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Ty21a Salmonella as immunotherapeutic agent against non-muscle-invasive bladder cancer

English title Ty21a Salmonella as immunotherapeutic agent against non-muscle-invasive bladder cancer
Applicant Nardelli Haefliger Denise
Number 153201
Funding scheme Project funding (Div. I-III)
Research institution Service d'Urologie CHUV
Institution of higher education University of Lausanne - LA
Main discipline Experimental Cancer Research
Start/End 01.04.2014 - 31.03.2017
Approved amount 372'000.00
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Keywords (4)

mucosal immunity; bladder cancer; bacterial agents; cancer immunotherapy

Lay Summary (French)

Lead
Ty21a Salmonelle comme agent immunothérapeutique contre le cancer superficiel de la vessie.
Lay summary
Le cancer de la vessie est la deuxième forme de maladie urologique la plus fréquente. La plupart des tumeurs sont diagnostiquées comme superficielles, restreintes à la muqueuse de la vessie. Elles présentent cependant une forte tendance à la récidive après une résection locale. Les tumeurs de la vessie avec les caractéristiques les plus agressives sont traitées après résection par six instillations intra-vésicales de BCG, un vaccin bactérien qui va stimuler le système immunitaire et réduire les récidives. Néanmoins, cette thérapie comporte de nombreux effets secondaires et n’est pas toujours efficace. Afin de l’améliorer, nous avons testé chez la souris l’instillation intra-vésicale de Ty21a, un vaccin bactérien oral contre la fièvre typhoïde. Nos résultats préliminaires indiquent que ce vaccin serait aussi efficace que le BCG  pour induire la régression de tumeur de vessie dans l’animal. Une autre approche consiste à utiliser des vaccins ciblant des marqueurs tumoraux et qui vont induire des cellules immunitaires (cellules T) capables de détruire les cellules tumorales. Nos résultats préliminaires montrent  que l’adjonction de Ty21a dans la vessie  augmente le recrutement de cellule T anti-tumorale localement et la régression de la tumeur.  Dans ce projet nous allons étudier  les mécanismes impliqués afin de pouvoir optimaliser ces thérapies. De plus,  nous allons caractériser les effets sous jacents infectieux, immunitaires et inflammatoires afin d’établir le profil de sécurité de Ty21a dans la vessie et pouvoir finalement le tester chez des patients.
Direct link to Lay Summary Last update: 03.04.2014

Responsible applicant and co-applicants

Employees

Publications

Publication
Intravesical Ty21a Vaccine Promotes Dendritic Cells and T Cell–Mediated Tumor Regression in the MB49 Bladder Cancer Model
Domingos-Pereira Sonia, Sathiyanadan Karthik, La Rosa Stefano, Polák Lenka, Chevalier Mathieu F., Martel Paul, Hojeij Rim, Derré Laurent, Haefliger Jacques-Antoine, Jichlinski Patrice, Nardelli-Haefliger Denise (2019), Intravesical Ty21a Vaccine Promotes Dendritic Cells and T Cell–Mediated Tumor Regression in the MB49 Bladder Cancer Model, in Cancer Immunology Research, 7(4), 621-629.
Preclinical efficacy and safety of the Ty21a vaccine strain for intravesical immunotherapy of non-muscle-invasive bladder cancer
Domingos-Pereira Sonia, Cesson Valérie, Chevalier Mathieu F., Derré Laurent, Jichlinski Patrice, Nardelli-Haefliger Denise (2016), Preclinical efficacy and safety of the Ty21a vaccine strain for intravesical immunotherapy of non-muscle-invasive bladder cancer, in OncoImmunology, 6(1), e1265720-e1265720.
Immunogenic Human Papillomavirus Pseudovirus-Mediated Suicide-Gene Therapy for Bladder Cancer
Hojeij Rim, Domingos-Pereira Sonia, Nkosi Marianne, Gharbi Dalila, Derré Laurent, Schiller John, Jichlinski Patrice, Nardelli-Haefliger Denise (2016), Immunogenic Human Papillomavirus Pseudovirus-Mediated Suicide-Gene Therapy for Bladder Cancer, in International Journal of Molecular Sciences, 17(7), 1125-1125.
Local Salmonella immunostimulation recruits vaccine-specific CD8 T cells and increases regression of bladder tumor
Domingos-Pereira Sonia, Hojeij Rim, Reggi Erica, Derré Laurent, Chevalier Mathieu F, Romero Pedro, Jichlinski Patrice, Nardelli-Haefliger Denise (2015), Local Salmonella immunostimulation recruits vaccine-specific CD8 T cells and increases regression of bladder tumor, in OncoImmunology, 4(7), e1016697-e1016697.
Immunotherapeutic strategies for bladder cancer
Chevalier Mathieu F, Nardelli-Haefliger Denise, Domingos-Pereira Sonia, Jichlinski Patrice, Derré Laurent (2014), Immunotherapeutic strategies for bladder cancer, in Human Vaccines & Immunotherapeutics, 10(4), 977-981.
Intravaginal and Subcutaneous Immunization Induced Vaccine Specific CD8 T Cells and Tumor Regression in the Bladder
Domingos-Pereira Sonia, Derré Laurent, Warpelin-Decrausaz Loane, Haefliger Jacques-Antoine, Romero Pedro, Jichlinski Patrice, Nardelli-Haefliger Denise (2014), Intravaginal and Subcutaneous Immunization Induced Vaccine Specific CD8 T Cells and Tumor Regression in the Bladder, in The Journal of Urology, 191(3), 814-822.

