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https://doi.org/10.1038/s41563-018-0028-2
Existing strategies to enhance peptide immunogenicity for more potent humoral responses and prophylactic tumour protec-
cancer vaccination generally require direct peptide altera- tion than traditional vaccine formulations13. Moreover, the MSR
tion, which, beyond practical issues, may impact peptide pre- surface could potentially be modified to induce stronger responses.
sentation and result in vaccine variability. Here, we report a Recent studies have shown that complexes based on PEI, a widely
simple adsorption approach using polyethyleneimine (PEI) used cationic polymer14,15, can stimulate pro-inflammatory cytokine
in a mesoporous silica microrod (MSR) vaccine to enhance production16,17, and induce potent humoral responses when com-
antigen immunogenicity. The MSR–PEI vaccine significantly plexed with glycoproteins18. Here, we explore the application of PEI
enhanced host dendritic cell activation and T-cell response to co-present an antigen in a facile, layered adsorption manner in
over the existing MSR vaccine and bolus vaccine formulations. the MSR vaccine.
Impressively, a single injection of the MSR–PEI vaccine using MSRs were adsorbed with PEI (MSR–PEI) by simply mixing
an E7 peptide completely eradicated large, established TC-1 with a PEI solution for 15 minutes; subsequently, an antigen pool
tumours in about 80% of mice and generated immunological was directly adsorbed onto MSR–PEI particles (Fig. 1a). Both rela-
memory. When immunized with a pool of B16F10 or CT26 neo- tive molecular mass 60,000 (60K) branched PEI (B60K) and 25K
antigens, the MSR–PEI vaccine eradicated established lung linear PEI (L25K) absorbed to MSR with high efficiency (Fig. 1b),
metastases, controlled tumour growth and synergized with with an incorporation capacity of about 20 μg PEI per mg MSR.
anti-CTLA4 therapy. Our findings from three independent Over 90% of B60K and L25K PEI polymers were adsorbed after
tumour models suggest that the MSR-PEI vaccine approach 1 min of mixing (Fig. 1c). Zeta potential measurements confirmed
may serve as a facile and powerful multi-antigen platform to PEI incorporation (Fig. 1d). MSR–PEIs maintained the intrinsic
enable robust personalized cancer vaccination. mesopores of MSRs (Supplementary Fig. 1a), pore structure and
Cancer vaccines targeting multiple tumour-specific antigens bulk particle structure (Supplementary Fig. 1b–d), with reduced
can elicit broad immune responses and decrease tumour escape1,2, surface area and pore volume as expected (Supplementary Table 1).
and recent advances enable identification of tumour-specific muta- MSRs and MSR–PEIs showed high incorporation efficiency for
tions (‘neoantigens’)3,4. Neoantigens are attractive vaccine targets net positive and neutral example murine (Fig. 1e) and human
as they are not expressed in healthy tissues and are predicted to (Fig. 1f) peptides, but MSR–PEI enhanced the incorporation of net
have strong major histocompatibility complex (MHC)-binding negative peptides.
affinity5. Recent clinical data have shown that neoantigen vaccines The underlying adjuvant effect of PEI19,20 on bone-marrow-
could generate T cells that specifically target heterogeneous tumour derived dendritic cells (BMDCs) was next examined. BMDCs take up
clones6. However, neoantigen peptides exhibit rapid clearance and free PEI, reaching maximum uptake at 24 h (Supplementary Fig. 2a),
low immunogenicity, which limits optimal presentation by antigen- and showed a significant increase in CD86 and MHC-II expression
presenting cells to initiate strong T-cell responses7. Macro- and (Fig. 1f) and tumour necrosis factor α (TNF-α) (Fig. 1g) and inter-
nano-engineering strategies have been designed to overcome these leukin-6 (IL-6) (Fig. 1h) production in a PEI dose-dependent man-
challenges8–11, but many approaches require chemical modification ner. BMDCs stimulated with MSR–PEI also showed significantly
or physical emulsification of the peptides, potentially altering their increased CD86 expression (Supplementary Fig. 2b) and TNF-α
presentation capacity. Moreover, since neoantigen vaccines typi- production (Supplementary Fig. 2c). MSR–PEI also triggered the
cally require many peptides12, modification of individual peptides increased production of IL-1β, a key cytokine produced in response
is cumbersome for clinical translation and is likely to result in high to Nlrp3 inflammasome activation21 (Supplementary Fig. 3a). This
batch-to-batch variability. was probably a result of lysosomal rupture upon MSR–PEI uptake
We propose a facile strategy to enhance antigen immunogenicity (Supplementary Fig. 3b), leading to the release of phagosomal con-
using polyethyleneimine (PEI) combined with a mesoporous silica tents into the cytosolic compartment. Interestingly, as TNF-α and
microrod (MSR) vaccine. The MSR vaccine can be injected using IL-6 have been shown to be Nlrp3-independent cytokines22, it is
standard needles, was shown to effectively concentrate and acti- possible that MSR–PEI particles can stimulate multiple damage-
vate large populations of host antigen-presenting cells and induced associated molecular pattern (DAMP) receptors. The impact of PEI
1
John A. Paulson School of Engineering and Applied Sciences, Harvard University, Cambridge, MA, USA. 2Wyss Institute for Biologically Inspired
Engineering, Harvard University, Boston, MA, USA. 3Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA, USA.
4
School of Chemical Engineering, Sungkyunkwan University, Suwon, Republic of Korea. 5Department of Health Sciences and Technology, Samsung
Advanced Institute for Health Science & Technology (SAIHST), Sungkyunkwan University, Suwon, Republic of Korea. 6Biomedical Institute for Convergence
at SKKU (BICS), Sungkyunkwan University, Suwon, Republic of Korea. *e-mail: mooneyd@seas.harvard.edu
© 2018 Macmillan Publishers Limited, part of Springer Nature. All rights reserved.
