Engineered immunostimulatory bacterial strains and uses thereof
Provided are delivery immunostimulatory bacteria that have enhanced colonization of tumors, the tumor microenvironment and/or tumor-resident immune cells, and enhanced anti-tumor activity. The immunostimulatory bacteria are modified by deletion of genes encoding the flagella or modification of the genes so that functional flagella are not produced, and/or are modified by deletion of pagP or modification of pagP to produce inactive PagP product. As a result, the immunostimulatory bacteria are flagellin − and/or pagP − . The immunostimulatory bacteria optionally have additional genomic modifications so that the bacteria are adenosine or purine auxotrophs. The bacteria optionally are one or more of asd − , purI − and msbB − . The immunostimulatory bacteria, such as Salmonella species, are modified to encode immunostimulatory proteins that confer anti-tumor activity in the tumor microenvironment, and/or are modified so that the bacteria preferentially infect immune cells in the tumor microenvironment or tumor-resident immune cells and/or induce less cell death in immune cells than in other cells. Also provided are methods of inhibiting the growth or reducing the volume of a solid tumor by administering the immunostimulatory bacteria.
1. A method of treatment of cancer that comprises a solid tumor or a hematological malignancy in a subject, comprising administering an immunostimulatory bacterium, wherein:
the immunostimulatory bacterium comprises a plasmid that encodes an anti-cancer therapeutic product;
the genome of the immunostimulatory bacterium is modified so that, compared to the bacterium without the genome modifications, the bacterium has increased ability to infect tumor-resident immune cells, and has reduced ability to infect or does not infect epithelial cells; and
the anti-cancer therapeutic product is expressed under the control of one or more eukaryotic regulatory sequences, whereby the product is expressed in the tumor-resident immune cells in the subject.
2. The method of claim 1 , wherein the immunostimulatory bacterium is administered systemically.
3. The method of claim 1 , wherein the immunostimulatory bacterium is administered intra-tumorally or is administered intra-peritoneally.
4. The method of claim 1 , wherein the subject is a human.
5. The method of claim 1 , wherein the cancer comprises a solid tumor.
6. The method of claim 1 , wherein the treatment comprises combination therapy in which a second anti-cancer agent or treatment is administered.
7. The method of claim 6 , wherein the second anti-cancer agent or treatment is an immunotherapy.
8. The method of claim 6 , wherein the second anti-cancer agent or treatment comprises oncolytic virus therapy, or immunotherapy to inhibit an immune checkpoint.
9. The method of claim 6 , wherein the second anti-cancer agent or treatment is an immunotherapy that comprises administration of an anti-PD-1, or an anti-PD-L1, or an anti-CTLA-4, or an anti-IL-6, or an anti-VEGF, or an anti-VEGFR2, or an anti-CD47 antibody, or antigen-binding fragments thereof.
10. The method of claim 1 , wherein the cancer is selected from among leukemia, lymphoma, gastric cancer, and cancer of the breast, heart, lung, bile duct, small intestine, colon, spleen, kidney, bladder, head and neck, colorectum, ovary, prostate, brain, pancreas, skin, bone, bone marrow, blood, thymus, uterus, testicles, cervix, and liver.
11. The method of claim 1 , wherein the immunostimulatory bacterium is a Salmonella species.
12. The method of claim 11 , wherein the immunostimulatory bacterium is a Salmonella typhimurium strain.
13. The method of claim 12 , wherein the Salmonella typhimurium strain is derived from a wild-type Salmonella typhimurium strain having all of the identifying characteristics of the strain deposited under ATCC accession no. 14028, or is the strain deposited under ATCC accession no. 14028.
14. The method of claim 1 , wherein:
the eukaryotic regulatory sequences comprise a eukaryotic promoter;
the genome of the immunostimulatory bacterium is modified, whereby the bacterium lacks flagella to thereby reduce infection of epithelial cells and increase infection of tumor-resident immune cells relative to the wild-type bacterium; and
the wild-type bacterium has flagella.
15. The method of claim 1 , wherein the genome of the immunostimulatory bacterium is modified, whereby the bacterium is msbB − /pagP − .
16. The method of claim 14 , wherein the genome of the immunostimulatory bacterium is modified, whereby the bacterium is msbB − /pagP − .
