Two types of cancer vaccines using lentiviral vectors have been investigated: dendritic cell vaccines and cancer cell vaccines. Dendritic cells loaded with tumor antigen peptides can be used as a vaccine against cancers that express that antigen. Sipuleucel-T is one such dendritic cell vaccine that has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of prostate cancer. Lentiviral vectors have been investigated as a way to express tumor antigens in dendritic cells or to modify co-stimulatory signals to further enhance their efficacy. Lentiviral vectors have also been used to constitutively activate the MAP kinase pathway in dendritic cells, thereby enhancing anti-tumor responses in mice.
Another vaccine approach is to use cancer cells that already express the tumor antigen of interest, rather than dendritic cells that must be loaded with peptides. A study with B-cell lymphoma cells lentivirally transduced with co-stimulatory proteins and interleukin-12 showed that using these modified cells as a vaccine enhanced the immunogenicity of the parental lymphoma cell line in a mouse model. Lentiviral vectors have also been used to transform the K562 erythroleukemia cell line into artificial antigen-presenting cells for in vitro T-cell expansion and potentially for in vivo immunization, similar to the previously reported GVAX vaccine. Although more research is needed to determine the clinical efficacy and safety of cancer vaccines developed using lentiviral vectors, these approaches may bring new treatment options to patients.
Selective neuronal vulnerability in neurodegenerative diseases remains poorly defined. Using the ATXN1[82Q] model of spinocerebellar ataxia type 1 (SCA1), researchers explored the hypothesis that regional differences in Purkinje neuron degeneration might provide new insights into selective vulnerability. Researchers found that ATXN1[82Q] Purkinje neurons in the anterior cerebellum degenerated earlier than neurons in the tubercular region, and this early degeneration was associated with selective dysregulation of ion channel transcripts and altered Purkinje neuron firing. To understand the basis for the selective dysregulation of channel transcripts, researchers identified a modest increase in expression of the ATXN1 corepressor Capicua (Cic) in Purkinje neurons in the anterior cerebellum. Importantly, disruption of the association between ATXN1 and Cic rescued levels of these ion channel transcripts, whereas lentiviral overexpression of Cic in the nodular zone accelerated aberrant Purkinje neuron firing and neurodegeneration. These findings reinforce the central role of Cic in the cerebellar pathophysiology of SCA1 and suggest that only modest reductions in Cic could have profound therapeutic impacts in SCA1.
To investigate the causal relationship between regional differences in Cic expression and ion channel dysregulation, researchers used lentiviral vectors to increase Cic expression in the nodular zone. When Cic lentivirus was co-injected with mCherry lentivirus, mCherry expression was reliably overexpressed in the posterior half of lobule IX within the tubercle region (Figure 1A), so patch clamp recordings were performed on Purkinje neurons in this region. At 10 days post-injection, a significant fraction of Purkinje neurons from lobule IX were found to display irregular spikes or depolarization blocks in ATXN1[82Q] mice injected with Cic lentivirus (Figure 1B and C). Cic-dependent disruption of Purkinje neuron pacemaking was associated with a decrease in AHP (Figure 1D). These findings suggest that increased Cic levels render ATXN1[82Q] Purkinje neurons hyperexcitable. Furthermore, ATXN1[82Q] mice injected with Cic lentivirus showed accelerated Purkinje neuron degeneration in the tubercle region 70 days after injection (Figure 1E and F). These data demonstrate that only modestly greater expression of Cic and Cic-dependent hyperexcitability are likely to be responsible for accelerated degeneration of anterior cerebellar Purkinje neurons in ATXN1[82Q] mice.
Figure 1. Increased Cic expression results in Purkinje neuron hyperexcitability and accelerates Purkinje neuron degeneration. (Chopra R, et al., 2020)
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