Despite the rapid progress in the development of novel adoptive T-cell
therapies, the clinical benefits in treatment of established
tumors have remained modest. Several immune evasion mechanisms hinder T-cell entry into
tumors and their activity within the
tumor. Of note, oncolytic adenoviruses are intrinsically immunogenic due to inherent
pathogen-associated molecular patterns. Here, we studied the capacity of adenovirus to overcome resistance of chicken
ovalbumin-expressing B16.OVA murine
melanoma tumors to adoptive
ovalbumin-specific CD8(+) T-cell (OT-I)
therapy. Following intraperitoneal transfer of polyclonally activated OT-I lymphocytes, control of
tumor growth was superior in mice given intratumoral adenovirus compared with control mice, even in the absence of oncolytic virus replication. Preexisting
antiviral immunity against serotype 5 did not hinder the therapeutic efficacy of the combination treatment. Intratumoral adenovirus injection was associated with an increase in proinflammatory
cytokines, CD45(+) leukocytes, CD8(+) lymphocytes, and F4/80(+) macrophages, suggesting enhanced
tumor immunogenicity. The proinflammatory effects of adenovirus on the tumor microenvironment led to expression of costimulatory signals on
CD11c(+) antigen-presenting cells and subsequent activation of T cells, thus breaking the
tumor-induced peripheral tolerance. An increased number of CD8(+) T cells specific for endogenous
tumor antigens TRP-2 and gp100 was detected in combination-treated mice, indicating
epitope spreading. Moreover, the majority of virus/T-cell-treated mice rejected the challenge of parental B16.F10
tumors, suggesting that systemic antitumor immunity was induced. In summary, we provide proof-of-mechanism data on combining adoptive T-cell
therapy and adenovirotherapy for the treatment of
cancer.