WO2021205364A1 - Engineered oncolytic adenovirus - Google Patents
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- WO2021205364A1 WO2021205364A1 PCT/IB2021/052898 IB2021052898W WO2021205364A1 WO 2021205364 A1 WO2021205364 A1 WO 2021205364A1 IB 2021052898 W IB2021052898 W IB 2021052898W WO 2021205364 A1 WO2021205364 A1 WO 2021205364A1
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- C12N2710/00011—Details
- C12N2710/10011—Adenoviridae
- C12N2710/10311—Mastadenovirus, e.g. human or simian adenoviruses
- C12N2710/10341—Use of virus, viral particle or viral elements as a vector
- C12N2710/10343—Use of virus, viral particle or viral elements as a vector viral genome or elements thereof as genetic vector
Definitions
- Adenovirus has been engineered as an oncolytic virus to target tumors specifically with minimal toxicity to normal cells. Safety has been demonstrated in clinical trials with various adenoviral mutants in tens of thousands of patients. However, in the past most clinical trials evaluated Adenovirus mutants were designed to target the frequently dysfunctional p53 activity in human tumors. The first clinical application of this type of Adenovirus was dll 520 (Onyx-015; AE1B55K and AE3B). H101, a similar Adenovirus mutant, was licensed for anti-cancer therapy in China (Shanghai Sunway Biotech, China). While the tumor selectivity was demonstrated for these mutants, the efficacy was only shown in combination with chemotherapy. It has later been found that essential functions of the deleted E1B55K- and E3B-genes (such as late viral RNA transport and protection against host-immune defense respectively) contributed to the attenuated efficacy of these viruses.
- Adenovirus The ability of Adenovirus to evade host immune surveillance is critical to its persistence.
- immune-regulatory proteins encoded by the E3 region of human Ads have been described previously.
- gpl9K also E3/19K
- MHC major histocompatibility complex
- E3gpl9K is involved in avoiding recognition and elimination of infected cells by the host immune system, cytotoxic T lymphocytes (CTL).
- CTL cytotoxic T lymphocytes
- HAV/Ad Human adenoviruses
- HAV-C5/Ad5 species C type 5
- CAR adenovirus receptor
- Ad5-3del-A20T-IL21 a novel mutant, Ad5-3del-A20T-IL21, with incorporation of the A20FMDV2 peptide, ablation of CAR binding, expressing IL21, for optimal replication-selectivity, cancer targeting, and immune stimulation.
- Ad5-3del-A20T-IL21 was highly efficacious and retained all viral functions necessary for propagation in various cancer cells. We expect these findings to direct further optimization of oncolytic adenoviruses for systemic delivery to improve on therapeutic efficacy in patients with cancer.
- the present application realizes the deletion of a combination of three viral genes, modifications to fiber region, carrying the immuno-regulatory gene IL21.
- the first embodiment of the present application includes generation of the recombinant adenovirus using linearized donor cassette, thereby avoiding the troublesome selection of cloning vector to carry the donor cassette.
- the second embodiment of the present application includes filling the gap left upon removal of antibiotic resistant gene using poly-linkers of nucleotides (in this case using restriction enzyme Swal), which renders modification of multi genes feasible.
- the third embodiment of the present application includes creation of backbone adenovirus with deletions of three genes, namely El ACR2, ElB19k, E3gpl9K using the techniques described in the first and second embodiments.
- the fourth embodiment of the present application includes creation of a recombinant adenovirus armed with human IL-21 gene inserted into E3gpl9K.
- the fifth embodiment of the present application includes creation of a recombinant adenovirus with mutation of Y477A, deletion of TAYT, insertion of RGD peptide A20FMDV2 into fibre of adenovirus, based on the virus created by the fourth embodiment.
- the A20FMDV2 of the fifth embodiment is precise 20 peptide.
- the virus created by any embodiments of the present application is used for treatment of cancers expressing anb ⁇ integrin, including but not limited to, pancreatic cancer, head and neck cancer, and ovarian cancer.
- the virus created by any embodiments of the present application is used for treatment of cancers via intravenous injection.
- the virus is adenovirus.
- the ninth embodiment of the present application provides a combination of PI3K delta inhibitor with intravenous injection of modified virus created in claim 5 for improving the anti -tumor potency of the modified virus.
- the ninth embodiment of the present application provides a combination of check point inhibitor with modified virus created by any embodiment of the present application for improving the anti-tumor potency of the modified virus.
- E1ACR2 gene allows the mutant virus to replicate selectively in tumor cells sparing the normal cells.
- the El ACR2-region is responsible for binding and inactivation of pRb thereby releasing E2F for S-phase induction of cell cycle.
- the function of ElACR2-region is redundant.
- AElB19K-mutants had increased therapeutic index and lower liver toxicity in vivo, while anti -tumor potency was maintained.
- the anti-apoptotic E1B19K protein promotes viral replication and spread by blocking Bax-Bak oligomerization and mitochondrial pore-formation analogous to the cellular Bcl-2 homologue.
- E1B19K inhibits both death receptor and intrinsically induced apoptosis through p53-dependent and p53-independent mechanisms.
- Adenovirus mutant deleted in both the ElB19K-gene and ElACR2-region with intact E3 -region improved efficacy and selectivity both as a single agent and in combination with standard chemotherapeutics.
- Adenovirus E3-gpl9K is a transmembrane glycoprotein, localized in the endoplasmic reticulum (ER), which forms a complex with major histocompatibility complex (MHC) class I antigens and retains them in the ER, thereby preventing cytolysis by cytotoxic T lymphocytes (CTL).
- MHC major histocompatibility complex
- CTL cytotoxic T lymphocytes
- the ER luminal domain of gpl9K, residues 1 to 107, is known to be sufficient for binding to class I antigens; the transmembrane and cytoplasmic ER retention domains are located at residues aa 108 to 127 and 128 to 142, respectively.
- Ad5 mutant featuring a set of fiber mutations (Y477A and a TAYT deletion), is supposed to abrogate binding to factor IX (FIX) and C4b-binding protein (C4BP). This mutant would display significantly reduced liver transduction and toxicity, low-level cytokine induction after intravenous delivery.
- FIX factor IX
- C4BP C4b-binding protein
- the anb6 integrin is highly expressed in many solid tumors but not in normal cells.
- Adenovirus mutants were engineered to express a 20 amino acid peptide A20FMDV2 derived from the foot-and mouth disease virus (FMDV) that selectively binds through an Arg-Gly-Asp (RGD)-domain to anb6.
