PO.ET02.08 · 实验与分子治疗
一种STING增强的脂质纳米颗粒mRNA疫苗用于治疗性癌症疫苗接种
A STING-boosted lipid nanoparticle mRNA vaccine for therapeutic cancer vaccination
作者与单位 Authors & Affiliations
摘要 Abstract
中文摘要
尽管免疫疗法和预防性疫苗在病毒相关癌症中取得成功,但治疗性疫苗接种的转化一直受限,常受限于免疫原性不足及无法克服免疫抑制性"冷"肿瘤微环境。用于病毒免疫的mRNA载体的最新进展及优化的纳米颗粒递送,重新为癌症疫苗接种带来了希望。在本研究中,我们开发了一种可电离的稳定核酸脂质纳米颗粒(SNALP)纳米疫苗,用于递送编码模型抗原卵清蛋白(OVA)的mRNA。为对抗肿瘤相关免疫抑制,我们通过共包封环二核苷酸STING激动剂2'3'-cGAMP,利用了先天性抗病毒的干扰素基因刺激因子(STING)通路。SNALP制剂经优化以实现生物相容性和细胞摄取,具有小颗粒尺寸、近中性表面电荷,并在单一平台内对mRNA和2'3'-cGAMP均具有高包封效率。SNALP介导的共递送在体外原代树突状细胞(DC)中实现了有效的mRNA转染和抗原呈递,而添加2'3'-cGAMP增强了DC的成熟和活化,表现为共刺激分子(CD80、CD86)和MHC-I(H-2Db、H-2Kb)标志物表达增加。纳米疫苗活化的DC能有效致敏初始原代CD8+ T细胞,使其在共培养中发挥效应功能并增殖。在体内,用2'3'-cGAMP增强的OVA-SNALP免疫可引发强大的免疫T细胞反应,表现为循环中出现具有中央记忆表型的抗原特异性CD8+ T细胞群,以及在攻击时能够进行TCR介导的细胞因子产生的效应脾脏CD8+ T细胞。在表达OVA的黑色素瘤小鼠模型(B16F10-OVA)中,采用不同接种方案评估了2'3'-cGAMP-OVA-SNALP的治疗相关性。该纳米疫苗持续延迟肿瘤发生并延长生存期,在预防性给药时完全防止肿瘤形成,或在通过局部(瘤内)或全身(肌肉内)途径治疗性给药时,在部分动物中驱动肿瘤完全消退,而这在无佐剂对照组中未观察到。在治疗性给予含无关mRNA的SNALP时也观察到一定的肿瘤控制,突显了该平台本身潜在有益的先天性佐剂作用。总之,这项工作表明基于SNALP的纳米疫苗是下一代癌症免疫疗法的多功能、可转化平台。该纳米疫苗显示出作为单一疗法的潜力,可将免疫学上的"冷"肿瘤转化为有反应的微环境。这一可适配系统能够共递送抗原和免疫调节剂,以靶向免疫抑制并诱导持久的抗肿瘤反应。未来的研究将探索将其与其他免疫疗法联合以提高临床疗效。
查看英文原文 English abstract
Despite the success of immunotherapies and preventative vaccines in virus-associated cancers, the translation of therapeutic vaccination has been limited, often by limited immunogenicity and inability to overcome the immunosuppressive ‘cold' tumor microenvironment. Recent advances in mRNA vectors for viral immunization, and optimized nanoparticle delivery, have renewed promise for cancer vaccination. In this study, we developed an ionizable stable nucleic acid lipid nanoparticle (SNALP) nanovaccine for the delivery of mRNA-encoded model antigen, ovalbumin (OVA). To counter tumor-associated immunosuppression, we harnessed the innate anti-viral stimulator of interferon genes (STING) pathway by co-encapsulating cyclic dinucleotide STING agonist 2'3'-cGAMP. SNALP formulations were optimized for biocompatibility and cell uptake, with small particle size, near-neutral surface charge, and high encapsulation efficiency of both mRNA and 2'3'-cGAMP within a single platform. SNALP-mediated co-delivery achieved effective mRNA transfection and antigen presentation in primary dendritic cells (DCs) in vitro , whilst addition of 2'3'-cGAMP enhanced DC maturation and activation, noted by increased co-stimulatory (CD80, CD86) and MHC-I (H-2Db, H-2Kb) marker expression. Nanovaccine-activated DCs efficiently primed naïve primary CD8 + T cells to elicit effector function and replicate in co-culture. In vivo , immunization with 2'3'-cGAMP-boosted OVA-SNALPs elicited a robust immunological T cell response, evidenced by circulating antigen-specific CD8 + T cell populations with central memory phenotypes, and effector splenic CD8 + T cells capable of TCR-mediated cytokine production upon challenge. Therapeutic relevance of 2'3'-cGAMP-OVA-SNALPs was assessed in murine models of melanoma expressing OVA (B16F10-OVA) under different vaccination protocols. The nanovaccine consistently delayed tumor onset and extended survival, completely preventing tumor formation when given prophylactically, or driving total tumor regression when given therapeutically by local (intra-tumoral) or systemic (intra-muscular) routes, in a subset of animals, which was not found in non-adjuvanted controls. Some tumor control was also noted upon therapeutic administration of SNALPs containing irrelevant mRNA, highlighting potentially beneficial innate adjuvancy of the platform itself. Altogether, this work shows that SNALP-based nanovaccines are a versatile and translatable platform for next-generation cancer immunotherapy. The nanovaccine showed potential as a monotherapy, converting immunologically ‘cold' tumors into responsive microenvironments. This adaptable system enables co-delivery of antigens and immune modulators to target immunosuppressive and induce durable anti-tumor responses. Future studies will explore combining it with additional immunotherapies to improve clinical efficacy.
利益披露 Disclosure
A. Marrocu, None..
O. W. M. Hassuneh, None..
V. M. Moreno Zafra, None..
A. Zam, None..
E. Demirel, None..
M. Bahri, None.
A. Walters,
Astrazeneca Employment.
J. N. Arnold, None..
K. T. Al-Jamal, None.