Letters NATuRE MATERIALS
a b 100 c 100
0 0
5 10 20 30 5 10 20 30 0 5 10 15
PEI (μg)/MSR (mg) Time (min)
d 20 e f MSR B60K
L25K
MSR B60K 4 6941 MSR 7
B60K CT29-M19
MSR
Charge at neutral pH
10
Charge at neutral pH
Zeta potential (mV)
CT26-M03 2 7412 3
B16-M27 0.2 2
0 6943
CT26-M90 0.1 P = 0.003
6783 –2
**
P = 0.006 –3
–10 B16-M30
**
P = 0.0005
P = 0.004 6942 –5
***
CT26-M20 –5
**
–20
0 1 5 10 20 0 50 100 0 50 100
PEI (μg)/MSR (mg) Adsorption efficiency (%) Adsorption efficiency (%)
g h i j
50 600 250
**** P = 0.0003
TNF-α (pg ml–1)
**
IL-6 (pg ml–1)
400 P = 0.0004 20
30 150
*** *** P = 0.02
20 100 10 *
200
10 50
0
0 0 0
S
VA
μg EI
I
PE
PB
10 g P
O
PBS 1 7 1 7 PBS 1 7 1 7 PBS 1 7 1 7
μ
5
L25 B60 L25 B60 L25 B60
OVA+PEI
Fig. 1 | PEI can be rapidly incorporated onto MSRs and leads to murine and human DC activation. a, Schematic representations of PEI and subsequent
antigen adsorption onto bare MSRs. b, Incorporation efficiency of various doses of soluble B60K and L25K PEI into MSRs (n = 3). c, Incorporation kinetics
of soluble B60K and L25K PEI into MSRs (representative data, repeated at least three times). d, Zeta potential of MSR–PEI particles using various doses
of soluble B60K and L25K PEI (n = 3). e,f, Incorporation efficiency of murine (e) and human (f) neoantigen peptides (colour-codedaccording to the net
charge at neutral pH) onto bare MSR or MSR–PEI particles using B60K PEI (n = 3, two-tailed t-test). g, Flow cytometry analysis of CD86 and MHC-II
expression on murine BMDCs after 24 h of stimulation with 1 μg or 7 μg of soluble PEI or PBS (n = 4, compared with PBS by one-way analysis of variance
(ANOVA)). h,i, Enzyme-linked immunosorbent assay (ELISA) analysis of TNF-α (h) and IL-6 (i) concentration in murine BMDC supernatant after 24 h of
stimulation with 1 μg or 7 μg of soluble B60K and L25K PEI or PBS (n = 4, compared with PBS by one-way ANOVA). j, Flow cytometry analysis of SIINFEKL-
presenting murine BMDCs after stimulation with PBS, OVA, and OVA with 5 μg or 10 μg of soluble B60K PEI (n = 3, compared with OVA by one-way
ANOVA). Data depict mean ± s.d.
on antigen presentation was next examined by pulsing BMDCs with (GM-CSF) to recruit host DCs, the TLR-9 agonist CpG-ODN and
ovalbumin (OVA) either alone or together with B60K PEI for 2 days. a model antigen OVA as previously described13 with the MSR–PEI
B60K PEI led to an approximately 10- to 20-fold increase in anti- vaccine incorporating these agents (Fig. 2a). In vitro, GM-CSF
gen cross-presentation when compared with OVA alone (Fig. 1i). and PEI were released in a sustained manner from the MSR–
Finally, as the MSRs and PEI solutions were endotoxin free PEI vaccine, while CpG was rapidly released due to its negative
(Supplementary Table 2), and BMDC activation was unaffected by charge (Supplementary Fig. 5). Mice were immunized with the
TLR4 neutralization (Supplementary Fig. 4), the activation of DCs MSR vaccine (V) or the MSR–PEI vaccine (VP). In both vaccines,
was probably not a result of material contamination. Together, these CpG-ODN was incorporated, as TLR-9 activation can efficiently
data suggest that PEI can be efficiently and easily incorporated induce a type 1 and CD8 killer T-cell (CTL) response23. The total
into MSRs, that a broad range of neoantigen peptides can be sub- numbers of cells recruited to the vaccine on day 3 were compa-
sequently incorporated via adsorption and that PEI and MSR–PEI rable between V and VP immunized mice (Fig. 2b). However,
particles can enhance DC activation and cross-presentation. VP showed a significant enrichment of CD11c+ CD86+ activated
The ability of an MSR–PEI vaccine to improve DC activation DCs (Fig. 2c), CD11c+ CCR7+ LN homing DCs (Fig. 2d) and
in vivo was then analysed by comparing the MSR vaccine incor- CD11c+ SIINFEKL-H2Kb+ antigen cross-presenting DCs (Fig.
porating granulocyte–macrophage colony-stimulating factor 2e). The vaccine draining lymph node (dLN) total cellularities
© 2018 Macmillan Publishers Limited, part of Springer Nature. All rights reserved.
