Polysialic acid (
polySia) is expressed on several malignant
tumors of neuroendocrine origin, including
small cell lung cancer. In this study, we investigated the therapeutic efficacy of
tumor-directed T-cell responses, elicited by
polySia-retargeted oncolytic
adenovirus infection, in an orthotopic murine model of disseminated
polySia-positive
lung cancer. In several cell lines, we demonstrated highly
polySia-selective retargeting of adenoviral
infection using a bispecific adapter comprising the ectodomain of the coxsackievirus/
adenovirus receptor and a
polySia-recognizing single-chain antibody domain.
PolySia-dependent systemic
infection in vivo facilitated effective uptake of viruses in subcutaneous
polySia-expressing human
tumors, whereas hepatic viral load and hepatotoxicity were significantly reduced. The impact and nature of antitumoral immune responses triggered by systemic delivery of
polySia-retargeted oncolytic adenoviruses were investigated in an orthotopic model of disseminated
lung cancer. Interestingly, improved transduction by
polySia-retargeted oncolytic adenoviruses led to CD45-positive cell infiltrates in close association with large lytic areas. Consistently, enhanced
tumor regression and prolonged survival was only observed in immunocompetent mice, but not in T-cell-deficient mice. To investigate whether improved systemic
infection by
polySia retargeting would elicit a
tumor-specific T-cell response, we screened the used
lung cancer cells for mutated oncogenes by complete exon sequencing. In agreement with our other results, only retargeted oncolysis was able to induce a significant response specific for the
tumor-associated neoepitope Gsta2-Y9H. In conclusion, we demonstrated that effective retargeting of oncolytic adenovirus against
polySia-expressing
tumors elicits an effective
tumor-directed T-cell response after systemic virus delivery and facilitates
therapy of disseminated
lung cancer.