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Inhibition of post-surgery tumour recurrence via a hydrogel releasing CAR-T cells and anti-PDL1-conjugated platelets

Abstract

The immunosuppressive microenvironment of solid tumours reduces the antitumour activity of chimeric antigen receptor T cells (CAR-T cells). Here, we show that the release—through the implantation of a hyaluronic acid hydrogel—of CAR-T cells targeting the human chondroitin sulfate proteoglycan 4, polymer nanoparticles encapsulating the cytokine interleukin-15 and platelets conjugated with the checkpoint inhibitor programmed death-ligand 1 into the tumour cavity of mice with a resected subcutaneous melanoma tumour inhibits the local recurrence of the tumour as well as the growth of distant tumours, through the abscopal effect. The hydrogel, which functions as a reservoir, facilitates the enhanced distribution of the CAR-T cells within the surgical bed, and the inflammatory microenvironment triggers platelet activation and the subsequent release of platelet-derived microparticles. The post-surgery local delivery of combination immunotherapy through a biocompatible hydrogel reservoir could represent a translational route for preventing the recurrence of cancers with resectable tumours.

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Fig. 1: Characterization of the engineered hydrogel-based cell delivery.
Fig. 2: CAR-T cells encapsulated in the hydrogel target WM115 melanoma cells in vitro.
Fig. 3: CAR-T cells encapsulated in the hydrogel control WM115 melanoma growth in vivo.
Fig. 4: CAR-T cells encapsulated in the hydrogel persist and expand in vivo.
Fig. 5: Engineered hydrogel cell delivery promotes abscopal antitumour effects.

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Data availability

The main data supporting the results in this study are available within the paper and its Supplementary Information. All data generated in this study, including source data and the data used to make the figures, are available from Figshare (https://figshare.com/s/fa6578df11fba2539c13).

References

  1. Demicheli, R., Retsky, M., Hrushesky, W., Baum, M. & Gukas, I. The effects of surgery on tumour growth: a century of investigations. Ann. Oncol. 19, 1821–1828 (2008).

    Article  CAS  PubMed  Google Scholar 

  2. Lukianova-Hleb, E. Y. et al. Intraoperative diagnostics and elimination of residual microtumours with plasmonic nanobubbles. Nat. Nanotechnol. 11, 525–532 (2016).

    Article  CAS  PubMed  Google Scholar 

  3. Demicheli, R., Retsky, M. W., Hrushesky, W. J. & Baum, M. Tumour dormancy and surgery-driven interruption of dormancy in breast cancer: learning from failures. Nat. Rev. Clin. Oncol. 4, 699–710 (2007).

    Article  Google Scholar 

  4. Baker, D., Masterson, T., Pace, R., Constable, W. & Wanebo, H. The influence of the surgical wound on local tumour recurrence. Surgery 106, 525–532 (1989).

    CAS  PubMed  Google Scholar 

  5. Ceelen, W., Pattyn, P. & Mareel, M. Surgery, wound healing, and metastasis: recent insights and clinical implications. Crit. Rev. Oncol. Hematol. 89, 16–26 (2014).

    Article  PubMed  Google Scholar 

  6. Pardoll, D. M. The blockade of immune checkpoints in cancer immunotherapy. Nat. Rev. Cancer 12, 252–264 (2012).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Topalian, S. L., Drake, C. G. & Pardoll, D. M. Immune checkpoint blockade: a common denominator approach to cancer therapy. Cancer Cell 27, 450–461 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Topalian, S. L., Taube, J. M., Anders, R. A. & Pardoll, D. M. Mechanism-driven biomarkers to guide immune checkpoint blockade in cancer therapy. Nat. Rev. Cancer 16, 275–287 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Sharma, P. & Allison, J. P. The future of immune checkpoint therapy. Science 348, 56–61 (2015).

    Article  CAS  PubMed  Google Scholar 

  10. Marquez-Rodas, I. et al. Immune checkpoint inhibitors: therapeutic advances in melanoma. Ann. Transl. Med. 3, 267 (2015).

    PubMed  PubMed Central  Google Scholar 

  11. Jenkins, R. W., Thummalapalli, R., Carter, J., Cañadas, I. & Barbie, D. A. Molecular and genomic determinants of response to immune checkpoint inhibition in cancer. Annu. Rev. Med. 69, 333–347 (2018).

