Preston A. Wells Jr. Center for Brain Tumor Therapy, UF Brain Tumor Immunotherapy Program, McKnight Brain Institute, Lillian S. Wells Department of Neurosurgery, College of Medicine , University of Florida , Gainesville , Florida 32611 , United States.
Department of Pathology, College of Medicine , University of Florida , Gainesville , Florida 32611 , United States.
Nano Lett. 2018 Oct 10;18(10):6195-6206. doi: 10.1021/acs.nanolett.8b02179. Epub 2018 Sep 27.
Translation of nanoparticles (NPs) into human clinical trials for patients with refractory cancers has lagged due to unknown biologic reactivities of novel NP designs. To overcome these limitations, simple well-characterized mRNA lipid-NPs have been developed as cancer immunotherapeutic vaccines. While the preponderance of RNA lipid-NPs encoding for tumor-associated antigens or neoepitopes have been designed to target lymphoid organs, they remain encumbered by the profound intratumoral and systemic immunosuppression that may stymie an activated T cell response. Herein, we show that systemic localization of untargeted tumor RNA (derived from whole transcriptome) encapsulated in lipid-NPs, with excess positive charge, primes the peripheral and intratumoral milieu for response to immunotherapy. In immunologically resistant tumor models, these RNA-NPs activate the preponderance of systemic and intratumoral myeloid cells (characterized by coexpression of PD-L1 and CD86). Addition of immune checkpoint inhibitors (ICIs) (to animals primed with RNA-NPs) augments peripheral/intratumoral PD-1CD8 cells and mediates synergistic antitumor efficacy in settings where ICIs alone do not confer therapeutic benefit. These synergistic effects are mediated by type I interferon released from plasmacytoid dendritic cells (pDCs). In translational studies, personalized mRNA-NPs were safe and active in a client-owned canine with a spontaneous malignant glioma. In summary, we demonstrate widespread immune activation from tumor loaded RNA-NPs concomitant with inducible PD-L1 expression that can be therapeutically exploited. While immunotherapy remains effective for only a subset of cancer patients, combination therapy with systemic immunomodulating RNA-NPs may broaden its therapeutic potency.
由于新型 NP 设计的未知生物学反应性,将纳米颗粒 (NPs) 转化为难治性癌症患者的人体临床试验一直滞后。为了克服这些限制,已经开发了简单的、特征明确的 mRNA 脂质-NP 作为癌症免疫治疗疫苗。虽然大多数编码肿瘤相关抗原或新表位的 RNA 脂质-NP 旨在靶向淋巴器官,但它们仍然受到深刻的肿瘤内和全身免疫抑制的阻碍,这可能会阻碍激活的 T 细胞反应。在这里,我们表明,封装在脂质-NP 中的未靶向肿瘤 RNA(来自全转录组)的系统定位,带有过多的正电荷,为免疫治疗的反应在周围和肿瘤内环境中做好准备。在免疫抵抗性肿瘤模型中,这些 RNA-NP 激活了占优势的全身和肿瘤内髓样细胞(其特征是 PD-L1 和 CD86 的共表达)。添加免疫检查点抑制剂 (ICI)(对用 RNA-NP 进行预处理的动物)可增加外周/肿瘤内 PD-1CD8 细胞,并在 ICI 单独治疗没有带来治疗益处的情况下介导协同的抗肿瘤疗效。这些协同效应是由浆细胞样树突状细胞 (pDC) 释放的 I 型干扰素介导的。在转化研究中,个性化的 mRNA-NP 在一只患有自发性恶性脑肿瘤的客户拥有的犬中是安全且有效的。总之,我们证明了负载肿瘤的 RNA-NP 可引起广泛的免疫激活,同时诱导 PD-L1 表达,这可被治疗性利用。虽然免疫疗法仍然对少数癌症患者有效,但与全身性免疫调节 RNA-NP 的联合治疗可能会扩大其治疗效力。
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