 by insertion of sequence encoding KillerRed fused with neuromodulin N terminal sequence.
- Figure 22 The attachment and invasion of bladder cancer cells with strains derived from ⁇ 12614 with O-antigen mutations.
- A Genotypic characterization of strains using primers specific for waaL, waaG, waaC, ompA and ompA ⁇ plz4. Lane 1, ⁇ 3761; lane 2, ⁇ 12614; lane 3, ⁇ 12812; lane 4, ⁇ 12813; lane 5, ⁇ 12814.
- B LPS gel profile of strains. All strains are grown in LB media.
- KillerRed kills HEK293T cell. Time zero is set immediately after irradiation with green light. Time 10 is set immediately after excitation for 10 min (EVOS FL, RFP channel) Figure 28. KillerRed kills HEK293T cell excitation for 10 and 20 minutes. Time zero is set immediately after irradiation with green light.
- Agents described herein may be administered by oral, intradermal, intravenous, intramuscular, intraocular, intranasal, intrapulmonary, epidermal, subcutaneous, mucosal, or transcutaneous administration.
- animal host or “subject” as used interchangeably hereinto refer to a human or nonhuman mammal or a vertebrate animal into which a genetically modified Salmonella cell has been administered. In a specific embodiment, the subject is a human.
- the terms “attenuated” or “attenuation” as used herein refer to the process of rendering certain pathogen virulence attributes needed to cause diseases less able to cause such disease symptoms. In one example, attenuation involves imparting an attenuation mutation in the pathogen.
- attenuating mutation refers to a mutation imparted into a pathogen that reduces infectivity, virulence, toxicity, induction of disease symptoms, and/or impairment of a subject upon administration of the pathogen (e.g. PIESV strain).
- pathogen e.g. PIESV strain
- attenuating mutations include those mutations that facilitate lysis in vivo (e.g. impairing synthesis of essential constituents of peptidoglycan layer), reduce or impair synthesis of LPS or other cell-surface components, and one or more mutations that provide auxotrophy (e.g. dependence on an amino acid, purine, pyrimidine, or vitamin for growth).
- balanced-lethal vector-host refers to a host Salmonella cell into which a plasmid vector has been introduced such that survival of the host cell is dependent on the maintenance of the plasmid vector and loss of the plasmid vector results in death of the host Salmonella cell.
- ASD + Expression-Cloning Vector Stable Maintenance and High Level Expression of Cloned Genes in a Salmonella Vaccine Strain. Nat Biotechnol 6, 693–697 (1988) or Galán JE, Nakayama K, Curtiss R 3 rd .
- biologically active fragment or “biologically active variant” refers to a fragment or variant of a sequence that maintains its biological activity.
- a biologically active fragment or biologically active variant is a fragment or variant of an antigen amino acid sequence that elicits an immune response in a host.
- CCTS strain refers to a strain of Salmonella that has one or more attenuating mutations and expresses a gene product that causes selective localization and/or internalization of cells of the CCTS strain by a cancer cell.
- “codon” means, interchangeably, (i) a triplet of ribonucleotides in an mRNA which is translated into an amino acid in a polypeptide or a code for initiation or termination of translation, or (ii) a triplet of deoxyribonucleotides in a gene whose complementary triplet is transcribed into a triplet of ribonucleotides in an mRNA which, in turn, is translated into an amino acid in a polypeptide or a code for initiation or termination of translation.
- 5’-TCC-3’ and 5’-UCC-3’ are both “codons” for serine, as the term “codon” is used herein.
- codon optimized refers to enhancing the ability of the antigen encoding sequence to be expressed in the Salmonella strain by selecting codons that are used for highly expressed genes in Salmonella. Such codon optimization also includes changing the GC content of the antigen encoding sequence to be similar to that used for Salmonella (i.e., ⁇ 52% GC). In addition, the codon optimization can also be used to enhance the stability of the mRNA encoded by the antigen encoding sequence so as to be less likely to be degraded by Rnases.
- the term “delayed attenuation” as used herein refers to a means of gene regulation such that the attenuation attribute is not expressed during growth of the vaccine strain or during its administration to an animal host but is not expressed after the CCTS strain enters the animal host and is manifest as a consequence of vaccine cell division in vivo with gradual dilution of the virulence gene product by at least half at each cell division in vivo.
- the term “gene product” refers to a transcript (RNA) or expressed polypeptide encoded by a heterologous gene or nucleic acid that has been introduced into a genetically modified Salmonella cell. In typical embodiments, the gene product causes selected localization to a target cell.
- the gene product may also cause cytotoxicity to the target cell upon internalization of the genetically modified Salmonella cell and/or cause a targeted immune response to target cells.
- a "genetically modified Salmonella cell” or “GMSC” refers to a Salmonella cell that comprises an attenuating mutation and/or into which a heterologous gene or nucleic acid, e.g., an exogenous nucleic acid that is foreign to the Salmonella cell, has been introduced.
- GMSC genetically modified Salmonella cell
- the term “operably linked” as used herein means that one nucleic acid sequence is linked to another nucleic acid sequence, and therefore the function or expression thereof is influenced by the linked nucleic acid sequence.
- percentage of sequence identity may refer to the value determined by comparing two optimally aligned sequences (e.g., nucleic acid sequences or polypeptide sequences) of a molecule over a comparison window, wherein the portion of the sequence in the comparison window may comprise additions or deletions (i.e., gaps) as compared to the reference sequence (which does not comprise additions or deletions) for optimal alignment of the two sequences.
- the percentage is calculated by determining the number of positions at which the identical nucleotide or amino acid residue occurs in both sequences to yield the number of matched positions, dividing the number of matched positions by the total number of positions in the comparison window, and multiplying the result by 100 to yield the percentage of sequence identity.
- a sequence that is identical at every position in comparison to a reference sequence is said to be 100% identical to the reference sequence, and vice-versa.
- the term “about” with respect to a numerical value of a sequence length means the stated value with a +/- variance of up to 1-5 percent. For example, about 30 contiguous nucleotides means a range of 27-33 contiguous nucleotides, or any range in between.
- sequence identity means the stated percentage value with a +/- variance of up to 1-3 percent rounded to the nearest integer. For example, about 90% sequence identity means a range of 87-93%. However, the percentage of sequence identity cannot exceed 100 percent. Thus, about 98% sequence identity means a range of 95-100%.
- regulated delayed lysis refers to a construction in which the expression of one or more genes specifying synthesis of peptidoglycan precursors such as but not limited to diaminopimelic acid and muramic acid are regulated by a sugar-dependent process such that the genes are expressed in the presence of a sugar such as but not limited to arabinose or rhamnose supplied during cultivation of the strain and cease to be expressed in vivo since the sugar is absent to result in lysis as a consequence of cell division of the CCTS strain in vivo.
- the genes conferring the regulated delayed lysis phenotype may be either chromosomal and/or plasmid encoded.
- regulated delayed lysis plasmid refers to a construction in which the expression of one or more genes specifying synthesis of peptidoglycan precursors such as but not limited to diaminopimelic acid and muramic acid that are regulated by a sugar-dependent process are located on a plasmid vector encoding synthesis of one or more foreign antigens or gene products.
- the term “Salmonella cell” refers to a cell of a Salmonella species or serotype. Examples of a Salmonella serotype include Salmonella Typhimurium and Salmonella Enteritidis. In a more specific embodiment, the Salmonella serotype is S. Typhimurium UK-1.
- sequence identity refers to the residues in the sequences of the two molecules that are the same when aligned for maximum correspondence over a specified comparison window.
- target immune response refers to a response by a subject’s immune system against target cells. Immune responses include both cell- mediated immune responses (responses mediated by antigen-specific T cells and non-specific cells of the immune system) and humoral immune responses (responses mediated by antibodies present in the plasma lymph, and tissue fluids and secreted onto mucosal surfaces).
- target cell refers to a cell of a subject that is of a type to which a genetically modified Salmonella cell is designed for selective localization and/or internalization.
- Selective localization refers to increased migration of the genetically modified Salmonella cell to a target cell over other cells in a subject.
- Selective internalization refers to increased internalization of the genetically modified Salmonella cell in the target cell over other cells in the subject.
- Increased localization to and/or increased internalization means an increase of at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70% or more respective to target cells as opposed to other cells in a subject.
- a target cell internalizes the genetically modified Salmonella cell by active invasion or endocytosis or phagocytosis.
- the target cell is a cancer cell and the genetically modified Salmonella cell is of a CCTS strain that is selectively internalized by the cancer cell over other cells in the subject.
- the genetically modified Salmonella cell is engineered to localize at a tumor microenvironment where cancer cells are present without necessarily being internalized into a cancer cell.
- variant refers to a nucleic acid sequence or amino acid sequence that possesses at least about 85, 90, 95, 96, 97, 98 or 99 percent sequence identity to another nucleic acid sequence or amino acid sequence, respectively. Other relevant definitions are provided infra.
- CCTS strain embodiments have (i) ability to directly destroy tumor cells, (ii) deliver cargoes that cause tumor cells to self-destruct, (iii) deliver cargoes that enhance abilities to treat tumor cells, and/or (iv) directly and/or indirectly stimulate host immune responses to repress tumor cell growth, metastases and cell death.
- a potentially desirable feature involves rapid self-destruction of CCTS cells that enables their use for repeat treatments of subjects.
- a unique attribute of these newly designed and constructed CCTS strains is their ability to simultaneously synthesize and deliver protein cargoes to cancer cells but to also deliver DNA vaccines encoding other effective proteins to be synthesized by the tumor cells to their detriment.
- the foregoing attributes are achieved by introducing numerous deletion and deletion-insertion mutations to enable and endow the desired phenotypic properties to the strains constructed. These mutations and their associated phenotypes are listed in Table 1 and the suicide vectors needed for their insertion into plasmids and the S. Typhimurium chromosome are listed in Table 2. The distribution of genetic deletion and deletion-insertion mutations and the redundancy in critical modifications ensure both stability and safety of these CCTS strains.
- genotypes of CCTS strains are listed in Table 3. Table 1. Mutations and associated phenotypes in S. Typhimurium CCTS strains a It is noted that the genes can be inactivated or deleted in multiple ways to confer the same phenotypic traits. Also, though certain allele numbers are indicated elsewhere herein for certain mutations, reference to a certain allele is not limiting and the mutations can be executed in other alleles.
- Genotype Phenotype ⁇ aroA encodes the first enzyme in the pathway to synthesize aromatic amino acids and derived vitamins (74) ⁇ asdA deletes gene for aspartate semialdehyde dehydrogenase essential for synthesis of diaminopimelic acid (DAP) necessary for peptidoglycan synthesis (75) ⁇ PasdA::TT araC P araBAD asdA makes synthesis of AsdA dependent on presence of arabinose ⁇ PasdA::TT rhaRS PrhaBAD asdA makes synthesis of AsdA dependent on presence of rhamnose ⁇ asdA::TT araC P araBAD c2 inactivates asdA and makes synthesis of C2 repressor dependent on arabinose (76, 77) ⁇ alr and ⁇ dadB deletes the genes for two alanine racemases essential for synthesis of D-alanine necessary for peptidoglycan synthesis (78) ⁇ P
- Cancers and tumor types that may be treated or attenuated using the methods described herein include but are not limited to bone cancer, bladder cancer, brain cancer, breast cancer, cancer of the urinary tract, carcinoma, cervical cancer, colon cancer, esophageal cancer, gastric cancer, head and neck cancer, hepatocellular cancer, liver cancer, lung cancer, lymphoma and leukemia, melanoma, ovarian cancer, pancreatic cancer, pituitary cancer, prostate cancer, rectal cancer, renal cancer, sarcoma, testicular cancer, thyroid cancer, and uterine cancer.
