The programmed cell death-1/programmed cell death-
ligand 1 (PD-1/PD-L1) pathway is involved in preventing immune system-mediated destruction of malignant
tumors including
glioblastoma. However, the therapeutic influence of PD-1/PD-L1 inhibition alone in
glioblastoma is limited. To develop effective combination
therapy involving PD-1/PD-L1 inhibition, we used a non-replicating virus-derived vector, hemagglutinating virus of Japan-envelope (HVJ-E), to inhibit
tumor cell PD-L1 expression by delivering
siRNA targeting PD-L1. HVJ-E is a promising vector for efficient delivery of enclosed substances to the target cells. Moreover, HVJ-E provokes robust antitumoral immunity by activating natural killer (NK) cells and cytotoxic T lymphocytes (CTLs), and by suppressing regulatory T lymphocytes (Treg). We hypothesized that we could efficiently deliver PD-L1-inhibiting siRNAs to
tumor cells using HVJ-E, and that synergistic activation of antitumoral immunity would occur due to the immunostimulating effects of HVJ-E and PD-1/PD-L1 inhibition. We used artificially induced murine
glioma stem-like cells, TS, to create mouse (C57BL/6N)
glioblastoma models. Intratumoral injection of HVJ-E containing
siRNA targeting PD-L1 (siPDL1/HVJ-E) suppressed the expression of
tumor cell PD-L1 and significantly suppressed
tumor growth in subcutaneous models and prolonged overall survival in
brain tumor models. Flow cytometric analyses of
brain tumor models showed that the proportions of brain-infiltrating CTL and NK cells were significantly increased after giving siPDL1/HVJ-E; in contrast, the rate of Treg/CD4+ cells was significantly decreased in HVJ-E-treated
tumors. CD8 depletion abrogated the
therapeutic effect of siPDL1/HVJ-E, indicating that CD8+ T lymphocytes mainly mediated this
therapeutic effect. We believe that this non-replicating immunovirotherapy may be a novel therapeutic alternative to treat patients with
glioblastoma.