NATuRE MATERIALS Letters
a V VP b P = 0.63 c d
ns P = 0.002
1 × 105 1 × 105
MSR: CpG MSR: CpG ** **
1.5 × 106 P = 0.0096
8 × 104 8 × 104
CD11c+CCR7+
CD11c+CD86+
MSR-PEI: OVA
activated DCs
MSR: OVA
activated DC
1.0 × 106 6 × 104 6 × 104
MSR: GM-CSF MSR: GM-CSF
4 × 104 4 × 104
5.0 × 105
2 × 104 2 × 104
Lyophilize Lyophilize
0.0 0 0
Mix and inject Mix and inject V VP V VP V VP
N **** N
4 × 104 V V *
* 8 × 105
V
5
V
P = 0.02 VP VP 6 × 10 VP VP
3 × 104 2 × 107 4 × 103
P < 0.0001 6 × 105 P = 0.0001 P < 0.0001
2 × 104
**** 4 × 105
0 0 0 0 0
V VP Day 3 Day 5 Day 3 Day 5 Day 3 Day 5 Day 3 Day 5
i j P = 0.02 k P = 0.007
l P = 0.01
4 × 105 1 × 106 5 × 103
* *
5
** 3
CD11c+ CD86+ DC
4 × 10
CD11c+ CD86+ DC
8 × 10
DQ-OVA+ CD11c+
Trans VP Cis VP 3 × 105
Number of
Number of
MSR-PEI: CpG
Number of
Fig. 2 | MSR–PEI vaccine enhances DC activation and trafficking in situ. a, Schematic representations of the MSR vaccine (V), boxed in black, and
MSR–PEI vaccine (VP), boxed in red. b, Total cell number at the vaccine site explanted on day 3 after immunization with V or VP using B60K PEI (n = 4,
two-tailed t-test). c–e, Total number of CD11c+ CD86+ activated DCs (n = 4, two-tailed t-test) (c), CD11c+ CCR7+ LN homing DCs (n = 4, two-tailed
t-test) (d) and SIINFEKL-presenting DCs (n = 4, two-tailed t-test) (e) recruited to the vaccine site on day 3 after immunization with V or VP using B60K
PEI. f–h, Total number of cells (n = 4 for day 3 and n = 5 for day 5, two-way ANOVA) (f), of CD11c+ CD86+ or CD11c+ MHC-II+ activated DCs (n = 4 for
day 3 and n = 5 for day 5, two-way ANOVA) (g) and OVA+ DCs (n = 4 for day 3 and n = 5 for day 5, two-way ANOVA) (h) in the dLN on days 3 and 5
after immunization with V or VP using B60K PEI or left unimmunized (N). i, Schematic representations of the MSR–PEI trans vaccine (trans VP) and the
MSR–PEI cis vaccine (cis VP). j, Total number of CD11c+ CD86+ activated DCs at the vaccine site on day 3 after immunization with the trans VP vaccine
or the cis VP vaccine (n = 5, two-tailed t-test). k,l, Total number of CD11c+ CD86+ activated DCs (k) and CD11c+ OVA+ DCs (l) in the dLN on day 5 after
immunization with the trans VP vaccine or the cis VP vaccine (n = 5, two-tailed t-test). Data depict mean ± s.d.
between V and VP immunized mice were similar on day 3, but the MSR–PEI vaccine enhanced host DC activation, antigen pre-
VP immunized mice showed strikingly higher dLN cellularity on sentation and trafficking to secondary lymphoid organs.
day 5 (Fig. 2f). Additionally, VP elicited a strong enrichment in The ability of the MSR–PEI vaccine to induce a CTL response
activated DCs (Fig. 2g and Supplementary Fig. 6a) and antigen- with the model antigen OVA was next examined. Circulating
presenting DCs (Fig. 2h), but not in the macrophage populations peripheral blood mononuclear cells (PBMCs) were analysed 7 days
(Supplementary Fig. 6b,c) in the dLN. Next, the impact of a direct after immunization with V or VP vaccines. Mice immunized with
association between antigen and PEI was evaluated. While main- VP generated about twice as many circulating IFN-γ+ (Fig. 3a) and
taining a constant dose of GM-CSF, CpG, OVA and PEI, two types tetramer+ (Fig. 3b) CTLs when compared with V. Furthermore,
of VP vaccine were tested: (1) a trans form (trans VP) that com- effector T cells outnumbered regulatory T cells by about 15-fold at
bined CpG adsorbed onto MSR–PEIs, OVA adsorbed onto bare the VP vaccine site, almost three times higher than at the V vaccine
MSRs and GM-CSF adsorbed onto also bare MSRs, or (2) a cis site (Fig. 3c). Increasing the PEI dose in VP to above 40 μg per vac-
form (cis VP) that combined OVA adsorbed onto MSR–PEIs, CpG cine led to a decrease in CTL responses (Fig. 3d). Similarly to VP
adsorbed on to bare MSRs and GM-CSF adsorbed onto also bare using B60K PEI, the VP formulation using L25K PEI also showed
MSRs (Fig. 2i). The incorporation efficiencies of GM-CSF, CpG an enhanced CTL response when compared with V (Fig. 3e). No
and OVA were comparable (Supplementary Table 3). The cis VP significant differences were observed when varying PEI structure
vaccine showed twice as many activated DCs in the scaffold (Fig. and molecular weight (Supplementary Fig. 7a). Finally, and consis-
2j) and three times as many activated and antigen-presenting DCs tent with our previous finding on host DC activity, a cis VP vaccine
in the dLN (Fig. 2k,l) when compared with the trans VP vaccine. showed a significantly higher CTL response when compared with
The myeloid cell population in the scaffold was not impacted a trans VP vaccine and the MSR vaccine (Fig. 3f). To exclude the
(Supplementary Fig. 6d). Collectively, these data demonstrate that possibility that a higher dose of PEI in the trans VP vaccine may
© 2018 Macmillan Publishers Limited, part of Springer Nature. All rights reserved.