- a method for treating cancer may include administering a therapeutically effective amount of genetically modified Salmonella cells described herein or therapeutic compositions comprising the same to a subject who has cancer.
- Treating” or “treatment” of a condition may refer to preventing the condition, slowing the onset or rate of development of the condition, reducing the risk of developing the condition, preventing or delaying the development of symptoms associated with the condition, reducing or ending symptoms associated with the condition, generating a complete or partial regression of the condition, or some combination thereof.
- a “therapeutically effective amount,” “effective amount” or “effective dose” is an amount of a composition (e.g., a therapeutic composition or cells) that produces a desired therapeutic effect in a subject, such as preventing or treating a target condition or alleviating symptoms associated with the condition.
- the precise therapeutically effective amount is an amount of the composition that will yield the most effective results in terms of efficacy of treatment in a given subject.
- This amount will vary depending upon a variety of factors, including but not limited to the characteristics of the therapeutic compound (including activity, pharmacokinetics, pharmacodynamics, and bioavailability), the physiological condition of the subject (including age, sex, disease type and stage, general physical condition, responsiveness to a given dosage, and type of medication), the nature of the pharmaceutically acceptable carrier or carriers in the formulation, and the route of administration.
- One skilled in the clinical and pharmacological arts will be able to determine a therapeutically effective amount through routine experimentation, namely by monitoring a subject's response to administration of a compound and adjusting the dosage accordingly. For additional guidance, see Remington: The Science and Practice of Pharmacy 21 st Edition, Univ.
- a “route of administration” may refer to any administration pathway known in the art, including but not limited to aerosol, enteral, nasal, ophthalmic, oral, parenteral, rectal, transdermal (e.g., topical cream or ointment, patch), or vaginal.
- Parenter refers to a route of administration that is generally associated with injection, including infraorbital, infusion, intraarterial, intracapsular, intracardiac, intradermal, intramuscular, intraperitoneal, intrapulmonary, intraspinal, intrasternal, intrathecal, intrauterine, intravenous, subarachnoid, subcapsular, subcutaneous, transmucosal, or transtracheal.
- the tumor antigen vaccines described herein are administered orally and the compositions that disrupt tumor-derived immune suppression described herein (e.g., YS1646-shSTAT3 Y51646-shIDO1, YS1646-shArg1 or YS1646-shiNOS) are administered intravenously.
- the compositions that disrupt tumor-derived immune suppression described herein e.g., YS1646-shSTAT3 Y51646-shIDO1, YS1646-shArg1 or YS1646-shiNOS
- a Bacterial strains, media and bacterial growth. All CCTS strains are derived from the highly virulent S. Typhimurium UK-1 strain (132) since attenuated S. Typhimurium UK-1 strains will induce protective immunity to challenge with all S.
- LB broth and agar (135) and Purple broth (PB) are used as complex media for propagation, phenotypic analyses and plating.
- MacConkey agar with 0.5% lactose (Lac) and 0.1% Ara, 0.1% rhamnose and 0.1% mannose (if needed) are used to enumerate bacteria recovered from mice or other animals.
- Bacterial growth is monitored spectrophotometrically and by plating for colony counts.
- b. Molecular and genetic procedures. Methods for DNA isolation, restriction enzyme digestion, DNA cloning and use of PCR for construction and verification of bacterial strains and vectors are standard (136). DNA sequence analyses are performed commercially. All oligonucleotide and/or gene syntheses are done commercially with codon optimization to enhance translational efficiency in humans or Salmonella and stabilize mRNA to “destroy” RNase E cleavage sites (59, 60) to prolong mRNA half-life. Plasmids are evaluated by DNA sequencing and ability to specify synthesis of proteins using gel electrophoresis and western blot analyses.
- DNA vaccine vectors Expression of sequences encoded in DNA vaccine vectors is monitored after electroporation into Vero cells and using antibodies specific to DNA vaccine encoded proteins. Methods for generating mutant strains are described in previous publications (137-145) and in Examples below using the suicide vector delivery strain ⁇ 7213 (thi-1 thr-1 leuB6 glnV44 fhuA21 lacY1 recA1 RP4-2-Tc::Mu ⁇ pir ⁇ asdA4 ⁇ zhf-2::Tn10). Recombinant plasmid constructs are transformed into E.
- CCTS strain characterization CCTS constructs are evaluated in comparison with vector-control strains for stability of plasmid maintenance, integrity and protein synthesis ability when CCTSs are grown in the presence of arabinose and DAP and with and without IPTG for 50 generations. The IPTG dependence of protein synthesis to overcome the LacI repression of the Ptrc promoter is also verified. IPTG- induced cultures are incubated with chloramphenicol to arrest protein synthesis to determine whether plasmid-specified proteins are stable during the next 4 h. If not, the nucleotide sequence is altered to eliminate protease cleavage sites (with subsequent comparison of both constructs for induction of immune responses).
- CCTS constructs are evaluated for bile sensitivity, acid tolerance and ability to survive in sera with and without complement (143-145) and for sensitivity to antibiotics used to treat Salmonella infections.
- Cell culture methods Some tumors are caused by cancer cells with specific targetable receptors or that possess phenotypic properties that can be used to attract specially designed CCTS strains with specific targeting attributes.
- bladder tumor cells uniquely display a receptor that can bind to a targeting peptide termed PLZ4 (amino acid sequence: CQDGRMGFC) that is absent on normal uroepithelial cells and other cell types throughout the body.
- PLZ4 amino acid sequence: CQDGRMGFC
- Nanoparticles coated with PLZ4 specifically target bladder tumor cells but not to other cancer cell types (147-150) . This targeting is observed for bladder tumor cells from mice, dogs and humans (151).
- CCTS strains displaying PLZ4 can be evaluated by their differential ability to attach to and invade the bladder tumor cell lines 5637, TCCSUP, and T24 (151) . Methods for evaluating the abilities of Salmonella cells to attach to, invade into and survive in cells in culture are well established (152). These methods can be modified as needed for CCTS strains targeting other tumor cell types.
- Cell imaging Some plasmids have genes encoding fluorescent proteins enabling synthesis of GFP in Salmonella or EGFP or mCherry in animal cells.
- the fluorescent protein in bacteria or cells will be visualized using the EVOS Automated Cell Imaging System (ThermoFisher Scientific).
- the Cell Plasma Membrane Staining Kit - Orange Fluorescence - Cytopainter (ab219941, Abcam) was used to label cell membranes.
- the acquired image was processed using ImageJ software (153).
- Example 2 Construction of mutant S. Typhimurium strains with deletions of the ompA gene to enable display of altered OmpA proteins with inserted peptides enabling targeting to specific tumor cells.
- Pan and associates have defined a nine amino acid peptide CQDGRMGFC termed PLZ4 (US patent 10,335,365) that targets a specific receptor present on bladder tumor cells (151).
- PLZ4 US patent 10,335,365
- Typhimurium strains with anti-tumor attributes have been constructed to display PLZ4 to preferentially and specifically target bladder tumor cells.
- the objective was to insert the sequence for PLZ4 into one of the exposed outer loops of the OmpA protein.
- the OmpA protein was selected since it is the most abundant OMP in the Salmonella outer membrane (105) and could be specified on a plasmid replicon to increase its relative quantity in relation to other OMPs.
- To construct a strain to test the validity and feasibility of our approach we generated a derivative of ⁇ 12341 to insert the ⁇ ompA11 deletion mutation using the suicide vector pYA4757 (Table 2) to yield the strain ⁇ 12417 (Table 4).
- the ⁇ ompA11 mutation deletes the entire ompA open reading frame including the start to stop codon sequence.
- ⁇ 12341 (73, 154) was selected since its viability and virulence are dependent on the supply of three sugars that can be supplied during culture but that are totally absent in animal tissues and since it cannot synthesize LPS O-antigen in vivo thus exposing the outer membrane proteins to enable better and more efficient interactions with eukaryotic cell surfaces in the in vivo environment.
- S. Typhimurium strains with a diversity of properties for use with a diversity on new plasmid vectors encoding for synthesis of attributes that contribute to tumor therapy, tumor cell destruction and/or to recruit host immunity to target tumor antigens, etc., in addition to tumor cell adherence. All these S. Typhimurium strains listed in Table 4 were constructed using the suicide vectors listed in Table 2 to introduce the mutations described in Table 1. Many were derived from Protective Immunity Enhanced Salmonella Vaccine (PIESV) strains of Self-Destructing Attenuated Adjuvant Salmonella (SDAAS) strains that have been described (PCT/US21/61814 and WO 2021/222696 A1, respectively), which are incorporated herein in their entirety. Table 4. S.
- PIESV Protective Immunity Enhanced Salmonella Vaccine
- SDAAS Self-Destructing Attenuated Adjuvant Salmonella
- strains constructed using the suicide vector pG8R315 are listed in Table 5.
- One of the examples is ⁇ 12619.
- the mutations ⁇ waaL46, ⁇ waaG42 and ⁇ waaC41 were introduced into strain ⁇ 12619 to generate a family of strains differing in the presence of the LPS O-antigen, LPS O-antigen and outer LPS core and O-antigen and outer and inner LPS core, respectively.
- strain ⁇ 12614 with the ⁇ asdA33 ⁇ ompA11 deletion mutations This strain can be transformed with a plasmid encoding ompA ⁇ plz4 to compare the effects of surface modification in Salmonella that affect the targeting ability of Salmonella.
- the plasmids could be pG8R341, or any plasmid carrying ompA ⁇ plz4 fusion, or other ompA fused with varied targeting peptide sequences.
- the mutations ⁇ waaL46, ⁇ waaG42 and ⁇ waaC41 were introduced into ⁇ 12614 to generate a series of strains analogous to those generated in ⁇ 12619 resulting in defects in O-antigen, outer core and inner core, respectively. These strains are also listed in Table 5. Table 5. S.
- Figures 1 and 2 depict the plasmids used as parents or for component segments of derived and constructed plasmids.
- the derived and constructed plasmids are listed and described in Table 6 with their use and evaluation described in subsequent Examples.
- Table 7 lists all the nucleotide primers used to construct the plasmids listed in Table 6.
- a unique and original feature of many of the plasmids designed and constructed is the ability to encode proteins that are synthesized by the CCTS strain to be displayed during targeting and attaching to, invading into and acting within tumor cells in vivo prior to display of regulated lysis within the tumor cell to release the plasmid now serving as a DNA vaccine with unique features to be directed to the nucleus for transcription of encoded sequences that yield products after mRNA translation that exhibit anti-tumor activities.
- These products with their features as described in later Examples might kill the tumor cell, cause the tumor cell to kill itself (i.e., commit suicide) and/or attract host immune responses that inhibit tumor cell growth and metastases.
