Department of Hematology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, 1665# Kong jiang Road, Shanghai, 200090, China.
Cancer Immunol Immunother. 2022 Sep;71(9):2197-2212. doi: 10.1007/s00262-021-03138-5. Epub 2022 Jan 29.
Cell-released nanovesicles can induce anti-leukemia immunity. Leukemia cell-derived exosomes (LEXs) are promising anti-tumor vaccine components for cancer immunotherapy. Nonetheless, LEX-based vaccines show modest potency in vivo, likely due to the presence of immunosuppressive PD-L1 proteins in the exosomes. We hypothesized that targeting exosomal PD-L1 could optimize LEX-based vaccines. To test this hypothesis, we compared the capacity of exosomes derived from PD-L1-silenced acute lymphocytic leukemia-derived leukemia cells (LEX) and non-modified exosomes to induce anti-leukemia immunity. Lentivirus-mediated PD-L1 shRNA was used to downregulate PD-L1 expression in parental leukemia cells and LEXs. LEX were characterized by electron microscopy, Western blotting, nanoparticle tracking analysis and flow cytometry, and their anti-leukemia immune effects were tested on immune cells and in animal models. In the present study, lentivirus-mediated PD-L1 shRNA successfully downregulated PD-L1 expression in parental leukemia cells and in LEXs. LEX induced better DC maturation and subsequently enhanced T cell activation, as compared with non-modified LEXs. Consistently, immunization with LEX induced greater T cell proliferation and Th1 cytokine release. LEX was a more potent inducer of antigen-specific cytotoxic lymphocyte (CTL) response. Finally, we vaccinated DBA/2 mice with exosome formulations to test their ability to induce both protective and therapeutic anti-tumor CTL responses in vivo. Vaccination with LEX strongly inhibited tumor growth and prolonged survival of immunized mice. Downregulation of exosomal PD-L1 expression in LEXs effectively induces more potent anti-leukemia immunity. Therefore, our strategy for optimizing LEX-based vaccine has a potential application in leukemia immunotherapy.
细胞释放的纳米囊泡可以诱导抗白血病免疫。白血病细胞衍生的外泌体(LEX)是癌症免疫治疗中很有前途的抗肿瘤疫苗成分。然而,基于 LEX 的疫苗在体内显示出适度的效力,这可能是由于外泌体中存在免疫抑制性 PD-L1 蛋白。我们假设靶向外泌体 PD-L1 可以优化基于 LEX 的疫苗。为了验证这一假设,我们比较了沉默 PD-L1 的急性淋巴细胞白血病衍生白血病细胞(LEX)和未修饰的外泌体衍生的外泌体诱导抗白血病免疫的能力。慢病毒介导的 PD-L1 shRNA 用于下调亲本白血病细胞和 LEX 中的 PD-L1 表达。通过电子显微镜、Western blot、纳米颗粒跟踪分析和流式细胞术对 LEX 进行了表征,并在免疫细胞和动物模型上测试了它们的抗白血病免疫效应。在本研究中,慢病毒介导的 PD-L1 shRNA 成功下调了亲本白血病细胞和 LEX 中的 PD-L1 表达。与未修饰的 LEX 相比,LEX 诱导更好的 DC 成熟,进而增强 T 细胞激活。一致地,用 LEX 免疫诱导了更强的 T 细胞增殖和 Th1 细胞因子释放。LEX 是抗原特异性细胞毒性 T 淋巴细胞(CTL)反应的更有效诱导剂。最后,我们用外泌体制剂对 DBA/2 小鼠进行了疫苗接种,以测试它们在体内诱导保护性和治疗性抗肿瘤 CTL 反应的能力。用 LEX 疫苗接种强烈抑制肿瘤生长并延长免疫小鼠的存活期。下调 LEX 中外泌体 PD-L1 的表达可有效诱导更强的抗白血病免疫。因此,我们优化基于 LEX 的疫苗的策略在白血病免疫治疗中具有潜在的应用价值。