Harvard-MIT Health Sciences and Technology Program, Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA 02139.
Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA 02139.
Proc Natl Acad Sci U S A. 2020 Jun 16;117(24):13428-13436. doi: 10.1073/pnas.2001569117. Epub 2020 Jun 3.
The recent advent of immune checkpoint inhibitor (CPI) antibodies has revolutionized many aspects of cancer therapy, but the efficacy of these breakthrough therapeutics remains limited, as many patients fail to respond for reasons that still largely evade understanding. An array of studies in human patients and animal models has demonstrated that local signaling can generate strongly immunosuppressive microenvironments within tumors, and emerging evidence suggests that delivery of immunostimulatory molecules into tumors can have therapeutic effects. Nanoparticle formulations of these cargoes offer a promising way to maximize their delivery and to enhance the efficacy of checkpoint inhibitors. We developed a modular nanoparticle system capable of encapsulating an array of immunostimulatory oligonucleotides that, in some cases, greatly increase their potency to activate inflammatory signaling within immune cells in vitro. We hypothesized that these immunostimulatory nanoparticles could suppress tumor growth by activating similar signaling in vivo, and thereby also improve responsiveness to immune checkpoint inhibitor antibody therapies. We found that our engineered nanoparticles carrying a CpG DNA ligand of TLR9 can suppress tumor growth in several animal models of various cancers, resulting in an abscopal effect on distant tumors, and improving responsiveness to anti-CTLA4 treatment with combinatorial effects after intratumoral administration. Moreover, by incorporating tumor-homing peptides, immunostimulatory nucleotide-bearing nanoparticles facilitate antitumor efficacy after systemic intravenous (i.v.) administration.
最近,免疫检查点抑制剂(CPI)抗体的出现彻底改变了癌症治疗的许多方面,但这些突破性疗法的疗效仍然有限,因为许多患者由于仍未被充分理解的原因而无法响应。大量的人类患者和动物模型研究表明,局部信号可以在肿瘤内产生强烈的免疫抑制微环境,并且新出现的证据表明,将免疫刺激分子递送到肿瘤中可以产生治疗效果。这些货物的纳米颗粒制剂为最大限度地提高其递送效率并增强检查点抑制剂的疗效提供了一种有前途的方法。我们开发了一种模块化的纳米颗粒系统,能够封装一系列免疫刺激性寡核苷酸,在某些情况下,这些寡核苷酸在体外极大地增强了它们在免疫细胞中激活炎症信号的能力。我们假设这些免疫刺激纳米颗粒可以通过在体内激活类似的信号来抑制肿瘤生长,从而提高对免疫检查点抑制剂抗体治疗的反应性。我们发现,我们携带 TLR9 的 CpG DNA 配体的工程化纳米颗粒可以抑制几种不同癌症动物模型中的肿瘤生长,从而对远处的肿瘤产生远隔效应,并在瘤内给药后通过联合治疗提高对抗 CTLA4 治疗的反应性。此外,通过结合肿瘤归巢肽,携带免疫刺激性核苷酸的纳米颗粒在全身静脉(i.v.)给药后促进了抗肿瘤疗效。
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