- the pG8R314 plasmid ( Figure 3) with the ompA ⁇ plz4 fusion was constructed by amplifying a 454 bp fragment of the S. Typhimurium UK-1 ( ⁇ 3761) chromosome using primers OmpA-s and OmpA-PLZ4-a and a 707 bp fragment with primers OmpA-PLZ4-s and OmpA-SacIHindIII-a. These two fragments were cloned into plasmid pYA3342 ( Figure 1A) cut with NcoI/HindIII to generate plasmid pG8R314.
- the sequence encoding the PLZ4 peptide was introduced by both primers OmpA-PLZ4-a and OmpA- PLZ4-s.
- This plasmid has a gene encoding the PLZ4 peptide inserted into the third exposed loop of the OmpA protein enabling expression of the ompA ⁇ plz4 insertion mutated gene in Salmonella.
- the PLZ4 peptide was flanked with 2 cysteines forming a disulfide linkage to facilitate its exposure on the loop 3.
- the suicide vector pG8R315 Figure 4
- the plasmid pG8R314 was used as the template to generate a 1.1 kb fragment encoding synthesis of OmpA ⁇ PLZ4.
- This fragment was amplified with primers OmpA-XbaI-s and OmpA- SacIHindIII-a and cut with XbaI/SacI. The fragment was then inserted into suicide plasmid pRE112 ( Figure 1B) cut with XbaI/SacI to generate plasmid pG8R315. This suicide vector is then used to introduce the ompA ⁇ plz4 mutation into the chromosome of the S. Typhimurium strains listed in Table 5. For the construction of pG8R319 ( Figure 5A), we fused two DNA fragments.
- plasmid pYA4545 ( Figure 1C) as a template
- a 1,549 bp fragment containing rrfG TT-PCMV-SV40 polyA Trp TT was amplified with primers rrfGTT-s and trpTT-a.
- plasmid pG8R314 ( Figure 3) as a template
- a 4,085 bp fragment that includes the whole pG8R314 plasmid was amplified with primers trpTT-s and rrfGTT-a. The two fragments were assembled to generate plasmid pG8R319.
- the balanced-lethal plasmid has a pBR ori and could express ompA ⁇ plz4 in Salmonella and has a P cmv promoter to be used for gene expression in eukaryotic cells.
- the P cmv and Ptrc ompA ⁇ plz4 are separated by the trpA TT.
- plasmid pYA4545 ( Figure 1C) as a template to generate a 8 kb fragment containing the entire pYA4545 plasmid that was amplified with primers pYA4545-TT-BstBI-s and pYA4545-TT-a1 and then extended by PCR with primers pYA4545-TT-BstBI-s and pYA4545-TT-BcII-a.
- plasmid pG8R314 ( Figure 3) as a template, a 1,242 bp fragment containing Ptrc- ompA was amplified with primers Ptrc-BclI-s and ompA-BstEI-a. The two fragments were then assembled to generated plasmid pG8R320 ( Figure 5B).
- This regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the cell employs the P cmv promoter to express an inserted gene sequence in eukaryotic cells.
- the P cmv and Ptrc ompA ⁇ plz4 are separated in the dual plasmid vector pG8R320 by the regulated delayed lysis cassette araC P araBAD GTG murA GTG asdA.
- Example 5 Display of OmpA ⁇ PLZ4 on the bacterial cell surface enables S. Typhimurium cells to preferentially attach to bladder tumor cells.
- the ompA ⁇ plz4 mutation was introduced into strain ⁇ 12518 to generate strain ⁇ 12619 using suicide vector ⁇ 7213(pG8R315). Both strains were transformed with plasmid pYA4090 to enable tagging the bacteria with the GFP protein.
- CXCR3 is expressed on immune cells, such as activated T cells, NK and NKT cells, DCs, but not on naive T cells (161), and a variety of non-immune cells, such as astrocytes, fibroblasts, endothelial cells, epithelial muscle cells, and cancer cells (162, 163).
- CXCR7 is expressed on multiple immune cells, such as T cells, monocytes, DC cells, B cell and NK cells (164).
- CXCL11 has diverse functions including inhibiting angiogenesis, increasing immune cell migration, affecting proliferation of different cell types, stimulation of IFN- ⁇ production by immune cells, suppressing M2 macrophage polarization, playing a role in fibroblast directed carcinoma invasion, increasing adhesion and invasion properties, facilitating the migration of certain immune cells, and serving as an adjuvant to anti-cancer therapies (160, 165).
- CXCL11 mainly works for immune cell migration, differentiation and activation, it could promote cancer cell proliferation and metastasis.
- Intratumor delivery of CXCL11 has been shown to enhance the efficacy of T-cell infiltration, adoptive T-cell therapy and vaccine efficacy (166-169).
- CXCL11 in tumor cells will mediate the recruitment of T cells and NK cells to the tumor site to combat tumor development and growth. This will reduce the global toxicity related to overproduction of CXCL11 in non-tumor sites. For these reasons, we determined that the synthesis of CXCL11 by CCST cells would be optimal if the chemokine was synthesized by tumor cells rather than into the environment if synthesized and delivered by the CCST cells being used for combatting bladder cancer.
- Figure 7 displays diagrams of pG8R321 (A) and pG8R322 (B) that express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after plasmid release of the plasmid in tumor cells employs the P cmv promoter to express the human and mouse CXCL11 chemokines, respectively.
- pG8R321 To construct pG8R321, we used the CXCL11 (NM_005409) Human Tagged ORF Clone (human CXCL11(Myc-DDK-tagged), ORIGENE Cat# RC210320) as a template to amplify the gene encoding human CXCL11 with primers Human-CXCL11-KpnI-s and Human- CXCL11-Not-a, which was inserted into plasmid pG8R319 cut with KpnI/NotI.
- the balanced-lethal vector-host combination specifically targets human bladder cancer cells due to the display of the OmpA ⁇ PLZ4 surface protein fusion to induce synthesis of the human CXC11 after invasion into tumor cells to release pG8R321.
- pG8R322 was similarly constructed using CXCL11 (NM_019494) Mouse Tagged ORF Clone (mouse CXCL11(Myc-DDK-tagged), ORIGENE Cat# MR222244) as the template to amplify the gene encoding mouse CXCL11 with primers Mouse-CXCL11- KpnI-s and Mouse-CXCL11-NotI-a. This sequence was then inserted into plasmid pG8R319 cut with KpnI/NotI to generate plasmid pG8R322.
- the balanced-lethal vector- host targets mouse bladder cancer cells due to the display of the OmpA ⁇ PLZ4 surface protein fusion to induce synthesis of the murine CXC11 after invasion into tumor cells to release pG8R322.
- Example 7 Construction of dual plasmids to cause CCTS strains to target bladder tumor cells and then express a gene sequence encoding for synthesis of KillerRed to potentiate tumor cell killing.
- Photodynamic therapy is an important therapeutic treatment for cancer and other diseases.
- KillerRed is the first engineered photosensitizer with light-induced cytotoxicity that could be used for precise light-induced cell killing and target protein inactivation (170-175). Upon light activation, KillerRed will produce toxic reactive oxygen species to use for photodynamic therapy against cancer.
- Plasmid pG8R323 ( Figure 7C) carries the gene encoding a membrane-targeting KillerRed by fusing with Neuromodulin N-terminal sequence (KillerRed mem thereafter) while plasmid pG8R324 ( Figure 7D) carries the gene encoding a mitochondria targeting KillerRed by fusion with mitochondrial location signals (KillerRed mito thereafter). Both plasmids are balanced-lethal plasmids.
- vectors specify expression of the ompA ⁇ plz4 gene in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after release from the CCST cell in the tumor cell employs the P cmv promoter to express the KillerRed encoding genes to kill tumor cell when induced with light.
- plasmid pCS2-NXE+mem-KillerRed (Addgene Cat# 45761) as a template to amplify the gene encoding KillerRed mem using primers KillerRed-Mem-KpnI-s and KillerRed-NotIXhoI-a.
- pG8R324 ( Figure 7D) specifying KillerRed-dMito
- pKillerRed-dMito (EVROGEN cat# FP964) as a template by amplifying the gene encoding KillerRed mito with primers KillerRed-Mito-KpnI-s and KillerRed-NotIXhoI-a and inserting into plasmid pG8R319 ( Figure 5A) cut with KpnI/NotI to generate plasmid pG8R324.
- the balanced-lethal vector-host construct carries a mitochondria-targeted KillerRed.
- KillerRed localized on cellular membranes can be used for effective light-induced cell killing by light-induced production of reactive oxygen species and can also be used to detect tumor cells infected with the CCST cells.
- the plasmids pG8R321, pG8R322, pG8R323 and pG8R324 ( Figure 7) all have the moderate copy number pBR ori and specify the balanced-lethal phenotype using plasmid encoded expression of the asdA gene.
- pG8R325 ( Figure 8A) encoding human CXCL11, we amplified a sequence from CXCL11 (NM_005409) Human Tagged ORF Clone (human CXCL11(Myc-DDK-tagged), ORIGENE Cat# RC210320) as a template with primers Human-CXCL11-KpnI-s and Human-CXCL11-NotI-a and cloned into plasmid pG8R320 ( Figure 5B) cut with KpnI/NotI to generate plasmid pG8R325.
- the lysis vector carries a human CXC11 gene.
- pG8R326 ( Figure 8B) encoding mouse CXCL11, we amplified a sequence from CXCL11 (NM_019494) Mouse Tagged ORF Clone (mouse CXCL11(Myc-DDK-tagged), ORIGENE Cat# MR222244) as a template with primers Mouse-CXCL11-KpnI-s and Mouse-CXCL11-NotI-a to insert into plasmid pG8R320 ( Figure 5B) cut with KpnI/NotI.
- the pG8R326 lysis vector carries a mouse CXC11 gene.
- CXCL11 is chemotactic for interleukin-activated T-cells but not unstimulated T- cells, neutrophils or monocytes. It is the dominant ligand for CXCR3.
- pCS2-NXE+mem-KillerRed Additional ligand for CXCR3.
- pCS2-NXE+mem-KillerRed Additional ligand for CXCR3.
- pCS2-NXE+mem-KillerRed Additional pCS2-NXE+mem-KillerRed (Addgene Cat# 45761) as a template to amplify the gene encoding KillerRed mem with primers KillerRed-Mem-KpnI-s and KillerRed-NotIXhoI-a to insert into plasmid pG8R320 ( Figure 5B) cut with KpnI/NotI.
- the pG8R327 lysis vector carries a membrane- targeted KillerRed.
- pG8R328 Figure 8D
- pKillerRed-dMito EVROGEN cat# FP964
- pG8R328 Figure 8D
- pKillerRed-dMito EVROGEN cat# FP964
- the lysis vector pG8R328 specifies synthesis of the mitochondria-targeted KillerRed.
- KillerRed localized on cellular membranes can be used for effective light-induced cell killing by light-induced production of reactive oxygen species.
- Example 9 Construction of plasmid vectors encoding synthesis of GFP or EGFP to track Salmonella extracellularly and intracellularly to evaluate the targeting ability of CCTS strains to bladder tumors.
- Figure 9 displays the diagrams of plasmids pG8R341 ( Figure 9A) and pG8R342 ( Figure 9B) used to tag Salmonella with fluorescent proteins.
