Key Laboratory of Drug-Targeting and Drug Delivery System of the Education Ministry and Sichuan Province, Sichuan Engineering Laboratory for Plant-Sourced Drug and Sichuan Research Center for Drug Precision Industrial Technology, West China School of Pharmacy, Sichuan University, Chengdu 610041, China.
Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, Chengdu 610072, China.
J Control Release. 2022 Nov;351:231-244. doi: 10.1016/j.jconrel.2022.09.027. Epub 2022 Sep 22.
Immune checkpoint blockade (ICB) can elicit anti-cancer response against tumors growing at normal organs while sparing adjacent tissues. However, many orthotopic tumors respond poorly to ICB therapy due to the lack of pre-existing immune effector cells. Here, we describe a vaccine strategy that induces protective immunity and benefits ICB therapy. An injectable hydrogel platform that forms scaffold subcutaneously was applied to deliver autologous cancer cells undergoing oncolysis (ACCO) as immunogenic antigen source and toll-like receptor 9 agonists (CpG) as additional adjuvant. When administered as a prophylactic, the hydrogel-based vaccine, denoted as (ACCO+CpG)@Gel, successfully built a durable and tumor antigen-specific immune memory against subsequent challenges with orthotopic engraftment of autologous tumors including melanoma, colon carcinoma, and lung carcinoma. Although the vaccination did not completely prevent tumor occurrence, tumors orthotopically established in vaccinated mice acquired significant enhancement in tumor-infiltrating CD8+ T cells and intratumoral PD-L1 expression, which ameliorated the immune status and rendered the originally irresponsive tumors responsible to anti-PD-L1 therapy. Further treatment with PD-L1 blockade therapy efficiently delayed the tumor growth and prolonged the survival of these orthotopic cancer models. Thus, without the need for precisely delivering immunoactivatory agents to tumor or locally remodeling tumor microenvironment, "priming" intractable or inaccessible tumors for subsequent ICB therapy could be achieved by prophylactic vaccination with (ACCO+CpG)@Gel. These findings highlighted (ACCO+CpG)@Gel as a generalized framework of protective vaccine strategy that could be broadly applicable to potentiate ICB therapy against multiple types of orthotopic tumors growing in different regions.
免疫检查点阻断 (ICB) 可以在不损伤相邻组织的情况下,针对正常器官生长的肿瘤引发抗癌反应。然而,由于缺乏预先存在的免疫效应细胞,许多原位肿瘤对 ICB 治疗反应不佳。在这里,我们描述了一种可以诱导保护性免疫并受益于 ICB 治疗的疫苗策略。我们应用了一种可注射的水凝胶平台,在皮下形成支架,将进行溶瘤的自体癌细胞 (ACCO) 作为免疫原性抗原源,并将 Toll 样受体 9 激动剂 (CpG) 作为额外的佐剂递送至其中。作为一种预防性治疗,这种基于水凝胶的疫苗被命名为 (ACCO+CpG)@Gel,成功地针对随后的同源移植自体肿瘤(包括黑色素瘤、结肠腺癌和肺癌)挑战建立了持久的、肿瘤抗原特异性的免疫记忆。尽管该疫苗接种并不能完全预防肿瘤的发生,但接种疫苗的小鼠中同源建立的肿瘤获得了显著增强的肿瘤浸润性 CD8+T 细胞和肿瘤内 PD-L1 表达,这改善了免疫状态,并使原本对 PD-L1 治疗无反应的肿瘤对其敏感。进一步的 PD-L1 阻断治疗有效地延迟了这些同源肿瘤模型的肿瘤生长并延长了它们的生存时间。因此,无需精确地将免疫激活剂递送至肿瘤或局部重塑肿瘤微环境,通过 (ACCO+CpG)@Gel 进行预防性疫苗接种就可以“启动”后续 ICB 治疗的难治性或难以接近的肿瘤。这些发现强调了 (ACCO+CpG)@Gel 作为一种通用的保护性疫苗策略框架,可以广泛应用于增强针对不同部位生长的多种同源肿瘤的 ICB 治疗效果。
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