Intratumoral injection of IL-12-encoding mRNA targeted to CSFR1 and PD-L1 exerts potent anti-tumor effects without substantial systemic exposure

肿瘤内注射靶向CSFR1和PD-L1的IL-12编码mRNA可发挥强效抗肿瘤作用,且不会引起明显的全身暴露。

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作者:Claudia Augusta Di Trani,Assunta Cirella,Leire Arrizabalaga,Maite Alvarez ,Ángela Bella,Myriam Fernandez-Sendin,Joan Salvador Russo-Cabrera,Celia Gomar,Nuria Ardaiz,Alvaro Teijeira ,Elixabet Bolaños,José González-Gomariz,Itziar Otano,Fernando Aranda,Belén Palencia,Aina Segués,Shuyu Huang,Sander M J van Duijnhoven,Andrea van Elsas,Ignacio Melero ,Pedro Berraondo

Abstract

IL-12 is a potent cytokine for cancer immunotherapy. However, its systemic delivery as a recombinant protein has shown unacceptable toxicity in the clinic. Currently, the intratumoral injection of IL-12-encoding mRNA or DNA to avoid such side effects is being evaluated in clinical trials. In this study, we aimed to improve this strategy by further favoring IL-12 tethering to the tumor. We generated in vitro transcribed mRNAs encoding murine single-chain IL-12 fused to diabodies binding to CSF1R and/or PD-L1. These targeted molecules are expressed in the tumor microenvironment, especially on myeloid cells. The binding capacity of chimeric constructs and the bioactivity of IL-12 were demonstrated in vitro and in vivo. Doses as low as 0.5 μg IL-12-encoding mRNA achieved potent antitumor effects in subcutaneously injected B16-OVA and MC38 tumors. Treatment delivery was associated with increases in IL-12p70 and IFN-γ levels in circulation. Fusion of IL-12 to the diabodies exerted comparable efficacy against bilateral tumor models. However, it achieved tethering to myeloid cells infiltrating the tumor, resulting in nearly undetectable systemic levels of IL-12 and IFN-γ. Overall, tethering IL-12 to intratumoral myeloid cells in the mRNA-transferred tumors achieves similar efficacy while reducing the dangerous systemic bioavailability of IL-12.

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