We previously reported that systemic injection of recombinant adenovirus resulted in a rim of gene transduction around experimental liver tumor nodules. This zone of higher infection is dependent on the ␣ v  3 integrin, acting as an adenovirus internalization receptor, which is overexpressed in tissues surrounding liver metastases. When a recombinant adenovirus encoding interleukin-12 (AdCMVIL-12) is given into a subcutaneous tumor nodule in mice also bearing concomitant liver tumors, a fraction of AdCMVIL-12 reaches the systemic circulation and infects liver tissue, especially at the malignant/healthy tissue interface. As a result of the expression at this location of the interleukin-12 transgenes, VCAM-1 is induced on vessel cells and mediates the recruitment of adoptively transferred anti-tumor cytolytic T-lymphocytes. These studies provide mechanistic explanations for the potent therapeutic synergy observed between interleukin-12 gene transfer and adoptive T-cell therapy.Key Words: gene therapy; ␣ v  3 (CD51/CD61); adenovirus; VCAM-1 (CD106); interleukin-12; adoptive T-cell therapy; immunotherapy; colon cancer.
INTRODUCTIONRecombinant adenoviruses (1) have shown good efficacy as vehicles for immunotherapeutic genes upon intratumoral injection. In this setting IL-12 (2-5), CD40L (6, 7), 9), and GM-CSF (10) display tumor-eradicating efficacy in various rodent models. Unless artificially targeted (11), adenovirus relies on the interaction of the fiber-knob protein and the penton base protein of its capsid with cellular surface receptors for cell entry (12). Although other receptors may exist, coxsackie adenovirus receptor and the ␣ v  3 integrin (CD51/CD61) are the best characterized receptors for adenoviral infection (13). The ␣ v  3 integrin is also a well-known receptor for an RGD motif present in a number of extracellular matrix proteins mainly expressed during tissue repair (14). Although ␣ v  3 has a broad tissue distribution it is selectively expressed on angiogenic and not on resting endothelium (14,15).In fact, anti-␣ v  3 blocking mAbs or peptide antagonists downregulate angiogenesis with remarkable anti-tumor effects (14,16,17).Intratumoral injections of recombinant adenovirus encoding both chains of IL-12 have shown intense antitumor effects (2-5) that can be exploited in very efficacious combinations with other transgenes such as IL-2 (8, 9), , lymphotactin (9), CD80 (19),21). In most cases the anti-tumor activity needs the action of cytolytic T-lymphocytes (CTLs) (5,22,23), but other mechanisms such as natural killer cell activation (18,22,24) and angiogenesis inhibition (25,26) are also important.We have shown that IL-12 gene transfer synergizes with adoptive T-cell therapy not only by simplifying the obtainment of CTL cultures but also by rendering liver metastases more sensitive to an immune attack (23). It was documented that recombinant adenovirus injected into a subcutaneous tumor nodule or intravenously showed a preference for gene transduction around liver metastases, depicting a rim...