Colorado Head and Neck Cancer SPORE

科罗拉多头颈癌孢子

• 批准号: 10868331
• 负责人: Antonio Jimeno
• 金额: $ 47.5万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2024-08-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10868331
• 关键词: Affect; Anatomy; Animal Model; Animals; Architecture; Award; Biopsy; Biopsy Specimen; Blood Vessels; Brain Neoplasms; Canis familiaris; Carcinogens; Carcinoma; Cell Communication; Clinic; Clinical; Clinical Trials; Collaborations; Colorado; Combination immunotherapy; Complex; Drug Combinations; Endothelial Cells; Evaluation; Exposure to; Flow Cytometry; Genetic Transcription; Head and Neck Cancer; Human; Immune response; Immunity; Immunohistochemistry; Immunologic Monitoring; Immunologics; Immunotherapy; Irrigation; Laboratories; Link; Losartan; Manuscripts; Mentors; Modeling; Mus; Myelogenous; Myeloid Cells; Nose; Occupational; Operative Surgical Procedures; Parents; Patients; Perfusion; Peripheral Blood Mononuclear Cell; Pharmaceutical Preparations; Prognosis; Propranolol; Protocols documentation; Publishing; Quality of life; Radiation therapy; Sampling; Slice; T cell infiltration; T cell response; Testing; Therapy trial; Time; Toxic effect; Translational Research; Tumor Angiogenesis; Tumor Antigens; Tumor Immunity; Tumor Promotion; Universities; X-Ray Computed Tomography; anti-PD-L1; antigen-specific T cells; cancer imaging; career; contrast enhanced computed tomography; drug repurposing; head and neck cancer patient; immune cell infiltrate; improved; interest; lymph node biopsy; member; novel; novel therapeutic intervention; programs; response; sarcoma; single-cell RNA sequencing; tool; transcriptome sequencing; treatment group; treatment response; tumor; tumor microenvironment

Abstract This application is being submitted in response to the Notice of Special Interest (NOSI) identified as NOT-CA- 23-059. Sinonasal carcinoma (SC) is an important head and neck cancer (HNC) globally, but prognosis remains poor. SC is understudied in the laboratory and in the clinic. We propose that SC in pet dogs represents a spontaneous animal model of this HNC. Our team has validated approaches to investigate immunotherapy and stereotactic body radiation therapy (SBRT) in canine SC clinical trials. Our current efforts incorporate myeloid cell targeted immunotherapy (MTI) with two repurposed drugs (losartan and propranolol) to deplete or reprogram myeloid cells when combined with SBRT. Our early results in dogs with SC treated with the MTI + SBRT protocol provide evidence of enhanced local T cell responses and improved overall survival compared to SBRT alone. The proposed study represents a logical addition to the parent program (Colorado Head and Neck Cancer SPORE) which seeks to advance translational research to improve survival and quality of life for HNC patients. Our project will therefore be consistent with the overall immunotherapy/radiotherapy SPORE theme. In this study, we propose to expand the canine MTI/SBRT trial with more animals and add new immune monitoring to assess local and systemic tumor immunity, as well as functional tumor imaging to understand the impact of MTI/SBRT on tumor perfusion. We will test the overall hypothesis that combining MTI with SBRT will significantly increase SC tumor immunity, perfusion, and improve SBRT clinical responses. Results from this MTI/SBRT study can exert an immediate and substantial impact on the management of human SC, as the 2-drug combination of already approved and safe drugs for MTI can be readily implemented clinically. Specific Aim 1: Determine whether addition of myeloid-targeted immunotherapy (MTI) to SBRT augments local and systemic tumor immunity in dogs with SC. Subaim 1.1 will investigate local tumor immune responses to SBRT and MTI/SBRT, using tumor biopsy and nasal lavage samples, to include analysis of immune cell infiltrates (immunohistochemistry, flow cytometry) and transcriptional status (scRNA-seq, bulk RNAseq). In Subaim 1.2, regional and systemic tumor immune responses will be examined, using lymph node biopsies (flow cytometry, RNAseq) and PBMC samples (T cell responses to SC tumor antigens). The clinical impact of combined MTI/SBRT on tumor responses will be assessed in Subaim 1.3 by serial CT evaluation (pre-treatment, 3 mos, 6 mos) and determination of progression-free interval (PFI) and overall survival time (OST) will be compared between treatment groups. Specific Aim 2: Elucidate the impact of combined MTI/SBRT on tumor perfusion in dogs with SC. Dynamic contrast enhanced-CT will be used in Subaim 2.1 to determine how adding MTI to SBRT affects tumor perfusion parameters at 3- and 6-mos following treatment. In Subaim 2.2, the impact of adding MTI to SBRT on tumor angiogenesis and vessel architecture will be determined, using serial tumor biopsies and IHC analyses.

