Rhonda B Kean's research while affiliated with Thomas Jefferson University and other places

Publications (48)

Article
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Prostate cancer has heterogeneous growth patterns, and its prognosis is the poorest when it progresses to a neuroendocrine phenotype. Using bioinformatic analysis, we evaluated RNA expression of neuroendocrine genes in a panel of five different cancer types: prostate adenocarcinoma, breast cancer, kidney chromophobe, kidney renal clear cell carcino...
Article
Patients with grade III anaplastic astrocytomas (AA) separate into survival cohorts based on the presence or absence of mutations in isocitrate dehydrogenase (IDH). Progression to glioblastoma (GBM), morphologically distinguishable by elevated microvascular proliferation, necrosis, and cell division in tumor tissues, is considerably more rapid in I...
Article
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Purpose: Despite standard of care (SOC) established by Stupp (2005), glioblastoma remains a uniformly poor prognosis. We evaluated IGV-001, which combines autologous glioblastoma tumor cells and an antisense oligonucleotide against insulin-like growth factor type 1 receptor (IMV-001), in newly diagnosed glioblastoma. Experimental design: This op...
Article
Immune memory cells residing in previously infected, nonlymphoid tissues play a role in immune surveillance. In the event that circulating antibodies fail to prevent virus spread to the tissues in a secondary infection, these memory cells provide an essential defense against tissue reinfection. CNS tissues are isolated from circulating immune cells...
Conference Paper
Introduction: We present a novel autologous cell vaccine therapy designed to treat patients with newly diagnosed glioblastoma (Trial Registration: IND 14379, NCT01550523). Methods: This phase 1b trial has a phase 2 design with 4 randomized vaccine dose cohorts in 33 patients with the objective being safety assessment but also including clinical, ra...
Conference Paper
We describe here a novel process for the production by glioma cells of cell-free, tumor-specific antigens that supplant the need for intact tumor cells in the induction of immunity against autologous tumor antigen. Radiation is thought to trigger the release of potentially immunostimulatory tumor antigens. However, a variety of tumor cells, includi...
Article
Objectives: There is no study published regarding the benefit of radiation therapy (RT) in combination with immune checkpoint inhibitors (ICIs) for the treatment of metastatic renal cell cancer (mRCC). This report is part of an exploratory study aiming to determine the immunomodulatory activity of RT alone or in combination with pembrolizumab in s...
Conference Paper
Background: We evaluated an autologous cell vaccine, a combination of GBM tumor cells and an antisense molecule against insulin-like growth factor type 1 receptor DNA/mRNA (IGF-1R AS ODN), in adults with newly diagnosed GBM (NCT02507583). Methods: Tumor cells collected during resection were treated with IGF-1R AS ODN, encapsulated in biodiffusion c...
Article
Purpose Scintigraphic imaging of malignant glioblastoma (MG) continues to be challenging. We hypothesized that VPAC1 cell surface receptors can be targeted for positron emission tomography (PET) imaging of orthotopically implanted MG in a mouse model, using a VPAC1-specific peptide [⁶⁴Cu]TP3805. Procedures The expression of VPAC1 in mouse GL261 an...
Article
Rabies virus is a neurotropic lyssavirus which is 100% fatal in its pathogenic form when reaching unprotected CNS tissues. Death can be prevented by mechanisms delivering appropriate immune effectors across the blood-brain barrier which normally remains intact during pathogenic rabies virus infection. One therapeutic approach is to superinfect CNS...
Article
Therapeutic approaches aimed at curing prostate cancer are only partially successful given the occurrence of highly metastatic resistant phenotypes that frequently develop in response to therapies. Recently, we have described αvβ6, a surface receptor of the integrin family as a novel therapeutic target for prostate cancer; this epithelial-specific...
Article
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Rabies remains a major public health issue worldwide, especially in developing countries where access to medical care can represent a real challenge. While there is still no cure for rabies, it is a vaccine-preventable disease with pre- and post-exposure prophylaxis regimens approved by the World Health Organization (WHO). However, many rabies-expo...
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e16058 Background: Preclinical data suggest there are synergistic effects of radiation therapy (RT) and check point inhibitors in anticancer immunity. The primary objective of this study was to explore the immunomodulatory activity of RT alone or in combination with Pembrolizumab (pembro) in solid tumors including renal cell cancer (RCC) patients (...
Article
518Background: Preclinical data suggest there are synergistic effects of radiation therapy (RT) and check point inhibitors in anticancer immunity. The primary objective of this study was to explore the immunomodulatory activity of RT alone or in combination with Pembrolizumab (pembro) in solid tumors including renal cell cancer (RCC) patients (pts)...