- FMDV foot-and mouth disease virus
- the virus carries interleukin 21 (IL-21) gene
- interleukin 21 Like interleukin 12, interleukin 21 also activates NK and killer T cells. In the process of immune activation, IL-21 plays a role later than IL-12, and the two interleukins synergistically activate immune cells. The therapeutic gene is inserted into the E3gpl9k.
- the present application provides a modified virus Ad5, wherein the modified virus Ad5 is capable of expressing a cytokine, and the modified virus Ad5 is capable of expressing an A20.
- the cytokine is originated from human.
- the cytokine comprises an interleukin, a tumor necrosis factor, an interferon, a chemokine, a lymphokine and/or a growth factor.
- the cytokine comprises an IL12, an IL2, an IL15 and/or an IL8.
- the cytokine comprises an IL-21.
- a gene encoding the cytokine is incorporated in to the genome of the modified virus Ad5.
- the A20 is originated from a foot-and mouth disease virus (FMDV).
- FMDV foot-and mouth disease virus
- the gene encoding the A20 has a nucleic acid sequence as set forth in SEQ ID NO.4.
- a gene encoding the A20 is incorporated into the genome of the modified virus Ad5.
- a gene encoding the A20 is incorporated into the HI-loop of the modified virus Ad5.
- the incorporation uses a method of gene editing and/or gene recombination.
- the modified virus Ad5 has at least one modification in fibre region.
- the modification in fibre region comprises an amino acid substitution Y477A.
- the modification in fibre region comprises a deletion of amino acids TATY at the residues 489-492.
- the expression and/or activity of an E1ACR2 gene is downregulated in the modified virus Ad5.
- the expression and/or activity of a E1B19K gene is downregulated in the modified virus Ad5.
- the expression and/or activity of a E3gpl9K gene is downregulated in the modified virus Ad5.
- the expression and/or activity of the E1ACR2 gene, the E1B19K gene and the E3gpl9K gene are downregulated in the modified virus Ad5.
- the downregulation uses a method of gene editing and/or gene recombination.
- the gene editing uses an anti-sense RNA, a siRNA, a shRNA and/or a CRISPR/Cas system.
- At least a portion of the genes encoding the E1ACR2 gene, at least a portion of the E1B19K gene and at least a portion of the E3gpl9K are deleted.
- the gene encoding a cytokine is incorporated into the site of the E1ACR2 gene, the E1B19K gene or the E3gpl9K gene.
- the modified virus Ad5 is capable of expressing a gene and/or a ligand targeting a T cell, a gene and/or a ligand targeting a tumor cell, and/or a therapeutic gene.
- the therapeutic gene is selected from a group consisting of: a gene encoding an immune co- stimulatory pathway activating molecule, a gene encoding a checkpoint inhibitor, a gene encoding a cytotoxic, a gene encoding a tumor suppressor gene, and an anti-angiogenesis gene.
- the immune co- stimulatory pathway activating molecule is selected from a group consisting of: a CD40 ligand (CD40L), a ICOS ligand, a GITR ligand, a 4-1BB ligand, an 0X40 ligand, a TL1 A, a CD30 ligand, a CD27, and a Flt3 ligand or the variant thereof.
- the checkpoint inhibitor is selected from a group consisting of: a PD-1 inhibitor, a PD-L1 inhibitor and a CTLA-4 inhibitor.
- the tumor suppressor gene comprises HICl gene.
- the present application provides an isolated nucleic acid molecule, encoding the modified virus Ad5 of the present application.
- the present application provides a vector, comprising the modified virus Ad5 of the present application, and/or the isolated nucleic acid molecule of the present application.
- the present application provides a cell, comprising the modified virus Ad5 of the present application, the isolated nucleic acid molecule of the present application, and/or the vector of the present application.
- the present application provides a pharmaceutical composition, wherein the pharmaceutical composition comprises the modified virus Ad5 of the present application and a pharmaceutically accepted adjuvant.
- the present application provides a method of treating a disease and/or a disorder, comprising administrating the modified virus Ad5 of the present application, the isolated nucleic acid molecule of the present application, the vector of the present application, the cell of the present application, and/or the pharmaceutical composition of the present application to a subject in need of.
- the method comprises administrating the modified virus Ad5 of the present application to a subject in need of in a combination of at least one agent, and the agent is selected from a group consisting of an anti-cancer agent, an agonist, an antagonist, a chemotherapeutic agent and a radiation agent.
- the disease comprises a tumor.
- the disease comprises a tumor expressing anb6 integrin.
- the disease comprises a pancreatic cancer, a head and neck cancer, and/or an ovarian cancer.
- FIG. 1 shows a schematic diagram of the product.
- FIG. 2A-2C show the shuttle cassette for modifications of Ad5.
- A The shuttle cassette for the deletion of E3gpl9k. The left arm targets the left side of the E3gpl9k gene, and the right arm targets the right side of the E3gpl9k. The Chloramphenicol and its promoter are located between the left arm and the right arm. The shuttle cassette is cloned into EcoRV sites of pUC57 vector.
- B The shuttle cassette for the deletion of E3gpl9k. The left arm targets the left side of the E3gpl9k gene, and the right arm targets the right side of the E3gpl9k.
- Human IL-21(hIL-21) uses the promoter of E3gpl9k, together with the Chloramphenicol and its promoter are located between the left arm and right arm.
- the shuttle cassette is cloned into EcoRV sites of pUC57 vector.
- C The shuttle cassette for mutation Y477A, deletion of TAYT, insertion of A20.
- the shuttle cassette is cloned into EcoRV sites of pUC57 vector.
- FIG. 3 shows the diagram of deletion of E3gpl9k. 1) E3gpl9k was deleted by combination of shuttle cassette and backbone virus genome in the vector through homologous recombination.
- the resulted recombinant was selected and grown under Chloramphenicol on LB plate, colonies were picked up, grown and plasmid was extracted, then subject to sequencing to confirm the deletion of E3gpl9k. 2) Chloramphenicol was cut out using Swal from the confirmed recombinant plasmid with E3gpl9k deletion and 3) re-ligated to obtain the desired recombinant plasmid, which will be used to generate the modified adenovirus.
- FIG. 4 shows the diagram of hIL-21 replacing E3gpl9k.
- E3gpl9k gene was replaced by hIL-21 by combination of shuttle cassette and backbone virus genome in the vector through homologous recombination. The resulted recombinant was selected and grown under Chloramphenicol on LB plate, colonies were picked up, grown and plasmid was extracted, then subject to sequencing to confirm the deletion of E3gpl9k and.
