Deng et al. demonstrate that live-attenuated Listeria monocytogenes lacking two virulence genes and expressing an endogenous retroviral antigen induced KLRG1+PD1loCD62- effector CD8+ T cells, which localized to the spleen, were functional and not exhausted, produced IFNγ, infiltrated the tumor, and converted the tumor microenvironment from immunosuppressive to inflamed by repolarizing the tumor-associated macrophages from M2 to M1, decreasing Tregs, and increasing proinflammatory cytokines. The treatment led to durable tumor rejection and formation of immunological memory in mice.

Agents that remodel the tumor microenvironment (TME), prime functional tumor-specific T cells, and block inhibitory signaling pathways are essential components of effective immunotherapy. We are evaluating live-attenuated, double-deleted Listeria monocytogenes expressing tumor antigens (LADD-Ag) in the clinic. Here we show in numerous mouse models that while treatment with nonrecombinant LADD induced some changes in the TME, no antitumor efficacy was observed, even when combined with immune checkpoint blockade. In contrast, LADD-Ag promoted tumor rejection by priming tumor-specific KLRG1(+)PD1(lo)CD62L(-) CD8(+) T cells. These IFNgamma-producing effector CD8(+) T cells infiltrated the tumor and converted the tumor from an immunosuppressive to an inflamed microenvironment that was characterized by a decrease in regulatory T cells (Treg) levels, a proinflammatory cytokine milieu, and the shift of M2 macrophages to an inducible nitric oxide synthase (iNOS)(+)CD206(-) M1 phenotype. Remarkably, these LADD-Ag-induced tumor-specific T cells persisted for more than 2 months after primary tumor challenge and rapidly controlled secondary tumor challenge. Our results indicate that the striking antitumor efficacy observed in mice with LADD-based immunotherapy stems from TME remodeling which is a direct consequence of eliciting potent, systemic tumor-specific CD8(+) T cells.

Author Info: (1) Aduro Biotech, Inc., Berkeley, CA 94710; wdeng@aduro.com tdubensky@tempesttx.com. (2) Aduro Biotech, Inc., Berkeley, CA 94710. (3) Aduro Biotech, Inc., Berkeley, CA 94710. (4)

Author Info: (1) Aduro Biotech, Inc., Berkeley, CA 94710; wdeng@aduro.com tdubensky@tempesttx.com. (2) Aduro Biotech, Inc., Berkeley, CA 94710. (3) Aduro Biotech, Inc., Berkeley, CA 94710. (4) Aduro Biotech, Inc., Berkeley, CA 94710. (5) Aduro Biotech, Inc., Berkeley, CA 94710. (6) Aduro Biotech, Inc., Berkeley, CA 94710. (7) Aduro Biotech, Inc., Berkeley, CA 94710. (8) Aduro Biotech, Inc., Berkeley, CA 94710. (9) Aduro Biotech, Inc., Berkeley, CA 94710. (10) Aduro Biotech, Inc., Berkeley, CA 94710. (11) Aduro Biotech, Inc., Berkeley, CA 94710. (12) Department of Molecular and Cell Biology, University of California, Berkeley, CA The School of Public Health, University of California, Berkeley, CA 94720. (13) Aduro Biotech, Inc., Berkeley, CA 94710; wdeng@aduro.com tdubensky@tempesttx.com.