Collaboration

Group / person Country
Types of collaboration
Profs. Pedro Romero and Daniel Speiser, Ludwig Institute for Cancer Research,Lausanne Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
Prof. Georges Coukos and M. Irving, Dpt Oncology, CHUV, Lausanne Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Prof. Georges Thalmann, Dpt Urology, Bern Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Drs John Schiller and Douglas Lowy, NCI, NIH Bethesda United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
74ème Assemblée annuelle de la sociétét Suisse d'urologie Talk given at a conference Intravesical Ty21a vaccine promotes cross-presenting dendritic cells and T cell-mediated tumor regression in the MB49 bladder cancer model 05.09.2018 Lausanne, Switzerland Domingos-Pereira Sonia; Sathiyanadan Karthik; Nardelli Haefliger Denise;
European society of medical oncology (ESMO) Symposium on immuno-oncology Talk given at a conference Development of Salmonella Ty21a vaccine for intravesical immunotherapy 03.11.2016 Lausanne, Switzerland Nardelli Haefliger Denise;
ISREC-SCCL Symposium 2016 “Horizons of Cancer Biology and Therapy” Poster Intravesical Ty21a vaccine may be a more efficient and safer alternative to BCG immunotherapy as evidenced in the MB49 bladder-cancer model 07.09.2016 Lausanne, Switzerland Domingos-Pereira Sonia; Nardelli Haefliger Denise;
WorldVaccine Congress 2015 Talk given at a conference Vaccination strategies using Salmonella attenuated strains to generate immune effector responses in the genital mucosa 09.11.2015 Madrid, Spain Nardelli Haefliger Denise;
71ème Assemblée Annuelle de la Société Suisse d’Urologie Talk given at a conference Intravesical Salmonella immunostimulation recruits vaccinespecific CD8 T-cells and increases bladder-tumor regression in mice 08.09.2015 St-Gall, Switzerland Domingos-Pereira Sonia;
BioInnovation day 2015 Talk given at a conference A potentially safer treatment for non-muscle invasive bladder cancer (NMIBC) 19.06.2015 Lausanne, Switzerland Nardelli Haefliger Denise;
DC Conference Poster High Throughput Monitoring of Human Tumor Antigen-Specific T-Cell Responses 03.04.2015 Davos, Switzerland Nardelli Haefliger Denise;
2nd Immunotherapy of cancer conference Talk given at a conference Improving cancer vaccine efficacy: what is needed? 24.03.2015 Munich, Germany Nardelli Haefliger Denise;
70ème Assemblée Annuelle de la Société Suisse d’Urologie Talk given at a conference Intravesical immunostimulation after vaccination or suicide gene therapy in MB49 bladder cancer model 11.11.2014 Montreux, Switzerland Hojeij Rim;


Associated projects

Number Title Start Funding scheme
135109 Immunotherapeutic strategies against non-muscle-invasive bladder cancer 01.04.2011 Project funding (Div. I-III)
160742 Multi-faceted therapeutic modulation of the immune microenvironment of HPV16-driven cancers 01.09.2015 Sinergia
172991 Ty21a immunotherapy of non-muscle-invasive bladder cancer 01.02.2018 Project funding (Div. I-III)

