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CpG-mediated modulation of MDSC contributes to the efficacy of Ad5-TRAIL therapy against renal cell carcinoma

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Abstract

Tumor progression occurs through the modulation of a number of physiological parameters, including the development of immunosuppressive mechanisms to prevent immune detection and response. Among these immune evasion mechanisms, the mobilization of myeloid-derived suppressor cells (MDSC) is a major contributor to the suppression of antitumor T-cell immunity. Patients with renal cell carcinoma (RCC) show increased MDSC, and methods are being explored clinically to reduce the prevalence of MDSC and/or inhibit their function. In the present study, we investigated the relationship between MDSC and the therapeutic potential of a TRAIL-encoding recombinant adenovirus (Ad5-TRAIL) in combination with CpG-containing oligodeoxynucleotides (Ad5-TRAIL/CpG) in an orthotopic mouse model of RCC. This immunotherapy effectively clears renal (Renca) tumors and enhances survival, despite the presence of a high frequency of MDSC in the spleens and primary tumor-bearing kidneys at the time of treatment. Subsequent analyses revealed that the CpG component of the immunotherapy was responsible for decreasing the frequency of MDSC in Renca-bearing mice; further, treatment with CpG modulated the phenotype and function of MDSC that remained after immunotherapy and correlated with an increased T-cell response. Interestingly, the CpG-dependent alterations in MDSC frequency and function did not occur in tumor-bearing mice complicated with diet-induced obesity. Collectively, these data suggest that in addition to its adjuvant properties, CpG also enhances antitumor responses by altering the number and function of MDSC.

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Abbreviations

5-FU:

5-Fluorouracil

Ad5-TRAIL:

Recombinant adenovirus encoding TRAIL

Ag:

Antigen

Batf3:

Basic leucine zipper transcription factor, ATF-like 3

BV650:

Brilliant violet 650

CpG:

CpG-containing oligodeoxynucleotide

DIO:

Diet-induced obesity

HBSS:

Hank’s balanced salt solution

HFF:

High-fat feed

IFN:

Interferon

IL:

Interleukin

i.p.:

Intraperitoneal

IR:

Intrarenal

i.v.:

Intravascular

mAb:

Monoclonal antibody

MACS:

Magnet-associated cell sorting

MDSC:

Myeloid-derived suppressor cell

MHC:

Major histocompatibility complex

PBS:

Phosphate-buffered saline

pDC:

Plasmacytoid dendritic cell

PE:

Phycoerytherin

pfu:

Plaque-forming units

RCC:

Renal cell carcinoma

spDC:

Splenic dendritic cells

TCR:

T-cell receptor

TLR:

Toll-like receptor

TNF:

Tumor necrosis factor

TRAIL:

TNF-related apoptosis-inducing ligand

WT:

Wild type

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Acknowledgments

We thank the University of Iowa Gene Transfer Vector Core for the production of the Ad5-TRAIL vector. This work was supported by a University of Minnesota Doctoral Dissertation Fellowship (BR James), T90DE022732 from the National Institute of Dental & Craniofacial Research (KG Anderson), a Kidney Cancer Association Research Scholarship administered by the American Urological Association (EL Brincks), and the National Institutes of Health Grants AI084913 (D Masopust) and CA109446 (TS Griffith).

Conflict of interest

B. James, K. Anderson, E. Brincks, T. Kucaba, L. Norian, D. Masopust, and T. Griffith declare that they have no conflict of interest.

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James, B.R., Anderson, K.G., Brincks, E.L. et al. CpG-mediated modulation of MDSC contributes to the efficacy of Ad5-TRAIL therapy against renal cell carcinoma. Cancer Immunol Immunother 63, 1213–1227 (2014). https://doi.org/10.1007/s00262-014-1598-8

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