Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA.
Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, USA.
Nat Cancer. 2020 Sep;1(9):882-893. doi: 10.1038/s43018-020-0095-6. Epub 2020 Aug 10.
Therapies that synergistically stimulate immunogenic cancer cell death (ICD), inflammation, and immune priming are of great interest for cancer immunotherapy. However, even multi-agent therapies often fail to trigger all of the steps necessary for self-sustaining anti-tumor immunity. Here we describe self-replicating RNAs encapsulated in lipid nanoparticles (LNP-replicons), which combine three key elements: (1) an LNP composition that potently promotes ICD, (2) RNA that stimulates danger sensors in transfected cells, and (3) RNA-encoded IL-12 for modulation of immune cells. Intratumoral administration of LNP-replicons led to high-level expression of IL-12, stimulation of a type I interferon response, and cancer cell ICD, resulting in a highly inflamed tumor microenvironment and priming of systemic anti-tumor immunity. In several mouse models of cancer, a single intratumoral injection of replicon-LNPs eradicated large established tumors, induced protective immune memory, and enabled regression of distal uninjected tumors. LNP-replicons are thus a promising multifunctional single-agent immunotherapeutic.
联合刺激免疫原性癌细胞死亡 (ICD)、炎症和免疫启动的疗法是癌症免疫治疗的重要研究方向。然而,即使是多药物联合治疗也常常无法触发自我维持抗肿瘤免疫所需的所有步骤。在这里,我们描述了封装在脂质纳米颗粒 (LNP-replicons) 中的自我复制 RNA,它结合了三个关键要素:(1) 一种能够强烈促进 ICD 的 LNP 组成,(2) 转染细胞中刺激危险传感器的 RNA,以及 (3) RNA 编码的 IL-12 用于调节免疫细胞。LNP-replicons 的肿瘤内给药导致高水平的 IL-12 表达、I 型干扰素反应的刺激和癌细胞 ICD,导致高度炎症的肿瘤微环境和全身性抗肿瘤免疫的启动。在几种癌症的小鼠模型中,单次肿瘤内注射 replicon-LNPs 即可根除已建立的大型肿瘤,诱导保护性免疫记忆,并使未注射的远端肿瘤消退。因此,LNP-replicons 是一种很有前途的多功能单药免疫治疗药物。
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