Mei Yi, Zhu Junmeng, Shao Jie, Li Lin, Liu Fangcen, Sha Xiaoxuan, Yang Yang, Shen Jie, Li Rutian, Liu Baorui
Department of Oncology, Nanjing Drum Tower Hospital, Affliated Hospital of Medical School, School of Life Sciences, Nanjing University, Nanjing, Jiangsu, China.
Nanjing University of Chinese Medicine Drum Tower Clinical College, Nanjing, Jiangsu, China.
J Immunother Cancer. 2025 May 21;13(5):e010118. doi: 10.1136/jitc-2024-010118.
Immune checkpoint inhibitors and cytokines have revolutionized tumor treatment but are still limited by dose-dependent toxicity and efficacy. In situ vaccine platforms based on intelligent microbes are promising therapeutic strategies that sustainably deliver drugs locally without causing severe systemic risks.
In this study, we have innovatively engineered a non-pathogenic, adjuvant-acting () that co-expresses a programmed cell death-ligand 1 (PD-L1) inhibitor and an interleukin-15 (IL-15) cytokine complex containing the interleukin-15 receptor alpha (IL-15Rα) sushi domain (Ms-PDL1scfv-IL15).
We demonstrate that the fusion protein of PD-L1 inhibitor and IL-15 cytokine systemically binds mouse or human PD-L1 and maintains IL-15 stimulatory activity. The bifunctional Ms-PDL1scfv-IL15 overcomes resistance to PD-L1 blockade, recruits numerous immune cells in situ, induces dendritic cells (DCs) maturation, initiates the M1 antitumor polarization of macrophages, increases the proliferation and activation of natural killer cells and tumor-infiltrating CD8 T cells, inhibits regulatory T cells, elicits abscopal effects, stimulates rapid tumor regression, prevents metastasis, and leads to long-term survival in several syngeneic tumor mouse models. We also found that the combination of Ms-PDL1scfv-IL15 with granulocyte-macrophage colony-stimulating factor (GM-CSF) synergistically stunted the tumor progress and stasis. Moreover, intratumoral administration of Ms-PDL1scfv-IL15 can capture tumor antigen fragments, and boost DCs presentation of antigens, which remarkably initiates tumor antigen-specific immune response, leading to durable tumor regression and specific antitumor immunity.
In summary, the engineered can recruit and activate innate and adaptive antitumor immune responses, offering a potent cancer immunotherapy strategy to treat patients with cold tumors or resistance to checkpoint blockade.
免疫检查点抑制剂和细胞因子彻底改变了肿瘤治疗方式,但仍受剂量依赖性毒性和疗效的限制。基于智能微生物的原位疫苗平台是一种很有前景的治疗策略,可在局部可持续地递送药物而不引起严重的全身风险。
在本研究中,我们创新性地构建了一种非致病性、具有佐剂作用的(此处原文缺失具体内容),其共表达程序性细胞死亡配体1(PD-L1)抑制剂和包含白细胞介素15受体α(IL-15Rα)寿司结构域的白细胞介素15(IL-15)细胞因子复合物(Ms-PDL1scfv-IL15)。
我们证明,PD-L1抑制剂与IL-15的融合蛋白可与小鼠或人PD-L1进行全身结合,并维持IL-15的刺激活性。双功能的Ms-PDL1scfv-IL15克服了对PD-L1阻断的抗性,在原位募集大量免疫细胞,诱导树突状细胞(DC)成熟,启动巨噬细胞的M1抗肿瘤极化,增加自然杀伤细胞和肿瘤浸润性CD8 T细胞的增殖和活化,抑制调节性T细胞,引发远隔效应,刺激肿瘤快速消退,预防转移,并在多种同基因肿瘤小鼠模型中导致长期存活。我们还发现,Ms-PDL1scfv-IL15与粒细胞-巨噬细胞集落刺激因子(GM-CSF)联合使用可协同抑制肿瘤进展并使其停滞。此外,肿瘤内注射Ms-PDL1scfv-IL15可捕获肿瘤抗原片段,并增强DC对抗原的呈递,这显著启动肿瘤抗原特异性免疫反应,导致持久的肿瘤消退和特异性抗肿瘤免疫。
总之,构建的(此处原文缺失具体内容)可募集并激活先天性和适应性抗肿瘤免疫反应,为治疗冷肿瘤或对检查点阻断耐药的患者提供了一种有效的癌症免疫治疗策略。