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Southwest Jiaotong University Zhou Shaobing/Guo Xing AM: Bacterial outer membrane vesicle-mediated tumor PD-L1 self-blocking enhances the effect of immunotherapy




Immune checkpoint inhibitor therapy blocks the combination of programmed death protein-1 (PD-1) and its main ligand PD-L1, and has achieved encouraging clinical effects in some tumors. PD-1 is often expressed in activated lymphocytes (such as cytotoxic T cells), which can inhibit cell activation and induce immune tolerance. However, PD-L1 is overexpressed in tumor cells, and when combined with PD-1, the function of T cells is inhibited and cannot kill tumor cells. PD-1 monoclonal antibody can up-regulate the growth and proliferation of T cells and restore the ability of T cells to kill tumor cells. However, this therapy also has some problems, such as the low response rate of patients (~20%) and the side effects related to the long half-life of these antibody drugs. In addition, these checkpoint inhibitors also bind to other immune cells expressing PD-L1, including antigen-presenting cells, activated B cells, and macrophages, thereby interfering with immune function. Therefore, it is essential to selectively accumulate these checkpoint inhibitors in tumor tissues and then focus on tumor cells to improve the effect of immunotherapy and reduce system toxicity.


Here, Professor Shaobing Zhou and Professor Guo Xing of Southwest Jiaotong University developed a LyP1 polypeptide-modified bacterial outer membrane vesicle (LOMV) containing PD-1 plasmid, which realized the self-blocking of PD-L1 in tumor cells. Express the targeting polypeptide LyP1 in E. coli, extract LOMVs, and encapsulate the PD-1 plasmid to obtain LyP1-OMVs@PD-1 nanocarrier. After intravenous injection, these nanocarriers accumulate in tumor tissues through the targeting ability of OMV, and are internalized in tumor cells through LyP1, and then the PD-1 plasmid is sent to the nucleus, causing tumor cells to express PD-1. Self-expressed PD-1 binds to PD-L1 expressed by itself and neighboring tumor cells to achieve self-blocking, and CTL is reactivated to destroy tumor cells. At the same time, the outer membrane protein of LOMV can recruit cytotoxic lymphocytes and natural killer cells to tumor tissues, stimulate them to secrete IFN-γ, and improve the anti-tumor activity of PD-1/PD-L1 self-blocking therapy. In addition, OMVs differentiated CTL into central memory T cells, which produced long-term immunity. Experimental results show that, compared with non-targeted OMV, LyP1 has an effective ability to target tumors and accumulate in tumors. Bacterial outer membrane vesicles also attract CTL and NK cells to tumor tissues to achieve dual anti-tumor effects. This strategy has significantly improved the therapeutic effect of tumors and provides new ideas for the development of tumor immunotherapy nanomedicine.


Original link: https://onlinelibrary.wiley.com/doi/abs/10.1002/adma.202106307


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