- Chloramphenicol was cut out using Swal from the confirmed recombinant plasmid with insertion of hIL-21 replacing E3gpl9k and 3) re-ligated to obtain the desired recombinant plasmid, which will be used to generate the modified adenovirus.
- FIG. 5 shows the diagram of generation of mutation of Y477A, deletion of TAYT and insertion of A20 in adenovirus with three deleted genes.
- 1) Mutation of Y477A, deletion of TAYT and insertion of A20 were achieved by combination of shuttle cassette and backbone virus genome in the vector through homologous recombination. The resulted recombinant was selected and grown under Chloramphenicol on LB plate, colonies were picked up, grown and plasmid was extracted, then subject to sequencing to confirm the mutation of Y477A, deletion of TAYT and insertion of A20. 2) Chloramphenicol was cut out using Swal from the confirmed recombinant plasmid and 3) re-ligated to obtain the desired recombinant plasmid, which will be used to generate the modified adenovirus.
- FIG. 6 shows the diagram of generation of mutation of Y477A, deletion of TAYT and insertion of A20 in adenovirus armed with hIL-21.
- 1) Mutation of Y477A, deletion of TAYT and insertion of A20 were achieved by combination of shuttle cassette and backbone virus genome in the vector through homologous recombination. The resulted recombinant was selected and grown under Chloramphenicol on LB plate, colonies were picked up, grown and plasmid was extracted, then subject to sequencing to confirm the mutation of Y477A, deletion of TAYT and insertion of A20. 2) Chloramphenicol was cut out using Swal from the confirmed recombinant plasmid and 3) re-ligated to obtain the desired recombinant plasmid, which will be used to generate the modified adenovirus.
- FIG. 7 shows the sequence of the cassette for the deletion of E3gpl9k.
- FIG. 8 shows the sequence of the cassette for insertion of human IL-21 into the E3gpl9k region by replacing E3gpl9k.
- FIG. 9 shows the sequence of the cassette for the mutation of Y477A, deletion of TAYT and insertion of RDG peptide A20 into the fibre region.
- FIG. 10 shows the sequencing result of E3gpl9k deletion of control virus construct pAd-c. E3gpl9k was deleted between ATGA (28372) and TTTACT (29212) as shown in the alignment of the top panel. The sequence, CCCATCATTTGAAGCTTCAAATTACGGG, was inserted between ATGA (28372) and TTTACT (29212) after the removal of Chloroform using Swal restriction enzyme then filled in with a linker sequence.
- FIG. 11 shows the modification of control virus construct pAd-c. Sequencing result shows the mutation of Y477A, deletion of TAYT.
- FIG. 12 shows the modification of control virus construct Ad-c in the fibre region by insertion of RGD sequence A20.
- the sequence of A20 AACGCAGTACCTAACTTGAGA GGAGAT CT AC AGGT GTT GGC AC AGAAGGT CGC ACGTACT
- FIG. 13 shows the sequencing result of removal of Chloroform using Swal restriction enzyme in control virus construct Ad-c.
- FIG. 14 shows that human IL-21 was inserted in E3gpl9K region in virus construct pAd-IL21. Human IL-21 was inserted between ATGA and ATAAT of Adenovirus genome.
- FIG. 15 shows the sequencing result of removal of Chloroform using Swal restriction enzyme in virus Ad-IL21.
- ATAAT is the extra sequence left in the virus genome.
- FIG. 16 shows the modification of virus construct pAd-IL21. Sequencing result shows the mutation of Y477A, deletion of TAYT.
- FIG. 17 shows the modification of virus construct pAd-IL21 in the fibre region by insertion of RGD sequence A20.
- FIG. 18 shows the sequencing result of removal of Chloroform using Swal restriction enzyme in virus construct pAd-IL21.
- ATTTAAAT is the extra sequence left in the virus genome.
- FIG. 19 shows the expression of human IL-21 by modified adenovirus.
- Cell culture medium was collected from 293 T cells infected with modified adenoviruses, human IL21 in the cell culture medium was measured by ELISA.
- FIG. 20 shows that the modified virus Ad5 of the present application is able to specifically target and kill a tumor cell.
- Ad5 herein generally refers to a kind of human adenoviruses (HAdV/Ad), and may be also named as human adenoviruses species C type 5, or HAdV-C5.
- HAdV-C5 is a pathogen that may cause respiratory symptoms of variable severity including acute, mild, and none, i.e., asymptomatic (Echavarria, 2009, Edwards et al, 1985, Fox et al, 1969, Garnett et al., 2009).
- the Ad5 has been commonly used for gene transfer experiments given its ability to infect a wide group of different cell types and the capacity to harbor large genes in their genome incorporated via homologous recombination techniques.
- cytokine herein generally refers to a general class of biological molecules which may affect cells of the immune system.
- the cytokine may comprise biological molecules that act locally or may circulate in the blood to regulate or modulate an individual's immune response to cancer.
- the cytokine may comprise interferon-alpha (IFN-a), interferon-beta (IFN-b), and interferon-gamma (IFN-g), interleukins (e.g., IL-1 to IL-29, in particular, IL-2, IL-5, IL-6, IL-7, IL-10, IL-12, IL-15 and IL-18), tumor necrosis factors (e.g., TNF-alpha and TNF-beta), erythropoietin (EPO), MIP3a, monocyte chemotactic protein (MCP)-l, intracellular adhesion molecule (ICAM), macrophage colony stimulating factor (M-CSF), granulocyte colony stimulating factor (G-CSF) and granulocyte-macrophage colony stimulating factor (GM-CSF).
- IFN-a interferon-alpha
- IFN-b interferon-beta
- IFN-g interferon-gamma
- the term “IL-21” herein generally refers to a pleiotropic cytokine with actions on a broad range of lymphoid, myeloid and epithelial cells.
- the IL-21 may have a key role in B cell differentiation to plasma cells and in the development of T follicular helper cells, promoting functional germinal centers and immunoglobulin production.
- the IL-21 may induce a functional programme in CD8 + T cells that leads to enhanced survival, antiviral activity and anti-tumor activity.
- the IL-21 may regulate both innate and adaptive immune responses, and it may have key roles in anti-tumor as well as the development of autoimmune diseases and inflammatory disorders.
- the Gene ID of human IL-21 may be 59067.
- A20 herein generally refers to an A20FMDV2 peptide.
- the A20 may be derived from foot-and-mouth disease virus.
- the A20 may have an amino acid sequence as set forth in SEQ ID No.5: (NAVPNLRGDLQVLAQKVART).
