用于改善癌症化学免疫疗法的红细胞疫苗。
Red blood cell-based vaccines for ameliorating cancer chemoimmunotherapy.
作者信息
Su Lanhong, Hao Yuhao, Li Rui, Pan Wen, Ma Xiaopeng, Weng Jianping, Min Yuanzeng
机构信息
Department of Chemistry, University of Science and Technology of China, Hefei, China.
The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
出版信息
Acta Biomater. 2022 Dec;154:401-411. doi: 10.1016/j.actbio.2022.10.001. Epub 2022 Oct 12.
Immune checkpoint blockade (ICB) therapy has shown promising antitumor effects, but its immune response rate remains unsatisfactory. In recent years, chemotherapy has been proven to have synergistic effects with ICB therapy because some chemotherapeutic agents can enhance the immunogenicity of tumor cells by inducing immunogenic cell death (ICD). However, it cannot be ignored that chemotherapy often shows limited therapeutic efficacy due to high cytotoxicity, drug resistance, and some other side effects. Herein, we report a strategy to improve cancer immunotherapy by utilizing red blood cell-based vaccines (RBC-vaccines) where chemotherapy-induced tumor antigens (cAgs) are anchored onto red blood cells (RBCs) via the EDC/NHS-mediated amine coupling reaction. In this work, RBC-vaccines administered subcutaneously are primarily devoured by dendritic cells (DCs) and significantly improve the efficacy of αPD-1 (anti-programmed cell death 1) treatment by increasing the infiltration of intratumoral CD8 and CD4 T cells and elevating the intratumoral ratio of CD8 T cells to regulatory T cells in the CT-26 colon cancer model. Finally, based on the rejection of tumor rechallenge in cured mice, the combination therapy of RBC-vaccines and αPD-1 can induce the expansion of memory T cells and thereby establish a long-term antitumor immune response. Taken together, the proposed RBC-vaccines have great potential to improve chemoimmunotherapy. STATEMENT OF SIGNIFICANCE: Immunotherapy, especially immune checkpoint blockade therapy, has made great contributions to the treatment of some advanced cancers. Unfortunately, the great majority of patients with cancer do not benefit from immunotherapy. To enhance the response rate of immunotherapy, we developed red blood cell-based vaccines (RBC-vaccines) against cancers where antigens were harvested from chemotherapy-treated cancer cells and then attached to erythrocytes via covalent surface modification. Such RBC-vaccines could provide a wide variety of tumor antigens and damage-associated molecular patterns without the use of any extra ingredients to trigger a stronger antitumor immune response. More importantly, the combination of RBC-vaccines with PD-1 blockade could significantly improve the efficacy of cancer immunotherapy and induce durable antitumor immunity.
免疫检查点阻断(ICB)疗法已显示出有前景的抗肿瘤效果,但其免疫应答率仍不尽人意。近年来,化疗已被证明与ICB疗法具有协同作用,因为一些化疗药物可通过诱导免疫原性细胞死亡(ICD)来增强肿瘤细胞的免疫原性。然而,不可忽视的是,由于高细胞毒性、耐药性及其他一些副作用,化疗的治疗效果往往有限。在此,我们报告一种利用基于红细胞的疫苗(RBC疫苗)来改善癌症免疫治疗的策略,其中化疗诱导的肿瘤抗原(cAgs)通过EDC/NHS介导的胺偶联反应锚定在红细胞(RBCs)上。在这项工作中,皮下注射的RBC疫苗主要被树突状细胞(DCs)吞噬,并通过增加肿瘤内CD8和CD4 T细胞的浸润以及提高CT-26结肠癌模型中肿瘤内CD8 T细胞与调节性T细胞的比例,显著提高αPD-1(抗程序性细胞死亡1)治疗的疗效。最后,基于治愈小鼠对肿瘤再次攻击的排斥反应,RBC疫苗与αPD-1的联合治疗可诱导记忆T细胞的扩增,从而建立长期的抗肿瘤免疫反应。综上所述,所提出的RBC疫苗在改善化疗免疫治疗方面具有巨大潜力。重要意义声明:免疫疗法,尤其是免疫检查点阻断疗法,已为一些晚期癌症的治疗做出了巨大贡献。不幸的是,绝大多数癌症患者并未从免疫疗法中获益。为提高免疫疗法的应答率,我们开发了针对癌症的基于红细胞的疫苗(RBC疫苗),其抗原取自化疗处理过的癌细胞,然后通过共价表面修饰附着于红细胞。此类RBC疫苗无需使用任何额外成分即可提供多种肿瘤抗原和损伤相关分子模式,从而引发更强的抗肿瘤免疫反应。更重要的是,RBC疫苗与PD-1阻断的联合应用可显著提高癌症免疫治疗的疗效并诱导持久的抗肿瘤免疫。