Engineered probiotics for local tumor delivery of checkpoint blockade nanobodies

CR Gurbatri, I Lia, R Vincent, C Coker… - Science translational …, 2020 - science.org
CR Gurbatri, I Lia, R Vincent, C Coker, S Castro, PM Treuting, TE Hinchliffe, N Arpaia
Science translational medicine, 2020science.org
Checkpoint inhibitors have revolutionized cancer therapy but only work in a subset of
patients and can lead to a multitude of toxicities, suggesting the need for more targeted
delivery systems. Because of their preferential colonization of tumors, microbes are a natural
platform for the local delivery of cancer therapeutics. Here, we engineer a probiotic bacteria
system for the controlled production and intratumoral release of nanobodies targeting
programmed cell death–ligand 1 (PD-L1) and cytotoxic T lymphocyte–associated protein-4 …
Checkpoint inhibitors have revolutionized cancer therapy but only work in a subset of patients and can lead to a multitude of toxicities, suggesting the need for more targeted delivery systems. Because of their preferential colonization of tumors, microbes are a natural platform for the local delivery of cancer therapeutics. Here, we engineer a probiotic bacteria system for the controlled production and intratumoral release of nanobodies targeting programmed cell death–ligand 1 (PD-L1) and cytotoxic T lymphocyte–associated protein-4 (CTLA-4) using a stabilized lysing release mechanism. We used computational modeling coupled with experimental validation of lysis circuit dynamics to determine the optimal genetic circuit parameters for maximal therapeutic efficacy. A single injection of this engineered system demonstrated an enhanced therapeutic response compared to analogous clinically relevant antibodies, resulting in tumor regression in syngeneic mouse models. Supporting the potentiation of a systemic immune response, we observed a relative increase in activated T cells, an abscopal effect, and corresponding increases in systemic T cell memory populations in mice treated with probiotically delivered checkpoint inhibitors. Last, we leveraged the modularity of our platform to achieve enhanced therapeutic efficacy in a poorly immunogenic syngeneic mouse model through effective combinations with a probiotically produced cytokine, granulocyte-macrophage colony-stimulating factor (GM-CSF). Together, these results demonstrate that our engineered probiotic system bridges synthetic biology and immunology to improve upon checkpoint blockade delivery.
AAAS