Abstract

Ty21a Salmonella as immunotherapeutic agent against non-muscle-invasive bladder cancer1. SUMMARY OF THE RESEARCH PLAN Background: Bladder cancer is the second most common urological malignancy. Seventy to 80 % of tumors are diagnosed as non-muscle-invasive and remain confined to the bladder-mucosa. According to specific tumor-stage and grade characteristics, intravesical (IVES) immunotherapy with Bacillus-Calmette-Guerin (BCG) partially limit the high propensity of these tumors to recur and progress after transurethral endoscopic resection. However, repeated BCG instillations are associated with significant toxicity and treatment failure may occur in 30 to 40% of cases, hence the necessity for alternative or complementary immunotherapy. A promising strategy for treating cancer is the use of tumor-associated antigens (TAA) vaccines. With a genital tumor model of cervical cancer, we have shown that local immunstimulation with a synthetic TLR-9 agonist (CpG) after TAA vaccination target the protective vaccine-specific immune response to the tumor site and thus lead to increased genital tumor regression. Interestingly, we have recently shown that live bacteria, such as Salmonella attenuated vaccine strains, are more potent immunostimulants than CpG to recruit vaccine-specific CD8 T cells in the genital mucosa. Our preliminary data show that Salmonella immunostimulation is also effective when applied in the bladder, not only when used in combination with TAA vaccination, but also when used in replacement of IVES BCG treatment in the MB49-orthotopic murine model of non-muscle invasive bladder cancer (NMBIC). In this grant proposal, we will focus on an attenuated Salmonella enterica serovar Typhi strain, Ty21a, which is included in the Vivotif® vaccine against typhoid fever, because of its great safety record after 30 years of use in millions of people, thus enabling fast translation for human use if safety of IVES instillation can be confirmed. Towards this goal, the aims of this research proposal are to thoroughly characterize the effects of Ty21a on the adaptive and the innate immune response in the mouse bladder in two different, but overlapping settings, i.e. after TAA vaccination and as single immunostimulant in the bladder. Activity of Ty21a will also be determined on human cells, including killing and inflammatory responses of bladder tumor cell-lines and immune responses of PBMC and bladder explants toward the design of a phase I trial in NMIBC patients. Working Hypothesis: We hypothesized that Ty21a/Vivotif IVES immunostimulation is highly effective either alone or in combination with TAA vaccination for treating bladder tumors. In line with our data showing a poor infectivity of Ty21a in mouse bladder and in tumor cell lines, we anticipate a higher safety of Vivotif vaccine, as compared to BCG, for treating NMIBC patients.Specific aims:1.Vaccination with TAA-antigens and IVES immunostimulation with Ty21a: Characterize the adaptive immune responses in the bladder and investigate the underlying mechanisms. 2.IVES immunostimulation with Ty21a in bladder tumor models: Investigate infectivity and innate/inflammatory immune responses in comparison to the gold standard BCG. 3.IVES immunostimulation with Vivotif in NMIBC patients: a phase I (safety) trialExperimental Design and Methods: Adjuvanted synthetic polypeptides that include the mouse CTL epitopes E749-57 and Uty246-254 will be used as TC1 and MB49-specific TAA vaccines, respectively. Efficacy and mechanisms of IVES Ty21a will be assessed in WT and in different TLR-KO mice. Chemokines and integrins involved in CD8 T cell recruitment in bladder will be determined by multi-color flow cytometry. Inflammatory, cellular and cytokine/chemokine responses will be determined after IVES Ty21 immunostimulation in murine healthy and MB-49-tumor bearing bladders, as well as after infection of human bladder tumors cell line, blood cells and bladder explants. A Phase I trial with escalating doses of IVES Vivotif will be conducted in NMIBC patients of intermediate risk of tumor progression. Expected Value of the Proposed Project: We are currently testing in NMIBC patients whether TAA-vaccination combined with IVES BCG may induce better vaccine-specific immune responses in bladder (NCT01498172). However, Vivotif turns out to be more effective in murine models and if the mechanisms involved and the safety could be unraveled it would be of great value for optimizing combination protocols not only for bladder cancer but also for other cancer where local immunostimulation could be performed. For NMIBC patients, it would already be a major improvement if the use of Vivotif alone, in replacement of BCG, could result in less adverse events while keeping efficacy. Lately, the use of Salmonella as anti-cancer drug has been put forward and understanding the main facets of its anti-tumor activities may allow further developments.
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