Sunday, March 17, 2019 10:06:56 PM
To keep this post relevant to Oncosec, I've included several publications that ought to be relevant to their new multigene construct. I think "Spark", their new multigene product, will demonstrate improvements to IL-12 transfection efficiency, downregulation of PD-1 checkpoints on T cells, better trafficking of T cells to the tumor microenvironment, and improved T cell activation.
If the "licensing" model is correct for anti-PD-1 therapy, then direct, protracted and adequate expression of IL-12 in the TME will lead to significantly lowered PD-1 on T cells. I am pretty confident that rescuing exhausted T cells is possible without anti-PD-1 checkpoint inhibitors. It can be accomplished through adequate expression of local IL-12 through the upregulation of T-bet (induced by interferon gamma).
Of course, IL-12 also triggers interferon gamma production. This improves MHC I and II cancer antigen presentation. We should be seeing improvements in interferon gamma levels and antigen presentation following local administration of Spark.
Very few people I gather actually understand the implications of this first multigene product and how simple improvements to IL-12 production (through a new plasmid construct) will have major downstream effects, including downregulation of immune checkpoints.
Here are some published data to back up what I'm saying and to let everyone know that I'm not just pulling this from you know where...
IL-12 Effect on PD-1 Expression
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3720703/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5342548/
http://cancerres.aacrjournals.org/content/76/21/6266
http://www.jimmunol.org/content/186/5/3093
http://www.mdpi.com/2072-6694/10/12/498/pdf
https://www.nature.com/articles/s41434-018-0044-5
https://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.1003208
https://www.ncbi.nlm.nih.gov/pubmed/30552459
https://jitc.biomedcentral.com/articles/10.1186/2051-1426-2-S3-P10
https://www.cell.com/immunity/fulltext/S1074-7613(18)30439-4?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS1074761318304394%3Fshowall%3Dtrue
IL-12 Upregulates T-bet Via STAT4-Interferon gamma-STAT1 Pathway
https://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.1003208
https://www.ncbi.nlm.nih.gov/pubmed/17114419
https://www.ncbi.nlm.nih.gov/pubmed/16220539
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1774174/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2768040/
https://www.sciencedirect.com/science/article/pii/S1074761312004177
https://www.sciencedirect.com/science/article/pii/S0954611106005075
http://www.medsci.org/v14p0977.htm
https://iai.asm.org/content/75/4/1738
https://www.ncbi.nlm.nih.gov/pubmed/12893768
http://www.bioscirep.org/content/38/3/BSR20171420
https://journals.lww.com/transplantjournal/Fulltext/2011/01150/Treatment_With_Interleukin_12_23p40_Antibody.6.aspx
http://rbmb.net/article-1-115-en.pdf
T-bet Regulates PD-1 Expression on T Cells
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112830/
https://www.nature.com/articles/ni.2046
http://cancerres.aacrjournals.org/content/79/4_Supplement/P4-06-22
http://www.jimmunol.org/content/jimmunol/196/6/2431.full.pdf
https://www.cell.com/immunity/pdf/S1074-7613(16)30005-X.pdf
https://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.1004251
http://tcr.amegroups.com/article/view/20796
https://jvi.asm.org/content/90/19/8934
https://www.cellmolbiol.org/index.php/CMB/article/view/2455
https://www.hindawi.com/journals/jir/2016/8941260/
CXCL9 Recruits T Cells to the Tumor Microenvironment
http://www.jimmunol.org/content/196/1_Supplement/212.1
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4305179/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885704/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5119981/
https://www.nature.com/articles/bjc2016172
https://www.tandfonline.com/doi/full/10.4161/onci.25752
https://www.researchgate.net/figure/CXCL9-and-CXCL10-promote-the-migration-of-antigen-specific-T-cells-in-the-absence-of-Type_fig3_316358401
http://ascopubs.org/doi/abs/10.1200/jco.2015.33.3_suppl.627
Membrane-Bound anti-CD3 Provides Signal 1 for T Cell Activation
http://www.jimmunol.org/content/jimmunol/163/7/3948.full.pdf
https://www.nrcresearchpress.com/doi/10.1139/O07-013#.XI7tP63My9s
https://www.ncbi.nlm.nih.gov/pubmed/10694815
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502409/
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