- the A20 may exhibit high selectivity and affinity for the tumor-related anb6 integrin.
- the term “fibre region” herein generally refers to the fibre structure of the adenoviruses (Ad).
- the Ad may have a capsid consisting of three main exposed structural proteins, the hexon, fiber, and penton base.
- the primary role of the fiber region may be the tethering of the viral capsid to the cell surface via its interaction with a cellular receptor.
- the fiber region may have: A N-terminal tail, a central shaft made of repeating sequences, and a C-terminal globular knob domain.
- the first ⁇ 45 residues of the fiber may be highly conserved among different serotypes.
- the mutation of the fibre region may be referred to Table 2 of “The influence of adenovirus fiber structure and function on vector development for gene therapy”.
- E1ACR2 gene herein generally refers to a gene of the Ad5.
- Various mutants with a deletion of E1ACR2 may be highly efficacious in preclinical studies (Cancer Res. 2002 Oct 15; 62(20): 5736-42.).
- the E1ACR2 encoded by the E1ACR2 gene may be responsible for binding and inactivation of pRb thereby releasing E2F for S-phase induction. And E1ACR2 may improve safety in vivo but also promote cell death in response to cytoxic drug-induced apoptosis.
- E1B19K gene herein generally refers to a gene of the Ad5.
- the E1B19K encoded by the E1B19K gene may promote viral replication and spread by blocking Bax-Bak oligomerization and mitochondrial pore-formation analogous to the cellular Bcl-2 homologue. And AElB19K-mutants may have increased therapeutic index and lower liver toxicity in vivo (Clin Cancer Res. 2010 Jan 15; 16(2): 541-553.).
- E3gpl9K gene herein generally refers to a gene of the Ad5.
- the E3gpl9K encoded by the E3gpl9K gene is a transmembrane glycoprotein, and may prevent cyto lysis by cytotoxic T lymphocytes (CTL). Deletion of the E3gpl9K gene may promote tumor antigen presentation and stimulate an immune response that targets both infected and noninfected cancer cells, which may be as advantage for tumor-mediated immune checkpoint inhibition (Oncolytic Virother. 2016; 5: 45-57.).
- gene editing herein generally refers to a type of genetic engineering in which DNA is inserted, deleted, modified or replaced in the genome of a living organism.
- the gene editing may be performed using enzymes, for example nucleases that have been engineered to target a specific DNA sequence, where they may introduce cuts into the DNA strands, enabling the removal of existing DNA and the insertion of replacement DNA.
- the gene editing may be performed by CRISPR/Cas system.
- gene recombination generally refers to the exchange of genetic material either between multiple chromosomes and/or between different regions of the same chromosome.
- the gene recombination may be mediated by homology; that is, homologous regions of chromosomes line up in preparation for exchange, and some degree of sequence identity may be required.
- anb6 integrin herein generally refers to an epithelial-specific integrin that is a receptor for the extracellular matrix (ECM) proteins fibronectin, vitronectin, tenascin and the latency associated peptide (LAP) of TGF-b.
- ECM extracellular matrix
- LAP latency associated peptide
- the anb6 integrin may actually promote carcinoma progression.
- the anb6 integrin may be highly upregulated in carcinomas of the breast, lung, oral and skin squamous cell carcinomas (SCC), colon, stomach and endometrium among others.
- An embodiment of the present application provides a sequence, comprising at least one of:
- An embodiment of the present application provides a virus, comprising at least one of:
- An embodiment of the present application provides a sequence, comprising at least one of:
- E1ACR2, ElB19k, or E3gpl9k is replaced by a sequence set forth in SEQ ID NO: 4;
- E1ACR2, ElB19k, or E3gpl9k is replaced by a ligand or an antibody that targets T cells;
- a portion or all of the E1ACR2, ElB19k, or E3gpl9k is replaced by a tumor targeting gene; or [136] a portion or all of the E1ACR2, ElB19k, or E3gpl9k is replaced by a therapeutic gene or a modified version thereof.
- An embodiment of the present application provides a virus, comprising at least one of:
- E1ACR2, ElB19k, or E3gpl9k is replaced by a sequence set forth in SEQ ID NO: 4;
- E1ACR2, ElB19k, or E3gpl9k is replaced by a ligand or an antibody that targets T cells;
- E1ACR2, ElB19k, or E3gpl9k is replaced by a therapeutic gene or a modified version thereof.
- the Ad5 fibre protein can include a mutation at Y477A and a deletion of TAYT.
- the ligand of anb6 integrin can be a peptide that selectively binds through an Arg-Gly-Asp (RGD)-domain to anb6.
- the virus can be adenovirus, especially adenovirus type 5.
- the sequence may further comprise therapeutic genes including immunomodulators, immune co-stimulatory pathway activating molecules, checkpoint inhibitors, cytotoxic genes, tumor suppressor genes, anti-angiogenesis genes, etc.
- the immunomodulator genes may include cytokine genes, such as: IL12, IL21, IL2, IL15, IL8 or a modified version of any of these.
- the immune co-stimulatory pathway activating molecules may include gene encodes CD40 ligand (CD40L), ICOS ligand, GITR ligand, 4-1BB ligand, 0X40 ligand, TL1A, CD30 ligand, CD27 or Flt3 ligand or a modified version of any of these CD40 ligand (CD40L), ICOS ligand, GITR ligand, 4-1BB ligand, 0X40 ligand, TL1A, CD30 ligand, CD27 or Flt3 ligand or a modified version of any of these
- the checkpoint inhibitors may include PD-1 inhibitor, PD-L1 inhibitor, CTLA-4 inhibitor or a modified version of any of these.
- the tumor suppressor genes may include HICl, etc. or a modified version of any of these.
- genes used in the present application can be obtained from NCBI genebank.
- An embodiment of the present application provides an expression vector or a host cell comprising any sequence described hereabove.
- An embodiment of the present application provides a virus used for a method of treating the human or animal body, comprising at least one of:
- the medicament of the embodiments of the present application can be known anticancer agents, inhibitors, agonists, antagonists, chemotherapeutic agents, radiation agents, especially PI3K5 inhibitors or immune checkpoint inhibitors
- An embodiment of the present application provides a virus used for use in the manufacture of a medicament for treating the human or animal body.
- An embodiment of the present application provides a virus used for use in inducing cancer cells death, regulating a biological activity of the cancer cells, regulating immune response, enhancing proliferation and/or cytotoxicity of T cells.
- An embodiment of the present application provides a virus used for use in the manufacture of a medicament for suppressing cancer cells growth, inducing cancer cells death, and/or regulating a biological activity of the cancer cells.
