Kuo Robert, Saito Eiji, Miller Stephen D, Shea Lonnie D
Department of Chemical Engineering, University of Michigan, Ann Arbor, MI 48109, USA.
Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI 48109, USA.
Mol Ther. 2017 Jul 5;25(7):1676-1685. doi: 10.1016/j.ymthe.2017.03.032. Epub 2017 Apr 10.
Targeted approaches to treat autoimmune diseases would improve upon current therapies that broadly suppress the immune system and lead to detrimental side effects. Antigen-specific tolerance was induced using poly(lactide-co-glycolide) nanoparticles conjugated with disease-relevant antigen to treat a model of multiple sclerosis. Increasing the nanoparticle dose and amount of conjugated antigen both resulted in more durable immune tolerance. To identify active tolerance mechanisms, we investigated downstream cellular and molecular events following nanoparticle internalization by antigen-presenting cells. The initial cell response to nanoparticles indicated suppression of inflammatory signaling pathways. Direct and functional measurement of surface MHC-restricted antigen showed positive correlation with both increasing particle dose from 1 to 100 μg/mL and increasing peptide conjugation by 2-fold. Co-stimulatory analysis of cells expressing MHC-restricted antigen revealed most significant decreases in positive co-stimulatory molecules (CD86, CD80, and CD40) following high doses of nanoparticles with higher peptide conjugation, whereas expression of a negative co-stimulatory molecule (PD-L1) remained high. T cells isolated from mice immunized against myelin proteolipid protein (PLP) were co-cultured with antigen-presenting cells administered PLP-conjugated nanoparticles, which resulted in reduced T cell proliferation, increased T cell apoptosis, and a stronger anti-inflammatory response. These findings indicate several potential mechanisms used by peptide-conjugated nanoparticles to induce antigen-specific tolerance.
针对自身免疫性疾病的靶向治疗方法将改进目前广泛抑制免疫系统并导致有害副作用的疗法。使用与疾病相关抗原偶联的聚(丙交酯 - 乙交酯)纳米颗粒诱导抗原特异性耐受,以治疗多发性硬化症模型。增加纳米颗粒剂量和偶联抗原的量均导致更持久的免疫耐受。为了确定主动耐受机制,我们研究了抗原呈递细胞内化纳米颗粒后下游的细胞和分子事件。细胞对纳米颗粒的初始反应表明炎症信号通路受到抑制。表面MHC限制抗原的直接和功能性测量显示,随着颗粒剂量从1μg/mL增加到100μg/mL以及肽偶联增加2倍,均呈正相关。对表达MHC限制抗原的细胞进行共刺激分析发现,在高剂量、高肽偶联的纳米颗粒作用后,阳性共刺激分子(CD86、CD80和CD40)的减少最为显著,而阴性共刺激分子(PD-L1)的表达仍然很高。从针对髓鞘蛋白脂蛋白(PLP)免疫的小鼠中分离的T细胞与给予PLP偶联纳米颗粒的抗原呈递细胞共培养,这导致T细胞增殖减少、T细胞凋亡增加以及更强的抗炎反应。这些发现表明了肽偶联纳米颗粒用于诱导抗原特异性耐受的几种潜在机制。