Restoring anti-tumor functions of T cells via nanoparticle-mediated immune checkpoint modulation.

The core purpose of cancer immunotherapy is the sustained activation and expansion of the tumor specific T cells, especially tumor-infiltrating cytotoxic T lymphocytes (CTLs). Currently, one of the main foci of immunotherapy involving nano-sized carriers is on cancer vaccines and the role of professional antigen presenting cells, such as dendritic cells (DCs) and other phagocytic immune cells. Besides the idea that cancer vaccines promote T cell immune responses, targeting immune inhibitory pathways with nanoparticle delivered regulatory agents such as small interfering RNA (siRNA) to the difficultly-transfected tumor-infiltrating T cells may provide more information on the utility of nanoparticle-mediated cancer immunotherapy. In this study, we constructed nanoparticles to deliver cytotoxic T lymphocyte-associated molecule-4 (CTLA-4)-siRNA (NPsiCTLA-4) and showed the ability of this siRNA delivery system to enter T cells both in vitro and in vivo. Furthermore, T cell activation and proliferation were enhanced after NPsiCTLA-4 treatment in vitro. The ability of direct regulation of T cells of this CTLA-4 delivery system was assessed in a mouse model bearing B16 melanoma. Our results demonstrated that this nanoparticle delivery system was able to deliver CTLA-4-siRNA into both CD4(+) and CD8(+) T cell subsets at tumor sites and significantly increased the percentage of anti-tumor CD8(+) T cells, while it decreased the ratio of inhibitory T regulatory cells (Tregs) among tumor infiltrating lymphocytes (TILs), resulting in augmented activation and anti-tumor immune responses of the tumor-infiltrating T cells. These data support the use of potent nanoparticle-based cancer immunotherapy for melanoma.

[1]  C. Sautès-Fridman,et al.  The immune contexture in human tumours: impact on clinical outcome , 2012, Nature Reviews Cancer.

[2]  Michael Dougan,et al.  Immune therapy for cancer. , 2009, Annual review of immunology.

[3]  Jun Wang,et al.  Systemic delivery of siRNA with cationic lipid assisted PEG-PLA nanoparticles for cancer therapy. , 2011, Journal of controlled release : official journal of the Controlled Release Society.

[4]  A. Long,et al.  Advances in siRNA delivery to T-cells: potential clinical applications for inflammatory disease, cancer and infection. , 2013, The Biochemical journal.

[5]  A. Santoro,et al.  Reduced cardiotoxicity and comparable efficacy in a phase III trial of pegylated liposomal doxorubicin HCl (CAELYX/Doxil) versus conventional doxorubicin for first-line treatment of metastatic breast cancer. , 2004, Annals of oncology : official journal of the European Society for Medical Oncology.

[6]  R. Schreiber,et al.  Cancer immunoediting: from immunosurveillance to tumor escape , 2002, Nature Immunology.

[7]  George Coukos,et al.  T-regulatory cells: key players in tumor immune escape and angiogenesis. , 2012, Cancer research.

[8]  P. Sharma,et al.  Immune Checkpoint Targeting in Cancer Therapy: Toward Combination Strategies with Curative Potential , 2015, Cell.

[9]  M. Roizen,et al.  Hallmarks of Cancer: The Next Generation , 2012 .

[10]  John B. Shoven,et al.  I , Edinburgh Medical and Surgical Journal.

[11]  G. Le Gros,et al.  The role of CTLA‐4 in the regulation of T cell immune responses , 1999, Immunology and cell biology.

[12]  Yoshimasa Tanaka,et al.  Involvement of PD-L1 on tumor cells in the escape from host immune system and tumor immunotherapy by PD-L1 blockade , 2002, Proceedings of the National Academy of Sciences of the United States of America.

[13]  J. Gribben,et al.  CTLA4 mediates antigen-specific apoptosis of human T cells. , 1995, Proceedings of the National Academy of Sciences of the United States of America.

