Combined vaccine+axitinib therapy yields superior antitumor efficacy in a murine melanoma model

Melanoma Res. 2012 Jun;22(3):236-43. doi: 10.1097/CMR.0b013e3283538293.

Abstract

Axitinib, a tyrosine kinase inhibitor of vascular endothelial growth factor receptors, has demonstrated modest efficacy when applied as a single agent in the setting of advanced-stage melanoma. On the basis of the reported ability of axitinib to 'normalize' the tumor vasculature, we hypothesize that combination therapy using axitinib plus specific peptide-based vaccination would promote superior activation and recruitment of protective T cells into the melanoma microenvironment, leading to enhanced treatment benefit. Using a subcutaneous M05 (B16.OVA) melanoma model, we observed that a treatment regimen consisting of a 7-day course of axitinib (0.5 mg/day provided orally) combined with a subcutaneous vaccine [ovalbumin (OVA) peptide-pulsed syngenic dendritic cells adenovirally engineered to produce IL-12p70] yielded superior protection against melanoma growth and extended overall survival when compared with animals receiving either single modality therapy. Treatment benefits were associated with: (a) a reduction in suppressor cell (myeloid-derived suppressor cells and Treg) populations in the tumor, (b) activation of tumor vascular endothelial cells, and (c) activation and recruitment of type-1, vaccine-induced CD8 T cells into tumors. These results support the therapeutic superiority of combined vaccine+axitinib immunotherapy and the translation of such approaches into the clinic for the treatment of patients with advanced-stage melanoma.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiogenesis Inhibitors / pharmacology*
  • Animals
  • Axitinib
  • Cancer Vaccines / immunology*
  • Cell Line, Tumor
  • Combined Modality Therapy
  • Dendritic Cells / immunology
  • Dendritic Cells / transplantation*
  • Endothelial Cells / drug effects
  • Endothelial Cells / immunology
  • Female
  • Imidazoles / pharmacology*
  • Indazoles / pharmacology*
  • Interleukin-12 / biosynthesis
  • Interleukin-12 / genetics
  • Lymphocyte Activation / drug effects
  • Lymphocytes, Tumor-Infiltrating / drug effects
  • Lymphocytes, Tumor-Infiltrating / immunology
  • Melanoma / blood supply
  • Melanoma / drug therapy
  • Melanoma / immunology
  • Melanoma / pathology
  • Melanoma / therapy*
  • Mice
  • Mice, Inbred C57BL
  • Ovalbumin / immunology
  • Peptide Fragments / immunology
  • Protein Kinase Inhibitors / pharmacology*
  • Skin Neoplasms / blood supply
  • Skin Neoplasms / drug therapy
  • Skin Neoplasms / immunology
  • Skin Neoplasms / pathology
  • Skin Neoplasms / therapy*
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology
  • Time Factors
  • Tumor Burden / drug effects
  • Tumor Microenvironment / drug effects

Substances

  • Angiogenesis Inhibitors
  • Cancer Vaccines
  • Imidazoles
  • Indazoles
  • OVA 323-339
  • OVA-8
  • Peptide Fragments
  • Protein Kinase Inhibitors
  • Interleukin-12
  • Ovalbumin
  • Axitinib