Letters NATuRE MATERIALS
a 5 P = 0.03 b 5 P = 0.037
* *
IFNγ-APC
IFNγ-APC
2 2
102 102 102
0 0 0
1 1
0 102 103 104 105 0 102 103 104 105 0 102 103 104 105
CD8a-FITC CD8a-FITC CD8a-FITC
0 0
N V VP N V VP
c d P = 0.01 e f * (P = 0.017)
8
* P = 0.03 # (P = 0.015)
20 IFNy+ within CD3+CD8+ (%)
8 *
P = 0.003
6 6
15 6
4 4
10 4
2 2
5 2
0 0 0 0
V VP N 10 20 40 80 N V VP L25 N V Trans Cis
VP (μg PEI) VP
Fig. 3 | MSR–PEI vaccine enhances CD8 cytotoxic T-cell response against OVA. a, Percentage of IFN-γ+ CD8+ T cells isolated from peripheral blood on
day 7 after immunization with V or VP using B60K PEI or left unimmunized, and stimulated with SIINFEKL (three primary fluorescence-activated cell
sorting (FACS) plots on the left, quantifications from the FACS plots on the right) (n = 5, one-way ANOVA). b, Percentage of SIINFEKL-tetramer+ CD8+
T cells isolated from peripheral blood on day 7 after immunization with V or VP using B60K PEI or left unimmunized (N) (n = 5 for VP, n = 4 for N and
V, one-way ANOVA). c, Ratio of CD8+ effector T cells (Teff) to CD4+ Foxp3+ regulatory T cells (Treg) at the MSR vaccine site on day 11 after immunization
with V or VP using B60K PEI (n = 5, two-tailed t-test). d, Percentage of IFN-γ+ CD8+ T cells isolated from peripheral blood on day 7 after immunization
with VP containing various doses of B60K PEI or left unimmunized (N) (n = 4, one-way ANOVA). e, Percentage of IFN-γ+ CD8+ T cells isolated from
peripheral blood on day 7 after immunization with V or the MSR-PEI vaccine using L25K PEI (VP L25) or left unimmunized (N) (n = 4, one-way ANOVA).
f, Percentage of IFN-γ+ CD8+ T cells isolated from peripheral blood on day 7 after immunization with V, the MSR-PEI trans vaccine (trans, VP) using B60K
PEI or the MSR-PEI cis vaccine (cis, VP) using B60K PEI, or left unimmunized (N), and stimulated with SIINFEKL (n = 9, * between cis VP and trans VP, #
between cis VP and V by one-way ANOVA). Data depict mean ± s.d.
improve the response, two increasing doses of PEI in the trans inoculation, were completely tumour free after the rechallenge
VP vaccine were evaluated, and the CTL response decreased with (Fig. 4e). In a separate experiment, VP was evaluated against a tra-
increasing PEI (Supplementary Fig. 7b). ditionally formulated bolus vaccine. Consistent with previously
To test whether the MSR–PEI vaccine may induce anti-tumour reported findings, the bolus vaccine was partially effective and
immunity against tumour-specific peptides, a synthetic long pep- induced complete regression in only about 20% of the animals9,26.
tide derived from the E7 oncoprotein of human papilloma virus In comparison, VP induced faster regression and about 80% of
(HPV) was used as the antigen. Beyond cervical cancer, HPV is treated animals again showed complete regression (Supplementary
associated with 30–60% of oropharyngeal, vaginal and head-and- Fig. 8a,b). The anti-tumour effect of VP was antigen specific
neck cancers24–26. Consistent with our findings using OVA antigen, (Fig. 4f) and mediated by CD8+ T cells (Fig. 4g, h). Importantly, the
VP induced about two to three times higher E7-specific IFN-γ+ therapeutic regression accomplished with just one immunization
(Fig. 4a) and tetramer+ (Fig. 4b) circulating CTLs when compared with VP was stronger than multiple treatments of conventionally
with V. Mice immunized with VP showed significantly elevated adjuvanted E7 vaccines, and messenger RNA and nanoparticle-
blood TNF-αlevels (Fig. 4c). Next, mice were inoculated with based technologies in similar tumour studies9,27–29. To further dem-
E7-expressing TC-1 carcinoma subcutaneously and treated with onstrate that a direct association between the antigen and PEI in
a single injection of V or VP when tumour areas reached about the vaccine is important, animals bearing established subcutaneous
25 mm. VP triggered rapid and complete regression in a majority TC-1 tumours were treated with trans VP (E7 VP trans) and cis
of the animals, whereas V induced only partial regression (Fig. 4d). VP (E7 VP cis). Mice treated with cis VP showed superior tumour
Importantly, VP led to complete regression of even tumours that regression (Supplementary Fig. 8c), indicating that co-presentation
reached large dimensions (~1 × 1 cm2). VP also enhanced overall of the antigens and PEI in the vaccine is probably a crucial compo-
survival by about twofold when compared with V. Impressively, nent to generating anti-tumour immunity.
about 80% of animals treated with VP survived long term, beyond Finally, the MSR–PEI vaccine’s ability to serve as a facile and
150 days (Fig. 4e). To test immunological memory, the animals effective platform for multiple neoantigens to induce tumour control
that survived from the first inoculation were rechallenged with the was tested. First, VP demonstrated superior CTL response against
same E7-expressing TC-1 carcinoma after 6 months. All mice that B16F10 neoantigens in both tumour-free and tumour-bearing
were treated with either V or VP, and survived the first tumour mice when compared with V (Supplementary Figs. 9, 10). Next,
© 2018 Macmillan Publishers Limited, part of Springer Nature. All rights reserved.
