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A Mechanical Immune Checkpoint Inhibitor Stiffens Tumor Cells to Potentiate Antitumor Immunity
Yu Zhao1,2, Xiaoxue Hou3, Zeyu Wang4
1Meinig School of Biomedical Engineering, Cornell University, Ithaca, New York, 14853, United States.
Abstract:
Tumor progression is associated with tumor-cell softening. Improving the stiffness of the tumor cells can make them more vulnerable to lymphocyte-mediated attack. Tumor cell membranes typically exhibit higher cholesterol levels than normal cells, making tumor cells soft. Herein, we demonstrate a mechanical immune checkpoint inhibitor (MICI) formulated by cyclodextrin (CD) lipids and fusogenic lipids. Through fusing CD lipids into the tumor cell membrane using a fusogenic liposome formulation, the cholesterol in the plasma membrane is reduced due to the specific host-guest interactions between CD lipid and cholesterol. As a result, tumor cells are stiffened, and the activation of lymphocytes (including NK and cytotoxic effector T cells) is improved when contacting the stiffened tumor cells, characterized by robust degranulation and effector cytokine production. Notably, this treatment has negligible influence on the infiltration and proliferation of lymphocytes in tumor tissues, confirming that the enhanced antitumor efficacy should result from activating a specific number of lymphocytes caused by direct regulation of the tumor cell stiffness. The combination of MICIs and clinical immunotherapies enhances the lymphocyte-mediated antitumor effects in two tumor mouse models, including breast cancer and melanoma. Our research also reveals an unappreciated mechanical dimension to lymphocyte activation.
Insights
Tumor cells soften during progression. A novel mechanical immune checkpoint inhibitor (MICI) stiffens tumor cells, enhancing lymphocyte attacks and improving cancer immunotherapy effectiveness.
Area of Science:
- Biophysics
- Immunology
- Cancer Biology
Background:
- Tumor progression is linked to decreased tumor cell stiffness, making them less susceptible to immune attack.
- Elevated cholesterol in tumor cell membranes contributes to their softness.
- Targeting tumor cell mechanics offers a novel therapeutic strategy.
Purpose of the Study:
- To develop and evaluate a mechanical immune checkpoint inhibitor (MICI) for enhancing anti-tumor immunity.
- To investigate the impact of modulating tumor cell stiffness on lymphocyte activation.
- To explore the combination of MICIs with existing immunotherapies.
Main Methods:
- Formulation of MICI using cyclodextrin (CD) lipids and fusogenic lipids.
- Liposome-mediated delivery of CD lipids to fuse with tumor cell membranes.
- Assessment of tumor cell stiffness, lymphocyte activation (NK and T cells), and anti-tumor efficacy in mouse models.
- Analysis of cholesterol content in tumor cell membranes.
Main Results:
- MICI treatment reduced tumor cell membrane cholesterol, leading to increased cell stiffness.
- Stiffened tumor cells exhibited enhanced lymphocyte activation, including degranulation and cytokine production.
- MICI treatment improved anti-tumor efficacy in breast cancer and melanoma mouse models, especially when combined with immunotherapies.
- The mechanism involves direct regulation of tumor cell stiffness impacting lymphocyte activation.
Conclusions:
- Modulating tumor cell mechanics via MICIs represents a viable strategy to overcome immune evasion.
- Targeting the mechanical properties of tumor cells can potentiate lymphocyte-mediated anti-tumor responses.
- This research highlights a new mechanical dimension in regulating immune cell activation and anti-tumor immunity.
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