Confining cell-killing treatments to tumors

Confining cell-killing treatments to tumors
The authors obtained numerous cures safely by treating many different tumor types with a collagen-binding immunotherapy. This image is comprised of tiles in different colors to represent that the therapy can successfully co-opt any solid tumor type’s collagen defense against it. Credit: Noor Momin and Felice Frankel

Cytokines, small proteins released by immune cells to communicate with each other, have for some time been investigated as a potential cancer treatment.

However, despite their known potency and potential for use alongside other immunotherapies, cytokines have yet to be successfully developed into an effective cancer therapy.

That is because the proteins are highly toxic to both healthy tissue and tumors alike, making them unsuitable for use in treatments administered to the entire body.

Injecting the cytokine directly into the tumor itself could provide a method of confining its benefits to the tumor and sparing healthy tissue, but previous attempts to do this have resulted in the proteins leaking out of the cancerous tissue and into the body's circulation within minutes.

Now researchers at the Koch Institute for Integrative Cancer Research at MIT have developed a technique to prevent cytokines escaping once they have been injected into the tumor, by adding a Velcro-like that attaches itself to the tissue.

In this way the researchers, led by Dane Wittrup, the Carbon P. Dubbs Professor in Chemical Engineering and Biological Engineering and a member of the Koch Institute, hope to limit the harm caused to , while prolonging the treatment's ability to attack the tumor.

To develop their technique, which they describe in a paper published in the journal Science Translational Medicine, the researchers first investigated the different proteins found in tumors, to find one that could be used as a target for the cytokine treatment. They chose collagen, which is expressed abundantly in solid tumors.

These videos step through a B16F10 melanoma tumor and MC38 colon tumor from the outside towards the center. They capture two features: 1) the sheer abundance of collagen (white), particularly at the periphery of a tumor, and 2) the formidable physical barrier collagen poses to immune cells trying to infiltrate. Credit: Noor Momin and Jeff Wyckoff

They then undertook an extensive literature search to find proteins that bind effectively to collagen. They discovered a collagen-binding protein called lumican, which they then attached to the cytokines.

"When we inject (a collagen-anchoring cytokine treatment) intratumorally, we don't have to worry about collagen found elsewhere in the body; we just have to make sure we have a protein that binds to collagen very tightly," says lead author Noor Momin, a graduate student in the Wittrup Lab at MIT.

To test the treatment, the researchers used two cytokines known to stimulate and expand immune cell responses. The cytokines, interleukin-2 (IL-2) and interleukin-12 (IL-12), are also known to combine well with other immunotherapies.

Although IL-2 already has FDA approval, its severe side-effects have so far prevented its . Meanwhile IL-12 therapies have not yet reached phase 3 clinical trials due to their severe toxicity.

The researchers tested the treatment by injecting the two different cytokines into tumors in mice. To make the test more challenging, they chose a type of melanoma that contains relatively low amounts of collagen, compared to other tumor types.

They then compared the effects of administering the cytokines alone and of injecting cytokines attached to the collagen-binding lumican.

"In addition, all of the cytokine therapies were given alongside a form of systemic therapy, such as a -targeting antibody, a vaccine, a checkpoint blockade, or (CAR)-T cell therapy, as we wanted to show the potential of combining cytokines with many different immunotherapy modalities," Momin says.

These videos step through a B16F10 melanoma tumor and MC38 colon tumor from the outside towards the center. They capture two features: 1) the sheer abundance of collagen (white), particularly at the periphery of a tumor, and 2) the formidable physical barrier collagen poses to immune cells trying to infiltrate. Credit: Noor Momin and Jeff Wyckoff

They found that when any of the treatments were administered individually, the mice did not survive. Combining the treatments improved survival rates slightly, but when the cytokine was administered with the lumican to bind to the collagen, the researchers found that over 90 percent of the mice survived with some combinations.

"So we were able to show that these combinations are synergistic, they work really well together, and that cytokines attached to lumican really helped reap the full benefits of the combination," Momin says.

What's more, attaching the lumican eliminated the problem of toxicity associated with treatments alone.

The researchers now plan to carry out further work to improve the technique, and to explore other treatments that could benefit from being combined with collagen-binding lumican, Momin says.

Ultimately, they hope the work will encourage other researchers to consider the use of collagen binding for cancer treatments, Momin says.

"We're hoping the paper seeds the idea that anchoring could be really advantageous for a lot of different therapies across all solid tumors."


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More information: N. Momin el al., "Anchoring of intratumorally administered cytokines to collagen safely potentiates systemic cancer immunotherapy," Science Translational Medicine (2019). stm.sciencemag.org/lookup/doi/ … scitranslmed.aaw2614
Journal information: Science Translational Medicine

Citation: Confining cell-killing treatments to tumors (2019, June 26) retrieved 21 July 2019 from https://medicalxpress.com/news/2019-06-confining-cell-killing-treatments-tumors.html
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