Targeted neoepitope vectors and methods therefor
Systems and methods are presented that allow for selection of tumor neoepitopes that are then used to generate recombinant nucleic acids that encode one or more polytopes that are optimized for proper trafficking and processing. In preferred methods, the polytopes are encoded in a plasmid and/or a viral expression system for use as a therapeutic agent.
1. A method of stimulating an immune response in a patient, the method comprising:
a) generating a recombinant nucleic acid having a sequence that encodes a polytope, wherein the polytope comprises a plurality of filtered neoepitope sequences, wherein the neoepitope sequences are filtered in silico by comparing tumor versus matched normal control of the same patient; wherein the neoepitope sequences are filtered in silico to have binding affinity to MHC-II of equal or less than 200 nM; wherein the recombinant nucleic acid further comprises a trafficking element that directs the polytope to a sub-cellular location selected from the group consisting of a recycling endosome, a sorting endosome, and a lysosome;
b) cloning the recombinant nucleic acid into an adenoviral vector;
c) formulating the recombinant adenovirus into an immune therapy composition; and
d) administering the immune therapy composition to the patient by subcutaneous injection.
2. The method of claim 1 wherein the trafficking element is selected from the group consisting of a CD1b leader sequence, a CD1a tail, a CD1c tail, and a LAMP1-transmembrane sequence.
3. The method of claim 1 wherein the recombinant nucleic acid further comprises an additional sequence that encodes a second polytope, wherein the second polytope comprises a second trafficking element that directs the second polytope to a different sub-cellular location than the first polytope and wherein the second polytope comprises a second plurality of filtered neoepitope sequences.
4. The method of claim 3 wherein at least one of the filtered neoepitope sequences and at least one of the second filtered neoepitope sequences are identical.
5. The method of claim 1 wherein the recombinant nucleic acid further comprises a sequence that encodes at least one of a co-stimulatory molecule, an immune stimulatory cytokine, and a protein that interferes with or down-regulates checkpoint inhibition.
6. The method of claim 5 wherein the co-stimulatory molecule is selected from the group consisting of CD80, CD86, CD30, CD40, CD30L, CD40L, ICOS-L, B7-H3, B7-H4, CD70, OX40L, 4-IBBL, GITR-L, TIM-3, TIM-4, CD48, CD58, TLIA, ICAM-I, and LFA3.
7. The method of claim 5 wherein the immune stimulatory cytokine is selected from the group consisting of IL-2, IL-12, IL-15, IL-15 super agonist (ALT803), IL-21, IPS1, and LMP1.
8. The method of claim 5 wherein the protein that interferes is an antibody or an antagonist of CTLA-4, PD-1, TIM1 receptor, 2B4, or CD160.
9. The method of claim 1 wherein the recombinant adenovirus, optionally has at least one of an E1 and an E2b gene deleted.
10. The method of claim 1 further comprising generating a second recombinant nucleic acid having the sequence that encodes the polytope, wherein the second recombinant nucleic acid comprises a promoter operably linked to the sequence that encodes the polytope to drive expression of the polytope in a non-mammalian cell.