Lu Xueguang, Miao Lei, Gao Wenting, Chen Ziqi, McHugh Kevin J, Sun Yehui, Tochka Zachary, Tomasic Stephanie, Sadtler Kaitlyn, Hyacinthe Alain, Huang Yuxuan, Graf Tyler, Hu Quanyin, Sarmadi Morteza, Langer Robert, Anderson Daniel G, Jaklenec Ana
David H. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Department of Bioengineering, Rice University, 6500 Main Street, Houston, TX 77005, USA.
Sci Transl Med. 2020 Aug 12;12(556). doi: 10.1126/scitranslmed.aaz6606.
Activation of the stimulator of interferon gene (STING) pathway within the tumor microenvironment has been shown to generate a strong antitumor response. Although local administration of STING agonists has promise for cancer immunotherapy, the dosing regimen needed to achieve efficacy requires frequent intratumoral injections over months. Frequent dosing for cancer treatment is associated with poor patient adherence, with as high as 48% of patients failing to comply. Multiple intratumoral injections also disrupt the tumor microenvironment and vascular networks and therefore increase the risk of metastasis. Here, we developed microfabricated polylactic--glycolic acid (PLGA) particles that remain at the site of injection and release encapsulated STING agonist as a programmable sequence of pulses at predetermined time points that mimic multiple injections over days to weeks. A single intratumoral injection of STING agonist-loaded microparticles triggered potent local and systemic antitumor immune responses, inhibited tumor growth, and prolonged survival as effectively as multiple soluble doses, but with reduced metastasis in several mouse tumor models. STING agonist-loaded microparticles improved the response to immune checkpoint blockade therapy and substantially decreased the tumor recurrence rate from 100 to 25% in mouse models of melanoma when administered during surgical resection. In addition, we demonstrated the therapeutic efficacy of STING microparticles on an orthotopic pancreatic cancer model in mice that does not allow multiple intratumoral injections. These findings could directly benefit current STING agonist therapy by decreasing the number of injections, reducing risk of metastasis, and expanding its applicability to hard-to-reach cancers.
肿瘤微环境中干扰素基因刺激物(STING)通路的激活已被证明能产生强烈的抗肿瘤反应。尽管局部施用STING激动剂有望用于癌症免疫治疗,但实现疗效所需的给药方案需要在数月内频繁进行瘤内注射。癌症治疗的频繁给药与患者依从性差有关,高达48%的患者不遵守医嘱。多次瘤内注射还会破坏肿瘤微环境和血管网络,因此增加转移风险。在此,我们开发了微制造的聚乳酸-乙醇酸(PLGA)颗粒,其可留在注射部位,并在预定时间点以可编程的脉冲序列释放封装的STING激动剂,模拟数天至数周内的多次注射。在几种小鼠肿瘤模型中,单次瘤内注射负载STING激动剂的微粒引发了有效的局部和全身抗肿瘤免疫反应,抑制了肿瘤生长,延长了生存期,其效果与多次可溶性剂量相同,但转移减少。负载STING激动剂的微粒改善了对免疫检查点阻断疗法的反应,并且在黑色素瘤小鼠模型中,在手术切除期间给药时,肿瘤复发率从100%大幅降至25%。此外,我们证明了STING微粒在不允许多次瘤内注射的小鼠原位胰腺癌模型上的治疗效果。这些发现可通过减少注射次数、降低转移风险以及扩大其对难以触及的癌症的适用性,直接使当前的STING激动剂疗法受益。
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