17. The method of claim 14 , wherein the immunostimulatory bacterium is fliC − /fljB − , whereby the bacterium is flagellin − .
18. The method of claim 1 , wherein:
the anti-cancer therapeutic product is an immunostimulatory protein; and
the immunostimulatory protein, when expressed in a mammalian subject, confers or contributes to anti-tumor immunity in the tumor microenvironment.
19. The method of claim 1 , wherein:
the immunostimulatory bacterium is a Salmonella species;
the immunostimulatory bacterium is an adenosine auxotroph;
the immunostimulatory bacterium is flagellin − (fliC − /fljB − ); and
the anti-cancer therapeutic product encoded on the plasmid is expressed under the control of eukaryotic regulatory sequences.
20. The method of claim 19 , wherein the nucleic acid encoding the anti-cancer therapeutic product on the plasmid is operatively linked to nucleic acid encoding a secretory signal, whereby, upon expression in a host, the product is secreted.
21. The method of claim 1 , wherein the genome of the immunostimulatory bacterium is modified, whereby the bacterium does not express functional endogenous aspartate-semialdehyde dehydrogenase (asd).
22. The method of claim 21 , wherein the plasmid encodes asd.
23. The method of claim 1 , wherein the immunostimulatory bacterium is auxotrophic for adenosine, or is auxotrophic for adenosine and adenine.
24. The method of claim 1 , wherein the plasmid is present in a copy number of less than 150.
25. The method of claim 18 , wherein the immunostimulatory protein that confers or contributes to anti-tumor immunity in the tumor microenvironment is a cytokine or a chemokine.
26. The method of claim 18 , wherein the immunostimulatory protein that confers or contributes to anti-tumor immunity in the tumor microenvironment is selected from among one or more of: IL-2, IL-7, IL-12p70 (IL-12p40+IL-12p35), IL-15, IL-2 that has attenuated binding to IL-2Ra, IL-15/IL-15R alpha chain complex, IL-18, IL-21, IL-23, IL-36γ, IL-2 that is modified so that it does not bind to IL-2Ra, CXCL9, CXCL10, CXCL11, interferon-α, interferon-β, interferon-γ, CCL3, CCL4, CCL5, proteins that are involved in or that effect or potentiate the recruitment and/or persistence of T cells, CD40, CD40 ligand (CD40L), CD28, OX40, OX40 ligand (OX40L), 4-1BB, 4-1BB ligand (4-1BBL), members of the B7-CD28 family, CD47 antagonists, TGF-beta polypeptide antagonists, and members of the tumor necrosis factor receptor (TNFR) superfamily.
27. The method of claim 1 , wherein the anti-cancer therapeutic product is an antibody or an antigen-binding fragment thereof.
28. The method of claim 1 , wherein the anti-cancer therapeutic product is an antibody or an antigen-binding fragment thereof that is an antagonist of PD-1, PD-L1, CTLA-4, VEGF, VEGFR2, CD47, or IL-6.
29. The method of claim 1 , wherein the anti-cancer therapeutic product is a monovalent or monospecific antibody derivative that contains either or both the variable heavy chain and the variable light chain, or contains antigen-binding fragments of an antibody, but lacks an Fc portion.
30. The method of claim 1 , wherein the anti-cancer therapeutic product is a bi-specific antibody or an antigen-binding portion thereof.
31. The method of claim 1 , wherein the anti-cancer therapeutic product is an antibody or a portion thereof that is a dual-affinity re-targeting (DART) antibody.
32. The method of claim 1 , wherein the anti-cancer therapeutic product is an antibody or an antigen-binding portion thereof that is a tandem scFv, whereby the tandem scFv is a bi-specific T-cell engager.
33. The method of claim 1 , wherein the anti-cancer therapeutic product is an antibody or an antigen-binding portion thereof that is a diabody, a single-chain diabody (scDb), a Fab, a Fab′, a single-chain Fab (scFab), an scFv, an Fv fragment, a dAb, or a nanobody.
34. The method of claim 1 , wherein the anti-cancer therapeutic product is a cytotoxin.
35. The method of claim 1 , wherein the anti-cancer therapeutic product is a tumor antigen or a tumor neoantigen.
36. The method of claim 1 , wherein the anti-cancer therapeutic product is expressed under control of an RNA polymerase II promoter that is a viral promoter or a mammalian RNA polymerase II promoter.
