Department of Pharmaceutics, Cancer Research Institute Ghent (CRIG), Ghent University, 9000, Ghent, Belgium.
Cytokine Receptor Laboratory, Flanders Institute of Biotechnology, VIB-UGent Center for Medical Biotechnology, Faculty of Medicine and Health Sciences, Cancer Research Institute Ghent (CRIG), Ghent University, 9000, Ghent, Belgium.
Adv Mater. 2018 Nov;30(45):e1803397. doi: 10.1002/adma.201803397. Epub 2018 Oct 1.
Localized therapeutic modalities that subvert the tumor microenvironment from immune-suppressive to pro-immunogenic can elicit systemic antitumor immune responses that induce regression of directly treated as well as nontreated distal tumors. A key toward generating robust antitumor T cell responses is the activation of dendritic cells (DCs) in the tumor microenvironment. Treatment with agonists triggering various pattern recognition receptors is very efficient to activate DCs, yet suffers from the induction of serious immune-related adverse effects, which is closely linked to their unfavorable PK/PD profile causing systemic immune activation and cytokine release. Here, it is reported that nanoparticle conjugation of a highly potent TLR7/8 agonist restricts immune activation to the tumor bed and its sentinel lymph nodes without hampering therapeutic antitumor efficacy. On a mechanistic level, it is confirmed that localized treatment with a nanoparticle-conjugated TLR7/8 agonist leads to potent activation of DCs in the sentinel lymph nodes and promotes proliferation of tumor antigen-specific CD8 T cells. Furthermore, therapeutic improvement upon combination with anti-PDL1 checkpoint inhibition and Flt3L, a growth factor that expands and mobilizes DCs from the bone marrow, is demonstrated. The findings provide a rational base for localized tumor engineering by nanomedicine strategies that provide spatial control over immune-activation.
局部治疗方法可以使肿瘤微环境从免疫抑制转变为免疫原性,从而引发全身性抗肿瘤免疫反应,促使直接治疗和未治疗的远端肿瘤消退。产生强大的抗肿瘤 T 细胞反应的关键是在肿瘤微环境中激活树突状细胞 (DC)。使用触发各种模式识别受体的激动剂治疗非常有效地激活 DC,但会引起严重的免疫相关不良反应,这与其不利的 PK/PD 特征密切相关,会导致全身性免疫激活和细胞因子释放。在这里,据报道,高活性 TLR7/8 激动剂的纳米粒子缀合将免疫激活限制在肿瘤床及其哨兵淋巴结,而不会损害治疗抗肿瘤疗效。在机制水平上,证实局部使用 TLR7/8 激动剂纳米粒子缀合物可在哨兵淋巴结中有效激活 DC,并促进肿瘤抗原特异性 CD8 T 细胞的增殖。此外,还证明了与抗 PD-L1 检查点抑制和 Flt3L(一种从骨髓中扩增和动员 DC 的生长因子)联合治疗可改善疗效。这些发现为通过纳米医学策略进行局部肿瘤工程提供了合理的基础,该策略可对免疫激活进行空间控制。
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