Plasmid constructs for treating cancer and methods of use
Described are expression cassettes encoding CD3-half-BiTE, CXCL9 and CTLA-4 scFv. The described expression cassettes can be used to treat cancer in a subject. Methods of delivering the expression cassettes to a tumor by direct intratumoral injection and electroporation are also described.
1 . An expression cassette comprising the formula represented by:
P-B-T-B′-T-A
wherein P is a promoter, A encodes a CXCL9, T is a translation modification element, B encodes IL-12 p35, and B′ encodes IL-12 p40;
wherein T comprises a 2A peptide selected from the group consisting of: a P2A peptide, a T2A peptide, a E2A peptide, and a F2A peptide; and
wherein A encodes a polypeptide comprising the amino acid sequence of SEQ ID NO: 58; B encodes a polypeptide comprising the amino acid sequence of SEQ ID NO: 53; and B′ encodes a polypeptide comprising the amino acid sequence of SEQ ID NO: 56.
2 . The expression cassette of claim 1 , wherein A comprises the nucleotide sequence of SEQ ID NO: 57; B comprises the nucleotide sequence of SEQ ID NO: 51, or 52; and B′ comprises the nucleotide sequence of SEQ ID NO: 54, or 55.
3 . The expression cassette of claim 1 , wherein the expression cassette encodes a polypeptide comprising the amino acid sequence of SEQ ID NO: 82.
4 . The expression cassette of claim 1 , wherein the expression cassette comprises the nucleotide sequence of SEQ ID NO: 81.
5 . The expression cassette of claim 1 , wherein the expression cassette is in a plasmid.
6 . A method of treating a subject having a tumor comprising administering intratumoral electroporation (IT-EP) IL12-CXCL9 therapy to the subject wherein the IT-EP IL12-CXCL9 therapy comprises injecting the tumor with an effective dose of the expression cassette of claim 1 and administering electroporation therapy to the tumor.
7 . The method of claim 6 , wherein the electroporation therapy comprises administration of at least one voltage pulse over a duration of about 100 microseconds to about 1 millisecond.
8 . The method of claim 7 , wherein the electroporation therapy comprises administering 1-10 voltage pulses having a field strength of about 200 V/cm to about 1500 V/cm.
9 . The method of claim 6 , wherein the expression cassette is injected into the tumor and the electroporation therapy is administered on day 1, day 5±2 days, and day 8±2 days of at least one cycle.
10 . The method of claim 6 , wherein the method further comprises administering IT-EP CD3 half-BiTE therapy to the subject wherein the IT-EP CD3 half-BiTE therapy comprises injecting the tumor with an effective dose of an expression cassette comprising a first nucleotide sequence encoding a CD3 half-BiTE, and administering electroporation therapy to the tumor,
wherein the CD3 half-BiTE comprises an anti-CD3 scFv and a transmembrane domain wherein the transmembrane domain is linked to the C-terminal end of the anti-CD3 scFv, and wherein the first nucleotide sequence encodes a polypeptide comprising the amino acid sequence of SEQ ID NO: 60, 62, 74, or 76; and
wherein
(a) the IT-EP CD3 half-BiTE therapy is administered on day 1 and day 5±2 days, and the IT-EP IL12-CXCL9 therapy is administered on day 8±2 days;
(b) the IT-EP CD3 half-BiTE therapy is administered on day 1 and day 8±2 days, and the IT-EP IL12-CXCL9 therapy is administered on day 5±2 days;
(c) the IT-EP CD3 half-BiTE therapy is administered on day 5±2 days and day 8±2 days, and the IT-EP IL12-CXCL9 therapy is administered on day 1;
(d) the IT-EP IL12-CXCL9 therapy is administered on day 1 and day 5±2 days, and the IT-EP CD3 halfBiTE therapy is administered on day 8±2 days;
(e) the IT-EP IL12-CXCL9 therapy is administered on day 1 and day 8±2 days, and the IT-EP CD3 halfBiTE therapy is administered on day 5±2 days; or
(f) the IT-EP IL12-CXCL9 therapy is administered on days 5±2 days and 8±2 days, and the IT-EP CD3 halfBiTE therapy is administered on day 1.
11 . The method of claim 6 , further comprising administering to the subject at least one additional therapeutic.
12 . The method of claim 6 , wherein the method results in one or more of: increased tumor infiltrating lymphocytes, increased activation and/or proliferation of tumor-specific T cells, regression of the treated tumor, and regression of one or more untreated tumors.
13 . The method of claim 6 , further comprising injecting the tumor with an effective dose of at least one plasmid encoding an anti-CTLA-4 antibody.
14 . The method of claim 13 , wherein the method further comprises one or more of: IT-EP IL12 therapy, IT-EP CXCL9 therapy, IT-EP CD3 half-BiTE therapy, and IT-EP CD3 half-BiTE-IL12 therapy.