NATuRE MATERIALS Letters
a b c
P = 0.06
*P = 0.03 *P = 0.02
2.5 4 60 **
0.0 0
N V μg
μg N V μg
μg 0
520 520 N V VP
VP (μg PEI) VP (μg PEI)
f 100
d TC-1 V e Rechallenge ***
300 P = 0.0001
N 100
P = 0.03
Percentage survival
V 0 8
Tumour area (mm2)
Percentage survival
VP
Day
P value * Naive
200 (V and VP) N SIINFEKL VP
18 0.03 V 50 E7 VP
50 VP
20 0.0006
100 22 0.003
*
*** 24 0.01
** 26 0.02
***
0 * 0 0
28 0.03
0 10 20 30 40 0 100 200 300 0 10 20 30
30 0.03
Time Time Time
(days after inoculation) (days after inoculation) (days after inoculation)
g h Naive isotype
Isotype mab a-CD8a mab 300
5 5 VP isotype
10 10
Tumour area (mm2) Naive a-CD8
7.09% 0.040% VP a-CD8
104 104 200
P value
103 103 Day (VP a-CD8
and VP iso)
CD8a - PE
CD8a-PE
12.2% 100
102 102 20.4% **** 15 0.02
0 0
**** 17 <0.0001
* **** ****
0 102 103 104 105 0 102 103 104 105 19 <0.0001
0
CD4 – Pac blue CD4–Pac blue 0 5
10 15 20 25 21 <0.0001
Time 23 <0.0001
(days after inoculation)
Fig. 4 | MSR–PEI vaccine enhances CD8 cytotoxic T-cell response against E7 and regresses established tumours. a,b, Percentage of IFN-γ+ CD8+ T cells
in response to RAHYNIVTF stimulation (a) and percentage of tetramer+ CD8+ T cells (b) in peripheral blood on day 7 after immunization with the MSR
E7 vaccine (V) or the MSR–PEI E7 vaccine (VP) using 5 μg or 20 μg of B60K PEI, or left unimmunized (N) (n = 4, one-way ANOVA). c, ELISA analysis of
TNF-αlevel in serum 24 h after vaccination with V or the MSR-PEI (B60K) vaccine (VP), or left unimmunized (N) (n = 4, compared with N by one-way
ANOVA). d,e, Tumour growth (d) and overall survival (e) of mice bearing established E7-expressing TC-1 tumours (allowed to develop for 8 days) and
treated with V or VP using L25K PEI, or left untreated (N), and subsequently rechallenged with TC-1 cells 6 months after the first inoculation (n = 10,
compared with V by two-way ANOVA for d and by log-rank test for e). f, Overall survival of mice bearing established E7-expressing TC-1 tumours and
treated with the MSR–PEI vaccine containing E7 (E7 VP) or the MSR–PEI vaccine containing SIINFEKL (SIINFEKL VP), or left untreated (Naive) (n = 8,
compared with SIINFEKL VP by log-rank test). g, Flow cytometry analysis of blood T cells 3 days after treatment with a-CD8a monoclonal antibody (mab)
or an isotype monoclonal antibody (representative data, repeated three times). h, Tumour growth of mice bearing established E7-expressing TC-1 tumours
and treated with the MSR–PEI vaccine with either a-CD8a monoclonal antibody or an isotype monoclonal antibody (n = 8, compared with VP a-CD8 by
two-way ANOVA). In a–c data depict mean ± s.d. and in d,h data depict mean ± s.e.m.
VP was evaluated in the highly aggressive and immune-suppressive with repeated immunizations of RNA-based neoantigen vaccines5.
B16F10 and CT26 models using combinations of neoantigen A standard prime and boost of VP improved subcutaneous B16F10
peptides5. As effector tumour-infiltrating lymphocytes (TILs) are growth control (Fig. 5c) and induced temporary regression in a
needed to achieve tumour clearance7, the TIL population was iso- subset of the animals (Fig. 5d). Checkpoint blockade therapies are
lated, directly stained and analysed on day 15 after inoculation, by effective in various types of cancer, but the response rate depends
which point some tumours in the untreated and V-treated animals on a pre-existing immunity30. In this aggressive model, anti-CTLA4
had developed to the maximum allowed size. Impressively, tumours therapy alone did not confer significant tumour growth control.
in VP-treated animals showed stronger enrichment in the IFN-γ+, However, one injection of VP in combination with anti-CTLA4
TNF-α+ and granzyme B+ TILs (Fig. 5a, Supplementary Fig. 11). In treatment significantly augmented the response (Fig. 5e).
contrast, V did not generate enhanced TIL response when compared This study describes a potentially transformative, simple and
with untreated animals. Lung metastases of B16F10 (Fig. 5b) and modular strategy to enhance antigen immunogenicity and drive
CT26 (Supplementary Fig. 12) tumours were efficiently eradicated effective anti-tumour immunity. This approach can effectively drive
by one injection of VP containing a combination of B16 or CT26 immune responses against libraries of cancer-specific mutations
neoantigens, respectively. Notably, these responses achieved with and synergize with other immunotherapies. The vaccine is assem-
a single immunization of VP were comparable to those achieved bled in less than 3 h by simple mixing of all components, and can
© 2018 Macmillan Publishers Limited, part of Springer Nature. All rights reserved.