Article
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Much of our understanding of CNS immunity has been gained from models involving pathological inflammation. Attenuated rabies viruses (RABV) are unique tools to study CNS immunity in the absence of conventional inflammatory mechanisms, as they spread from the site of inoculation to the CNS transaxonally, thereby bypassing the blood-brain barrier (BB...
Article
Little is known about CD4+ T cell entry into the central nervous system (CNS) in the absence of inflammation. Attenuated rabies viruses (RABV) are unique tools to study this process, as they spread from the site of inoculation to the CNS trans-axonally, without compromising the blood-brain barrier. Previous studies with live-attenuated RABV showed...
Article
Due to specialized neurovasculature, referred to as the blood-brain barrier (BBB), CNS tissues are immunologically privileged and only infiltrated by lymphocytes under certain circumstances. One of these is the clearance of attenuated rabies virus (RABV) from the CNS which is dependent upon CD4 T and B cell entry into CNS tissues and local producti...
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A single intramuscular application of live but not UV-inactivated recombinant rabies virus (RABV) variant TriGAS in mice induces the robust and sustained production of RABV-neutralizing antibodies that correlate with long-term protection against challenge with an otherwise lethal dose of the wild-type RABV. To obtain insight into the mechanism by w...
Article
Rabies, a neurological disease associated with replication in central nervous system (CNS) tissues of any of a number of rabies viruses endemic in nature, is generally fatal. Prophylactic medical intervention is immune mediated and directed at preventing the spread of the virus from a peripheral site of exposure to the CNS. While individuals rarely...
Article
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Pathological changes occur in areas of CNS tissue remote from inflammatory lesions in multiple sclerosis (MS) and its animal model experimental allergic encephalomyelitis (EAE). To determine if oxidative stress is a significant contributor to this non-inflammatory pathology, cortex tissues from mice with clinical signs of EAE were examined for evid...
Article
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The long-held concept that rabies infection is lethal in humans once the causative rabies virus has reached the CNS has been called into question by the recent survival of a number of patients with clinical rabies. Studies in animal models provide insight into why survival from a rabies virus infection that has spread to the CNS is possible and the...
Article
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Rabies remains an important public health problem with more than 95% of all human rabies cases caused by exposure to rabid dogs in areas where effective, inexpensive vaccines are unavailable. Because of their ability to induce strong innate and adaptive immune responses capable of clearing the infection from the CNS after a single immunization, liv...
Article
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CNS tissues are protected from circulating cells and factors by the blood–brain barrier (BBB), a specialization of the neurovasculature. Outcomes of the loss of BBB integrity and cell infiltration into CNS tissues can differ vastly. For example, elevated BBB permeability is closely associated with the development of neurological disease in experime...
Article
The blood-brain barrier (BBB) is dramatically but transiently compromised in the cerebella of myelin basic protein immunized mice at least 1 week prior to the development of the paralytic phase of experimental allergic encephalomyelitis (EAE). Treatment of mice with the peroxynitrite-dependent radical scavenger uric acid (UA) during the first week...
Article
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Elevated blood-brain barrier (BBB) permeability is associated with both the protective and pathological invasion of immune and inflammatory cells into CNS tissues. Although a variety of processes have been implicated in the changes at the BBB that result in the loss of integrity, there has been no consensus as to their induction. TNF-alpha has ofte...
Article
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Experimental allergic encephalomyelitis (EAE) is an inflammatory demyelinating disease of the CNS that is used to model certain parameters of multiple sclerosis. To establish the relative contributions of T cell reactivity, the loss of blood–brain barrier (BBB) integrity, CNS inflammation, and lesion formation toward the pathogenesis of EAE, we ass...
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The loss of blood-brain barrier (BBB) integrity in CNS inflammatory responses triggered by infection and autoimmunity has generally been associated with the development of neurological signs. In the present study, we demonstrate that the clearance of the attenuated rabies virus CVS-F3 from the CNS is an exception; increased BBB permeability and CNS...
Article
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Urate (UA) selectively scavenges peroxynitrite-dependent radicals and suppresses CNS inflammation through effects that are manifested at the blood-brain barrier (BBB). ICAM-1 upregulation in the spinal cord tissues of myelin basic protein (MBP) immunized mice is selectively inhibited by UA treatment. In contrast, the expression of ICAM-1 and other...
Article
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Poly(ADP-ribose) polymerase (PARP) activity has been implicated in the pathogenesis of several central nervous system (CNS) disorders. For example, the presence of extensive poly(ADP)ribosylation in CNS tissues from animals with experimental allergic encephalomyelitis (EAE) indicates that PARP activity may be involved in this inflammatory disease p...
Article
Uric acid (UA) is a purine metabolite that selectively inhibits peroxynitrite-mediated reactions implicated in the pathogenesis of multiple sclerosis (MS) and other neurodegenerative diseases. Serum UA levels are inversely associated with the incidence of MS in humans because MS patients have low serum UA levels and individuals with hyperuricemia (...
