Center for Translational Medicine, Precision Medicine Institute, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, China.
Department of Pharmaceutics and Center for Pharmaceutical Engineering and Sciences; Institute for Structural Biology and Drug Discovery, School of Pharmacy; The Developmental Therapeutics Program, Massey Cancer Center, Virginia Commonwealth University, Richmond, VA, 23298, USA.
Adv Sci (Weinh). 2022 Aug;9(23):e2201895. doi: 10.1002/advs.202201895. Epub 2022 Jun 16.
Immune checkpoint blockade (ICB) has significantly advanced cancer immunotherapy, yet its patient response rates are generally low. Vaccines, including immunostimulant-adjuvanted peptide antigens, can improve ICB. The emerging neoantigens generated by cancer somatic mutations elicit cancer-specific immunity for personalized immunotherapy; the novel cyclic dinucleotide (CDN) adjuvants activate stimulator of interferon genes (STING) for antitumor type I interferon (IFN-I) responses. However, CDN/neoantigen vaccine development has been limited by the poor antigen/adjuvant codelivery. Here, pH-responsive CDN/neoantigen codelivering nanovaccines (NVs) for ICB combination tumor immunotherapy are reported. pH-responsive polymers are synthesized to be self-assembled into multivesicular nanoparticles (NPs) at physiological pH and disassembled at acidic conditions. NPs with high CDN/antigen coloading are selected as NVs for CDN/antigen codelivery to antigen presenting cells (APCs) in immunomodulatory lymph nodes (LNs). In the acidic endosome of APCs, pH-responsive NVs facilitate the vaccine release and escape into cytosol, where CDNs activate STING for IFN-I responses and antigens are presented by major histocompatibility complex (MHC) for T-cell priming. In mice, NVs elicit potent antigen-specific CD8 T-cell responses with immune memory, and reduce multifaceted tumor immunosuppression. In syngeneic murine tumors, NVs show robust ICB combination therapeutic efficacy. Overall, these CDN/neoantigen-codelivering NVs hold the potential for ICB combination tumor immunotherapy.
免疫检查点阻断 (ICB) 显著推动了癌症免疫疗法的发展,但患者的响应率通常较低。疫苗,包括免疫佐剂增强的肽抗原,可以提高 ICB 的效果。癌症体细胞突变产生的新兴新抗原引发针对个体肿瘤的特异性免疫,新型环状二核苷酸 (CDN) 佐剂激活干扰素基因刺激物 (STING) 以产生抗肿瘤 I 型干扰素 (IFN-I) 反应。然而,CDN/新抗原疫苗的开发受到抗原/佐剂共递送效果不佳的限制。本研究报道了用于 ICB 联合肿瘤免疫治疗的 pH 响应型 CDN/新抗原共递纳米疫苗 (NVs)。合成 pH 响应型聚合物,在生理 pH 下自组装成多泡纳米颗粒 (NPs),在酸性条件下解组装。选择具有高 CDN/抗原共载量的 NPs 作为 NVs,用于在免疫调节淋巴结 (LNs) 中向抗原呈递细胞 (APC) 共递 CDN/抗原。在 APC 的酸性内涵体中,pH 响应型 NVs 促进疫苗的释放和逃逸到细胞质中,CDNs 在细胞质中激活 STING 以产生 IFN-I 反应,抗原由主要组织相容性复合物 (MHC) 呈递以进行 T 细胞启动。在小鼠中,NVs 引发具有免疫记忆的强烈的抗原特异性 CD8 T 细胞反应,并减轻多种肿瘤免疫抑制。在同种异体小鼠肿瘤中,NVs 表现出强大的 ICB 联合治疗疗效。总之,这些共递 CDN/新抗原的 NVs 具有用于 ICB 联合肿瘤免疫治疗的潜力。
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