- the balanced-lethal plasmid pG8R341 carries a Ptrc promoter which can express the operon fusion of ompA ⁇ plz4 and gfp that enables GFP production in the Salmonella cytosol and displays the synthesized OmpA ⁇ PLZ4 on the cell surface of Salmonella.
- Ptrc is a prokaryotic promoter that can express at high level protein synthesis under both anaerobic and aerobic conditions and is repressed by LacI (176). Salmonella strains carrying this plasmid in vivo in the absence of arabinose to preclude synthesis of LacI will produce GFP in Salmonella cells present extracellularly and intracellularly.
- This regulated delayed lysis plasmid pG8R342 ( Figure 9B) has a pUC ori and can express the ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the cell within host cells employs the P cmv promoter to express an inserted egfp in eukaryotic cells.
- the EGFP is only produced when Salmonella is inside the mammalian cells.
- plasmid pYA4090 as a template to amplify the gene encoding GFP3 using primers SD-GFP-SacI-gs and GFP-HindIII-ga.
- the sequence was inserted into plasmid pG8R314 ( Figure 3) cut with SacI/HindIII to generate plasmid pG8R341.
- the balanced-lethal plasmid uses GFP to track Salmonella with OmpA ⁇ PLZ4.
- plasmid pYA4685 as a template to amplify the gene encoding EGFP using primers EGFP-KpnI-gs and EGFP-XhoI-ga.
- the sequence was inserted into plasmid pG8R320 ( Figure 5B) cut with KpnI/XhoI to generate plasmid pG8R342.
- the lysis plasmid uses EGFP to track Salmonella within mammalian cells.
- Example 10 Construction of dual plasmids to cause CCTS strains to target bladder tumor cells and then express gene sequences encoding KillerRed to potentiate tumor cell killing and CXCL11 to attract immune cells. A construction that can kill cancer cells and recruit immune cells to tumor cells will have synergic effect to benefit bladder cancer therapy.
- Figure 10 displays diagrams of such constructions, balanced-lethal plasmids with regulated delayed lysis attributes pG8R343 ( Figure 9A) and pG8R344 ( Figure 9B) with pUC ori that express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the bacterial cell employs the P cmv promoter to express genes encoding KillerRed mem that kill tumor cells and human or mouse CXCL11 that recruit immune cells to combat bladder tumors.
- a P2A peptide (177-179) was introduced between the genes encoding KillerRed mem and human or mouse CXCL11 to enable ribosome skip to enable synthesis of a peptide bond at the C-terminus of a 2A element leading to cleavage between the end of the 2A sequence and the CXCL11 peptide downstream (177-179).
- pG8R343 Figure 10A
- plasmid pCS2-NXE+mem- KillerRed (Addgene plasmid # 45761) as a template to amplify the gene encoding KillerRed mem using primers KillerRed-Mem-KpnI-s and KillerRed-C-P2A-a1.
- the fragment was used as a template and amplified with primers KillerRed-Mem-KpnI-s and KillerRed-C-P2A-a2 to include the sequence encoding P2A.
- CXCL11 Human Tagged ORF Clone (human CXCL11(Myc-DDK-tagged), ORIGENE Cat# RC210320) as a template to amplify the gene encoding human CXCL11 using primers P2A-Human CXCL11-s and Human-CXCL11-NotI-a.
- the KillerRed Mem-P2A and human CXCL11 fusion sequence was inserted into plasmid pG8R320 ( Figure 5B) cut with KpnI/NotI to generate plasmid pG8R343.
- the lysis plasmid carries genes encoding KillerRed mem and human CXCL11.
- the two genes were separated by a P2A peptide (177-179) which can induce cleavage at the C- terminal of the P2A peptide to enable production of both KillerRed mem and human CXCL11 after Salmonella invasion into tumor cells and lysis to release pG8R343 and enable synthesis of KillerRed mem and human CXCL11.
- pG8R344 Figure 10B
- the KillerRed mem P2A was generated as above for plasmid pG8R343.
- CXCL11 Mouse Tagged ORF Clone (mouse CXCL11(Myc-DDK-tagged), ORIGENE Cat# MR222244) as a template to amplify the gene encoding mouse CXCL11 using primers P2A-Mouse CXCL11-s and Mouse- CXCL11-NotI-a.
- the KillerRed Mem-P2A and mouse CXCL11 fusion was inserted into plasmid pG8R320 ( Figure 5B) cut with KpnI/NotI to generate plasmid pG8R344.
- the lysis plasmid carries genes encoding KillerRed mem and mouse CXCL11.
- the two genes were separated by a P2A peptide (177-179) which can induce cleavage at the C- terminal of the P2A peptide to enable production of both KillerRed mem and mouse CXCL11 after Salmonella invasion into tumor cells and lysis to release pG8R344 and enable synthesis of KillerRed mem and mouse CXCL11.
- Example 11 Construction of dual plasmids to cause CCTS strains to target bladder tumor cells and then after invasion express a gene sequence fused with an HLA peptide encoding sequence to potentiate immune responses to tumor cells. Many factors can affect vaccine-induced immune responses.
- Antigens can be linked to lysosomal or endosomal targeting signals to route the antigen into a MHC class II processing compartment to improve CD4 + T cell responses.
- a chimeric protein fused with the N-terminal leader peptide with an MHC class I trafficking signal (tail peptide) attached to the C-terminal end of an antigen can strongly improve the presentation of MHC class I and class II epitopes in human and murine dendritic cells, leading to efficient expansion of antigen specific CD4 + and CD8 + T cells and their effector functions (180).
- tail peptide MHC class I trafficking signal
- HLAB HLA-B
- HLAB-Leading- MCS-ga primers for amplify the gene encoding the HLA leading peptide using primers HLAB-Leading-gs and HLAB-Leading- MCS-ga and HLA tail peptide using primers HLAB-tail-MCS-gs and HLAB-tail-XhoI-ga.
- the sequence generated encoding the above two fragments were inserted into plasmid pG8R320 ( Figure 5B) cut with KpnI/XhoI to generate plasmid pG8R345.
- This plasmid has sequences for HLAB leading and tail peptides which could be used to coupling a selected antigen to MHC Class I Trafficking Signals to increase antigen presentation efficiency (180).
- This regulated delayed lysis plasmid pG8R345 has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after tumor cell invasion and lysis of the CCST cell employs the P cmv promoter to express the HLA-antigen encoding gene in eukaryotic tumor cells.
- the egfp is under the control of PCMV which can be expressed in eukaryotic cells.
- plasmid pYA4685 Figure 2D
- the sequence was inserted into plasmid pG8R345 ( Figure 11A) cut with KpnI/AvrII to generate plasmid pG8R346.
- the lysis plasmid carries a gene encoding EGFP and could be used to track the CCTS strain in mammalian cells.
- pG8R347 Figure 12A
- HLAB HLA-B
- NM_005514 Human Untagged Clone
- Plasmid pG8R3408 To construct plasmid pG8R348, we used plasmid pYA4685 as a template to amplify the gene encoding EGFP using primers encoding EGFP was amplified with primers EGFP(HLAB)-KpnI-gs and EGFP(HLAB)-AvrII-ga and cloned into plasmid pG8R347 ( Figure 12A) cut with KpnI/AvrII to generate plasmid pG8R348.
- the lysis plasmid carries a gene encoding EGFP and could be used to track the Salmonella in mammalian cells, although this will require replacing the ompA ⁇ plz4 construction that enables targeting to bladder tumor cells with sequences specifying a protein to target other cell types.
- Tumor neoantigens can be presented by major histocompatibility complex proteins and recognized by T cells to induce anti-tumor immune responses. This approach has been used as therapeutic vaccines in preclinical models to promote tumor specific T-cell responses (185-188). Tumor neoantigens are derived from mutated proteins that lead to the generation of novel immune epitopes that are foreign to the body (189, 190).
- Vaccines targeting tumor neoantigens are a promising strategy for personalized cancer immunotherapy (188, 190-197). Due to the complex immune tolerance mechanisms in tumors, neoantigen based tumor vaccines are normally combined with immune checkpoint inhibitors. Clinical trials with this combination therapy demonstrated that the induction of neoantigen-specific CD4 + and CD8 + T cell responses and cytotoxic vaccine-induced T cells, had some efficacy in treating bladder cancer (188, 191, 198). Mouse derived BBN963 (199) and MB49 (200, 201) cell lines are commonly used as an in vitro and in vivo model of bladder cancer. Neoantigens have been identified in these two cell lines (202).
- neoantigens were cloned into vector pG8R347 to generate plasmid pG8R349 ( Figure 12C) and pG8R350 ( Figure 12D) to be used in vaccine trials.
- the gene encoding neo-antigen BBN963 (202) was cut from with plasmid pUC57-BBN963 with KpnI/AvrII and cloned into plasmid pG8R347 ( Figure 12A) cut with same enzymes to generate plasmid pG8R349.
- the lysis plasmid carries a gene encoding neo-antigen BBN963.
- pG8R350 To construct pG8R350, the gene encoding neo-antigen MB49 (202) was cut from with plasmid pJET1.2-MB49 with KpnI/AvrII and cloned into plasmid pG8R347 ( Figure 12A) cut with same enzymes to generate plasmid pG8R350.
- the lysis plasmid carries a gene encoding neo-antigen MB49.
- Example 12 Construction of dual plasmids to cause CCTS strains to target bladder tumor cells and then express a gene sequence under the control of PEF1 ⁇ promoter.
- the viral derived PCMV promoter is a strong promoter that has been widely used to express genes in eukaryotic cells as in DNA or viral vectors, such as adenovirus. However, it could be silenced in certain cell types due to methylation, leading to considerable variability gene expression in different cell types (203, 204).
- Human elongation factor-1 ⁇ is a constitutive human promoter that can drive ectopic gene expression homogeneously and persistently in vivo and in vitro (205-207). It can replace PCMV when PCMV has diminished activity due to being silenced.
- plasmid pLVX EF1 ⁇ IRES Puro N (BEI NR52973) as a template
- a fragment containing the PEF1 ⁇ promoter was amplified with primers PEF1a-s and PEF1a-KpnI-a.
- the two fragments were then assembled into plasmid pG8R361.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface to target bladder cancer cells and after lysis of the CCTS cell employs the PEF1 ⁇ promoter to express an inserted gene sequence in eukaryotic cells (208-212), in this case into bladder tumor cells.
- the PEF1 ⁇ and Ptrc ompA ⁇ plz4 in the dual plasmid vector pG8R361 are separated by the regulated delayed lysis cassette araC P araBAD GTG murA GTG asdA.
- Example 13 Construction of dual plasmids to cause CCTS strains to target bladder tumor cells and then express a gene sequence encoding HAC-PD1 to block PD1L1 and activate T cells and CXCL11 to recruit immune cells.
- the interaction between the Programmed cell death protein-1 (PD-1) and programmed cell death ligand-1 (PD-L1) functions as a T cell checkpoint to regulate T cell responses. Cancer cells upregulate the levels of PD-L1 to evade immune detection and elimination (213).
- Monoclonal antibodies blocking PD1 and PDL1 have been approved as effective immunotherapies against different tumors (214-219).
- use of antibodies have inherent limitations that include poor and slow distribution within hypoxic regions of large tumors (220, 221) and immune-related adverse events, such as Fc-mediated cytotoxic immune responses (222) and severe cytokine associated inflammatory and immunological process (223, 224).
