Kosmides A K, Meyer R A, Hickey J W, Aje K, Cheung K N, Green J J, Schneck J P
Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD, 21231, USA.
Institute for Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, MD, 21231, USA.
Biomaterials. 2017 Feb;118:16-26. doi: 10.1016/j.biomaterials.2016.11.038. Epub 2016 Dec 2.
Biomimetic materials that target the immune system and generate an anti-tumor responses hold promise in augmenting cancer immunotherapy. These synthetic materials can be engineered and optimized for their biodegradability, physical parameters such as shape and size, and controlled release of immune-modulators. As these new platforms enter the playing field, it is imperative to understand their interaction with existing immunotherapies since single-targeted approaches have limited efficacy. Here, we investigate the synergy between a PLGA-based artificial antigen presenting cell (aAPC) and a checkpoint blockade molecule, anti-PD1 monoclonal antibody (mAb). The combination of antigen-specific aAPC-based activation and anti-PD-1 mAb checkpoint blockade induced the greatest IFN-γ secretion by CD8+ T cells in vitro. Combination treatment also acted synergistically in an in vivo murine melanoma model to result in delayed tumor growth and extended survival, while either treatment alone had no effect. This was shown mechanistically to be due to decreased PD-1 expression and increased antigen-specific proliferation of CD8+ T cells within the tumor microenvironment and spleen. Thus, biomaterial-based therapy can synergize with other immunotherapies and motivates the translation of biomimetic combinatorial treatments.
靶向免疫系统并产生抗肿瘤反应的仿生材料在增强癌症免疫治疗方面具有前景。这些合成材料可以针对其生物降解性、形状和大小等物理参数以及免疫调节剂的控释进行设计和优化。随着这些新平台进入该领域,由于单靶点方法疗效有限,了解它们与现有免疫疗法的相互作用变得至关重要。在这里,我们研究了基于聚乳酸-羟基乙酸共聚物(PLGA)的人工抗原呈递细胞(aAPC)与检查点阻断分子抗程序性死亡蛋白1(PD1)单克隆抗体(mAb)之间的协同作用。基于抗原特异性aAPC的激活与抗PD-1 mAb检查点阻断的联合在体外诱导CD8+T细胞分泌最大量的γ干扰素(IFN-γ)。联合治疗在体内小鼠黑色素瘤模型中也具有协同作用,导致肿瘤生长延迟和生存期延长,而单独任何一种治疗均无效。从机制上看,这是由于肿瘤微环境和脾脏内PD-1表达降低以及CD8+T细胞抗原特异性增殖增加所致。因此,基于生物材料的疗法可以与其他免疫疗法协同作用,并推动仿生联合治疗的转化应用。