CIC biomaGUNE, Paseo Miramón 182, 20014 San Sebastián, Spain.
IKERBASQUE, Basque Foundation for Science, 48011 Bilbao, Spain.
Biomaterials. 2018 Jul;170:95-115. doi: 10.1016/j.biomaterials.2018.04.003. Epub 2018 Apr 3.
Encouraging results are emerging from systems that exploit Toll like receptor (TLR) signaling, nanotechnology, checkpoint inhibition and molecular imaging for cancer immunotherapy. A major remaining challenge is developing effective, durable and tumour-specific immune responses without systemic toxicity. Here, we report a simple and versatile system based on synergistic activation of immune responses and direct cancer cell killing by combined TLR ligation using polyIC as TLR3 and imiquimod (R837) as TLR7 agonist, in combination with the model antigen ovalbumin (OVA) and phospholipid micelles loaded with zinc-doped iron oxide magnetic nanoparticles (MNPs). The combination of TLR agonists triggered a strong innate immune response in the lymph nodes (LNs) without systemic release of pro-inflammatory cytokines. The vaccines showed excellent efficacy against aggressive B16-F10 melanoma cells expressing OVA, which was improved with immune checkpoint abrogation of the immunosuppressive programmed death-ligand 1 (PD-L1) at the level of the cancer cells. By magnetic resonance (MR) and nuclear imaging we could track the vaccine migration from the site of injection to LNs and tumour. Overall, we show this synergistic TLR agonists and their combination with MNPs and immune checkpoint blockade to have considerable potential for preclinical and clinical development of vaccines for cancer immunotherapy.
从利用 Toll 样受体 (TLR) 信号转导、纳米技术、检查点抑制和分子成像进行癌症免疫治疗的系统中,涌现出令人鼓舞的结果。一个主要的剩余挑战是开发有效的、持久的和肿瘤特异性的免疫反应,而没有全身毒性。在这里,我们报告了一种简单而通用的系统,该系统基于通过聚肌苷酸 (polyIC) 作为 TLR3 和咪喹莫特 (R837) 作为 TLR7 激动剂联合 TLR 连接,协同激活免疫反应,并直接杀伤癌细胞,联合模型抗原卵清蛋白 (OVA) 和载有锌掺杂氧化铁磁性纳米颗粒 (MNP) 的磷脂胶束。TLR 激动剂的组合在淋巴结 (LN) 中引发强烈的先天免疫反应,而没有全身释放促炎细胞因子。疫苗对表达 OVA 的侵袭性 B16-F10 黑色素瘤细胞表现出优异的疗效,通过在癌细胞水平上阻断免疫抑制程序性死亡配体 1 (PD-L1) 的免疫检查点,疗效得到了提高。通过磁共振 (MR) 和核成像,我们可以追踪疫苗从注射部位到 LN 和肿瘤的迁移。总的来说,我们表明,这种协同 TLR 激动剂及其与 MNP 和免疫检查点阻断的组合,为癌症免疫治疗的疫苗的临床前和临床开发具有相当大的潜力。