ACS Biomater Sci Eng. 2022 Jun 13;8(6):2518-2525. doi: 10.1021/acsbiomaterials.2c00284. Epub 2022 May 6.
Despite advances in laparoscopic surgery combined with neoadjuvant and adjuvant therapy, colon cancer management remains challenging in oncology. Recurrence of cancerous tissue locally or in distant organs (metastasis) is the major problem in colon cancer management. Vaccines and immunotherapies hold promise in preventing cancer recurrence through stimulation of the immune system. We and others have shown that nanoparticles from plant viruses, such as cowpea mosaic virus (CPMV) nanoparticles, are potent immune adjuvants for cancer vaccines and serve as immunostimulatory agents in the treatment or prevention of tumors. While being noninfectious toward mammals, CPMV activates the innate immune system through recognition by pattern recognition receptors (PRRs). While the particulate structure of CPMV is essential for prominent immune activation, the proteinaceous architecture makes CPMV subject to degradation ; thus, CPMV immunotherapy requires repeated injections for optimal outcome. Frequent intraperitoneal (IP) injections however are not optimal from a clinical point of view and can worsen the patient's quality of life due to the hospitalization required for IP administration. To overcome the need for repeated IP injections, we loaded CPMV nanoparticles in injectable chitosan/glycerophosphate (GP) hydrogel formulations, characterized their slow-release potential, and assessed the antitumor preventative efficacy of CPMV-in-hydrogel single dose soluble CPMV (single and prime-boost administration). Using fluorescently labeled CPMV-in-hydrogel formulations, release data indicated that single IP injection of the hydrogel formulation yielded a gel depot that supplied intact CPMV over the study period of 3 weeks, while soluble CPMV lasted only for one week. IP administration of the CPMV-in-hydrogel formulation boosted with soluble CPMV for combined immediate and sustained immune activation significantly inhibited colon cancer growth after CT26 IP challenge in BALB/c mice. The observed antitumor efficacy suggests that CPMV can be formulated in a chitosan/GP hydrogel to achieve prolonged immunostimulatory effects as single-dose immunotherapy against colon cancer recurrence. The present findings illustrate the potential of injectable hydrogel technology to accommodate plant virus nanoparticles to boost the translational development of effective antitumor immunotherapies.
尽管腹腔镜手术结合新辅助和辅助治疗取得了进展,但肿瘤学中结肠癌的治疗仍然具有挑战性。癌症组织在局部或远处器官(转移)的复发是结肠癌治疗的主要问题。疫苗和免疫疗法通过刺激免疫系统有望预防癌症复发。我们和其他人已经表明,来自植物病毒的纳米颗粒,如豇豆花叶病毒(CPMV)纳米颗粒,是有效的癌症疫苗免疫佐剂,并作为治疗或预防肿瘤的免疫刺激剂。虽然对哺乳动物没有传染性,但 CPMV 通过模式识别受体(PRRs)的识别激活先天免疫系统。虽然 CPMV 的颗粒结构对于显著的免疫激活是必要的,但蛋白质结构使其易受降解的影响;因此,CPMV 免疫疗法需要重复注射以获得最佳效果。然而,从临床角度来看,频繁的腹腔内(IP)注射并不理想,并且由于需要进行 IP 给药而可能会恶化患者的生活质量。为了克服重复 IP 注射的需求,我们将 CPMV 纳米颗粒装载到可注射壳聚糖/甘油磷酸(GP)水凝胶制剂中,表征了它们的缓慢释放潜力,并评估了 CPMV 水凝胶单次剂量的抗肿瘤预防功效可溶性 CPMV(单次和加强免疫)。使用荧光标记的 CPMV 水凝胶制剂,释放数据表明,单次 IP 注射水凝胶制剂可在 3 周的研究期间提供完整的 CPMV 凝胶库,而可溶性 CPMV 仅持续一周。CPMV 水凝胶制剂联合可溶性 CPMV 进行 IP 给药,可立即和持续激活免疫,显著抑制 BALB/c 小鼠 CT26 IP 攻击后的结肠癌生长。观察到的抗肿瘤疗效表明,CPMV 可以在壳聚糖/GP 水凝胶中进行配方,以实现单次剂量免疫疗法预防结肠癌复发的长期免疫刺激作用。这些发现说明了可注射水凝胶技术的潜力,可以容纳植物病毒纳米颗粒,以促进有效的抗肿瘤免疫疗法的转化发展。