Poudel Kishwor, Ji Zhenyu, Njauw Ching-Ni, Rajadurai Anpuchchelvi, Bhayana Brijesh, Sullivan Ryan J, Kim Jong Oh, Tsao Hensin
Wellman Center for Photomedicine and Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Mass General Cancer Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Bioact Mater. 2024 Dec 27;46:347-364. doi: 10.1016/j.bioactmat.2024.12.023. eCollection 2025 Apr.
Cancer nanovaccines hold the promise for personalization, precision, and pliability by integrating all the elements essential for effective immune stimulation. An effective immune response requires communication and interplay between antigen-presenting cells (APCs), tumor cells, and immune cells to stimulate, extend, and differentiate antigen-specific and non-specific anti-tumor immune cells. The versatility of nanomedicine can be adapted to deliver both immunoadjuvant payloads and antigens from the key players in immunity (i.e., APCs and tumor cells). The imperative for novel cancer medicine is particularly pressing for less common but more devastating KIT-mutated acral and mucosal melanomas that are resistant to small molecule c-kit and immune checkpoint inhibitors. To overcome this challenge, we successfully engineered nanotechnology-enabled hybrid biomimetic nanovaccine (HBNV) comprised of membrane proteins (antigens to activate immunity and homing/targeting ligand to tumor microenvironment (TME) and lymphoid organs) from fused cells (of APCs and tumor cells) and immunoadjuvant. These HBNVs are efficiently internalized to the target cells, assisted in the maturation of APCs via antigens and adjuvant, activated the release of anti-tumor cytokines/inhibited the release of immunosuppressive cytokine, showed a homotypic effect on TME and lymph nodes, activated the anti-tumor immune cells/downregulated the immunosuppressive immune cells, reprogram the tumor microenvironment, and showed successful anti-tumor therapeutic and prophylactic effects.
癌症纳米疫苗通过整合有效免疫刺激所需的所有要素,有望实现个性化、精准化和灵活性。有效的免疫反应需要抗原呈递细胞(APC)、肿瘤细胞和免疫细胞之间进行通讯和相互作用,以刺激、扩展和分化抗原特异性和非特异性抗肿瘤免疫细胞。纳米医学的多功能性可用于递送免疫佐剂有效载荷以及来自免疫关键参与者(即APC和肿瘤细胞)的抗原。对于不太常见但更具破坏性的对小分子c-kit和免疫检查点抑制剂耐药的KIT突变型肢端和黏膜黑色素瘤来说,新型癌症药物的需求尤为迫切。为了克服这一挑战,我们成功设计了一种基于纳米技术的杂交仿生纳米疫苗(HBNV),它由融合细胞(APC和肿瘤细胞的融合细胞)的膜蛋白(激活免疫的抗原以及肿瘤微环境(TME)和淋巴器官的归巢/靶向配体)和免疫佐剂组成。这些HBNV能有效地内化到靶细胞中,通过抗原和佐剂辅助APC成熟,激活抗肿瘤细胞因子的释放/抑制免疫抑制细胞因子的释放,对TME和淋巴结产生同型效应,激活抗肿瘤免疫细胞/下调免疫抑制免疫细胞,重编程肿瘤微环境,并显示出成功的抗肿瘤治疗和预防效果。