Abstract
Microneedles (MNs) are micron-scale polymeric or metallic structures that offer distinct advantages for vaccines by efficiently targeting skin-resident immune cells, eliminating injection-associated pain, and improving patient compliance. These advantages, along with recent studies showing therapeutic benefits achieved using traditional intradermal injections in human cancer patients, suggest MN delivery might enhance cancer vaccines and immunotherapies. We recently developed a new class of polyelectrolyte multilayers based on the self-assembly of model peptide antigens and molecular toll-like receptor agonists (TLRa) into ultrathin, conformal coatings. Here, we reasoned that these immune polyelectrolyte multilayers (iPEMs) might be a useful platform for assembling cancer vaccine components on MN arrays for intradermal delivery from these substrates. Using conserved human melanoma antigens and a potent TLRa vaccine adjuvant, CpG, we show that iPEMs can be assembled on MNs in an automated fashion. These films, prepared with up to 128 layers, are approximately 200 nm thick but provide cancer vaccine cargo loading >225 μg/cm2. In cell culture, iPEM cargo released from MNs is internalized by primary dendritic cells, promotes activation of these cells, and expands T cells during coculture. In mice, application of iPEM-coated MNs results in the codelivery of tumor antigen and CpG through the skin, expanding tumor-specific T cells during initial MN applications and resulting in larger memory recall responses during a subsequent booster MN application. This study support MNs coated with PEMs built from tumor vaccine components as a well-defined, modular system for generating tumor-specific immune responses, enabling new approaches that can be explored in combination with checkpoint blockade or other combination cancer therapies.
Highlights
The skin is an important component of the immune system as a barrier and as a network that is rich in antigen presenting cells (APCs) able to survey the periphery for foreign molecules.[1]
We recently reported a new type of polyelectrolyte multilayers (PEMs) assembled entirely from immune signals, immune PEMs.[36−38] These films are composed of antigens modified with cationic amino acid residues and nucleic acid−based tolllike receptor (TLR) agonists that serve both as adjuvants and as negatively charged structural components of the films
In particular for cancer vaccination, our studies reveal that immune polyelectrolyte multilayers (iPEMs) codeliver the vaccine components used to build the films, enhancing APC costimulation and the function of T cells expanded by these populations
Summary
The skin is an important component of the immune system as a barrier and as a network that is rich in antigen presenting cells (APCs) able to survey the periphery for foreign molecules.[1]. Dendritic cells (DCs), Langerhans cells, and other APCs traffic these antigens to lymph nodes (LNs), presenting peptide fragments to lymphocytes that drive adaptive immunity after activation and migration from LNs or other immunological tissues. This high concentration of APCs, along with ease-of-access, has made the skin one of the most effective vaccination routes, intradermalinjection (i.d.), in particular.[2−5] As with all traditional needlebased injections, intradermal injections create medical sharps, require training for effective administration, and cause pain, of particular relevance since a high percentage of vaccine recipients are children. Immense interest has developed in microneedles (MNs), polymeric or metallic structures that offer features to overcome all of the challenges above.[6−8] MNs improve patient compliance by eliminating medical sharps and injection-associated pain, while often providing thermal stability and dose-sparing for vaccines or drugs loaded on or within MNs.[9,10] These devices allow consistent delivery to specific target tissues, such as within the skin (i.e., intradermally), or as another example, the suprachoroidal space at the back of the eye.[11]
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