Nano-enabled pancreas cancer immunotherapy using immunogenic cell death and reversing immunosuppression

Nat Commun. 2017 Nov 27;8(1):1811. doi: 10.1038/s41467-017-01651-9.

Abstract

While chemotherapy delivery by nanocarriers has modestly improved the survival prospects of pancreatic ductal adenocarcinoma (PDAC), additional engagement of the immune response could be game changing. We demonstrate a nano-enabled approach for accomplishing robust anti-PDAC immunity in syngeneic mice through the induction of immunogenic cell death (ICD) as well as interfering in the immunosuppressive indoleamine 2,3-dioxygenase (IDO) pathway. This is accomplished by conjugating the IDO inhibitor, indoximod (IND), to a phospholipid that allows prodrug self-assembly into nanovesicles or incorporation into a lipid bilayer that encapsulates mesoporous silica nanoparticles (MSNP). The porous MSNP interior allows contemporaneous delivery of the ICD-inducing chemotherapeutic agent, oxaliplatin (OX). The nanovesicles plus free OX or OX/IND-MSNP induce effective innate and adaptive anti-PDAC immunity when used in a vaccination approach, direct tumor injection or intravenous biodistribution to an orthotopic PDAC site. Significant tumor reduction or eradication is accomplishable by recruiting cytotoxic T lymphocytes, concomitant with downregulation of Foxp3+ T cells.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adaptive Immunity / drug effects
  • Animals
  • Antineoplastic Agents / metabolism
  • Antineoplastic Agents / pharmacology*
  • Apoptosis / drug effects*
  • Apoptosis / immunology
  • Carcinoma, Pancreatic Ductal / immunology
  • Carcinoma, Pancreatic Ductal / therapy*
  • Cell Line, Tumor
  • Drug Carriers / chemistry
  • Feasibility Studies
  • Female
  • Forkhead Transcription Factors / metabolism
  • Humans
  • Immune Tolerance / drug effects*
  • Immunity, Innate / drug effects
  • Immunotherapy / methods*
  • Indoleamine-Pyrrole 2,3,-Dioxygenase / antagonists & inhibitors
  • Indoleamine-Pyrrole 2,3,-Dioxygenase / immunology
  • Male
  • Mice
  • Nanoparticles / chemistry
  • Organoplatinum Compounds / pharmacology
  • Oxaliplatin
  • Pancreatic Neoplasms / immunology
  • Pancreatic Neoplasms / therapy*
  • Phospholipids / chemistry
  • Porosity
  • Prodrugs / metabolism
  • Prodrugs / pharmacology
  • Silicon Dioxide / chemistry
  • T-Lymphocytes, Cytotoxic / drug effects
  • T-Lymphocytes, Cytotoxic / immunology
  • T-Lymphocytes, Cytotoxic / metabolism
  • Tissue Distribution
  • Tryptophan / analogs & derivatives*
  • Tryptophan / metabolism
  • Tryptophan / pharmacology
  • Xenograft Model Antitumor Assays

Substances

  • Antineoplastic Agents
  • Drug Carriers
  • Forkhead Transcription Factors
  • Foxp3 protein, mouse
  • IDO1 protein, mouse
  • Indoleamine-Pyrrole 2,3,-Dioxygenase
  • Organoplatinum Compounds
  • Phospholipids
  • Prodrugs
  • Oxaliplatin
  • Silicon Dioxide
  • Tryptophan
  • 1-methyltryptophan