DOI QR코드

DOI QR Code

Oral Administration of Poly-Gamma-Glutamic Acid Significantly Enhances the Antitumor Effect of HPV16 E7-Expressing Lactobacillus casei in a TC-1 Mouse Model

  • Kim, Eunjin (Infectious Disease Research Center, Korea Research Institute of Bioscience and Biotechnology) ;
  • Yang, Jihyun (Infectious Disease Research Center, Korea Research Institute of Bioscience and Biotechnology) ;
  • Sung, Moon-Hee (Department of Bio and Fermentation Convergence Technology, Kookmin University) ;
  • Poo, Haryoung (Infectious Disease Research Center, Korea Research Institute of Bioscience and Biotechnology)
  • Received : 2019.06.11
  • Accepted : 2019.08.01
  • Published : 2019.09.28

Abstract

The conventional prophylactic vaccines for human papillomavirus (HPV) efficiently prevent infection with high-risk HPV types, but they do not promote therapeutic effects against cervical cancer. Previously, we developed HPV16 E7-expressing Lactobacillus casei (L. casei-E7) as a therapeutic vaccine candidate for cervical cancer, which induces antitumor therapeutic effects in a TC-1 murine cancer model. To improve the therapeutic effect of L. casei-E7, we performed co-treatment with poly-gamma-glutamic acid (${\gamma}-PGA$), a safe and edible biomaterial naturally secreted by Bacillus subtilis. We investigated their synergistic effect to improve antitumor efficacy in a murine cancer model. The treatment with ${\gamma}-PGA$ did not show in vitro cytotoxicity against TC-1 tumor cells; however, an enhanced innate immune response including activation of dendritic cells was observed. Mice co-administered with ${\gamma}-PGA$ and L. casei-E7 showed significantly suppressed growth of TC-1 tumor cells and an increased survival rate in TC-1 mouse models compared to those of mice vaccinated with L. casei-E7 alone. The administration of ${\gamma}-PGA$ markedly enhanced the activation of natural killer (NK) cells but did not increase the E7-specific cytolytic activity of $CD8^+$ T lymphocytes in mice vaccinated with L. casei-E7. Overall, our results suggest that oral administration of ${\gamma}-PGA$ induces a synergistic antitumor effect in combination with L. casei-E7.

