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A Listeria-based vaccine targeting ISG15 exerts anti-tumor efficacy in renal cell carcinoma

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Abstract

Renal cell carcinoma (RCC) is the deadliest form of urological cancer and is projected to be the fourth most common neoplasm in the USA in males by 2040. In addition to the current poor prognosis with 5-year survival rates hardly reaching 15%, the prevalence of resistance to currently available systemic therapies has also established an urgent need to develop new treatment regimen(s) for advanced RCC. Interferon-stimulated gene 15 (ISG15) is the first identified ubiquitin-like modifier and has been intensively studied for its central role in innate immunity against intracellular pathogens. However, in this study, we identified ISG15 as a novel tumor-associated antigen and prognostic marker in RCC. Further, we therapeutically targeted elevated ISG15 expression by means of a Listeria monocytogenes (Lm)-based vaccine, designated Lm-LLO-ISG15, in both subcutaneous and orthotopic RCC mouse models. Treatment with Lm-LLO-ISG15 resulted in an influx of tumor-infiltrating effector T cells and significant anti-tumor efficacy in both subcutaneous and orthotopic RCC tumor models. Treatment with Lm-LLO-ISG15 also generated a robust interferon-gamma response and attracted a larger pool of polyfunctional T cells into the tumor microenvironment. Importantly, the therapeutic efficacy of Lm-LLO-ISG15 in RCC is comparable to that of anti-PD-1 and sunitinib, the current frontline therapies for RCC patients. Collectively, our work illustrates that targeting ISG15 in RCC with a CTL-based immunotherapy such as Lm-LLO-ISG15 is a promising and potentially translatable therapeutic strategy to enhance survival in RCC patients.

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Data availability

All data generated or analyzed during this study are included in the article and its supplementary information files. Data are available on request from the authors and where no data are available, if appropriate.

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Acknowledgements

The authors would like to thank Shreyas Gaikwad for his technical support in the Western Blot experiments.

Funding

LW is supported by a grant from NIH (1R15CA216205-01).

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Authors

Contributions

HMN and LMW contributed to the study’s conception and design. HMN carried out experiments, data collection and analysis, preparation of figures, and manuscript writing. MO assisted in the orthotopic study and reviewed the manuscript. WP assisted in vitro studies and reviewed the manuscript. LMW conceptualized the study, acquired funding, provided supervision, and reviewed and approved the final manuscript.

Corresponding author

Correspondence to Laurence M. Wood.

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The authors declare that they have no financial interests.

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All applicable international, national, and institutional standards for the care and use of experimental animals were followed. All studies involving animals were carried out by the ethical standards of the Texas Tech University Health Sciences Center.

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Nguyen, HM., Oladejo, M., Paulishak, W. et al. A Listeria-based vaccine targeting ISG15 exerts anti-tumor efficacy in renal cell carcinoma. Cancer Immunol Immunother 72, 2889–2903 (2023). https://doi.org/10.1007/s00262-022-03352-9

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