- Fc-mediated cytotoxic immune responses 222
- severe cytokine associated inflammatory and immunological process 223, 224
- monoclonal antibodies against PD1/PLD1 they can also reduce circulation of T cell numbers in patients (225-227).
- HAC high- affinity consensus
- the HAC- PD1 (228, 229) has an over 40,000-fold higher affinity for PD-L1 than native PD1 (229) and 32- and 12-times higher affinity than the FDA-approved anti-PD-L1 antibodies atezolizumab and durvalumab, respectively (230). At the same dose and schedule through intratumoral injection, it is also more effective than an anti-PD1 antibody in inducing anti-cancer immunity (229).
- Multiple vectors carrying the gene encoding HAC- PD1 are depicted in Figures 14, 15 and 16.
- Figure 14 depicts plasmids that contain sequences encoding HAC-PD1 combined with CXCL11 for combinational immunotherapy.
- Figure 15 depicts plasmids that contain sequences encoding IL2 SS- HAC-PD1 and CXCL11 for combinational immunotherapy.
- Figure 16 depicts plasmids that carry sequences encoding HAC-PD1, HAC-PD1 and EGFP, CXCL11 and EGFP. All these plasmids display the synthesized OmpA ⁇ PLZ4 on the cell surface to target bladder cancer cells and after lysis of the CCTS cell employ the PCMV or PEF1 ⁇ promoter to express the inserted eukaryotic genes in bladder tumor cells.
- Plasmid pG8R362 ( Figure 14A), we used plasmid pMal-HAC-PD1 (228, 229) as a template to amplify the gene encoding HAC-PD1 using primers HAC- PD1-KpnI-s and HAC-PD1-Linker-a1 and then extended by PCR with primers HAC- PD1-KpnI-s and HAC-PD1-Linker-a2.
- CXCL11 Human Tagged ORF Clone (human CXCL11(Myc-DDK-tagged), ORIGENE Cat# RC210320) as a template
- the gene encoding human CXCL11 was amplified with primers Linker- hCXCL11-s and Human-CXCL11-NotI-a.
- the two fragments were inserted into plasmid pG8R320 ( Figure 5B) cut with KpnI/NotI to generate plasmid pG8R362.
- the lysis plasmid carries the gene encoding HAC-PD1 fused with human CXCL11 with a 36 amino acid linker under the control of a PCMV promoter.
- the 36 aa linker GGS(GGGSE)5(GGGS)2 was inserted to enable fusion of HAC-PD1 and human CXCL11 (231).
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell employs the P cmv promoter to express the fused gene sequence.
- Plasmid pG8R363 ( Figure 14B), we used plasmid pMal-HAC-PD1 (228, 229) as a template to amplify the gene encoding HAC-PD1 using primers HAC- PD1-KpnI-s and HAC-PD1-Linker-a1 and then extended by PCR with primers HAC- PD1-KpnI-s and HAC-PD1-Linker-a2’).
- mice CXCL11 (NM_019494) Mouse Tagged ORF Clone (mouse CXCL11(Myc-DDK-tagged), ORIGENE Cat# MR222244) as a template
- the gene encoding mouse CXCL11 was amplified with primers Linker- mCXCL11-s and Mouse-CXCL11-NotI-a.
- the two fragments were inserted into plasmid pG8R320 ( Figure 5B) cut with KpnI/NotI to generate plasmid pG8R363.
- the lysis plasmid carries a gene encoding HAC-PD1 and fused with mouse CXCL11 with a 36 amino acid linker under the control of a PCMV promoter.
- the 36 aa linker GGS(GGGSE)5(GGGS)2 was inserted to enable fusion of HAC-PD1 and mouse CXCL11 (231).
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell employs the P cmv promoter to express the fused gene sequence.
- plasmid pG8R364 To generate plasmid pG8R364 ( Figure 14C), a fragment encoding HAC-PD1- hCXCL11 was cut from plasmid pG8R362 ( Figure 14A) with KpnI/NotI and cloned into plasmid pG8R361 ( Figure 13) cut with the same enzymes to generate plasmid pG8R364.
- the lysis plasmid carries a gene encoding HAC-PD1 that was fused with human CXCL11 using a 36 amino acid linker under the control of the PEF1 ⁇ promoter.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell employs the PEF1 ⁇ promoter to express the fused gene sequence.
- plasmid pG8R365 Figure 14D
- a fragment encoding HAC-PD1- mCXCL11 was cut from plasmid pG8R363 ( Figure 14B) with KpnI/NotI and cloned into plasmid pG8R361 ( Figure 13) cut with the same enzymes to generate plasmid pG8R365.
- the lysis plasmid carries a gene encoding HAC-PD1 that was fused with mouse CXCL11 using a 36 amino acid linker under the control of the PEF1 ⁇ promoter.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell employs the PEF1 ⁇ promoter to express the fused gene sequence.
- Secretion of proteins increases the levels of therapeutic molecules that can significantly enhance the efficacy of therapy at the site of the disease.
- the IL2 signal peptide is one of the most commonly used secretion facilitating sequences used for protein production in gene therapy research (232-234).
- plasmid pG8R366 ( Figure 15A) that carries the sequence encoding the IL2 secretion signal.
- IL2-s2 primers IL2-s2 and IL2-a2.
- the sequence was inserted into plasmid pG8R320 ( Figure 5B) cut with KpnI to generate plasmid pG8R366.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell employs the P cmv promoter to express any gene sequence fused to the IL2 secretion signal sequence.
- HAC-PD1 with human and mouse CXCL11 into pG8R366 to generate plasmids pG8R367 ( Figure 15B) and pG8R368 ( Figure 15C), respectively.
- the fragment encoding HAC-PD1-hCXCL11 was cut from plasmid pG8R362 ( Figure 14A) with KpnI/NotI and inserted into plasmid pG8R366 ( Figure 15A) cut with the same enzymes to generate plasmid pG8R367.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell employs the P cmv promoter to express the gene sequence encoding HAC-PD1-human CXCL11 fused to the IL2 secretion signal.
- the fragment encoding HAC-PD1-mCXCL11 was cut from plasmid pG8R363 ( Figure 14B) with KpnI/NotI and inserted into plasmid pG8R366 ( Figure 15A) cut with the same enzymes to generate plasmid pG8R368.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell employs the P cmv promoter to express the gene sequence encoding HAC-PD1-mouse CXCL11 fused to the IL2 secretion signal.
- Plasmid pG8R367 ( Figure 15B) as a template to amplify the fragment encoding IL2 SS and HAC-PD1 with primers IL2-s2 and HAC-PD1-a.
- the fragment was inserted into plasmid pG8R320 ( Figure 5B) cut with KpnI/NotI to generate plasmid pG8R372.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell employs the P cmv promoter to express the gene sequence encoding HAC-PD1- fused to the IL2 secretion signal.
- a pUC ori can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell employs the P cmv promoter to express the gene sequence encoding HAC-PD1- fused to the IL2 secretion signal.
- P cmv promoter to express the gene sequence encoding HAC-PD1- fused to the IL2 secretion signal.
- Plasmid pG8R373 For the construction of plasmid pG8R373, we used plasmid pG8R367 ( Figure 15B) as a template to amplify the fragment encoding IL2 SS-HAC-PD1 fusion using primers IL2-s2 and HAC-PD1-linker- EGFP-a. And then with plasmid pYA4685 ( Figure 2D) as a template, the gene encoding EGFP was amplified with primers HAC-PD1-linker-EGFP-s and C terminal EGFP- XhoINotI-a.
- the two fragments were inserted into plasmid pG8R320 ( Figure 5B) cut with KpnI/NotI to generate plasmid pG8R373.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell employs the P cmv promoter to express the gene encoding fusion of IL2 secretion signal-HAC-PD1- fused and EGFP.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell employs the P cmv promoter to express the gene encoding the fusion of human CXCL11 and EGFP.
- the 2 fragments were inserted into plasmid pG8R320 ( Figure 5B) cut with KpnI/NotI to generate plasmid pG8R375.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell in situ employs the P cmv promoter to express the gene encoding fusion of mouse CXCL11 and EGFP.
- Example 14 Insertion of the nucleotide sequence encoding the ten amino acids of the luteinizing hormone-releasing hormone (LHRH) peptide binding to the LHRH receptor into the third exposed loop of the S.
- LHRH luteinizing hormone-releasing hormone
- LHRH Luteinizing hormone-releasing hormone
- Plasmid pG8R380 ( Figure 17A)
- plasmid pG8R320 Figure 5B
- plasmid pYA4090 Figure 2C
- the gene encoding GFP was amplified with primer GFP-s and GFP-BstBI-a.
- the above 3 fragments were then inserted into plasmid pG8R320 ( Figure 5B) cut with BclI/BstBI to generate plasmid pG8R380.
- the regulated delayed lysis plasmid has a pUC ori and can express the ompA ⁇ lhrh and gfp gene sequences in Salmonella to display the synthesized OmpA ⁇ LHRH on the cell surface and GFP in the cytosol and after lysis of the CCTS cell employs the P cmv promoter to express a selected gene to specify synthesis of a desired gene product.
- plasmid pG8R381 ( Figure 17B), the plasmid pG8R380 was cut with BstBI to remove the gene encoding GFP. The 8.1 kb fragment was self-ligated to generate plasmid pG8R381.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ lhrh and gfp in Salmonella to display the synthesized OmpA ⁇ LHRH on the cell surface and after lysis of the CCTS cell employs the P cmv promoter to express a selected gene to specify synthesis of a desired gene product.
- Example 15 Example 15
- HAC-PD1 (228, 229) has a 40,000-fold higher affinity for inactivating PD-L1 than native PD1 (229) and a 32- and 12-times higher inactivating ability than the FDA- approved anti-PD-L1 antibodies atezolizumab and durvalumab, respectively (230).
- HAC-PD1 is also more potent than an anti-PD1 antibody in inducing anti-cancer immunity using the same dose and schedule for intratumor injection (229).
- HAC-PD1 due to its small size, can leak from cells and thus elicit undesired immune responses against normal tissues. Furthermore, HAC-PD1 has a relatively short half-life and thus requires daily intratumoral injections (229). Thus, a HAC-PD1-IgG chimeric protein (haPD1-IgG, thereafter) can retain HAC-PD1 activity in tumors with a prolonged half-life and enhanced efficacy. Since IgG has a long half-life, use of the chimeric fusion protein can reduce the need for frequent administration.
- Plasmids pG8R382 ( Figure 18A), pG8R383 ( Figure 18B) and pG8R384 ( Figure 18C) carrying a sequence encoding haPD1-IgG.
- plasmid pG8R382 ( Figure 18A)
- plasmid pCMV3-haPD1- IgG (Sinobiological, Project number BWH2-P) as a template to amplify the gene encoding haPD1-IgG using primers haPD1IgG-KpnI-s and haPD1IgG-NotI-a.
- the gene was inserted into plasmid pG8R320 ( Figure 5B) cut with KpnI/NotI to generate plasmid pG8R382.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the CCTS cell surface to target bladder cancer and after lysis of the CCTS cell in tumor cells employs the P cmv promoter to express the haPD1-IgG to prevent inactivation of T cells.