37. The method of claim 36 , wherein the promoter is selected from among a cytomegalovirus (CMV) promoter, an SV40 promoter, an Epstein-Barr virus (EBV) promoter, a herpes virus promoter, an adenovirus promoter, an elongation factor-1 alpha (EF-1 alpha) promoter, a UBC promoter, a PGK promoter, a CAGG promoter, an EIF4A1 promoter, a CBA (chicken beta actin) promoter, an MND promoter, a CD68 promoter, a CAG promoter, and a GAPDH promoter.
38. The method of claim 1 , wherein the eukaryotic regulatory sequences comprise a terminator and/or promoters selected from among SV40, hGH, BGH, chicken beta-globulin, and rbGlob (rabbit globulin) genes.
39. The method of claim 1 , wherein the immunostimulatory bacterium is a strain of Salmonella, Shigella, E. coli, Bifidobacteriae, Rickettsia, Vibrio, Listeria, Klebsiella, Bordetella, Neisseria, Aeromonas, Francisella, Cholera, Corynebacterium, Citrobacter, Chlamydia, Haemophilus, Brucella, Mycobacterium, Mycoplasma, Legionella, Rhodococcus, Pseudomonas, Helicobacter, Bacillus , or Erysipelothrix , or an attenuated strain thereof or a modified strain thereof of any of the preceding list of bacterial strains.
40. The method of claim 18 , wherein the immunostimulatory bacterium is a strain of Salmonella.
41. The method of claim 40 , wherein the immunostimulatory bacterium is a Salmonella typhimurium strain.
42. The method of claim 41 , wherein:
the immunostimulatory bacterium is derived from a Salmonella typhimurium strain selected from among strains designated as AST-100, VNP20009, YS1646 (ATCC #202165), RE88, SL7207, χ8429, χ8431, and χ8468.
43. The method of claim 41 , wherein the immunostimulatory bacterium is derived from a wild-type strain of Salmonella typhimurium.
44. The method of claim 43 , wherein the wild-type strain of Salmonella typhimurium is ATCC 14028.
45. The method of claim 1 , wherein the plasmid comprises nucleic acid encoding a second anti-cancer therapeutic product, wherein different promoters and terminators control expression of each therapeutic product.
46. The method of claim 1 , wherein the plasmid that encodes the anti-cancer therapeutic product comprises a construct that includes one or more of an enhancer, a promoter, an internal ribosome entry site (IRES), the open reading frame encoding the therapeutic product, and a polyA tail.
47. A method of treatment of cancer, comprising administering an immunostimulatory bacterium to a subject with cancer, wherein:
the immunostimulatory bacterium comprises a plasmid that encodes a therapeutic product under the control of a eukaryotic promoter;
the immunostimulatory bacterium comprises one or more genome modification(s), whereby the bacterium has penta-acylated lipopolysaccharide (LPS); and
the immunostimulatory bacterium lacks flagella, wherein the wild-type bacterium comprises flagella.
48. The method of claim 47 , wherein the therapeutic product is a cytokine.
49. The method of claim 47 , wherein the immunostimulatory bacterium is a Salmonella species or strain.
50. The method of claim 48 , wherein the immunostimulatory bacterium is pagP − /msbB − , whereby the bacterium has penta-acylated LPS.
51. The method of claim 49 , wherein the immunostimulatory bacterium is pagP − /msbB − , whereby the bacterium has penta-acylated LPS.
52. The method of claim 48 , wherein the cytokine is IL-15/IL-15R alpha chain complex.
53. The method of claim 11 , wherein the immunostimulatory bacterium comprises genome modifications, whereby TLR2/4 signaling is reduced.
54. The method of claim 47 , wherein the immunostimulatory bacterium is an adenosine auxotroph.
55. The method of claim 54 , wherein the immunostimulatory bacterium is a Salmonella species or strain.
56. The method of claim 55 , wherein the immunostimulatory bacterium is csgD − .
57. The method of claim 55 , wherein the encoded therapeutic product is a cytokine.
58. The method of claim 56 , wherein the encoded therapeutic product is a cytokine.
59. The method of claim 55 , wherein the encoded therapeutic product is a cytokine that is IL-15 or is IL-15/IL-15R alpha chain complex.
60. The method of claim 47 , wherein the plasmid comprises nucleic acid encoding Rck protein.