Eliciting anti-tumor immunity via targeted immunostimulant therapy

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Abstract/Contents

Abstract
Promoting immune activation within the tumor microenvironment (TME) is a promising therapeutic strategy to reverse tumor immunosuppression and elicit anti-tumor immunity. To enable tumor-localized immunotherapy following intravenous administration, we chemically conjugated a polyspecific integrin-binding peptide (PIP) to an immunostimulant (TLR9 agonist: CpG) to generate a tumor-targeted immunomodulatory agent, referred to as PIP-CpG. We demonstrate that systemic delivery of PIP-CpG induces tumor regression and enhances therapeutic efficacy compared to untargeted CpG in implanted murine breast and pancreatic cancer models. Furthermore, PIP-CpG therapy was able to inhibit tumor growth and prolong survival of MMTV-PyMT transgenic mice, which spontaneously develop multiple breast tumors. Mechanistically, PIP-CpG transforms the immunosuppressive TME into a lymphocyte-rich TME infiltrated with activated CD8+ T cells, CD4+ T cells, and B cells. This TME transformation was also observed upon treatment with intratumoral CpG but not systemic CpG, indicating that tumor-localized delivery is critical for remodeling the TME. Consistent with these findings, we show that tumor-specific effector CD8+ T cells are generated in response to PIP-CpG therapy and that T cells are required for therapeutic efficacy, demonstrating that efficient delivery of CpG to the tumor site elicits T cell-mediated anti-tumor immunity. Finally, we show that the efficacy of PIP-CpG can be enhanced using combination therapy with a T-cell-modulating anti-OX40 antibody. Overall, these results highlight the therapeutic potential of promoting immune activation in the TME and demonstrate that conjugating an immunostimulant to a tumor-targeting peptide is a viable strategy to achieve this goal.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2022; ©2022
Publication date 2022; 2022
Issuance monographic
Language English

Creators/Contributors

Author Miller, Caitlyn Lee
Degree supervisor Bertozzi, Carolyn R, 1966-
Degree supervisor Cochran, Jennifer R
Thesis advisor Bertozzi, Carolyn R, 1966-
Thesis advisor Cochran, Jennifer R
Thesis advisor Appel, Eric (Eric Andrew)
Thesis advisor Levy, Ronald, 1941 December 6-
Degree committee member Appel, Eric (Eric Andrew)
Degree committee member Levy, Ronald, 1941 December 6-
Associated with Stanford University, Department of Bioengineering

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Caitlyn L. Miller.
Note Submitted to the Department of Bioengineering.
Thesis Thesis Ph.D. Stanford University 2022.
Location https://purl.stanford.edu/dt604tz9504

Access conditions

Copyright
© 2022 by Caitlyn Lee Miller
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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