瘤内递送 HPV 疫苗可引发广泛的抗肿瘤免疫反应,在临床前 HPV 小鼠模型中转化为强大的抗肿瘤效果。

Intratumoral delivery of an HPV vaccine elicits a broad anti-tumor immune response that translates into a potent anti-tumor effect in a preclinical murine HPV model.

机构信息

Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Department of Otolaryngology-Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.

出版信息

Cancer Immunol Immunother. 2019 Aug;68(8):1273-1286. doi: 10.1007/s00262-019-02357-1. Epub 2019 Jun 26.

Abstract

Therapeutic cancer vaccines have met limited clinical success. In the setting of cancer, the immune system is either tolerized and/or has a limited tumor-specific T cell repertoire. In this study, we explore whether intratumoral (IT) vaccination with an HPV vaccine can elicit quantitative and qualitative differences in immune response as compared to intramuscular (IM) vaccination to overcome immune resistance in established tumors. We report that IT administration of an HPV-16 E7 peptide vaccine formulated with polyinosinic-polycytidylic acid [poly(I:C)] generated an enhanced antitumor effect relative to IM delivery. The elicited anti-tumor effect with IT vaccination was consistent among the vaccinated groups and across various C57BL/6 substrains. IT vaccination resulted in an increased frequency of PD-1 TILs, which represented both vaccine-targeted and non-vaccine-targeted tumor-specific CD8 T cells. Overall, the CD8/Treg ratio was increased within the tumor microenvironment using IT vaccination. We also assessed transcriptional changes in several immune-related genes in the tumor microenvironment of the various treated groups, and our data suggest that IT vaccination leads to upregulation of a broad complement of immunomodulatory genes, including upregulation of interferon gamma (IFNγ) and antigen presentation and processing machine (APM) components. IT vaccine delivery is superior to traditional IM vaccination routes with the potential to improve tumor immunogenicity, which has potential clinical application in the setting of accessible lesions such as head and neck squamous cell carcinomas (HNSCCs).

摘要

治疗性癌症疫苗的临床疗效有限。在癌症的情况下,免疫系统要么耐受,要么具有有限的肿瘤特异性 T 细胞库。在这项研究中,我们探讨了与肌肉内(IM)接种相比,肿瘤内(IT)接种 HPV 疫苗是否可以在免疫抵抗已建立的肿瘤时引起免疫反应的数量和质量上的差异。我们报告说,用聚肌苷酸-聚胞苷酸[poly(I:C)]配制的 HPV-16 E7 肽疫苗进行 IT 给药相对于 IM 给药可产生增强的抗肿瘤作用。在接种疫苗的各组中,以及在各种 C57BL/6 亚系中,接种疫苗的抗肿瘤作用是一致的。IT 疫苗接种导致 PD-1 TIL 的频率增加,这些 TIL 代表了针对疫苗和非疫苗靶向的肿瘤特异性 CD8 T 细胞。总体而言,使用 IT 疫苗接种可增加肿瘤微环境中的 CD8/Treg 比值。我们还评估了几种免疫相关基因在各种治疗组肿瘤微环境中的转录变化,我们的数据表明,IT 疫苗接种可导致广泛的免疫调节基因上调,包括干扰素 γ(IFNγ)和抗原呈递和加工机器(APM)成分的上调。IT 疫苗接种优于传统的 IM 疫苗接种途径,具有改善肿瘤免疫原性的潜力,在可触及的病变(如头颈部鳞状细胞癌(HNSCC))中具有潜在的临床应用。

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