Keywords

References

  1. Braaten KP, Laufer MR. 2008. Human Papillomavirus (HPV), HPV-Related Disease, and the HPV Vaccine. Rev. Obstet. Gynecol. 1: 2-10.
  2. Steller MA. 2003. Human papillomavirus, it's genes and cancer vaccines. Cancer Cell 3: 7-8. https://doi.org/10.1016/S1535-6108(02)00239-8
  3. Adachi K, Kawana K, Yokoyama T, Fujii T, Tomio A, Miura S, et al. 2010. Oral immunization with a Lactobacillus casei vaccine expressing human papillomavirus (HPV) type 16 E7 is an effective strategy to induce mucosal cytotoxic lymphocytes against HPV16 E7. Vaccine 28: 2810-2817. https://doi.org/10.1016/j.vaccine.2010.02.005
  4. Poo H, Pyo HM, Lee TY, Yoon SW, Lee JS, Kim CJ, et al. 2006. Oral administration of human papillomavirus type 16 E7 displayed on Lactobacillus casei induces E7-specific antitumor effects in C57/BL6 mice. Int. J. Cancer 119: 1702-1709. https://doi.org/10.1002/ijc.22035
  5. Munoz N, Bosch FX, de Sanjose S, Herrero R, Castellsague X, Shah KV, et al. 2003. Epidemiologic classification of human papillomavirus types associated with cervical cancer. N. Engl. J. Med. 348: 518-527. https://doi.org/10.1056/NEJMoa021641
  6. Lee JS, Poo H, Han DP, Hong SP, Kim K, Cho MW, et al. 2006. Mucosal immunization with surface-displayed severe acute respiratory syndrome coronavirus spike protein on Lactobacillus casei induces neutralizing antibodies in mice. J. Virol. 80: 4079-4087. https://doi.org/10.1128/JVI.80.8.4079-4087.2006
  7. Ault KA. 2007. Long-term efficacy of human papillomavirus vaccination. Gynecol. Oncol. 107: S27-30. https://doi.org/10.1016/j.ygyno.2007.07.078
  8. Diniz MO, Lasaro MO, Ertl HC, Ferreira LC. 2010. Immune responses and therapeutic antitumor effects of an experimental DNA vaccine encoding human papillomavirus type 16 oncoproteins genetically fused to herpesvirus glycoprotein D. Clin. Vaccine Immunol. 17: 1576-1583. https://doi.org/10.1128/CVI.00264-10
  9. Leggatt GR, Frazer IH. 2007. HPV vaccines: the beginning of the end for cervical cancer. Curr. Opin. Immunol. 19: 232-238. https://doi.org/10.1016/j.coi.2007.01.004
  10. Narayan S, Choyce A, Linedale R, Saunders NA, Dahler A, Chan E, et al. 2009. Epithelial expression of human papillomavirus type 16 E7 protein results in peripheral CD8 T-cell suppression mediated by CD4+CD25+ T cells. Eur. J. Immunol. 39: 481-490. https://doi.org/10.1002/eji.200838527
  11. Kim JW, Hung CF, Juang J, He L, Kim TW, Armstrong DK, et al. 2004. Comparison of HPV DNA vaccines employing intracellular targeting strategies. Gene Ther. 11: 1011-1018. https://doi.org/10.1038/sj.gt.3302252
  12. Zhang H, Zhu J, Zhu X, Cai J, Zhang A, Hong Y, et al. 2012. High-level exogenous glutamic acid-independent production of poly-(gamma-glutamic acid) with organic acid addition in a new isolated Bacillus subtilis C10. Bioresour. Technol. 116: 241-246. https://doi.org/10.1016/j.biortech.2011.11.085
  13. Kim DJ, Kim EJ, Lee TY, Won JN, Sung MH, Poo H. 2013. Combination of poly-gamma-glutamate and cyclophosphamide enhanced antitumor efficacy against tumor growth and metastasis in a murine melanoma model. J. Microbiol. Biotechnol. 23: 1339-1346. https://doi.org/10.4014/jmb.1306.06071
  14. Poo H, Park C, Kwak MS, Choi DY, Hong SP, Lee IH, et al. 2010. New biological functions and applications of highmolecular-mass poly-gamma-glutamic acid. Chem. Biodivers. 7: 1555-1562. https://doi.org/10.1002/cbdv.200900283
  15. Lee TY, Kim YH, Yoon SW, Choi JC, Yang JM, Kim CJ, et al. 2009. Oral administration of poly-gamma-glutamate induces TLR4- and dendritic cell-dependent antitumor effect. Cancer Immunol. Immunother. 58: 1781-1794. https://doi.org/10.1007/s00262-009-0689-4
  16. Kim TW, Lee TY, Bae HC, Hahm JH, Kim YH, Park C, et al. 2007. Oral administration of high molecular mass polygamma-glutamate induces NK cell-mediated antitumor immunity. J. Immunol. 179: 775-780. https://doi.org/10.4049/jimmunol.179.2.775
  17. Alter G, Malenfant JM, Altfeld M. 2004. CD107a as a functional marker for the identification of natural killer cell activity. J. Immunol. Methods 294: 15-22. https://doi.org/10.1016/j.jim.2004.08.008
  18. Kim KS, Lee TY, Hong JH, Kim A, Kim SJ, Choi JC, et al. 2013. A single-center, randomized double-blind placebocontrolled study evaluating the effects of poly-gammaglutamate on human NK cell activity after an 8-week oral administration in healthy volunteers. Evid. Based Complement. Alternat. Med. 2013: 635960.
  19. Larsen SK, Gao Y, Basse PH. 2014. NK cells in the tumor microenvironment. Crit. Rev. Oncog. 19: 91-105. https://doi.org/10.1615/CritRevOncog.2014011142
  20. Koo GC, Peppard JR, Hatzfeld A. 1982. Ontogeny of Nk-1+ natural killer cells. I. Promotion of Nk-1+ cells in fetal, baby, and old mice. J. Immunol. 129: 867-871.
  21. Malmberg KJ, Carlsten M, Bjorklund A, Sohlberg E, Bryceson YT, Ljunggren HG. 2017. Natural killer cellmediated immunosurveillance of human cancer. Semin. Immunol. 31: 20-29. https://doi.org/10.1016/j.smim.2017.08.002
  22. Miller GM, Andres ML, Gridley DS. 2003. NK cell depletion results in accelerated tumor growth and attenuates the antitumor effect of total body irradiation. Int. J. Oncol. 23: 1585-1592.
  23. Indrova M, Simova J, Bieblova J, Bubenik J, Reinis M. 2011. NK1.1+ cells are important for the development of protective immunity against MHC I-deficient, HPV16-associated tumours. Oncol. Rep. 25: 281-288.
  24. Noorpisheh Ghadimi S, Farjadian S, Hatam GR, Kalani M, Sarkari B. 2018. Vaccination with live Attenuated L. major and TLR4 Agonist promotes a Th1 immune response and induces protection against L. major infection in BALB/c Mice. Iran J. Immunol. 15: 74-83.
  25. Morefield GL, Hawkins LD, Ishizaka ST, Kissner TL, Ulrich RG. 2007. Synthetic Toll-like receptor 4 agonist enhances vaccine efficacy in an experimental model of toxic shock syndrome. Clin. Vaccine Immunol. 14: 1499-1504. https://doi.org/10.1128/CVI.00153-07
  26. Temizoz B, Kuroda E, Ishii KJ. 2016. Vaccine adjuvants as potential cancer immunotherapeutics. Int. Immunol. 28: 329-338. https://doi.org/10.1093/intimm/dxw015
  27. Cluff CW. 2010. Monophosphoryl Lipid A (MPL) as an Adjuvant for Anti-Cancer Vaccines: Clinical Results, pp. 111-123. In Jeannin J-F (ed.), Lipid A in Cancer Therapy, Ed. Springer New York, New York, NY
  28. Lee TY, Kim YH, Lee KS, Kim JK, Lee IH, Yang JM, et al. 2010. Human papillomavirus type 16 E6-specific antitumor immunity is induced by oral administration of HPV16 E6-expressing Lactobacillus casei in C57BL/6 mice. Cancer Immunol. Immunother. 59: 1727-1737. https://doi.org/10.1007/s00262-010-0903-4