- the biological activity of the cancer cells comprises inhibition of cancer cells replication, inhibition of cancer cells division, inhibition of DNA repair of cancer cells, inhibition of cancer cells migration, or promote cancer death.
- An embodiment of the present application provides a product of manufacture comprising a virus in a sterile vial, ampoule or syringe.
- An embodiment of the present application provides a pharmaceutical composition comprising a virus of the embodiments of the present application.
- the pharmaceutical composition further comprises an anti-cancer agent and/or antibody.
- the pharmaceutical composition further comprises a pharmaceutically acceptable carrier, a diluent, and/or an excipient.
- compositions of the present invention may be manufactured by processes well known in the art, e.g., by means of conventional mixing, dissolving, granulating, dragee-making, levigating, emulsifying, encapsulating, entrapping, or lyophilizing processes.
- compositions for use in accordance with the present invention thus may be formulated in conventional manner using one or more physiologically acceptable carriers comprising excipients and auxiliaries, which facilitate processing of the active ingredients into preparations that can be used pharmaceutically. Proper formulation is dependent upon the route of administration chosen.
- Suitable routes of administration may, for example, include intratumoral, oral, rectal, transmucosal, especially transnasal, intestinal or parenteral delivery, including intramuscular, subcutaneous and intramedullary injections as well as intrathecal, direct intraventricular, intracardiac, e.g., into the right or left ventricular cavity, into the common coronary artery, intravenous, intraperitoneal, intranasal, or intraocular injections.
- An embodiment of the present application provides a therapeutic method for a disease, comprising administering an effective amount of a sequence, expression vector, host cell, virus, pharmaceutical composition, or medicament.
- Exemplary diseases include cancers, proliferative diseases, autoimmune diseases, etc.
- the present application provides a modified virus Ad5, wherein the modified virus Ad5 is capable of expressing a cytokine, and the modified virus Ad5 is capable of expressing an A20.
- the modified virus Ad5 in the present application may have an enhanced ability in adjusting immune reaction activity of an immune cell (for example, a T cell, a NK cell).
- an immune cell for example, a T cell, a NK cell
- the modified virus Ad5 in the present application may have an enhanced ability in targeting a tumor cell and/or killing a tumor cell.
- the modified virus Ad5 in the present application may have an enhanced ability in targeting a tumor cell and/or killing a tumor cell.
- the modified virus Ad5 in the present application may have an enhanced ability in targeting a tumor cell and/or killing a tumor cell.
- the tumor may comprise the cancer in the present application.
- the cytokine may be originated from human.
- the cytokine may comprise an interleukin, a tumor necrosis factor, an interferon, a chemokine, a lymphokine and/or a growth factor.
- the cytokine may comprise an IF12, an IF2, an IF15 and/or an IF8.
- the cytokine may comprise an IF-21.
- the modified virus Ad5 of the present application may have significantly less toxicity to the subject administrated the virus Ad5.
- the toxicity may be measured in vivo in an animal model.
- the body weight of the administrated animal in the animal model may be used to illustrate the degree of the toxicity.
- a gene encoding the cytokine may be incorporated in to the genome of the modified virus Ad5.
- the A20 may be originated from a foot-and mouth disease virus (FMDV).
- FMDV foot-and mouth disease virus
- the gene encoding the A20 may have a nucleic acid sequence as set forth in SEQ ID NO.4.
- the A20 may have an amino acid sequence as set forth in SEQ ID NO.5.
- a gene encoding the A20 may be incorporated in to the genome of the modified virus Ad5.
- the gene encoding the A20 may be incorporated in to anywhere of the genome of the modified virus Ad5, as long as the endogenous promoter of the modified virus Ad5 may be used to express the A20.
- the gene encoding the A20 may be incorporated in to the site where the original gene (for example, the E1ACR2 gene, the E1B19K gene or the E3gpl9K gene) is to be deleted.
- a gene encoding the A20 may be incorporated in to the HI-loop of the modified virus Ad5.
- the incorporation may use a method of gene editing and/or gene recombination.
- the modified virus Ad5 may have at least one modification in fibre region.
- the modification in fibre region may comprise an amino acid substitution Y477A.
- the modification in fibre region may comprise a deletion of amino acids TATY at the residues 489-492.
- the modification in fibre region may be consisted of an amino acid substitution Y477A and a deletion of amino acids TATY at the residues 489-492.
- the TATY at the residues 489-492 may mean the 489th-492th amino acid residues from the N terminal of the fibre region.
- the expression and/or activity of a E1ACR2 gene may be downregulated in the modified virus Ad5.
- the expression and/or activity of a E1B19K gene may be downregulated in the modified virus Ad5.
- the expression and/or activity of a E3gpl9K gene may be downregulated in the modified virus Ad5.
- the expression and/or activity of the E1ACR2 gene, the E1B19K gene and the E3gpl9K gene may be downregulated in the modified virus Ad5.
- the expression level of the E1ACR2 gene, the E1B19K gene and the E3gpl9K gene may be downregulated significantly or nearly hardly to be detected in the modified virus Ad5.
- the expression level of E1ACR2, E1B19K and E3gpl9K may be downregulated significantly or nearly hardly to be detected in the modified virus Ad5.
- the activity and/or the function of E1ACR2, E1B19K and E3gpl9K may be downregulated significantly or nearly hardly to be detected in the modified virus Ad5.
- the downregulation may use a method of gene editing and/or gene recombination.
- the gene editing may use an anti-sense RNA, a siRNA, a shRNA and/or a CRISPR/Cas system.
- the gene editing may use a CRISPR/Cas9 system.
- At least a portion of the genes encoding the E1ACR2 gene, at least a portion of the E1B19K gene and at least a portion of the E3gpl9K may be deleted.
- the gene encoding a cytokine may be incorporated in to the site of the E1ACR2 gene, the E1B19K gene or the E3gpl9K gene.
- the E1ACR2 gene, the E1B19K gene and the E3gpl9K gene may be deleted, and the gene encoding a cytokine and the gene encoding the A20 may be incorporated.
- the E1ACR2 gene, the E1B19K gene and the E3gpl9K gene may be deleted, and the gene encoding an IL-21 (for example, a human IL-21) and the gene encoding the A20 may be incorporated.
- an IL-21 for example, a human IL-21
- the E1ACR2 gene, the E1B19K gene and the E3gpl9K gene may be deleted, and the gene encoding an IL-21 (for example, a human IL-21) and the gene encoding the A20 may be incorporated, and the modification in fibre region thereof may be consisted of an amino acid substitution Y477A and a deletion of amino acids TAYT at the residues 489-492.