- Plasmid pG8R383 ( Figure 18B), we used plasmid pCMV3-haPD1- IgG (Sinobiological, Project number BWH2-P) as a template to amplify the gene encoding haPD1-IgG using primers and haPD1IgG-C-P2A-a.
- plasmid pCS2- NXE+mem-KillerRed (Addgene plasmid # 45761) as a template
- the gene encoding KillerRed mem was amplified using primers P2A-KillerRed-Mem-s and KillerRed- NotIXhoI-a and then extended by PCR using primers P2A-gs and KillerRed-NotIXhoI-a.
- the two fragments were then inserted into plasmid pG8R320 ( Figure 5B) cut with KpnI/NotI to generate plasmid pG8R383.
- the lysis plasmid carries genes encoding haPD1-IgG and KillerRed mem separated by the P2A peptide under the control of the P cmv promoter to enable synthesis of haPD1-IgG and KillerRed mem in tumor cells invaded by the CCTS strain.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell employs the P cmv promoter to express synthesis of haPD1-IgG to prevent inactivation of T cells and KillerRed mem to kill the tumor cells.
- Plasmid pG8R384 ( Figure 18C)
- plasmid pG8R343 Figure 10A
- plasmid pCMV3-haPD1- IgG (Sinobiological, Project number BWH2-P)
- the gene encoding haPD1- IgG was amplified with primers P2A-haPD1IgG-s and haPD1IgG-NotI-a.
- the two fragments were then inserted into plasmid pG8R320 ( Figure 5B) cut with KpnI/NotI to generate plasmid pG8R384.
- the lysis plasmid carries genes encoding KillerRed mem and haPD1-IgG separated by P2A peptide under the control of a P cmv promoter to enable synthesis of KillerRed mem and haPD1-IgG.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ plz4 in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the CCTS cell employs the P cmv promoter to express KillerRed mem to kill the tumor cell and haPD1-IgG to prevent the inactivation of T cells.
- the only difference between pG8R343 and pG8R344 is the order of the sequences encoding the synthesis of haPD1-IgG and KillerRed.
- Example 16 Insertion of the nucleotide sequence encoding the single-chain fragment variable (scFv) targeting HER2 into the third exposed loop of the S.
- HER2 Human epidermal growth factor receptor 2
- HER2 Human epidermal growth factor receptor 2
- scFv Single-chain fragment variables
- the scFv targets Her2 to bind to ErB2+ cells to potentiate delivery of exogenous DNA and siRNA into ErB2+ cells (249-251).
- Plasmid #10794 plasmid pG8R385
- plasmid pYA4090 ( Figure 2C) as a template, the gene encoding GFP was amplified with primer GFP-s and GFP-BstBI-a. The 4 fragments were inserted into plasmid pG8R320 cut with BclI/BstBI to generate plasmid pG8R385.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ Her2 scFv and gfp in Salmonella to display the synthesized OmpA ⁇ Her2 scFv on the CCTS cell surface and GFP in the cytosol and after lysis of the CCTS cell in a cancer cell employs the P cmv promoter to express an inserted gene sequence of importance for cancer cell/tumor therapy.
- plasmid pG8R386 Figure 19B
- the plasmid pG8R385 was cut with BstBI to remove the gene encoding GFP.
- the 8.9 kb fragment was self-ligated to generate plasmid pG8R386.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ Her2 scFv in Salmonella to display the synthesized OmpA ⁇ Her2 scFv on the cell surface and after lysis of the CCTS cell employs the P cmv promoter to express an inserted gene sequence of importance for cancer cell/tumor therapy.
- Example 17 Construction of universal vaccine vectors to enable expression of both bacterial and eukaryotic genes by insertion of selected nucleotide sequences after the Ptrc or Ptrc bla SSopt promoter and the PCMV promoter, respectively.
- the regulated delayed lysis plasmid pG8R320 ( Figure 5B) has a pUC ori and can express the bacterial gene ompA ⁇ plz4 under the control of the Ptrc promoter in Salmonella to display the synthesized OmpA ⁇ PLZ4 on the cell surface and after lysis of the cell employs the P cmv promoter to express an inserted gene in eukaryotic cells. It is mainly used with Salmonella strains possessing the ⁇ ompA mutation and mainly targeting bladder cancer cells with PLZ4 peptide. This mutation may not be required in all situations. The targeting to bladder cancer cells limits its usage for other cancer cells.
- a universal vector without the OmpA ⁇ PLZ4 can be used for other purposes, such as targeting other cancer types or as a dual antigen delivery system.
- plasmids pG8R388 ( Figure 19A) and pG8R389 ( Figure 19B) as two universal vectors to enable their use to express and deliver proteins of both bacterial and eukaryotic origins.
- plasmid pYA3342 Figure 1A
- plasmid pYA3342 Figure 1A
- the fragment was inserted into plasmid pG8R320 ( Figure 5B) cut with BclI/BstBI to generate plasmid pG8R388.
- the regulated delayed lysis plasmid has a pUC ori and can express bacterial genes in the Salmonella cytosol and after invasion into a eukaryotic cell and lysis can employ the P cmv promoter to express the eukaryotic gene in animal cells.
- plasmid pG8R114 ( Figure 2B) as a template to amplify a 237 bp fragment containing the Ptrc promoter with an optimized bla secretion signal (SS) (68) using primers Ptrc-BclI-s and 4545PtrcBlaAAA-a .
- the fragment was inserted into plasmid pG8R320 ( Figure 5B) cut with BclI/BstBI to generate plasmid pG8R389.
- the regulated delayed lysis plasmid has a pUC ori and can express bacterial gene fused with bla SSopt in Salmonella and secrete the synthesized protein into the periplasm and invasion into a eukaryotic cell and lysis can employ the P cmv promoter to express the eukaryotic gene in animal cells.
- Example 18 Construction of dual plasmids to cause CCTS strains to target bladder tumor cells with LHRH peptide or HER2 scFv and then express a gene sequence encoding KillerRed to potentiate tumor cell killing.
- plasmids pG8R390 Figure 21A
- pG8R391 Figure 21B
- pG8R418 Figure 21C
- KillerRed mem to potentiate tumor cell killing.
- Figure 20A the gene encoding KillerRed mem was cut from pG8R327 ( Figure 8C) with KpnI/Not and cloned into plasmid pG8R381 ( Figure 17B) cut with KpnI/NotI to generate plasmid pG8R390.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ lhrh in Salmonella to display the synthesized OmpA ⁇ LHRH on the cell surface and after lysis of the CCTS cell in situ employs the P cmv promoter to express the gene encoding KillerRed mem to potentiate tumor cell killing.
- pG8R391 Figure 20B
- the gene encoding KillerRed mem was cut from pG8R327 ( Figure 8C) with KpnI/Not and cloned into plasmid pG8R386 ( Figure 19B) cut with KpnI/NotI to generate plasmid pG8R391.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ her2 scFv in Salmonella to display the synthesized OmpA ⁇ Her2 scFv on the CCTS cell surface and after lysis of the CCTS cell after invading into a cancer cell employs the P cmv promoter to express the gene encoding KillerRed mem to potentiate tumor cell killing.
- the regulated delayed lysis plasmid has a pUC ori and can express ompA ⁇ her2 scFv in Salmonella to display the synthesized OmpA ⁇ Her2 scFv on the CCTS cell surface and after lysis of the CCTS cell after invading into a cancer cell employs the P cmv promoter to express the gene encoding KillerRed mem to potentiate tumor cell killing.
- Example 19 Construction of recombinant plasmid CCTS strains with potential to attach to and invade into bladder tumor cells to deliver desired cargo to directly and/or indirectly reduce tumor survival.
- All of the candidate CCTS strains listed in Table 4 possess the ⁇ ompA11 mutation which can be substituted by a chromosomal ompA ⁇ plz4 fusion allele and deletion of the asdA gene to enable establishment of a balanced-lethal vector-host strain after introduction of any of the recombinant plasmid vectors displayed in Figures 3 to 5 and 7 to 21, all of which encode synthesis of a receptor ligand facilitating specific targeting to bladder tumor cells.
- strains have the ⁇ P murA25 ::TT araC P araBAD murA mutation with a ⁇ asdA mutation to enable the display of the regulated delayed lysis in vivo phenotype that is desirable for delivery of cargoes synthesized by the CCTS strain and also for the delivery of plasmids serving as DNA vaccines to enable synthesis of a desired gene product by tumor cells.
- the inclusion of the relA mutation facilitates the completeness of lysis by uncoupling the dependance of growth on continued protein synthesis.
- Most CCTS strains in Table 4 display a means to cause a regulated delayed attenuation in vivo by cessation in the synthesis of the LPS outer core or the LPS O- antigen.
- This phenotype also enhances the efficiency of CCTS strains to attach to and invade eukaryotic cells and in this case better display the modified outer membrane protein OmpA ⁇ PLZ4 that is the means for targeting specific attachment to bladder tumor cells.
- These CCTS strains also have a means to display a regulated delayed synthesis of Ptrc regulated gene insertions by the araC P araBAD regulated expression of the lacI gene, an attribute that enhances the efficiency and frequency of in vivo colonization of the CCTS strains in target tissues.
- ⁇ (wza-wcaM)-8 mutation facilitates complete lysis of strains with the regulated delayed lysis phenotype, enhances levels of plasmid encoded protein synthesis and precludes synthesis of exopolysaccharides that contribute to biofilm formation.
- Most strains have a ⁇ recF mutation to reduce inter- and intra-plasmid recombination to enhance construct stability and a ⁇ endA mutation to eliminate the endonuclease that could degrade the plasmid vector upon lysis of the CCTS cell.
- a ⁇ sifA mutation that enables the CCTS strain after invasion into a cell to escape the Salmonella containing vesicle (SCV) or endosome.
- the DNA vaccine must be free to be directed to the tumor cell nucleus to enable transcription of the inserted gene sequence under the control of the plasmid encoded P CMV or P EF1 ⁇ promoter.
- the DNA vaccine components of all the plasmids containing sequence from pYA4545 ( Figure 1C) contain multiple sequences that direct the plasmid DNA to the cell nucleus (45).
- CCTS cells delivering DNA vaccines possess mutations such as the ⁇ sseL and ⁇ tlpA mutations to delay onset of pyroptosis and thus enhance expression of DNA vaccine encoded genes.
- mutations such as the ⁇ sseL and ⁇ tlpA mutations to delay onset of pyroptosis and thus enhance expression of DNA vaccine encoded genes.
- many of the strains listed in Table 4 have such mutations and these mutations can be added to other strains using the suicide vectors listed in Table 2.
- Some of the strains listed in Table 4 have deletion mutations in the pagL, pagP, lpxR, eptA and arnT genes that alter the structure and activities of the LPS lipid A.
- mutations may or may not contribute to the efficacy of CCTS constructs by altering the degree of inflammation in interacting with TLR4. Further modification of these activities can be accomplished by inclusion of the ⁇ pagP81::P lpp lpxE and/or the ⁇ lpxR93::P lpp lpxF deletion-insertion mutations that cause expression of codon- optimized Francisella tularensis genes to delete the 1’ of 4’ phosphates from lipid A to render it non-toxic but retain ability to bind to and activate TLR4.
