Fick Kendra, Kerns Nicholas, Zhao Yang, Tiamiyu Zainab, Poschel Dakota, Czabala Patrick, Yang Dafeng, Tang Yi, Xie Jin, Fesenkova Valentyna, Pacholczyk Rafal, Shi Huidong, Liu Kebin, Redd Priscilla S
Department of Biochemistry and Molecular Biology, Medical College of Georgia, Augusta, Georgia, USA.
Charlie Norwood VA Medical Center, Augusta, Georgia, USA.
J Immunother Cancer. 2025 Jul 31;13(7):e011415. doi: 10.1136/jitc-2024-011415.
Emerging clinical and mouse tumor data indicate that tumor cells induce immune suppression in an anatomical site-specific manner. In lung metastases, tumor cell programmed death-ligand 1 (PD-L1) engages myeloid cell programmed cell death protein 1 to activate SHP2 to suppress type I interferon (IFN-I) expression to repress Cxcl9 expression to impair cytotoxic T lymphocyte (CTL) tumor recruitment. Loss of IFN-I expression thus underlies tumor immune evasion in lung metastases niche. We aimed at testing the hypothesis that forcing tumor cells to express IFNα2 activates Cxcl9 expression to increase CTL tumor recruitment to suppress lung metastasis.
Codon usage-optimized IFNα2-encoding DNA was designed and cloned to plasmid. IFNα2-encoding messenger RNA (mRNA) was synthesized. The plasmid DNA and mRNA were encapsulated into DOTAP (N-[1-(2,3-Dioleoyloxy)propyl]-N,N,N-trimethylammonium methyl-sulfate)-cholesterol to generate lipid nanoparticle (LNP)-encapsulated mouse IFNα2 (LNP-mIFNα2), human IFNα2 plasmid, and mouse IFNα2 mRNA (LNP-mIFNα2-mRNA). Mouse breast tumor spontaneous lung metastasis, mouse melanoma experimental lung metastasis, and human colon tumor experimental lung metastasis humanized mouse models were used to determine LNP-encapsulated IFNα2-encoding plasmid and mRNA efficacy in IFNα2 expression and antitumor immunity, toxicity, and mechanism of action in vivo.
LNP-encapsulated IFNα2-encoding plasmid primarily accumulated in tumor-bearing lungs in mice. LNP-IFNα2 therapy produces mouse IFNα2 protein in mouse tumor-bearing mice and human IFNα2 protein in human tumor-bearing humanized mice to suppress lung metastasis, respectively. Similarly, LNP-mIFNα2-mRNA therapy produces mouse IFNα2 protein and suppressed lung metastasis in tumor-bearing mice. The increased IFNα2 protein activates Cxcl9 expression and increases T cell infiltration in lung metastases. LNP-IFNα2 therapy did not induce liver toxicity and inflammatory cytokines. In human patients with cancer, IFN-I pathway activation is correlated with CXCL9 expression and T cell expansion after PD-(L)1 immune checkpoint inhibitor immunotherapy. Mechanistically, LNP-delivered IFNα2 suppresses tumor lung metastasis through upregulating Cxcl9 in tumor-bearing mice.
Our findings determine that LNP-encapsulated IFNα2-encoding plasmid DNA and mRNA are effective agents in restoring IFNα2 expression to activate Cxcl9 expression to enhance T cell tumor recruitment to suppress tumor lung metastasis. LNP-IFNα2 is potentially a safe and yet effective third-generation IFNα2 agent for human cancer immunotherapy to treat patients with lung metastasis.
新出现的临床和小鼠肿瘤数据表明,肿瘤细胞以解剖部位特异性的方式诱导免疫抑制。在肺转移中,肿瘤细胞程序性死亡配体1(PD-L1)与髓样细胞程序性细胞死亡蛋白1结合,激活SHP2以抑制I型干扰素(IFN-I)表达,从而抑制Cxcl9表达,损害细胞毒性T淋巴细胞(CTL)向肿瘤的募集。IFN-I表达的缺失是肺转移微环境中肿瘤免疫逃逸的基础。我们旨在验证以下假设:迫使肿瘤细胞表达IFNα2可激活Cxcl9表达,增加CTL向肿瘤的募集,从而抑制肺转移。
设计并将密码子优化的编码IFNα2的DNA克隆到质粒中。合成编码IFNα2的信使核糖核酸(mRNA)。将质粒DNA和mRNA封装到DOTAP(N-[1-(2,3-二油酰氧基)丙基]-N,N,N-三甲基硫酸甲酯铵)-胆固醇中,生成脂质纳米颗粒(LNP)封装的小鼠IFNα2(LNP-mIFNα2)、人IFNα2质粒和小鼠IFNα2 mRNA(LNP-mIFNα2-mRNA)。利用小鼠乳腺肿瘤自发性肺转移、小鼠黑色素瘤实验性肺转移和人结肠肿瘤实验性肺转移人源化小鼠模型,确定LNP封装的编码IFNα2的质粒和mRNA在体内IFNα2表达、抗肿瘤免疫、毒性及作用机制方面的疗效。
LNP封装的编码IFNα2的质粒主要在荷瘤小鼠的肺部积聚。LNP-IFNα2疗法在荷瘤小鼠中产生小鼠IFNα2蛋白,在荷瘤人源化小鼠中产生人IFNα2蛋白,分别抑制肺转移。同样,LNP-mIFNα2-mRNA疗法在荷瘤小鼠中产生小鼠IFNα2蛋白并抑制肺转移。增加的IFNα2蛋白激活Cxcl9表达,增加肺转移灶中的T细胞浸润。LNP-IFNα2疗法未诱导肝毒性和炎性细胞因子。在人类癌症患者中,IFN-I通路激活与PD-(L)1免疫检查点抑制剂免疫治疗后的CXCL9表达和T细胞扩增相关。从机制上讲,LNP递送的IFNα2通过上调荷瘤小鼠的Cxcl9来抑制肿瘤肺转移。
我们的研究结果表明,LNP封装的编码IFNα2的质粒DNA和mRNA是恢复IFNα2表达、激活Cxcl9表达、增强T细胞向肿瘤募集以抑制肿瘤肺转移的有效药物。LNP-IFNα2可能是一种安全有效的第三代IFNα2药物,用于人类癌症免疫治疗以治疗肺转移患者。