STING agonist loaded lipid nanoparticles overcome anti-PD-1 resistance in melanoma lung metastasis via NK cell activation.

STING agonist loaded lipid nanoparticles overcome anti-PD-1 resistance in melanoma lung metastasis via NK cell activation.
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DOI:
10.1136/jitc-2021-002852
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发表时间:
2021-07
影响因子:
10.9
通讯作者:
Harashima H
Harashima H
中科院分区:
医学2区
文献类型:
--
作者:
Nakamura T;Sato T;Endo R;Sasaki S;Takahashi N;Sato Y;Hyodo M;Hayakawa Y;Harashima H

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对免疫检查点抑制剂(ICI)的耐药性是癌症免疫治疗的主要障碍。ICI抗性的原因包括主要组织相容性复合体(MHC)/组织相容性位点抗原(HLA)I类丢失、新抗原丢失和不完全抗原呈递。自然杀伤(NK)细胞的消除有望成为治疗这些ICI耐药肿瘤的有效策略。我们先前证明了含有干扰素基因(STING)激动剂(STING-LNP)刺激剂的脂质纳米颗粒通过激活NK细胞有效诱导抗肿瘤活性。因此,我们评估了STING-LNP降低ICI抗性的潜力。使用B16-F10小鼠黑素瘤的肺转移作为抗程序性细胞死亡1(抗PD-1)抗性小鼠模型。将小鼠静脉内注射STING-LNP,并通过RT-qPCR和流式细胞术分析负责STING-LNP改善抗PD-1抗性的机制。还研究了STING-LNP的动力学。尽管抗PD-1单一疗法未能诱导抗肿瘤作用,但STING-LNP和抗PD-1的组合发挥协同抗肿瘤作用。我们的结果表明,STING-LNP治疗显著增加了肺转移瘤中CD 3、CD 4、NK 1.1、PD-1和干扰素(IFN)-γ的表达。这种变化似乎是由含有内化的STING-LNP的肝巨噬细胞产生的I型IFN引发的,导致表达PD-1的NK细胞的全身活化。活化的NK细胞似乎产生IFN-γ,导致癌细胞中PD配体1(PD-L1)的表达增加,从而在施用抗PD-1时产生协同抗肿瘤作用。我们提供了证明STING-LNP治疗可以克服B16-F10肺转移模型中的PD-1抗性的证明。对此负责的机制表明,NK细胞通过刺激STING途径被激活,STING途径反过来诱导癌细胞上PD-L1的表达。基于本文报道的发现,STING-LNP代表了用于与抗PD-1耐药肿瘤联合治疗的有希望的候选物。
Resistance to an immune checkpoint inhibitor (ICI) is a major obstacle in cancer immunotherapy. The causes of ICI resistance include major histocompatibility complex (MHC)/histocompatibility locus antigen (HLA) class I loss, neoantigen loss, and incomplete antigen presentation. Elimination by natural killer (NK) cells would be expected to be an effective strategy for the treatment of these ICI-resistant tumors. We previously demonstrated that a lipid nanoparticle containing a stimulator of an interferon gene (STING) agonist (STING-LNP) efficiently induced antitumor activity via the activation of NK cells. Thus, we evaluated the potential of reducing ICI resistance by STING-LNPs. Lung metastasis of a B16-F10 mouse melanoma was used as an anti-programmed cell death 1 (anti-PD-1)-resistant mouse model. The mice were intravenously injected with the STING-LNP and the mechanism responsible for the improvement of anti-PD-1 resistance by the STING-LNPs was analyzed by RT-qPCR and flow cytometry. The dynamics of STING-LNP were also investigated. Although anti-PD-1 monotherapy failed to induce an antitumor effect, the combination of the STING-LNP and anti-PD-1 exerted a synergistic antitumor effect. Our results indicate that the STING-LNP treatment significantly increased the expression of CD3, CD4, NK1.1, PD-1 and interferon (IFN)-γ in lung metastases. This change appears to be initiated by the type I IFN produced by liver macrophages that contain the internalized STING-LNPs, leading to the systemic activation of NK cells that express PD-1. The activated NK cells appeared to produce IFN-γ, resulting in an increase in the expression of the PD ligand 1 (PD-L1) in cancer cells, thus leading to a synergistic antitumor effect when anti-PD-1 is administered. We provide a demonstration to show that a STING-LNP treatment can overcome PD-1 resistance in a B16-F10 lung metastasis model. The mechanism responsible for this indicates that NK cells are activated by stimulating the STING pathway which, in turn, induced the expression of PD-L1 on cancer cells. Based on the findings reported herein, the STING-LNP represents a promising candidate for use in combination therapy with anti-PD-1-resistant tumors.
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