- CCTS gene activities are regulated by the sugars arabinose and rhamnose that must be supplied during in vitro cultivation but are absent in animal tissues
- the timing of shut off of sugar-regulated gene expression after CCTS cell entry into an animal (human) host can be modulated by whether the sugars supplied during in vitro growth and retained in the cells are or are not quickly metabolized.
- the mutations ⁇ araBAD65::TT and ⁇ rhaBADSR515 are sometimes added to CCTS strains to delay shut off of the sugar regulated genes for several cell divisions.
- strains can be achieved by inclusion of mutations such as ⁇ Pt olR67 ::::TT araC P araBAD tolR that acts to increase production and release of outer membrane vesicles and other mutations that alter display or non-display of flagellar and fimbrial appendages or component parts to alter recruitment of innate immunity. These activities are well described in WO 2020/096994 A1 and WO 2021/222696 A1.
- Example 20 Evaluation of CCTS constructs for ability to attach to and invade bladder tumor cells.
- CCTS strains with pG8R341 specifying synthesis of GFP by the CCTS strain and pG8R342 in which the EGFP activity must be synthesized by the bladder tumor cell after invasion by the CCTS strain.
- constructs in ⁇ 12417 ⁇ P murA25 ::TT araC PBAD murA ⁇ waaL46 ⁇ pmi-2426 ⁇ asdA27::TT araC P BAD c2 ⁇ pagL64::TT rhaRS P rhaBAD waaL ⁇ (wza-wcaM)-8 ⁇ relA197::araC PBAD lacI TT ⁇ recF126 ⁇ sifA26 ⁇ ompA11) that was used for our initial work and the much improved strains ⁇ 12735 ( ⁇ P murA25 ::TT araC P araBAD murA ⁇ asdA33 ⁇ waaL46 ⁇ pagL38:::
- Strains will be grown in LB broth with 0.1% arabinose and with and without 0.1% rhamnose and evaluated for ability to attach to and invade bladder tumor cells as described in Example 1 and Figure 6. It is expected based on the information provided in forgoing Examples that strains grown without rhamnose to prevent synthesis of the LPS O-antigen will be most proficient in attaching to bladder tumor cells. It is also expected that CCTS strains ⁇ 12735 and ⁇ 12736 will be most proficient in inducing synthesis of EGFP.
- Example 21 Exemplary sequences Sequences and SEQ ID NOs related to embodiments described herein are provided infra before the references.
- Example 22 Evaluation of the effect of O-antigen on the CCTS constructs for ability to attach to and invade bladder tumor cells.
- LPS Lipopolysaccharide
- the LPS mutations, ⁇ waaL46, ⁇ waaG42, and ⁇ waaC41, which enable Salmonella to display defects in the synthesis of O-antigen, outer core and inner core, respectively, were introduced into Salmonella strains. It should be noted that waaC mutant defective in synthesis of the inner core are unable to synthesize and assemble the outer core and O-antigen whereas mutants unable to synthesize the outer LPS core also unable to display the O-antigen. These mutations were introduced into ⁇ 12614 to yield strain ⁇ 12812, ⁇ 12813, and ⁇ 12814, respectively (Table 5). A plasmid pG8R341 carrying multiple copies of ompA ⁇ plz4 was introduced into these strains.
- PCR with correspondent primers proved that strains derived from ⁇ 12614 have the correct expected genotype and the LPS gel proved that each strain has the right LPS phenotype human bladder cancer cell 5637 and mouse bladder cancer cells MB49 and BBN967 were performed in 24-well culture plates as described previously (152).
- the ⁇ 12614 lineage strains were grown in LB media until OD600 reached 0.85 ⁇ 0.9.
- the bacteria were collected and resuspended in DMEM media with 10% fetal bovine serum.
- a MOI 10:1 was used to infect cells for 1 hour. After infection, half of the monolayers were washed with PBS and lysed with PBS containing 0.1% sodium deoxycholate to assess the total number of attached bacteria.
- strain ⁇ 12812 with ⁇ waaL46 mutation displays the highest abilities in attachment and invasion compared to the other strains abilities to attach to and invade both human and mouse bladder cells.
- the LPS mutations, ⁇ waaL46, ⁇ waaG42, and ⁇ waaC41 were also introduced into strain ⁇ 12619 to generate ⁇ 12808, ⁇ 12809, and ⁇ 12810, respectively.
- the ompA ⁇ plz4 mutation (Table 2) was also introduced into strain ⁇ 12542 (Table 5) to yield strain ⁇ 12811 which has the identical genotypes as strain ⁇ 12810. These strains only have one copy of ompA ⁇ plz4 in the chromosome. PCR with correspondent primers proved that strains derived from ⁇ 12619 have the correct expected genotype and the LPS gel proved that each strain had the right LPS phenotype ( Figure 23 A and B) . All the strains grew on LB with arabinose plates, but not not on LB, LB with DAP and LB with alanine plates ( Figure 23C).
- strain ⁇ 12417 was transformed with plasmids pG8R385, pG8R418 and pG8R391 that carry the ompA ⁇ her2 ScFV gene.
- the strains were grown in LB with 0.1% arabinose.1 mM IPTG was added to induce the production of OmpA ⁇ Her2 ScFV for 4 hours.
- the Salmonella outer member proteins (SOMPs) were prepared as described previously (62).
- the OmpA ⁇ Her2 in strain ⁇ 12417 carrying any of the above plasmids can be detected in SOMPs portion of the SDS PAGE gel by Coomassie blue staining and western blot using anti-His6 antibody as an expected band around 65.1 kDa, but not the SOMPs from strain ⁇ 12417 (with no plasmid) (Figure 24).
- Different cell lines have different HER2 expression status (253).
- Her2 overexpression (SKBR-3, ATCC®HTB30) and low expression cell lines (MDA-MB- 231(ATCC® CRM-HTB-26) and MDA-MB-468 (ATCC® HTB-132)) were used to detect the attachment and invasion of the ⁇ 12417(pG8R385) and ⁇ 12417(pG8R391) strains ( Figure 25).
- Overnight cultures of ⁇ 12417(pG8R385) and ⁇ 12417(pG8R391) were diluted into LB broth with 0.1% arabinose and grown until OD600 reached 0.9.
- the bacteria were washed once with PBS and then used to infect SKBR-3, MDA-MB-431 and MDA-MB-468 breast cancer cells at an MOI 10:1 for 1 hour. After infection, half of the monolayers were washed with PBS and lysed with PBS containing 0.1% sodium deoxycholate to assess the total number of attached bacteria. The other half of the monolayers were treated for 1 h with DMEM media containing 100 ug/ml gentamicin to eliminate extracellular bacteria. Monolayers were then lysed with PBS containing 0.1% sodium deoxycholate to assess the total number of internalized bacteria.
- Example 25 KillerRed kills HEK293T cells.
- HEK293T cells were transfected with plasmid pG8R327 ( Figure 8C). The fluorescence was observed using EVOS Fl with RFP channel (Thermofisher). The RFP channel in EVOS Fl has 531/40 nm excitation and 593/40 nm whatsoever.
- KillerRed can absorb 540 ⁇ 580 nm wavelength light and emit an longer 610 nm red light with maximum fluorescence excitation/emission at 585/610 nm.
- the RFP channel is not the optimal wavelength for KillerRed, strong red fluorescence signals were observed in HEK293T cells transfected with plasmid pG8R327 ( Figure 26). Before RFP channel excitation, the cells showed spindle shapes with smooth surfaces. After excitation for 10 min, membrane blebs appear on the surface of the cells ( Figure 27). The phenomena was also observed in other samples. Further excitation for an additional 10 min led to the cell morphology changing to round instead of spindle shaped ( Figure 28).
- Example 26 Evaluation of the CCTS strains with targeting peptide in vivo.
- the safety of CCTS strains uses oral and intravenous routes. Groups of 5 mice are inoculated with CCTS strains at varying doses ranging from 10 4 to 10 9 CFU. The mice are closely monitored for one month to see if any disease symptoms are observed. Studies are conducted using multiple subcutaneous syngeneic tumor models to evaluate the distribution of CCTS strains based on the specific targeting peptide utilized. To establish the subcutaneous syngeneic tumor, approximately 1-5x10 6 tumor cells are injected into the right flank of 6-8 week old mice.
- mice When tumor sizes reach approximately 100 mm 3 , the mice are administrated with the CCTS strains intravenously and orally using the highest safe dose determined from the previous experiment. At 24, 48, 72 and 96 hours, the spleen, liver, heart, lung, kidney, and tumors is harvested, weighted, homogenized and plated on LB agar with supplements. Fluorescence detection is performed on the tumors and organs to identify the presence of CCTS strains carry plasmids with the KillerRed or EGFP genes. To test the target ability of the CCTS strain displayed PLZ4 peptide, BBN963 or MB49 murine bladder cancer cells are injected into the right flank of C57BL/6 mice.
- mice are treated with CCTS strains with plasmids carrying the ompA3 ⁇ plz4 gene and monitored as above.
- high LHRH receptor expression cell lines such as A2780 human ovarian cancer cells (1-5x10 6 ) (235, 241, 243) or human breast cancer cells MCF-7 (ATCC® HTB-22) (254) , MDA-MB-231 (ATCC® HTB-26), HCC1806 (ATCC® CRL-2335) are used to generate xenographs in athymic nu/nu mice.
- Mice are treated with a CCTS strain with a plasmid specifying the LHRH peptide and monitored as above.
- Her2 overexpression SKBR-3, ATCC®HTB30
- low expression cell lines MDA-MB- 231(ATCC® CRM-HTB-26) and MDA-MB-468 (ATCC® HTB-132)
- mice are treated with a CCTS strain with a plasmid specifying Her2 SCFV and monitored as above.
- Over 60% of bladder tumors have little immune cell infiltration inside tumors (255).
- CXCL11 is a cytokine that can attract CD8 cytotoxic T cells (256, 257).
- mice When tumors in C57BL/6 mice reach around 100 mm 3 , mice are fed with PBS, CCTS(pG8R319), CCTS(pG8R320), CCTS(pG8R322), or CCTS(pG8R326). Tumors will be harvested 24, 48, 72 or 96 hours later. Flow cytometry is used to compare the amount of CD8+ cells in different groups at these time points. To further evaluate the abilities of CCTS strains to destroy tumors, C57BL6 mice carrying subcutaneous bladder tumors are used.
- mice When tumors reach the size of around 100 mm 3 , groups of 5 tumor-bearing mice are treated with a safe dose of CCTS strains with difference cargos, including CXCL11, haPD1, haPD1-IgG. The treatment could be once or multiple times. Mice are monitored for weight, tumor growth and survival. If tumors regress, mice are maintained and monitored to see if regrowth of tumors does or does not occur. Mice are euthanized once tumor sizes reach 1,500 mm 3 or at the humane endpoint. Tumors are excised at the endpoint and either frozen directly in liquid nitrogen for storage or fixed in 10% formalin for histology or immunohistochemistry.
- tumors are collected before humane endpoint and split into 3 portions: formalin-fixation for immunohistochemical staining, fresh frozen for RNA and DNA extraction and deep sequencing; and single cell suspension for single cell sequencing.
- formalin-fixation for immunohistochemical staining
- fresh frozen for RNA and DNA extraction and deep sequencing
- single cell suspension for single cell sequencing.
