Molecular Therapy: Nucleic Acids (Sep 2023)

Intratumoral injection of IL-12-encoding mRNA targeted to CSFR1 and PD-L1 exerts potent anti-tumor effects without substantial systemic exposure

  • Claudia Augusta Di Trani,
  • Assunta Cirella,
  • Leire Arrizabalaga,
  • Maite Alvarez,
  • Ángela Bella,
  • Myriam Fernandez-Sendin,
  • Joan Salvador Russo-Cabrera,
  • Celia Gomar,
  • Nuria Ardaiz,
  • Alvaro Teijeira,
  • Elixabet Bolaños,
  • José González-Gomariz,
  • Itziar Otano,
  • Fernando Aranda,
  • Belén Palencia,
  • Aina Segués,
  • Shuyu Huang,
  • Sander M.J. van Duijnhoven,
  • Andrea van Elsas,
  • Ignacio Melero,
  • Pedro Berraondo

Journal volume & issue
Vol. 33
pp. 599 – 616

Abstract

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IL-12 is a potent cytokine for cancer immunotherapy. However, its systemic delivery as a recombinant protein has shown unacceptable toxicity in the clinic. Currently, the intratumoral injection of IL-12-encoding mRNA or DNA to avoid such side effects is being evaluated in clinical trials. In this study, we aimed to improve this strategy by further favoring IL-12 tethering to the tumor. We generated in vitro transcribed mRNAs encoding murine single-chain IL-12 fused to diabodies binding to CSF1R and/or PD-L1. These targeted molecules are expressed in the tumor microenvironment, especially on myeloid cells. The binding capacity of chimeric constructs and the bioactivity of IL-12 were demonstrated in vitro and in vivo. Doses as low as 0.5 μg IL-12-encoding mRNA achieved potent antitumor effects in subcutaneously injected B16-OVA and MC38 tumors. Treatment delivery was associated with increases in IL-12p70 and IFN-γ levels in circulation. Fusion of IL-12 to the diabodies exerted comparable efficacy against bilateral tumor models. However, it achieved tethering to myeloid cells infiltrating the tumor, resulting in nearly undetectable systemic levels of IL-12 and IFN-γ. Overall, tethering IL-12 to intratumoral myeloid cells in the mRNA-transferred tumors achieves similar efficacy while reducing the dangerous systemic bioavailability of IL-12.

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