[14]  Chengqiong Mao,et al.  Triple negative breast cancer therapy with CDK1 siRNA delivered by cationic lipid assisted PEG-PLA nanoparticles. , 2014, Journal of controlled release : official journal of the Controlled Release Society.

[15]  G. Freeman,et al.  Tissue expression of PD-L1 mediates peripheral T cell tolerance , 2006, The Journal of experimental medicine.

[16]  CTLA-4 and PD-1 Receptors Inhibit T-Cell Activation by Distinct Mechanisms. , 2004 .

[17]  H. von Boehmer,et al.  The impact of CD4+CD25+ Treg on tumor specific CD8+ T cell cytotoxicity and cancer. , 2006, Seminars in cancer biology.

[18]  J. Bonifacino,et al.  Tyrosine phosphorylation controls internalization of CTLA-4 by regulating its interaction with clathrin-associated adaptor complex AP-2. , 1997, Immunity.

[19]  D. Isenberg,et al.  Abnormal CTLA‐4 function in T cells from patients with systemic lupus erythematosus , 2010, European journal of immunology.

[20]  P. Heerde,et al.  Granzyme B-expressing peripheral T-cell lymphomas: neoplastic equivalents of activated cytotoxic T cells with preference for mucosa-associated lymphoid tissue localization. , 1994, Blood.

[21]  H. Ishwaran,et al.  Radiation and Dual Checkpoint Blockade Activates Non-Redundant Immune Mechanisms in Cancer , 2015, Nature.

[22]  C. Drake,et al.  Immune checkpoint blockade: a common denominator approach to cancer therapy. , 2015, Cancer cell.

[23]  R. Poole Pembrolizumab: First Global Approval , 2014, Drugs.

[24]  J. Hubbell,et al.  Enhancing Efficacy of Anticancer Vaccines by Targeted Delivery to Tumor-Draining Lymph Nodes , 2014, Cancer Immunology Research.

[25]  Douglas M. Smith,et al.  Applications of nanotechnology for immunology , 2013, Nature Reviews Immunology.

[26]  David C. Smith,et al.  Survival, durable tumor remission, and long-term safety in patients with advanced melanoma receiving nivolumab. , 2014, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[27]  Mark E. Davis,et al.  Evidence of RNAi in humans from systemically administered siRNA via targeted nanoparticles , 2010, Nature.

[28]  R. Clark,et al.  Human squamous cell carcinomas evade the immune response by down-regulation of vascular E-selectin and recruitment of regulatory T cells , 2008, The Journal of experimental medicine.

[29]  X. Chen,et al.  Tumor-secreted miR-214 induces regulatory T cells: a major link between immune evasion and tumor growth , 2014, Cell Research.

[30]  C. Henderson,et al.  Lentiviral-mediated silencing of SOD1 through RNA interference retards disease onset and progression in a mouse model of ALS , 2005, Nature Medicine.

[31]  A. Lavasanifar,et al.  Targeting dendritic cells with nano-particulate PLGA cancer vaccine formulations. , 2011, Advanced drug delivery reviews.

[32]  Yuhua Wang,et al.  Multifunctional nanoparticles co-delivering Trp2 peptide and CpG adjuvant induce potent cytotoxic T-lymphocyte response against melanoma and its lung metastasis. , 2013, Journal of controlled release : official journal of the Controlled Release Society.

[33]  D. Hanahan,et al.  The Hallmarks of Cancer , 2000, Cell.

[34]  D. Fowell,et al.  CTLA‐4 is required by CD4+CD25+ Treg to control CD4+ T‐cell lymphopenia‐induced proliferation , 2009, European journal of immunology.

[35]  H. Griesser,et al.  Lymphoproliferative Disorders with Early Lethality in Mice Deficient in Ctla-4 , 1995, Science.

[36]  P. Marchetti,et al.  Endocrine side effects induced by immune checkpoint inhibitors. , 2013, The Journal of clinical endocrinology and metabolism.

[37]  M. Tankersley,et al.  T Cell-Specific siRNA Delivery Suppresses HIV-1 Infection in Humanized Mice , 2009, Pediatrics.