Letters NATuRE MATERIALS
a b e
T Vax
(IV) (M27, M30) Lung T Vax
P = 0.0052
(SC) (M27, M30, M47, M48)
1,500 ** a-CTLA4
0 1 16
150
ns 20 0 5 10 15 20
400 P = 0.776 100 a-CTLA4
ns 300
10 P = 3.6 × 10–7 ns, P = 0.07
200
150 VP + a-CTLA4
500 500 300
N VP*, P = 0.02 *, P = 0.046
Fig. 5 | MSR–PEI vaccine enhances melanoma TIL effector function and induces tumour control and synergy with anti-CTLA4 therapy using combined
B16 neoantigens. a, Number of CD44+ IFN-γ+, CD44+ TNF-α+ and CD44+ granzyme B+ TILs per 500,000 tumour cells on day 15 after inoculation. Mice
bearing established B16F10 tumours (allowed to develop for 5 days) and treated with the MSR vaccine (V) or the MSR–PEI vaccine (VP) using L25K PEI
and 50 μg of the B16 neoantigens, or left untreated (N) (n = 5 for VP, n = 3 for N and V, one-way ANOVA). b, Number of lung metastases formed on day 16
after inoculation in mice that received IV inoculation of B16F10 melanoma cells (allowed to develop for 1 day) and were treated with VP using L25K PEI and
50 μg of the B16 neoantigens, or left untreated (N). Primary representative photographs of excised lungs are shown (n = 6, two-tailed t-test).
c, Tumour growth in mice bearing established B16F10 tumours (allowed to develop for 3 days) and treated with two injections of VP using L25K PEI and
50 μg of the B16 neoantigens on days 3 and 13, or left untreated (N) (n = 8, two-tailed t-test). d, Tumour volume change between days 13 and 17 after
tumour inoculation (n = 8, two-tailed t-test). e, Tumour growth of mice bearing established B16F10 tumours (inoculated with 1 × 105 cells) and treated
with anti-CTLA4 antibody (a-CTLA4), anti-CTLA4 antibody in combination with the MSR–PEI vaccine (VP + a-CTLA4) using L25K PEI and 50 μg of the
B16 neoantigens on day 5, or left untreated (N) (n = 8, *significant difference between VP + a-CTLA4 and a-CTLA4, ***significant difference between
VP + a-CTLA4, ns between a-CTLA4 and N by one-way ANOVA). In a,b,d data depict mean ± s.d., in c,e data depict individual tumour growth.
be stored in a lyophilized form before or after antigens are added. 3. Hacohen, N., Fritsch, E. F., Carter, T. A., Lander, E. S. & Wu, C. J.
Overall, this approach may have high value as a therapeutic multi- Getting personal with neoantigen-based therapeutic cancer vaccines.
antigen platform to enable robust personalized vaccination. Cancer Immunol. Res. 1, 11–15 (2013).
4. Linnemann, C. et al. High-throughput epitope discovery reveals frequent
Methods recognition of neo-antigens by CD4+T cells in human melanoma. Nat. Med.
21, 81–85 (2015).
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org/10.1038/s41563-018-0028-2. 6. Ott, P. A. et al. An immunogenic personal neoantigen vaccine for patients
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Received: 26 April 2017; Accepted: 19 January 2018; 7. van der Burg, S. H., Arens, R., Ossendorp, F., van Hall, T. & Melief, C. J.
Vaccines for established cancer: overcoming the challenges posed by immune
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© 2018 Macmillan Publishers Limited, part of Springer Nature. All rights reserved.
Letters NATuRE MATERIALS
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NATuRE MATERIALS Letters
MSRs, 40 μg of MSR–PEI particles (12.5 μg of L25K-PEI per mg MSRs) or 2 μg free 110 mg l−1 sodium pyruvate, 5 mM HEPES, 50 μM β-mercaptoethanol, 10% heat-
PEI (L25K) for 24 h. Subsequently, BMDCs were incubated with acridine orange inactivated FBS and 1% penicillin–streptomycin). Subsequently, cytokine secretion
(ThermoFisher, diluted 1:20,000) for 4 h. Acridine orange signal was assessed was stopped by directly adding Golgi Plug (Biolegend) to the culture. Cells were
using flow cytometry at 488 nm (excitation) and 650–690 nm (emission) cultured for another 4 h at 37 °C. Cells were pelleted and stained with Alexa Fluor
(LSRFortessa, BD)21. 780 dead exclusion dye, anti-mouse CD3e, CD8a and CD4 for 15 min on ice. Cells
were then fixed and permeabilized (eBioscience 88-8824-00), and stained with
TLR-4 neutralization. 1 × 106 ml−1 immature BMDCs were plated onto tissue- anti-mouse IFN-γfor 30 min at 4 °C. Finally, cells were washed and analysed using
culture-treated 12-well dishes and treated with TLR4 (CD284)/MD2 monoclonal flow cytometry (LSRFortessa, BD).