摘要 本申请是为了回应被确认为非CA-CA的特殊利益通知(NOSI)而提交的 23-059.鼻咽癌是全球范围内重要的头颈癌，但预后不佳。 可怜。SC在实验室和临床上都没有得到充分的研究。我们认为宠物狗的SC代表了一种 此HNC的自发动物模型。我们的团队已经验证了研究免疫疗法和 犬SC的立体定向全身放射治疗(SBRT)临床试验。我们目前的努力包括髓系 使用两种再利用药物(氯沙坦和心得安)来耗尽或重新编程的细胞靶向免疫治疗(MTI) 髓系细胞与SBRT联合应用。我们用MTI+SBRT方案治疗SC犬的早期结果 与单纯SBRT相比，提供了增强局部T细胞反应和改善总体存活率的证据。 这项拟议的研究是对父母计划(科罗拉多州头颈癌)的合理补充 孢子)，旨在推进翻译研究，以提高HNC患者的存活率和生活质量。 因此，我们的项目将与免疫治疗/放射治疗孢子的整体主题保持一致。在这项研究中， 我们建议扩大狗的MTI/SBRT试验，增加更多的动物并增加新的免疫监测来评估 局部和全身肿瘤免疫，以及功能肿瘤成像，以了解MTI/SBRT的影响 关于肿瘤的血流灌注。我们将测试将MTI与SBRT相结合将显著增加的总体假设 SC对肿瘤免疫、灌流，并改善SBRT临床反应。此MTI/SBRT研究的结果可以 对人类SC的管理产生直接和实质性的影响，因为 已经批准的安全的MTI药物可以很容易地在临床上实施。 具体目标1：确定在SBRT的基础上加用髓系靶向免疫疗法(MTI)是否会增强 系统性红斑狼疮犬局部和全身肿瘤免疫。Subaim 1.1将研究局部肿瘤免疫 使用肿瘤活检和鼻腔灌洗样本对SBRT和MTI/SBRT的反应，以包括免疫分析 细胞浸润(免疫组织化学、流式细胞术)和转录状态(scRNA-seq、Bulk RNAseq)。在……里面 Subaim 1.2，将使用淋巴活检(Flow)检查局部和全身肿瘤免疫反应 细胞仪，RNAseq)和PBMC样本(T细胞对SC肿瘤抗原的反应)。新技术对临床的影响 联合MTI/SBRT对肿瘤反应的评估将在Subaim 1.3中通过系列CT评估(治疗前， 3个月，6个月)，无进展间期(PFI)和总生存时间(OST)的测定 治疗组间比较。 具体目的2：阐明MTI/SBRT联合治疗对SC犬肿瘤血流灌注的影响。 Subaim 2.1将使用动态增强CT来确定在SBRT中添加MTI对肿瘤的影响 治疗后3个月和6个月的血流灌注参数。在Subaim 2.2中，将MTI添加到SBRT对 肿瘤血管生成和血管构筑将通过系列肿瘤活检和IHC分析来确定。

项目成果

Selective targeting of IL2Rβγ combined with radiotherapy triggers CD8- and NK-mediated immunity, abrogating metastasis in HNSCC.

• DOI: 10.1016/j.xcrm.2023.101150
• 发表时间: 2023-08-15
• 期刊: CELL REPORTS MEDICINE
• 影响因子: 14.3
• 作者: Gadwa, Jacob;Amann, Maria;Bickett, Thomas E.;Knitz, Michael W.;Darragh, Laurel B.;Piper, Miles;Van Court, Benjamin;Bukkapatnam, Sanjana;Pham, Tiffany T.;Wang, Xiao-Jing;Saviola, Anthony J.;Deak, Laura Codarri;Umana, Pablo;Klein, Christian;D'Alessandro, Angelo;Karam, Sana D.
• 通讯作者: Karam, Sana D.

Amateur antigen-presenting cells in the tumor microenvironment.

肿瘤微环境中的业余抗原细胞。

• DOI: 10.1002/mc.23354
• 发表时间: 2022-03
• 期刊: MOLECULAR CARCINOGENESIS
• 影响因子: 4.6
• 作者: Darragh, Laurel B.;Karam, Sana D.
• 通讯作者: Karam, Sana D.

Why responses to immune checkpoint inhibitors are heterogeneous in head and neck cancers: Contributions from tumor-intrinsic and host-intrinsic factors.

• DOI: 10.3389/fonc.2022.995434
• 发表时间: 2022
• 期刊: Frontiers in oncology
• 影响因子: 4.7

Measurement of mouse head and neck tumors by automated analysis of CBCT images.

• DOI: 10.1038/s41598-023-39159-6
• 发表时间: 2023-07-25
• 期刊: SCIENTIFIC REPORTS
• 影响因子: 4.6
• 作者: Van Court, Benjamin;Neupert, Brooke;Nguyen, Diemmy;Ross, Richard;Knitz, Michael W.;Karam, Sana D.
• 通讯作者: Karam, Sana D.

Vasculitis, CA19-9, and Perineural Invasion Differentially Predict Response and Surgical Outcome in Pancreatic Ductal Adenocarcinoma.

血管炎、CA19-9 和神经周围浸润对胰管腺癌的反应和手术结果有不同的预测作用。

• DOI: 10.1016/j.ijrobp.2022.12.039
• 发表时间: 2023
• 期刊: International journal of radiation oncology, biology, physics
• 作者: Piper,Miles;Ross,RichardBlake;Hu,Junxiao;Watanabe,Shuichi;Knitz,Michael;Mehrotra,Sanjana;Shulick,Richard;Chiaro,MarcoDel;Karam,SanaD
• 通讯作者: Karam,SanaD