1. Systemic enhancement of antitumour immunity by peritumourally implanted immunomodulatory macroporous scaffolds
- Author
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Majedi, Fatemeh S, Hasani-Sadrabadi, Mohammad Mahdi, Thauland, Timothy J, Keswani, Sundeep G, Li, Song, Bouchard, Louis-S, and Butte, Manish J
- Subjects
Engineering ,Biomedical Engineering ,2.1 Biological and endogenous factors ,Aetiology ,Development of treatments and therapeutic interventions ,5.2 Cellular and gene therapies ,Inflammatory and immune system ,Cancer ,Mice ,Animals ,T-Lymphocytes ,Regulatory ,Immunity ,Neoplasms ,Antigens ,Neoplasm ,Disease Models ,Animal ,Tumor Microenvironment ,Biomedical engineering - Abstract
A tumour microenvironment abundant in regulatory T (Treg) cells aids solid tumours to evade clearance by effector T cells. Systemic strategies to suppress Treg cells or to augment immunity can elicit autoimmune side effects, cytokine storms and other toxicities. Here we report the design, fabrication and therapeutic performance of a biodegradable macroporous scaffold, implanted peritumourally, that releases a small-molecule inhibitor of transforming growth factor β to suppress Treg cells, chemokines to attract effector T cells and antibodies to stimulate them. In two mouse models of aggressive tumours, the implant boosted the recruitment and activation of effector T cells into the tumour and depleted it of Treg cells, which resulted in an 'immunological abscopal effect' on distant metastases and in the establishment of long-term memory that impeded tumour recurrence. We also show that the scaffold can be used to deliver tumour-antigen-specific T cells into the tumour. Peritumourally implanted immunomodulatory scaffolds may represent a general strategy to enhance T-cell immunity and avoid the toxicities of systemic therapies.
- Published
- 2023