antibody (Biolegend, clone MTS510) for 1 h at 37 °C. Subsequently, the BMDCs
were stimulated with 40 μg of MSR or MSR–PEI particles (12.5 μg PEI per mg Peptide restimulation of splenic CD8+ T cells. To isolate splenic DCs, naïve
MSRs) for 24 h. BMDCs were collected, stained with anti-CD11c, anti-CD86 and spleens were retrieved and digested in RPMI supplemented with 1 mg ml−1
7AAD, and analysed using flow cytometry (LSRFortessa, BD). collagenase 4 (Worthington) and 0.1 mg ml−1 DNase (New England Biolabs)
for 30 min at 37 °C. RBCs were lysed using RBC lysis buffer (Biolegend). Dead
Therapeutic tumour studies. Cells were used at passage number 5 or earlier and cells were removed (Miltenyi Biotec), and splenic DCs were obtained using a
passaged at least twice prior to inoculation. In the subcutaneous therapeutic TC-1 CD11c+ magnetic sorting kit (Miltenyi Biotec). DCs were pulsed with 5 μg ml−1
model, female C57BL/6 mice were injected with a single-cell suspension of 2 × 105 of M27, M30 or a control peptide. Separately, spleens from vaccinated mice were
TC-1 cells in 100 μl cold PBS in the back of the neck on day 0. In the subcutaneous retrieved (8 days after vaccination). Splenocytes were isolated from the spleens by
therapeutic B16F10 model, female C57BL/6 mice were injected with a single-cell physically grinding the spleens on a cell filtration device in RPMI supplemented
suspension of 1 × 105 B16F10 cells in 100 μl cold PBS in the back of the neck on with 2% FBS. RBCs were lysed and CD8+ or CD4+ T cells were then obtained
day 0. Mice were immunized on indicated days, and tumour area was monitored using a negative CD8+ or CD4+ T-cell selection kit (Miltenyi Biotec). The sorted
using a calliper: longest surface length (a) and width (b), and the tumour size was T cells were labelled with CFSE (ThermoFisher). T cells and DCs were cultured
expressed as area (ab). Mice were killed when the longest side reached 2 cm or together at a 10:1 (T:DC) ratio for 3 days at 37 °C to allow for antigen-specific T-cell
according to IACUC standards. In the therapeutic B16F10 or CT26 lung metastasis proliferation. On day 3, cytokine secretion was stopped by incubating with Golgi
model, mice were injected intravenously with 2 × 105 B16F10 or CT26 cells in Plug (Biolegend) for 4 h at 37 °C. Subsequently, cells were collected and stained
100 μl cold PBS on day 0. Lungs were excised on day 16 and fixed in Fekete’s with Alexa Fluor 780 dead exclusion dye, anti-mouse CD3e, CD8a and CD4 for
solution. Lung metastasis nodules were then manually enumerated. For anti- 15 min on ice before fixing and permeabilizing (eBioscience 88-8824-00). Cells
CTLA4 therapies, 100 μg per mouse of anti-mouse CTLA-4 antibodies (BioXcell, were then stained with anti-mouse IFN-γfor 30 min at 4 °C and analysed using
clone 9D9) were administered intraperitoneally on days 1, 3, 6 and 9 after flow cytometry (LSRFortessa, BD)5,34.
tumour inoculation.
TIL analysis. Tumours were explanted and cut into small pieces in 5 ml of RPM.
CD8+ T-cell depletion. CD8+ T cells were depleted by injecting 100 μg of The samples were then digested in 15 ml RPMI supplemented with 2% FCS,
anti-CD8a monoclonal antibody (BioXCell, clone 2.43) intraperitoneally twice 50 U ml−1 collagenase IV (Invitrogen), 100 μg ml−1 hyaluronidase and 20 U ml−1
weekly, starting the day before vaccination33. Depletion was confirmed using DNase (Roche) for 2 h at 37 °C using gentleMACS dissociators (Miltenyi Biotech).
flow cytometry. Suspensions were filtered through a 40 µM strainer and washed three times with
PBS. Lymphocyte population was enriched through gradient centrifugation at
Scaffold explant and analysis. Scaffold tissues were surgically removed from the 50g for 5 min, repeated three times. Supernatant was collected and stained with a
animals after euthanasia. They were first processed using mechanical disruption, Zombie-UV dead exclusion dye, anti-mouse CD45, CD3e, CD4, CD8a, CD62L and
and subsequently digested in 250 U ml−1 collagenase IV (Worthington) in RPMI CD44 for 15 min on ice before fixing and permeabilizing (eBioscience 00-5523-00).
for 30 min. at 37 °C under gentle shaking. Cell and tissue suspensions were filtered Cells were then stained with anti-mouse IFN-γ, TNF-αand granzyme B for 30 min
through a 40 μm cell strainer to separate single cells from large MSR particles. at 4 °C and analysed using flow cytometry (LSRFortessa, BD)35.
The cells and small remaining MSR particles were pelleted, washed three times
and counted manually using a haemocytometer. Dead cells were visualized using Statistical analysis. All values in the present study are expressed as mean ± s.d.
trypan blue (ThermoFisher). Subsequently, cells were stained with anti-mouse unless otherwise indicated in the figure legends. Statistical analysis was performed
CD11c, CD86, CCR7 and SIINFEKL/H-2Kb monoclonal antibodies in FACS using GraphPad Prism. The significance between two groups was analysed by a
buffer (PBS supplemented with 1% BSA and 0.1% sodium azide) for 15 min on two-tailed Student t-test. Sample variance was tested using the F-test. For multiple
ice. Dead cells and MSR particles were stained and excluded from analysis using comparisons, a one-way or a two-way ANOVA test was used. In all cases, a P value
7-AAD (eBioscience) or a fixable viability dye (eBioscience). Finally, cells were of less than 0.05 was considered significant. Details for statistical analyses for each
washed three times in FACS buffer and analysed using flow cytometry comparison are reported in Supplementary Table 6.
(LSRFortessa, BD)13.
Life Sciences Reporting Summary. Further information on experimental design is
Lymph node analysis. Vaccine dLNs were surgically removed from the animals. available in the Life Sciences Reporting Summary.
They were then processed through mechanical disruption and digested for 30 min
at 37 °C in RPMI containing 0.5 mg ml−1 collagenase 4 and 0.1 mg ml−1 DNAse. Data availability. The datasets generated during and/or analysed during the
Cells were then filtered through a 40 μm cell and washed in cold PBS. Single-cell current study are available from the corresponding author on reasonable request.
suspensions were enumerated (Beckman-Coulter) and stained with an Alexa Fluor
780 dead exclusion dye (eBioscience), anti-mouse CD11c, CD11b, CD86, MHC-II
and F4/80 for 15 min on ice. DQ-OVA was visualized in the FITC channel. The References
cells were then washed and analysed using flow cytometry (LSRFortessa, BD). 31. Li, W. A. et al. The effect of surface modification of mesoporous silica
micro-rod scaffold on immune cell activation and infiltration. Biomaterials
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100 μl of peripheral blood was collected into heparin-coated tubes (BD) and kept 32. Kim, J. et al. Effect of pore structure of macroporous poly (lactide-co-
on ice. Red blood cells (RBCs) were removed by adding 1 ml RBC lysis buffer glycolide) scaffolds on the in vivo enrichment of dendritic cells.
