Multi-compartment immune and tumor cell reprogramming by IFNa2 overcomes colon cancer immunotherapy resistance

Insights

Lipid nanoparticle-delivered interferon-alpha2 (LNP-mIFNα2) gene therapy suppresses colon cancer lung metastasis by reprogramming the tumor microenvironment. This therapy enhances anti-tumor immunity and sensitizes tumors to immune checkpoint inhibitor (ICI) therapy.

Area of Science:

  • Immunology
  • Gene Therapy
  • Cancer Research

Background:

  • Tumor cell PD-L1 inhibits anti-tumor immunity by repressing IFN signaling, despite an IFN-responsive phenotype predicting response to immune checkpoint inhibitor (ICI) therapy in colorectal cancer.
  • Lipid nanoparticle (LNP)-encapsulated IFNα2-encoding nanoplasmid (LNP-mIFNα2) gene therapy shows potential in suppressing tumor progression, but its mechanism and cytokine response trade-offs are unclear.

Purpose of the Study:

  • To elucidate the mechanism by which LNP-mIFNα2 gene therapy suppresses colon cancer lung metastasis.
  • To investigate the reprogramming of the tumor microenvironment (TME) by LNP-mIFNα2.
  • To determine if LNP-mIFNα2 sensitizes tumors to ICI therapy.

Main Methods:

  • Utilized syngeneic and humanized mouse models of colon cancer lung metastasis.
  • Administered LNP-mIFNα2 gene therapy.
  • Performed single-cell RNA sequencing to analyze TME reprogramming.
  • Assessed efficacy through tumor suppression and sensitization to ICI therapy.

Main Results:

  • LNP-mIFNα2 selectively transfected tumor cells, restoring local IFNα2 production and suppressing lung metastasis.
  • Efficacy was dependent on canonical IFNAR1 signaling and enhanced by neutralizing IL6.
  • Single-cell RNA sequencing revealed TME reprogramming: SPP1+ macrophages underwent apoptosis, monocytes became IFN-responsive, Tpex cells expanded, and tumor cells reduced cycling and increased antigen presentation.
  • Tumor cells shifted away from a hypoxia/HIF-1α-driven cuproptosis-resistance program, suggesting sensitization to coproptosis.
  • The reprogrammed TME mirrored T cell and myeloid signatures of pembrolizumab-responsive human tumors.

Conclusions:

  • LNP-delivered IFNα2 acts as a multi-compartment TME regulator, reprogramming myeloid suppression and reinvigorating exhausted T cells.
  • This therapy restores tumor immunogenicity and sensitizes tumors to ICI therapy.
  • LNP-mIFNα2 presents a promising strategy for enhancing anti-tumor immunity and cancer treatment.

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