- the modified virus Ad5 may be named as KMAdl.
- the gene encoding an IL-21 may be incorporated in the original site of the E3gpl9K gene.
- the modified virus Ad5 may be capable of expressing an exogenous gene and/or an exogenous protein.
- the modified virus Ad5 may be capable of expressing a gene and/or a ligand targeting a T cell, a gene and/or a ligand targeting a tumor cell, and/or a therapeutic gene.
- the therapeutic gene may be selected from a group consisting of: a gene encoding an immune co- stimulatory pathway activating molecule, a gene encoding a checkpoint inhibitor, a gene encoding a cytotoxic, a gene encoding a tumor suppressor gene, and an anti-angiogenesis gene.
- the immune co-stimulatory pathway activating molecule may be selected from a group consisting of: a CD40 ligand (CD40L), a ICOS ligand, a GITR ligand, a 4-1BB ligand, an 0X40 ligand, a TL1 A, a CD30 ligand, a CD27, and a Flt3 ligand or the variant thereof.
- the checkpoint inhibitor may be selected from a group consisting of: a PD-1 inhibitor, a PD-L1 inhibitor and a CTLA-4 inhibitor.
- the tumor suppressor gene may comprise FHC1 gene.
- the present application provides an isolated nucleic acid molecule, encoding the modified virus Ad5 of the present application.
- the isolated nucleic acid or isolated nucleic acids may be synthesized using recombinant techniques well known in the art.
- the isolated nucleic acid or isolated nucleic acids may be synthesized with an automated DNA synthesizer.
- Standard recombinant DNA and molecular cloning techniques include those described by Sambrook, J., Fritsch, E. F. and Maniatis, T. Molecular Cloning: A Laboratory Manual; Cold Spring Harbor Laboratory Press: Cold Spring Harbor, (1989) (Maniatis) and by T. J. Silhavy, M. L. Bennan, and L. W. Enquist, Experiments with Gene Fusions, Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y.
- the subject nucleic acids may be prepared from genomic DNA fragments, cDNAs, and RNAs, all of which may be extracted directly from a cell or recombinantly produced by various amplification processes including but not limited to PCR and RT-PCR.
- the present application provides a vector, comprising the modified virus Ad5 of the present application, and/or the isolated nucleic acid molecule of the present application.
- An expression vector may be suitable for use in particular types of host cells and not others.
- the expression vector can be introduced into the host organism, which is then monitored for viability and expression of any genes/polynucleotides contained in the vector.
- the expression vector may also contain one or more selectable marker genes that, upon expression, confer one or more phenotypic traits useful for selecting or otherwise identifying host cells that carry the expression vector.
- the present application provides a cell, comprising the modified virus Ad5 of the present application, the isolated nucleic acid molecule of the present application, and/or the vector of the present application.
- the cell may be a eukaryotic cell or a prokaryotic cell.
- the present application provides a pharmaceutical composition, wherein the pharmaceutical composition may comprise the modified virus Ad5 of the present application and a pharmaceutically accepted adjuvant.
- the present application provides a kit comprising the modified virus Ad5 of the present application.
- the pharmaceutical composition may, for example, be in a form suitable for administration.
- the pharmaceutical compositions of the present application may comprise a therapeutically effective amount of the modified virus Ad5 of the present application.
- the pharmaceutical accepted adjuvant may comprise detackifiers, anti-foaming agents, buffering agents, polymers, antioxidants, preservatives, chelating agents, viscomodulators, tonicifiers, flavorants, colorants, odorants, opacifiers, suspending agents, binders, fillers, plasticizers, lubricants, and/or mixtures thereof.
- the present application provides a method of treating a disease and/or a disorder, comprising administrating the modified virus Ad5 of the present application, the isolated nucleic acid molecule of the present application, the vector of the present application, the cell of the present application, and/or the pharmaceutical composition of the present application to a subject in need of.
- the present application provides the modified virus Ad5 of the present application, the isolated nucleic acid molecule of the present application, the vector of the present application, the cell of the present application, and/or the pharmaceutical composition of the present application, in a use of treating a disease and/or a disorder.
- the present application provides the modified virus Ad5 of the present application, the isolated nucleic acid molecule of the present application, the vector of the present application, the cell of the present application, and/or the pharmaceutical composition of the present application in preparing a medicament, and the medicament is for treating a disease and/or a disorder.
- the method may comprise administrating the modified virus Ad5 of the present application to a subject in need of in a combination of at least one agent, and the agent is selected from a group consisting of an anti-cancer agent, an agonist, an antagonist, a chemotherapeutic agent and a radiation agent.
- the agent is selected from a group consisting of an anti-cancer agent, an agonist, an antagonist, a chemotherapeutic agent and a radiation agent.
- the disease may comprise a tumor.
- the disease may comprise a tumor expressing anb6 integrin.
- the disease may comprise a pancreatic cancer, a head and neck cancer, and/or an ovarian cancer.
- Standard abbreviations may be used, e.g., bp, base pair(s); kb, kilobase(s); pi, picoliter(s); s or sec, second(s); min, minute(s); h or hr, hour(s); aa, amino acid(s); nt, nucleotide(s); i.m., intramuscular(ly); i.p., intraperitoneal(ly); s.c., subcutaneous(ly); and the like.
- pAd2D plasmid has two modifications, namely El ACR2 deletion and ElB19k deletion.
- the cassette is designed as follows (see FIG. 3, 4 for a schematic diagram):
- the cassette is designed as follows (see FIG. 3, 4 for a schematic diagram):
- the cassette is designed as follows (see FIG. 5 for a schematic diagram):
- Backbone Virus gene Plasmid pAd2D with deletions of E1ACR2 and ElB19k was gift from a collaborator.
- the pS-E3gpl9K shuttle vector includes the E3gpl9K left arm targeting the left side of the E3gpl9K gene and the E3gpl9K right arm targeting the right side of the E3gpl9K gene.
- the chloramphenicol gene with its promoter is located between the E3gpl9K left arm and right arm. All of the above sequences were spliced together and synthesized by the company and cloned into the ECoRV sites of PUC57 vector (See in FIG. 2A).
- the pS-E3IL21 shuttle vector includes the E3gpl9K left arm targeting the left side of the E3gpl9K gene and the E3gpl9K right arm targeting the right side of the E3gpl9K gene.
- the human IL-21 gene and the chloramphenicol gene with its promoter is located between the E3gpl9K left arm and right arm.