[38]  D. Peer,et al.  Systemic Leukocyte-Directed siRNA Delivery Revealing Cyclin D1 as an Anti-Inflammatory Target , 2008, Science.

[39]  E. Miele,et al.  Albumin-bound formulation of paclitaxel (Abraxane® ABI-007) in the treatment of breast cancer , 2009, International journal of nanomedicine.

[40]  M. Ernstoff,et al.  Autoimmune melanocyte destruction is required for robust CD8+ memory T cell responses to mouse melanoma. , 2011, The Journal of clinical investigation.

[41]  D. Neuberg,et al.  Immunologic and clinical effects of antibody blockade of cytotoxic T lymphocyte-associated antigen 4 in previously vaccinated cancer patients , 2008, Proceedings of the National Academy of Sciences.

[42]  S. Wise Nanocarriers as an emerging platform for cancer therapy , 2007 .

[43]  D. Huhn,et al.  Lymphocyte apoptosis: induction by gene transfer techniques , 1997, Gene Therapy.

[44]  Jean-Pierre Abastado,et al.  Immune Microenvironment in Tumor Progression: Characteristics and Challenges for Therapy , 2012, Journal of oncology.

[45]  A. Ribas,et al.  CTLA4 Blockade Induces Frequent Tumor Infiltration by Activated Lymphocytes Regardless of Clinical Responses in Humans , 2011, Clinical Cancer Research.

[46]  Michael S. Goldberg,et al.  Immunoengineering: How Nanotechnology Can Enhance Cancer Immunotherapy , 2015, Cell.

[47]  K. Haugk,et al.  Prevalent expression of the immunostimulatory MHC class I chain-related molecule is counteracted by shedding in prostate cancer. , 2004, The Journal of clinical investigation.

[48]  L. Walker,et al.  Confusing signals: Recent progress in CTLA-4 biology , 2015, Trends in immunology.

[49]  Paul Garside,et al.  Reversal of the TCR Stop Signal by CTLA-4 , 2006, Science.

[50]  D. Schadendorf,et al.  Improved survival with ipilimumab in patients with metastatic melanoma. , 2010, The New England journal of medicine.

[51]  T. Mak,et al.  Immunologic Self-Tolerance Maintained by Cd25+Cd4+Regulatory T Cells Constitutively Expressing Cytotoxic T Lymphocyte–Associated Antigen 4 , 2000, The Journal of experimental medicine.

[52]  S. Ugel,et al.  In vivo administration of artificial antigen-presenting cells activates low-avidity T cells for treatment of cancer. , 2009, Cancer research.

[53]  K. Rock,et al.  Targeting antigen into the phagocytic pathway in vivo induces protective tumour immunity , 1995, Nature Medicine.

[54]  K. Bennett,et al.  Intracellular trafficking of CTLA-4 and focal localization towards sites of TCR engagement. , 1996, Immunity.

[55]  Yang Yang,et al.  Nanoparticle-based immunotherapy for cancer. , 2015, ACS nano.

[56]  G. Hannon,et al.  Unlocking the potential of the human genome with RNA interference , 2004, Nature.

[57]  Enhancing Ef fi cacy of Anticancer Vaccines by Targeted Delivery to Tumor-Draining Lymph Nodes , 2014 .

[58]  Sai T Reddy,et al.  Exploiting lymphatic transport and complement activation in nanoparticle vaccines , 2007, Nature Biotechnology.

[59]  M. Suresh,et al.  CTLA-4 Blockade Plus Adoptive T-Cell Transfer Promotes Optimal Melanoma Immunity in Mice , 2015, Journal of immunotherapy.

[60]  E. Simpson,et al.  B7-1 and B7-2 have overlapping, critical roles in immunoglobulin class switching and germinal center formation. , 1997, Immunity.

[61]  John J Rossi,et al.  Genetic therapies against HIV , 2007, Nature Biotechnology.

[62]  N. Snead,et al.  Lipid nanoparticle siRNA treatment of Ebola virus Makona infected nonhuman primates , 2015, Nature.