- tumor-bearing mice are treated with a safe dose of CCTS strains specifying synthesis of KillerRed. Fluorescence imaging of tumors are acquired daily in vivo using an IVIS-Spectrum (PerkinElmer, USA) with excitation wavelength of 570 nm and emission wavelength of 620 nm. A suitable wavelength is used for PDT.
- tumor-bearing mice are treated with a safe dose of CCTS strains delivering KillerRed. Tumors are either treated with a continuous wave or pulsed laser without causing excessive temperature effect on the skin surface.
- a validation parameter is described by Shirmanova et .al (259).
- the PDT is carried at 593 nm, 150 mW/cm 2 , 270 J/cm 2 for the continuous laser wave daily for 7 days, or at 584 nm, 225 mW/cm 2 , 337 J/cm 2 for the pulsed laser on the days 6, 7, and 8 of tumor growth.
- Skin surface temperature is monitored using an Infrared thermograph.
- randomly selected tumors in treated and untreated groups is collected and split into 3 portions: formalin-fixation for immunohistochemical staining, fresh frozen for RNA and DNA extraction and deep sequencing; and single cell suspension for single cell sequencing. During these studies, tumors are monitored with the size measured with a caliper twice a week until the mice reach humane endpoint.
- Example 28 Example 28.
- Universal vaccine vectors to enable expression of both bacterial and eukaryotic genes by insertion of selected nucleotide sequences after the Ptrc or Ptrc bla SSopt promoter and the PCMV promoter, respectively.
- a universal vaccine vector is a single vector that enables expression of genes both in prokaryotic and eukaryotic cells, even though it only specifies expression of gene only either in prokaryotic or eukaryotic cells.
- the regulated delayed lysis plasmids pG8R388 ( Figure 19A) and pG8R389 ( Figure 19B) are examples of two universal vectors to enable expression and delivery of proteins of both bacterial and eukaryotic origins.
- Plasmid pG8R388 has a pUC ori and can express bacterial genes in the cytosol or on the surface of Salmonella and after invasion into a eukaryotic cell and lysis can employ the P cmv promoter to express the eukaryotic gene(s) in animal cells.
- Plasmid pG8R389 has a pUC ori and can express a bacterial gene fused with bla SSopt in Salmonella and secrete the synthesized protein into the periplasm and upon invasion into a eukaryotic cell and lysis can employ the P cmv promoter to express the eukaryotic gene in animal cells.
- the prokaryotic promoter is not limited to Ptrc and could be any promoter that functions in prokaryotic cells.
- prokaryotic promoters can be used. Multiple prokaryotic promoters can be used to drive the expression of multiple genes. Other secretion signals can be used to replace the bla SSopt.
- the eukaryotic promoter is not limited to P cmv or PEF1 ⁇ and could be any promoter that functions in eukaryotic cells. Other eukaryotic promoters can be used. Multiple eukaryotic promoters can also be used to drive the expression of multiple genes. Under the control of a prokaryotic promoter, a single gene can be expressed and multiple genes can also be expressed as an operon or protein fusion with or without suitable linkers. These linkers could be flexible, rigid, cleavable or dipeptide linkers.
- FIG. 17A illustrates plasmid pG8R380, in which an operon fusion links ompA ⁇ lhrh and gfp.
- Figure 19A and Figure 21C illustrates plasmids pG8R385 and pG8R418, in which an operon fusion links ompA ⁇ her2 SCFV and gfp.
- a single gene Under the control of a eukaryotic promoter, a single gene can be expressed and multiple genes can also be expressed separated by one or multiple 2A cleavage peptides.
- the 2A peptide could be P2A, E2A, T2A, F2A or other 2A-like sequences and thus form bi-, tri-, and quad-, penta- or multiple cistronic vectors (263-265).
- Plasmid pG8R343 (Fig.10), pG8R344 (Fig.10), pG8R383 (Fig.18), pG8R384 (Fig.18) are examples of bicistrion vectors with the P2A peptide.
- IRES sequences could be used to generate multicistronic constructions for simultaneously expression of multiple genes (177, 179, 266-269). Multiple gene can be linked by a linker described above.
- Figure 14 and Figure 15B and 15C illustrate examples in which HAC PD1 is linked to CXCL11 through a linker.
- Figure 16B-D illustrate examples in which HAC PD1 is linked to EGFP through a 5A linker PPVAT.
- Neuromodulin N-terminal sequence (mem)(SEQ ID NO: SEQ ID NO: 26 (DNA) and SEQ ID NO: 27 (amino acid))
- GSG P2A sequence SEQ ID NO: 30 (DNA) and SEQ ID NO: 31 (amino acid)
- Neuromodulin N-terminal sequence (mem)(SEQ ID NO: 34 (DNA) and SEQ ID NO: 35(amino acid))
- GSG P2A sequence (SEQ ID NO: 42 (DNA) and (SEQ iD NO: 43 (amine acid))
- Her2 ScFV sequence (SEQ ID NO: 137)
- HAC-PD1 sequence (SEQ ID NO : 48(DNA) and SEQ ID NO: 49(amino acid) haPD1-lgG sequence (SEQ ID NO: 50 (DNA) and SEQ ID NO: 51(arnino acid))
- GSG T2A sequence (derived from thoseaasigna virus 2A ) (SEQ. ID NO: 129
- GSG E2A sequence (derived from equine rhinitis A virus )(SEQ ID NO: 130
- GSG F2A sequence (derived from foot-and-mouth disease virus) (SEQ ID NO: 131. (amino acid))
- Attenuated Salmonella typhimurium containing interleukin-2 decreases MC-38 hepatic metastases: a novel anti-tumor agent. Cancer Biother Radiopharm 11:145-153.
- Ameiss K, Ashraf S, Kong W, Pekosz A, Wu WH, Milich D, Billaud JN, Curtiss R, III.2010 Delivery of woodchuck hepatitis virus-like particle presented influenza M2e by recombinant attenuated Salmonella displaying a delayed lysis phenotype.
- Plasmidic recombination in Escherichia coli K-12 the role of recF gene function. Mol Gen Genet 189:471-474. 124. Kolodner R, Fishel RA, Howard M.1985. Genetic recombination of bacterial plasmid DNA: effect of RecF pathway mutations on plasmid recombination in Escherichia coli. J Bacteriol 163:1060-1066. 125. Zhang X, Wanda SY, Brenneman K, Kong W, Roland K, Curtiss R, III.2011. Improving Salmonella vector with rec mutation to stabilize the DNA cargoes. BMC Microbiol 11:31. 126.
- Salmonella maintains the integrity of its intracellular vacuole through the action of SifA. EMBO J 19:3235-3249. 127. Ohlson MB, Huang Z, Alto NM, Blanc MP, Dixon JE, Chai J, Miller SI.2008. Structure and function of Salmonella SifA indicate that its interactions with SKIP, SseJ, and RhoA family GTPases induce endosomal tubulation. Cell Host Microbe 4:434-446. 128.
- Saltzman DA Katsanis E, Heise CP, Hasz DE, Kelly SM, Curtiss R, III, Leonard AS, Anderson PM.1997. Patterns of hepatic and splenic colonization by an attenuated strain of Salmonella typhimurium containing the gene for human interleukin-2: a novel anti-tumor agent. Cancer Biother Radiopharm 12:37-45. 129. Saltzman DA, Katsanis E, Heise CP, Hasz DE, Vigdorovich V, Kelly SM, Curtiss R, III, Leonard AS, Anderson PM.1997.
- Antitumor mechanisms of attenuated Salmonella typhimurium containing the gene for human interleukin-2 a novel antitumor agent? J Pediatr Surg 32:301-306. 130. Schödel F, Kelly SM, Peterson DL, Milich DR, Curtiss R, III.1994. Hybrid hepatitis B virus core-pre-S proteins synthesized in avirulent Salmonella typhimurium and Salmonella typhi for oral vaccination. Infect Immun 62:1669- 1676. 131. Augustin LB, Milbauer L, Hastings SE, Leonard AS, Saltzman DA, Schottel JL.2021.
- CXCR7 functions as a scavenger for CXCL12 and CXCL11.
- CXCL11 Correlates With Antitumor Immunity and an Improved Prognosis in Colon Cancer. Front Cell Dev Biol 9:646252. 167. Moon EK, Wang LS, Bekdache K, Lynn RC, Lo A, Thorne SH, Albelda SM. 2018. Intra-tumoral delivery of CXCL11 via a vaccinia virus, but not by modified T cells, enhances the efficacy of adoptive T cell therapy and vaccines. Oncoimmunology 7:e1395997. 168.
- mRNA translation influence of the 5' and 3' untranslated regions. Curr Opin Genet Dev 4:310-315. 183. Yamashita A, Takeuchi O.2017. Translational control of mRNAs by 3'- Untranslated region binding proteins. BMB Rep 50:194-200. 184. Holtkamp S, Kreiter S, Selmi A, Simon P, Koslowski M, Huber C, Tureci O, Sahin U.2006. Modification of antigen-encoding RNA increases stability, translational efficacy, and T-cell stimulatory capacity of dendritic cells. Blood 108:4009-4017. 185.
- Murine bladder carcinoma cells present antigen to BCG-specific CD4+ T-cells. Cancer Res 52:4286-4290. 202. Saito R, Smith CC, Utsumi T, Bixby LM, Kardos J, Wobker SE, Stewart KG, Chai S, Manocha U, Byrd KM, Damrauer JS, Williams SE, Vincent BG, Kim WY. 2018. Molecular Subtype-Specific Immunocompetent Models of High-Grade Urothelial Carcinoma Reveal Differential Neoantigen Expression and Response to Immunotherapy. Cancer Res 78:3954-3968. 203. Prosch S, Stein J, Staak K, Liebenthal C, Volk HD, Kruger DH.1996.
- Plasmid vectors harboring cellular promoters can induce prolonged gene expression in hematopoietic and mesenchymal progenitor cells.
- the EF- 1 ⁇ promoter maintains high-level transgene expression from episomal vectors in transfected CHO-K1 cells. J Cell Mol Med 21:3044-3054.
- Gill DR Smyth SE, Goddard CA, Pringle IA, Higgins CF, Colledge WH, Hyde SC.2001.
- nivolumab an anti-PD-1 immune checkpoint inhibitor
- CheckMate 063 a phase 2, single-arm trial. Lancet Oncol 16:257-265. 219. Tobias J, Steinberger P, Drinic M, Wiedermann U.2021. Emerging targets for anticancer vaccination: PD-1. ESMO Open 6:100278. 220. Lee CM, Tannock IF.2010. The distribution of the therapeutic monoclonal antibodies cetuximab and trastuzumab within solid tumors. BMC Cancer 10:255. 221.
- Tan S Liu K, Chai Y, Zhang CW, Gao S, Gao GF, Qi J.2018. Distinct PD-L1 binding characteristics of therapeutic monoclonal antibody durvalumab. Protein Cell 9:135-139. 231. Li Y, Cong Y, Jia M, He Q, Zhong H, Zhao Y, Li H, Yan M, You J, Liu J, Chen L, Hang H, Wang S.2021. Targeting IL-21 to tumor-reactive T cells enhances memory T cell responses and anti-PD-1 antibody therapy. Nat Commun 12:951. 232. Sasada R, Onda H, Igarashi K.1987. The establishment of IL-2 producing cells by genetic engineering.
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