    Article  CAS  PubMed  Google Scholar 

  12. Nowicki, T. S., Hu-Lieskovan, S. & Ribas, A. Mechanisms of resistance to PD-1 and PD-L1 blockade. Cancer J. 24, 47–53 (2018).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Michot, J. et al. Immune-related adverse events with immune checkpoint blockade: a comprehensive review. Eur. J. Cancer 54, 139–148 (2016).

    Article  CAS  PubMed  Google Scholar 

  14. Sharma, P. & Allison, J. P. Immune checkpoint targeting in cancer therapy: toward combination strategies with curative potential. Cell 161, 205–214 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Rosenberg, S. A., Restifo, N. P., Yang, J. C., Morgan, R. A. & Dudley, M. E. Adoptive cell transfer: a clinical path to effective cancer immunotherapy. Nat. Rev. Cancer 8, 299–308 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Restifo, N. P., Dudley, M. E. & Rosenberg, S. A. Adoptive immunotherapy for cancer: harnessing the T cell response. Nat. Rev. Immunol. 12, 269–281 (2012).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Jackson, H. J., Rafiq, S. & Brentjens, R. J. Driving CAR T-cells forward. Nat. Rev. Clin. Oncol. 13, 370–383 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Fesnak, A. D., June, C. H. & Levine, B. L. Engineered T cells: the promise and challenges of cancer immunotherapy. Nat. Rev. Cancer 16, 566–581 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Lee, D. W. et al. T cells expressing CD19 chimeric antigen receptors for acute lymphoblastic leukaemia in children and young adults: a phase 1 dose-escalation trial. Lancet 385, 517–528 (2015).

    Article  CAS  PubMed  Google Scholar 

  20. Newick, K., O’Brien, S., Moon, E. & Albelda, S. M. CAR T cell therapy for solid tumours. Annu. Rev. Med. 68, 139–152 (2017).

    Article  CAS  PubMed  Google Scholar 

  21. Abken, H. Adoptive therapy with CAR redirected T cells: the challenges in targeting solid tumours. Immunotherapy 7, 535–544 (2015).

    Article  CAS  PubMed  Google Scholar 

  22. John, L. B., Kershaw, M. H. & Darcy, P. K. Blockade of PD-1 immunosuppression boosts CAR T-cell therapy. Oncoimmunology 2, e26286 (2013).

    Article  PubMed  PubMed Central  Google Scholar 

  23. John, L. B. et al. Anti-PD-1 antibody therapy potently enhances the eradication of established tumours by gene-modified T cells. Clin. Cancer Res. 19, 5636–5646 (2013).

    Article  CAS  PubMed  Google Scholar 

  24. Pluschke, G. et al. Molecular cloning of a human melanoma-associated chondroitin sulfate proteoglycan. Proc. Natl Acad. Sci. USA 93, 9710–9715 (1996).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Rivera, Z. et al. CSPG4 as a target of antibody-based immunotherapy for malignant mesothelioma. Clin. Cancer Res. 18, 5352–5363 (2012).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Kochenderfer, J. N. et al. Lymphoma remissions caused by anti-CD19 chimeric antigen receptor T cells are associated with high serum interleukin-15 levels. J. Clin. Oncol. 35, 1803–1813 (2017).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Wang, C. et al. In situ activation of platelets with checkpoint inhibitors for post-surgical cancer immunotherapy. Nat. Biomed. Eng. 1, 0011 (2017).

    Article  CAS  Google Scholar 

  28. Hu, Q. et al. Conjugation of haematopoietic stem cells and platelets decorated with anti-PD-1 antibodies augments anti-leukaemia efficacy. Nat. Biomed. Eng. 2, 831–840 (2018).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Gemmell, C. H., Ramirez, S. M., Yeo, E. L. & Sefton, M. V. Platelet activation in whole blood by artificial surfaces: identification of platelet-derived microparticles and activated platelet binding to leukocytes as material-induced activation events. J. Lab. Clin. Med. 125, 276–287 (1995).