- the human IL-21 gene is under the promotor of E3gpl9K. All of the above sequences were spliced together and synthesized by the company and cloned into the ECoRV sites of PUC57 vector (See in FIG. 2B).
- the pS-A20 shuttle vector includes the fibre gene with mutation at Y477A, deletion of TAYT and A20 insertion. All of the above sequences were spliced together and synthesized by the company and cloned into the ECoRV sites of PUC57 vector (See in FIG. 2C).
- Electrocompetent E. coli BJ5183 cells were used for homologous recombination.
- Recombination shuttle cassette fragment was realized by ECoRV restriction enzyme from respective PUC57 based construct and purified from agarose gel.
- pAd2D and the linearized shuttle cassette fragment were transferred into twenty microliters of electrocompetent BJ5183 cells by electroporation, and electroporation was performed in 2.0 mm cuvettes at 2,500 V, 200 ohms, and 25 pL in a Bio-Rad Gene Pulser electroporator.
- the cells were immediately placed in 500 m ⁇ of LB-Broth and grown at 37°C for 20 min.
- lOug of plasmid extracted from BJ5183 cells was transformed into ToplO chemically competent cells containing 25 pg/ml of chloramphenicol, and grow for 18hrs before extraction of plasmid from the bacterial.
- Adenovirus genome was realized from the plasmid using Pad restriction enzyme, and purified from agarose gel. 2pg of linearized adenovirus genome was transformed into one well of 293 T cells in 6- well plate using Effectene transfection reagent according to the manufacturer’s instructions. The transformed 293T cells was placed into cell culture incubator for 10 days for the adenovirus appearing.
- the recombinant virus was confirmed to be the desired recombinant virus, 50 m ⁇ of the virus lysate was added to a T175 flask containing 293Tcells, and grown to 80-90% confluence in a cell culture medium containing about 30 ml. After 48 hours, the cells and medium were scraped off and "primary virus amplification" was saved.
- the ultracentrifuge tube is placed in a clamp (preferably with blue clamps so it is easier to see the virus band), above a beaker containing Vikron.
- the tube is then pierced using a 19G needle fitted to a 10ml syringe, just below the lowest band (approx. 1cm below), taking care to only pierce one of its sides.
- the viral band is then carefully removed in the minimum amount of CsCl, and transferred to a labelled 15ml tube. Once all the bands have been pooled, they are then layered onto 2.5ml of a 1.35g/ml CsCl solution in a 1/2 x 2” centrifuge tube (small Beckman tubes).
- the virus band (which should be located at the tube center) is collected as before, then transferred to a labelled 15ml tube.
- the volume is then made up to 12ml with TSG (roughly a 2-3-fold dilution), if small volume of virus only top up to 9 ml. Use a new needle and a new syringe for every tube, which has been spun.
- the virus/TSG mixture is then injected into a slide-a-lyzer (pink dialysis cassette) using the 18G (green tipped) needle supplied and the 20ml syringes. Transfer virus from 12ml tube into small bijou beaker, syringe is otherwise too big. It is also necessary to remove excess air from the slide-a-lyzer as the virus is injected, which is done using a syringe placed in one of the three remaining injection ports. Each port may only be used once; therefore, it is necessary to mark each port as used. Once all the harvested virus has been injected carefully remove the syringes and discard into an autoclavable sharps bins.
- the clear membrane surrounding the virus is semi-permeable so the dialysis buffer can move in and out of the membrane, whereas the virus can’t.
- This step is to place the virus in the right storage buffer.
- the slide-a-lyzer is then placed in the appropriate size float and transferred to a 51 beaker containing 21 of dialysis solution (see below).
- the beaker is then placed on a magnetic stirrer in a cold room and the virus left to dialyze for 24 hours. Place slide-a-lyzer in the buffer upside down, with float on top, check if buffer is stirred every now and then.
- the slide-a-lyzer is transferred to a tissue culture hood, the virus is removed using a syringe and transferred to a labelled 15ml tube (orange cap). The entire virus is aliquoted in 1ml aliquots, tubes are labelled with the virus name, date (used as batch number), volume and initials. Aliquots are stored in the -80 ° C freezer. A small aliquot is later used for virus validation (characterization), to determine the particle count (for TCID50).
- lx 10 4 293 T cells per well were seeded into 96 well plate.
- Purified virus was serial diluted with factor 10 till 10-12 dilution. Starting titration, the diluted virus with 10-6 dilution, and add 20ul into each well of 96- well plate for the whole row of 12 wells. 10-12 dilution was the lowest dilution used for titration.
- the vector pAd2D carrying genome of Ad5 with deletions of E1ACR2 and ElB19k was used as the backbone to delete E3B gpl9k gene.
- the cassette consisting of left arm targeting left side of ElB19k gene, chloramphenicol and right side of E3B gpl9k gene was released from cloning vector of PUC57 using restriction enzyme EcoRV and purified from agarose gel. pAd2D and the linearized shuttle fragment were transferred into twenty microliters of electrocompetent E.
- coli BJ5183 cells by electroporation, and electroporation was performed in 2.0 mm cuvettes at 2,500 V, 200 ohms, and 25 pF in a Bio-Rad Gene Pulser electroporator.
- the cells were immediately placed in 500 m ⁇ of LB-Broth and grown at 37°C for 20 min. One hundred twenty-five microliters of the cell suspension were then inoculated onto each of four 10-cm Petri dishes containing L-agar plus 25 pg/ml of chloramphenicol. After 16-20 hr growth at 37°C, 10-25 colonies per dish generally were obtained.
- the vector pAd2D carrying genome of Ad5 with deletions of E1ACR2 and ElB19k was used as the backbone to replace E3B gpl9k gene with human IL-21.
- the cassette consisting of left arm targeting left side of ElB19k gene, human IL-21, chloramphenicol and right side of E3B gpl9k gene was released from cloning vector of PUC57 using restriction enzyme EcoRV and purified from agarose gel. pAd2D and the linearized shuttle fragment were transferred into twenty microliters of electrocompetent E.
- coli BJ5183 cells by electroporation, and electroporation was performed in 2.0 mm cuvettes at 2,500 V, 200 ohms, and 25 pF in a Bio-Rad Gene Pulser electroporator.
- the cells were immediately placed in 500 m ⁇ of LB-Broth and grown at 37°C for 20 min. One hundred twenty-five microliters of the cell suspension were then inoculated onto each of four 10-cm Petri dishes containing L-agar plus 25 pg/ml of chloramphenicol. After 16-20 hr growth at 37°C, 10-25 colonies per dish generally were obtained.
