In situ chemoimmunotherapy hydrogel elicits immunogenic cell death and evokes efficient antitumor immune response

J Transl Med. 2024 Apr 9;22(1):341. doi: 10.1186/s12967-024-05102-0.

Abstract

Background: Chemoimmunotherapy has shown promising advantages of eliciting immunogenic cell death and activating anti-tumor immune responses. However, the systemic toxicity of chemotherapy and tumor immunosuppressive microenvironment limit the clinical application.

Methods: Here, an injectable sodium alginate hydrogel (ALG) loaded with nanoparticle albumin-bound-paclitaxel (Nab-PTX) and an immunostimulating agent R837 was developed for local administration. Two murine hepatocellular carcinoma and breast cancer models were established. The tumor-bearing mice received the peritumoral injection of R837/Nab-PTX/ALG once a week for two weeks. The antitumor efficacy, the immune response, and the tumor microenvironment were investigated.

Results: This chemoimmunotherapy hydrogel with sustained-release character was proven to have significant effects on killing tumor cells and inhibiting tumor growth. Peritumoral injection of our hydrogel caused little harm to normal organs and triggered a potent antitumor immune response against both hepatocellular carcinoma and breast cancer. In the tumor microenvironment, enhanced immunogenic cell death induced by the combination of Nab-PTX and R837 resulted in 3.30-fold infiltration of effector memory T cells and upregulation of 20 biological processes related to immune responses.

Conclusions: Our strategy provides a novel insight into the combination of chemotherapy and immunotherapy and has the potential for clinical translation.

Keywords: Chemoimmunotherapy; Hydrogel; In situ vaccine; Nab-PTX; TLR7 agonist.

MeSH terms

  • Animals
  • Carcinoma, Hepatocellular*
  • Cell Line, Tumor
  • Hydrogels / pharmacology
  • Hydrogels / therapeutic use
  • Imiquimod / pharmacology
  • Imiquimod / therapeutic use
  • Immunity
  • Immunogenic Cell Death
  • Immunotherapy / methods
  • Liver Neoplasms* / drug therapy
  • Mice
  • Nanoparticles*
  • Tumor Microenvironment

Substances

  • Hydrogels
  • Imiquimod