(BioLegend) for 1 min at room temperature; lysis was quenched by adding 9 ml ACS Appl. Mater. Interf. 6, 8505–8512 (2014).
cold PBS directly. Cells were pelleted and washed in FACS staining buffer. To carry 33. Moynihan, K. D. et al. Eradication of large established tumors in mice by
out tetramer staining, blood cells were incubated with 50 μl of 7 μg ml−1 Alexa combination immunotherapy that engages innate and adaptive immune
Fluor 647 conjugated peptide-MHC tetramers (NIH Tetramer Core) for 20 min responses. Nat. Med. 22, 1402–1410 (2016).
at 37 °C. Subsequently, cells were pelleted and stained with 7-AAD, anti-mouse 34. Höpken, U. E. et al. The ratio between dendritic cells and T cells determines
CD3e and CD8a for 15 mins on ice. Finally, cells were washed three times in FACS the outcome of their encounter: proliferation versus deletion. Eur. J. Immunol.
staining buffer and analysed using flow cytometry (LSRFortessa). To carry out 35, 2851–2863 (2005).
peptide restimulation, blood cells were pulsed with 2 μg ml−1 of various MHC-I 35. Zhou, P. et al. In vivo discovery of immunotherapy targets in the tumor
restricted peptides for 1–1.5 h at 37 °C in T-cell medium (RPMI supplemented with microenvironment. Nature 506, 52 (2014).
© 2018 Macmillan Publishers Limited, part of Springer Nature. All rights reserved.
nature research | life sciences reporting summary
Corresponding author(s): David Mooney
Initial submission Revised version Final submission
` Experimental design
1. Sample size
Describe how sample size was determined. Sample sizes were determined to allow the statistical significance of differences of
50% or greater, and according to similar studies conducted in the field. The specific
sample size required depended on the experiment.
2. Data exclusions
Describe any data exclusions. No samples were excluded
3. Replication
Describe whether the experimental findings were Results from each experiment were reproduced in the lab at least twice
reliably reproduced.
4. Randomization
Describe how samples/organisms/participants were Animals were randomly sorted to various experimental or control groups.
allocated into experimental groups.
5. Blinding
Describe whether the investigators were blinded to No formal blinding was used, but the various steps in key studies were performed
group allocation during data collection and/or analysis. by different investigators, who were each independent of the steps performed by
the other investigator.
Note: all studies involving animals and/or human research participants must disclose whether blinding and randomization were used.
6. Statistical parameters
For all figures and tables that use statistical methods, confirm that the following items are present in relevant figure legends (or in the
Methods section if additional space is needed).
n/a Confirmed
The exact sample size (n) for each experimental group/condition, given as a discrete number and unit of measurement (animals, litters, cultures, etc.)
A description of how samples were collected, noting whether measurements were taken from distinct samples or whether the same
sample was measured repeatedly
A statement indicating how many times each experiment was replicated
The statistical test(s) used and whether they are one- or two-sided (note: only common tests should be described solely by name; more
complex techniques should be described in the Methods section)
A description of any assumptions or corrections, such as an adjustment for multiple comparisons
The test results (e.g. P values) given as exact values whenever possible and with confidence intervals noted
June 2017
A clear description of statistics including central tendency (e.g. median, mean) and variation (e.g. standard deviation, interquartile range)
Clearly defined error bars
See the web collection on statistics for biologists for further resources and guidance.
1
` Software
b. Describe the method of cell line authentication used. ATCC Cell lines were authenticated using STR profiling by ATCC, no further
authentication was performed
c. Report whether the cell lines were tested for TC-1 cells were tested free for mycoplasma contamination
mycoplasma contamination.
d. If any of the cell lines used are listed in the database N/A
of commonly misidentified cell lines maintained by
ICLAC, provide a scientific rationale for their use.
2
nature research | flow cytometry reporting summary
Corresponding author(s): David Mooney
Initial submission Revised version Final submission
` Data presentation
For all flow cytometry data, confirm that:
1. The axis labels state the marker and fluorochrome used (e.g. CD4-FITC).
2. The axis scales are clearly visible. Include numbers along axes only for bottom left plot of group (a 'group' is an analysis of
identical markers).
3. All plots are contour plots with outliers or pseudocolor plots.
4. A numerical value for number of cells or percentage (with statistics) is provided.
` Methodological details
5. Describe the sample preparation. For scaffold samples, the scaffolds were processed through mechanical
disruption and digested for 30 min. at 37 C in 250 U/ml Collagenase IV in
RPMI. The resulting cell suspension was then filtered through a 40μm cell
strainer to isolate the cells from the larger sized MSRs. The cells and small
remaining MSR particles were pelleted and washed with cold PBS.
For LN samples, they were processed through mechanical disruption and
digested for 30 min. at 37 °C in RPMI containing 0.5mg/ml Collagenase 4
and 0.1 mg/ml DNAse. Cells were then filtered through a 40μm cell and
washed in cold PBS.
Tumor sample processing is detailed in the methods section.
For all samples, cells were first stained with a dead exclusion dye,
followed by antibodies against surface antigens. In some experiments, cells
were subsequently fixed, permeablized and stained for intracellular
antigens.
7. Describe the software used to collect and analyze Flowjo 7.6 and Flowjo 10.4
the flow cytometry data.
9. Describe the gating strategy used. In general, cells were first gated on FSC/SSC. Singlet cells were gated using
FSC-H and FSC-A. Dead cells were then excluded and further surface and
intracellular antigen gating was performed on the live cell population.
Tick this box to confirm that a figure exemplifying the gating strategy is provided in the Supplementary Information.
June 2017