- the smaller colonies (which usually represented the recombinants) were picked and grown in 2 ml of 1-Broth containing 25 pg/ml of chloramphenicol. Plasmid was extracted using miniprep kit, and lOug of plasmid was transformed into ToplO chemically competent cells containing 25 pg/ml of chloramphenicol, and grow for 18hrs before extraction of plasmid from the bacterial. Chloramphenicol was released from the construct using Swal restriction enzyme, then purified the large fragment of recombinant, religated before transformed into top 10 competent cells, the cells were grown in LB-broth for 18 hrs before plasmid extraction. The human IL-21 replacement of E3B gpl9k gene in the recombinant was confirmed by DNA sequencing.
- Ad5 mutant with deletions of three regions and armed with human IL-21, Y477A, del TAYT, Ad5-3del-A20T, can be also named as KMAdl.
- KMAdl has been conserved in CCTCC on March 25 th , 2020, with a CCTCC NO. V202024.
- KMAdl has been kept in a host cell expressing anb6 integrin, e.g. a human pancreatic cancer cell Suit-2.
- the human pancreatic cancer cells Suit-2 were cultured in a DMEM cell culture medium comprising 10% fetal bovine serum.
- coli BJ5183 cells by electroporation, and electroporation was performed in 2.0 mm cuvettes at 2,500 V, 200 ohms, and 25 pF in a Bio-Rad Gene Pulser electroporator.
- the cells were immediately placed in 500 m ⁇ of LB-Broth and grown at 37°C for 20 min. One hundred twenty-five microliters of the cell suspension were then inoculated onto each of four 10-cm Petri dishes containing L-agar plus 25 pg/ml of chloramphenicol. After 16-20 hr growth at 37°C, 10-25 colonies per dish generally were obtained.
- the smaller colonies (which usually represented the recombinants) were picked and grown in 2 ml of 1-Broth containing 25 pg/ml of chloramphenicol. Plasmid was extracted using miniprep kit, and lOug of plasmid was transformed into ToplO chemically competent cells containing 25 pg/ml of chloramphenicol, and grow for 18hrs before extraction of plasmid from the bacterial. Chloramphenicol was released from the construct using Swal restriction enzyme, then purified the large fragment of recombinant, religated before transformed into top 10 competent cells, the cells were grown in LB-broth for 18 h before plasmid extraction. The human IL-21 replacement of E3B gpl9k gene in the recombinant was confirmed by DNA sequencing.
- FIG. 10 shows the deletion of E3gpl9k in control virus construct pAd-c, which was confirmed by DNA sequencing.
- FIG. 11 Sequencing result shows the mutation of Y477A, deletion of TAYT in control virus construct pAd-c.
- FIG. 13 Sequencing result of removal of Chloroform using Swal restriction enzyme in control virus construct Ad-c.
- Example 3 Human IL-21 gene was inserted into E3gpl9k region of the adenovirus genome in virus construct pAd3d-hIL21.
- FIG. 14 shows human IF-21 gene replacing E3gpl9k region of the adenovirus genome.
- An extra sequence ATTTAAAT was left in the virus construct pAd-IF21 after removal of Chloroform (FIG. 18).
- Example 4 Modification of virus construct pAd3d-hIL21.
- Example 5 hIL-21 expression in modified adenovirus.
- hIL-21 The expression of hIL-21 was measured by ELISA in the cell culture medium from Ad-hIL-21, Ad-hIL-21-A20 viruses (FIG. 19).
- Example 6 Infection of anb6 integrin negative or positive tumor cells by control virus and A20 virus.
- Example 7 The modified virus Ad5 of the present application is capable of specifically targeting and killing a tumor cell
- the modified virus Ad5 KMAdl was transfected with several kinds of tumor cells, and the tumor cells without administrated with the virus were regarded as a control.
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| EP21784050.3A EP4133061A4 (en) | 2020-04-07 | 2021-04-07 | MODIFIED ONCOLYTIC ADENOVIRUS |
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| WO2019179979A1 (en) * | 2018-03-21 | 2019-09-26 | Valo Therapeutics Oy | Cancer therapy |
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| Title |
|---|
| MAN Y. K. STELLA, DAVIES JAMES A., COUGHLAN LYNDA, PANTELIDOU CONSTANTIA, BLÁZQUEZ-MORENO ALFONSO, MARSHALL JOHN F., PARKER ALAN L: "The Novel Oncolytic Adenoviral Mutant Ad5-3Δ-A20T Retargeted to αvβ6 Integrins Efficiently Eliminates Pancreatic Cancer Cells", MOLECULAR CANCER THERAPEUTICS, AMERICAN ASSOCIATION FOR CANCER RESEARCH, US, vol. 17, no. 2, 1 February 2018 (2018-02-01), US , pages 575 - 587, XP055856833, ISSN: 1535-7163, DOI: 10.1158/1535-7163.MCT-17-0671 * |
| See also references of EP4133061A4 * |
| UUSI-KERTTULA HANNI, DAVIES JAMES A., THOMPSON JILL M., WONGTHIDA PHONPHIMON, EVGIN LAURA, SHIM KEVIN G., BRADSHAW ANGELA, BAKER A: "Ad5 NULL -A20: A Tropism-Modified, αvβ6 Integrin-Selective Oncolytic Adenovirus for Epithelial Ovarian Cancer Therapies", CLINICAL CANCER RESEARCH, ASSOCIATION FOR CANCER RESEARCH, vol. 24, no. 17, 1 September 2018 (2018-09-01), pages 4215 - 4224, XP055856835, ISSN: 1078-0432, DOI: 10.1158/1078-0432.CCR-18-1089 * |
| XUEPING GAO, YANG ZHOU, XINCHUN ZHENG, XUAN YI, LIBO TANG, JINLIN HOU, YONGYIN LI: " A recombinant adenovirus vector carrying murine interleukin-21 gene controls chronic HBV infection in mice", 31 December 2017 (2017-12-31), XP055856838, [retrieved on 20211101], DOI: 10.3969/j.issn.1673-4254.2017.11.02 * |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2023521076A (ja) | 2023-05-23 |
| CN115605586B (zh) | 2024-09-06 |
| US20230149485A1 (en) | 2023-05-18 |
| EP4133061A4 (en) | 2024-05-29 |
| JP7758355B2 (ja) | 2025-10-22 |
| EP4133061A1 (en) | 2023-02-15 |
| CN115605586A (zh) | 2023-01-13 |
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