Article
Serum levels of uric acid (UA), an inhibitor of peroxynitrite- (ONOO-) related chemical reactions, became elevated approximately 30 million years ago in hominid evolution. During a similar time frame, higher mammals lost the ability to synthesize another important radical scavenger, ascorbic acid (AA), leading to the suggestion that UA may have rep...
Article
A new approach to the production and delivery of vaccine antigens is the use of engineered amino virus-based vectors. A chimeric peptide containing antigenic determinants from rabies virus glycoprotein (G protein) (amino acids 253-275) and nucleoprotein (N protein) (amino acids 404-418) was PCR-amplified and cloned as a translational fusion product...
Article
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We have recently demonstrated that increased blood-CNS barrier permeability and CNS inflammation in a conventional mouse model of experimental allergic encephalomyelitis are dependent upon the production of peroxynitrite (ONOO(-)), a product of the free radicals NO* and superoxide (O2*(-)). To determine whether this is a reflection of the physiolog...
Article
Peroxynitrite has been implicated in the pathogenesis of multiple sclerosis and its animal counterpart experimental allergic encephalomyelitis (EAE). Here we have examined the effects of the novel peroxynitrite scavengers, mercaptoethylguanidine (MEG) and guanidinoethyldisulphide (GED), on the development of EAE. Both MEG and GED delayed EAE onset...
Article
Peroxynitrite formation has been demonstrated during experimental allergic encephalomyelitis (EAE). Furthermore, peroxynitrite has been identified as an activator of poly(ADP-ribose) synthetase (PARS), an enzyme implicated in neurotoxicity. In the current study, we examined the role of PARS activation in the development of EAE. Administration of th...
Article
which has been associated with damage in EAE and multiple sclerosis, but had no inhibitory effect on the T cell-proliferative response to myelin basic protein (MBP) or on APC function. In addition, UA treatment was found to have no notable effect on the development of the immune response to MBP in vivo, as measured by the production of MBP-specific...
Article
Peroxynitrite (ONOO−), the product of nitric oxide (NO) and superoxide (O2−), is believed to be a major contributor to immunotoxicity when produced by activated cells expressing inducible nitric oxide synthase (iNOS). Uric acid (UA) is a natural scavenger of ONOO− that is present at high levels in the sera of humans and other higher order primates...
Article
Peroxynitrite (ONOO(-)), a toxic product of the free radicals nitric oxide and superoxide, has been implicated in the pathogenesis of CNS inflammatory diseases, including multiple sclerosis and its animal correlate experimental autoimmune encephalomyelitis (EAE). In this study we have assessed the mode of action of uric acid (UA), a purine metaboli...
Article
To provide a more defined and safer replacement for the human rabies immune globulin (HRIG) from pooled serum which is currently used for treatment of exposure to rabies virus we have developed a series of human rabies virus-specific monoclonal antibodies. Mouse-human heterohybrid myeloma cells producing rabies virus-specific human monoclonal antib...
Article
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Viral insults that occur during early postnatal periods, can affect neuronal systems which exhibit significant postnatal development, such as the cerebral cortex and cerebellum. Borna disease virus (BDV) is a single-strand RNA virus which replicates in the nervous system of many species after experimental inoculation and causes acute neurological d...
Article
Uric acid, the naturally occurring product of purine metabolism, is a strong peroxynitrite scavenger, as demonstrated by the capacity to bind peroxynitrite but not nitric oxide (NO) produced by lipopolysaccharide-stimulated cells of a mouse monocyte line. In this study, we used uric acid to treat experimental allergic encephalomyelitis (EAE) in the...
Article
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The presence of antibodies reactive with Borna disease virus (BDV) in the sera of some patients with certain psychiatric illnesses has been taken as evidence that this veterinary neurotrophic virus may occasionally infect and cause psychiatric disorders in humans. In this paper, we report the results of our studies concerning the detection of BDV-s...
Article
In this study we provide further evidence associating activated cells of the monocyte lineage with the lesions of multiple sclerosis (MS). Using a combination of immunohistochemistry and reverse transcriptase-dependent in situ polymerase chain reaction analysis, we have identified monocytes expressing inducible nitric oxide synthase (iNOS) to be pr...
Article
As a novel approach towards developing safe, inexpensive vaccines with the potential for oral delivery we have investigated the utility of transgenic plant commensal bacteria expressing test antigen. Clavibacter xyli subspecies cynodontis (CXC), a plant bacterium that is harmless for animals, has been engineered to express various antigens includin...