    CAS  PubMed  Google Scholar 

  30. Kahn, M. L. et al. A dual thrombin receptor system for platelet activation. Nature 394, 690–694 (1998).

    Article  CAS  PubMed  Google Scholar 

  31. Jiang, T., Mo, R., Bellotti, A., Zhou, J. & Gu, Z. Gel–liposome‐mediated co‐delivery of anticancer membrane‐associated proteins and small‐molecule drugs for enhanced therapeutic efficacy. Adv. Funct. Mater. 24, 2295–2304 (2014).

    Article  CAS  Google Scholar 

  32. Feczkó, T., Tóth, J., Dósa, G. & Gyenis, J. Optimization of protein encapsulation in PLGA nanoparticles. Chem. Eng. Process. 50, 757–765 (2011).

    Article  CAS  Google Scholar 

  33. Caruana, I. et al. Heparanase promotes tumour infiltration and antitumour activity of CAR-redirected T lymphocytes. Nat. Med. 21, 524–529 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Stephan, S. B. et al. Biopolymer implants enhance the efficacy of adoptive T-cell therapy. Nat. Biotechnol. 33, 97–101 (2015).

    Article  CAS  PubMed  Google Scholar 

  35. Smith, T. T. et al. Biopolymers codelivering engineered T cells and STING agonists can eliminate heterogeneous tumours. J. Clin. Invest. 127, 2176–2191 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  36. Dawson, E., Mapili, G., Erickson, K., Taqvi, S. & Roy, K. Biomaterials for stem cell differentiation. Adv. Drug Deliv. Rev. 60, 215–228 (2008).

    Article  CAS  PubMed  Google Scholar 

  37. Orive, G. et al. Cell encapsulation: promise and progress. Nat. Med. 9, 104–107 (2003).

    Article  CAS  PubMed  Google Scholar 

  38. Mause, S. F., von Hundelshausen, P., Zernecke, A., Koenen, R. R. & Weber, C. Platelet microparticles: a transcellular delivery system for RANTES promoting monocyte recruitment on endothelium. Arterioscler. Thromb. Vasc. Biol. 25, 1512–1518 (2005).

    Article  CAS  PubMed  Google Scholar 

  39. Curran, K. J. et al. Enhancing antitumour efficacy of chimeric antigen receptor T cells through constitutive CD40L expression. Mol. Ther. 23, 769–778 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Henn, V. et al. CD40 ligand on activated platelets triggers an inflammatory reaction of endothelial cells. Nature 391, 591–594 (1998).

    Article  CAS  PubMed  Google Scholar 

  41. Pellegatta, S. et al. Constitutive and TNFα-inducible expression of chondroitin sulfate proteoglycan 4 in glioblastoma and neurospheres: implications for CAR-T cell therapy. Sci. Transl. Med. 10, eaao2731 (2018).

    Article  PubMed  CAS  PubMed Central  Google Scholar 

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Acknowledgements

This work was supported by grants from the Jonsson Comprehensive Cancer Center at UCLA, the Alfred P. Sloan Foundation (Sloan Research Fellowship), NIH 1R01CA234343-01A1, a pilot grant from the UNC Cancer Center and the start-up package from Zhejiang University to Z.G.

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Authors and Affiliations

Authors

Contributions

Q.H., G.D. and Z.G. designed the experiments. Q.H., H.L., E.A., Q.C., H.R., S.A., E.D., Y.K. and D.W. performed the experiments and collected the data. All of the authors contributed to writing the manuscript, discussing the results and implications, and editing the manuscript at all stages.

Corresponding authors

Correspondence to Gianpietro Dotti or Zhen Gu.

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Competing interests

Patents describing the drug-delivery system documented in this Article have been filed with the US Patent Office. Q.H. and Z.G. are listed as inventors on the provisional patent application (provisional patent application no. 63/055,738). Z.G. is the co-founder of Zencapsule Inc., and the other authors declare no competing interests.

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Hu, Q., Li, H., Archibong, E. et al. Inhibition of post-surgery tumour recurrence via a hydrogel releasing CAR-T cells and anti-PDL1-conjugated platelets. Nat Biomed Eng 5, 1038–1047 (2021). https://doi.org/10.1038/s41551-021-00712-1

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