Takeda Yohei, Kataoka Keisuke, Yamagishi Junya, Ogawa Seishi, Seya Tsukasa, Matsumoto Misako
Department of Vaccine Immunology, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo 060-8638, Japan.
Department of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.
Cell Rep. 2017 May 30;19(9):1874-1887. doi: 10.1016/j.celrep.2017.05.015.
Cancer patients having anti-programmed cell death-1 (PD-1)/PD ligand 1 (L1)-unresponsive tumors may benefit from advanced immunotherapy. Double-stranded RNA triggers dendritic cell (DC) maturation to cross-prime antigen-specific cytotoxic T lymphocytes (CTLs) via Toll-like receptor 3 (TLR3). The TLR3-specific RNA agonist, ARNAX, can induce anti-tumor CTLs without systemic cytokine/interferon (IFN) production. Here, we have developed a safe vaccine adjuvant for cancer that effectively implements anti-PD-L1 therapy. Co-administration of ARNAX with a tumor-associated antigen facilitated tumor regression in mouse models, and in combination with anti-PD-L1 antibody, activated tumor-specific CTLs in lymphoid tissues, enhanced CTL infiltration, and overcame anti-PD-1 resistance without cytokinemia. The TLR3-TICAM-1-interferon regulatory factor (IRF)3-IFN-β axis in DCs exclusively participated in CD8 T cell cross-priming. ARNAX therapy established Th1 immunity in the tumor microenvironment, upregulating genes involved in DC/T cell/natural killer (NK) cell recruitment and functionality. Human ex vivo studies disclosed that ARNAX+antigen induced antigen-specific CTL priming and proliferation in peripheral blood mononuclear cells (PBMCs), supporting the feasibility of ARNAX for potentiating anti-PD-1/PD-L1 therapy in human vaccine immunotherapy.
患有抗程序性细胞死亡蛋白1(PD-1)/PD配体1(L1)无反应性肿瘤的癌症患者可能会从先进的免疫疗法中获益。双链RNA通过Toll样受体3(TLR3)触发树突状细胞(DC)成熟,以交叉启动抗原特异性细胞毒性T淋巴细胞(CTL)。TLR3特异性RNA激动剂ARNAX可诱导抗肿瘤CTL,而不会产生全身性细胞因子/干扰素(IFN)。在此,我们开发了一种用于癌症的安全疫苗佐剂,可有效实施抗PD-L1治疗。在小鼠模型中,ARNAX与肿瘤相关抗原共同给药可促进肿瘤消退,并且与抗PD-L1抗体联合使用时,可激活淋巴组织中的肿瘤特异性CTL,增强CTL浸润,并在无细胞因子血症的情况下克服抗PD-1耐药性。DC中的TLR3-TICAM-1-干扰素调节因子(IRF)3-IFN-β轴专门参与CD8 T细胞交叉启动。ARNAX疗法在肿瘤微环境中建立了Th1免疫,上调了参与DC/T细胞/自然杀伤(NK)细胞募集和功能的基因。人体体外研究表明,ARNAX+抗原可在外周血单核细胞(PBMC)中诱导抗原特异性CTL启动和增殖,支持ARNAX在人类疫苗免疫疗法中增强抗PD-1/PD-L1治疗的可行性。
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