Article
Full-text available
Because of the short half-life of NO, previous studies implicating NO in central nervous system pathology during infection had to rely on the demonstration of elevated levels of NO synthase mRNA or enzyme expression or NO metabolites such as nitrate and nitrite in the infected brain. To more definitively investigate the potential causative role of...

Citations

... This receptor regulates key processes, including transformation, cell survival, and the inhibition of apoptosis [29]. Malignant cells were intraoperatively harvested from patients with GBM, treated with ASOs, and re-implanted into the abdomen within a biodiffusion chamber [28,61]. Western blot analysis confirmed a decreased IGF-1 expression after ASO treatment. ...
... Further, 38% of dogs in vaccinated wards with inadequate RFFIT titer (<0.5 IU/mL) showed adequate levels of IFN-γ (≥3 ± 1 pg/mL), and surprisingly, 100% of the dogs from wards where MDV was not implemented and also had inadequate RFFIT titer (<0.5 IU/mL) showed adequate levels of IFN-γ. This may be attributed to the previous vaccinations undertaken as part of the ABC-ARV program and the T-cell memory [30][31][32]. ...
... This combination therapy of RT and PD-1/PD-L1 inhibitor improved the longterm survival in preclinical studies and mouse models of melanoma, colorectal cancer, breast cancer, and NSCLC [175][176][177], while also preventing tumor recurrence. It has also shown good promise in some clinical trials: 1. RT increases the effectiveness of PD-L1 inhibition, and 2. In combination with PD-L1 inhibitors, RT increases the patients' survival [178,179]. ...
... The receptors for VIP occurs in numerous tumor cells including thyroid, breast, lung, liver, pancreas, intestinal epithelial cells, colon, bladder, prostate, uterus, and neuroendocrine tumors [178,179]. -colorectal -gamma camera -useful for early tumor SPECT staging due to appropriate tumor accumulation, high stability, low liver accumulation, and high kidney excretion - 68 Ga -DOTA(tBu)3 -4-amino piperidin-1-yl-acetic acid -Lys 8 -Lys 9 -Pro 10 -Tyr 11 -Ile 12 -Leu 13 -preclinical in vitro, in vivo -breast -PET/CT -low in vivo stability, but greater VPAC-affinity and tumor [189] delineation only for NODAGA-conjugate - 64 Cu -N2S2 chelator -x -TP3805 -preclinical in vitro, in vivo -brain -microPET/CT -more specific brain tumor delineation than [ 18 F]FDG, further investigation for clinical translation warranted [190] ...
... Promising results were also obtained with a treatment based on autologous glioma cells treated ex vivo with an antisense oligodeoxynucleotide targeting the IGF-IR (IGF-1R/AS ODN) and re-implanted in patients. Seventeen out of 33 individuals enrolled in a phase Ib trial (NCT02507583) remained progression-free and 12 of them are still alive, demonstrating that an autologous cell vaccine may significantly prolong progression free survival (PFS) and OS compared to standard of care (107). ...
... In two prospective trials ( Segal et al., 2016;Lin et al., 2017a) only mild drug-related toxicities was reported in patients affected by meta- static colo-rectal cancer and renal cell carcinoma, both treated with Pembrolizumab and ablative or palliative RT. In a phase II trial ( Ho et al., 2017) including 9 patients with triple-negative metastatic breast cancer treated with RT and Pembrolizumab, only mild toxicities were preliminarily reported. ...
... Accumulating evidence suggests that integrins found in EVs may promote a proinvasive tumor microenvironment, aiding cells in migration [40,41], immune system remodeling [42], and adhesion and uptake [43]. Exosomal integrins may direct organotropic metastasis after uptake by distant cells [44,45], or even create a migratory leading edge following chemotaxis [40]. ...
... Moreover, the intensity of the Th1 response to the inactivated rCVS11-MAB2560 virus was significantly increased compared to that in the inactivated rCVS11 group (Fig 7), indicating that MAB2560 protein expressed by rCVS11-MAB2560 played an important role in inducing host immune response as an effective Th1 polarizing adjuvant [32]. A strong Th 1 response can provide better protection against RABV infection because the Th1 immune response is a potent inducer of anti-viral effector functions [46,47]. Meanwhile, compared to the inactivated rCVS11 group, the group exposed to the recombinant virus rCVS11-MAB2560 showed that more effector T cells had been stimulated to differentiate into CD4 + memory T cells, which helps the host acquire the ability to mount a secondary response quickly upon subsequent viral antigen exposure (Fig 8). ...
... A neutralizing antibody is effective in neutralizing an extracellular virus, but is less likely to clear an intracellular virus [63]. Lebrun et al. have reported that a strong Th2 response in mice did not guarantee survival when the rabies virus reached central nervous tissues [64]. The delay in stopping the virus from spreading from the periphery to the central nervous system will irretrievably lead to the development of rabies. ...