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Multifunctional Nanovaccine Sensitizes Breast Cancer to Immune Checkpoint Therapy
Carina Peres1,2, Ana I Matos1,2, Bárbara Carreira1
1Research Institute for Medicines (iMed.ULisboa) Faculdade de Farmácia Universidade de Lisboa Av. Prof. Gama Pinto Lisbon 1649-003 Portugal.
Abstract:
Breast cancer is the primary cause of cancer-related death in women worldwide. Breast cancer subtypes are characterized by different gene expression patterns, which drive their prognostic factors and therapeutic options. Among them, triple-negative breast cancer (TNBC) is one of the deadliest due to its aggressiveness, high rate of early recurrence and distant metastases, and limited therapeutic options. Despite the recent approval of monoclonal antibodies targeting programmed cell death protein 1 (PD-1) or its ligand (PD-L1) for the treatment of TNBC patients with a locally recurrent unresectable or metastatic tumor expressing PD-L1, their response rate is very modest. It is reported that polymeric nanoparticle (NP)-based cancer vaccines, co-entrapping tumor-associated antigens, Toll-like receptor ligands and small interfering RNA (siRNA) targeting the expression of the immunosuppressive cytokine transforming growth factor (TGF)-β1 by dendritic cells, sensitized TNBC to the agonist immune checkpoint OX40, inhibiting tumor growth and increasing overall survival. This anti-tumor immune-mediated effect is also observed in a luminal type of mammary cancer similar to human disease. Therefore, these synergistic anticancer effects of αOX40 and the antigen-specific adaptive immunity induced by nanovaccine-mediated TGF-β silencing may guide the development of novel combination regimens able to improve the response rate to this aggressive tumor.
Insights
New nanovaccine strategies show promise for treating aggressive triple-negative breast cancer (TNBC). Combining nanoparticle vaccines with immune checkpoint therapy enhances anti-tumor immunity and improves survival rates in preclinical models.
Area of Science:
- Oncology
- Immunology
- Nanotechnology
Background:
- Triple-negative breast cancer (TNBC) is an aggressive subtype with limited treatment options and poor prognosis.
- Current immunotherapies like PD-1/PD-L1 inhibitors show modest response rates in TNBC.
- Novel therapeutic strategies are urgently needed to improve outcomes for TNBC patients.
Purpose of the Study:
- To investigate the efficacy of a novel nanovaccine strategy for treating triple-negative breast cancer.
- To evaluate the synergistic effects of combining nanoparticle-based vaccines with immune checkpoint agonists.
Main Methods:
- Development of polymeric nanoparticles (NPs) co-entrapping tumor antigens, Toll-like receptor ligands, and siRNA targeting TGF-β1.
- Treatment of TNBC models with the engineered nanovaccines and an OX40 agonist.
- Assessment of anti-tumor immune responses, tumor growth inhibition, and overall survival.
Main Results:
- Nanovaccine-mediated TGF-β1 silencing in dendritic cells sensitized TNBC to OX40 agonist therapy.
- Combination therapy significantly inhibited tumor growth and increased overall survival in preclinical models.
- Similar anti-tumor effects were observed in a luminal mammary cancer model.
Conclusions:
- Synergistic anti-cancer effects were achieved through combined nanovaccine-induced adaptive immunity and OX40 immune checkpoint activation.
- This novel combination regimen holds potential for improving treatment response rates in aggressive breast cancers.
- Further development of nanovaccine-based combination therapies could offer new hope for TNBC patients.
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