Abstract
In cancer patients, visual identification of sentinel lymph nodes (LNs) is achieved by the injection of dyes that bind avidly to endogenous albumin, targeting these compounds to LNs where they are efficiently filtered by resident phagocytes1,2. Here we translate this “albumin hitchhiking” approach to molecular vaccines, via the synthesis of amphiphiles (amph-vaccines) comprised of an antigen or adjuvant cargo linked to a lipophilic albumin-binding tail by a solubility-promoting polar polymer chain. Structurally-optimized CpG-DNA/peptide amph-vaccines exhibited dramatic increases in LN accumulation and decreased systemic dissemination relative to their parent compounds, leading to 30-fold increases in T-cell priming and enhanced anti-tumor efficacy while greatly reducing systemic toxicity. Amph-vaccines provide a simple, broadly-applicable strategy to simultaneously increase the potency and safety of subunit vaccines.
A major challenge in the development of subunit vaccines is the efficient delivery of antigen/adjuvant to secondary lymphoid organs where immune responses are orchestrated3,4. Attempts to enhance vaccine delivery have included the use of depot-forming adjuvants5 or nanoparticulate carriers that are preferentially internalized by antigen presenting cells (APCs)4, 6–12, but approaches that could employ well-defined molecular conjugates would be attractive. Antigens conjugated to antibodies targeting dendritic cells (DCs) reach these cells in the draining LNs but also drain into the systemic circulation and access DCs in distal tissues13,14, which might promote tolerance unless inflammatory adjuvants are systemically co-administered. Lymph node targeting is also required for cancer staging in sentinel LN mapping procedures, where radioactive or colored dyes are injected at tumor resection sites1. Compounds which bind avidly to serum albumin are particularly effective LN tracers2; albumin binding targets these molecules to lymphatics and draining LNs, where they accumulate in APCs15,16. Inspired by this strategy, we set out to create LN-targeting molecular vaccines designed to similarly “hitchhike” on albumin to LNs. Exploiting albumin’s role as a fatty acid transporter, we hypothesized that antigens/adjuvants modified with a lipophilic albumin-binding domain would accumulate in lymphoid organs following injection via in situ complexation and transport with endogenous albumin. To develop this strategy, we studied model vaccines composed of peptide antigens and CpG DNAs, single-stranded oligonucleotides containing unmethylated cytosine-guanine motifs that bind Toll-like receptor-9 and serve as potent molecular adjuvants17,18.
To identify an optimal albumin-binding domain that could be appended to either CpG or peptide antigens, we constructed a series of amphiphilic 20-base phosphorothioate (PS)-stabilized CpG oligos 5′-linked to lipophilic tails (amph-CpGs, Fig. 1a). We first evaluated the interaction of fluorescein amidite (FAM)-labeled conjugates with serum proteins by size exclusion chromatography (SEC, Fig. 1b). Fetal bovine serum (FBS) exhibited a major protein fraction eluting at 5.3 min in SEC that coincided with albumin (Extended Data Fig. 1a). The vast majority of mono-acyl- (C18-CpG) or cholesterol-conjugated (Cho-CpG) oligos eluted as monomers at 5.8 min in the presence or absence of serum, indicating a lack of interaction with albumin (Fig. 1b and Extended Data Fig. 1a). In contrast, diacyl lipid-conjugated CpGs (lipo-CpGs) in aqueous solution eluted as micelles (3.7 min), but following incubation with serum, nearly 50% of the lipo-CpG co-migrated with albumin (Fig. 1b). Biotinylated lipo-CpG (but not CpG) incubated with FBS and then captured with magnetic beads was found to pull down albumin, and lipo-CpG was efficiently captured by albumin-conjugated agarose (Extended Data Figs. 1b–c). Biolayer interferometry and spectroscopy measurements of FRET between lipo-CpG and purified albumin further confirmed their molecular association in solution (Extended Data Figs. 1d–e).
We next characterized the in vivo trafficking of CpG conjugates. Amph-CpGs were injected s.c. in C57Bl/6 mice, and 24h later, draining LNs were excised intact for IVIS fluorescence imaging. C18- and Cho-CpG showed marginally increased uptake in LNs relative to unmodified CpG, reaching levels similar to CpG delivered by two prototypical vaccine vehicles known to enhance vaccine accumulation in LNs, incomplete Freund’s adjuvant (IFA) or poly(ethylene glycol) (PEG)-coated liposomes6 (Fig. 1c). In contrast, lipo-CpG accumulated 8-fold more than soluble CpG (Fig. 1c). Over 7 days post-injection, soluble CpG exhibited no LN accumulation above 0.3% of the injected dose at any time, while lipo-CpG accumulated for 3 days, giving a 12-fold greater area-under-the-curve (AUC) for total LN exposure to CpG (Fig. 1d). LN accumulation was not dependent on TLR-9-recognized CpG motifs, and was not due to increased nuclease resistance of lipid-modified PS-backbone CpGs (data not shown).
Our in vitro analysis indicated that lipo-CpG molecules equilibrated between micellar and albumin-bound forms in the presence of serum, making it unclear which state was responsible for LN targeting. However, injection of lipo-CpG pre-incubated for 5 hr with freshly isolated 90 vol% mouse serum at 37°C, conditions where SEC showed the vast majority of the amphiphile co-migrated with albumin, led to essentially identical LN targeting as direct lipo-CpG injections (data not shown). To further address this question, we introduced poly-guanine repeats between the diacyl lipid and CpG sequence to lock the amphiphiles in the micellar state and block disassembly by albumin. G-quadruplex hydrogen bonding between adjacent oligo strands in lipo-Gn-CpG micelles containing 4 or more guanine repeats rendered the micelles stable in the presence of serum (Extended Data Figs. 2a–d). Labeled albumin did not co-migrate with stabilized micelles as assessed by SEC (Extended Data Fig. 2e), suggesting that the amphiphiles do not interact with albumin as intact micelles. Despite forming micelles with similar sizes (Extended Data Fig. 2f), G-quartet-stabilized lipo-G4-CpG or lipo-G6-CpG micelles exhibited poor LN accumulation following injection compared to albumin-binding lipo-CpG and lipo-G2-CpG (Fig. 1d, e). A possible explanation is that amplification of nonspecific matrix binding by the PS-DNA backbones19,20 in the multivalent micellar form irreversibly trapped the stabilized micelles at the injection site. Histological sections of draining LNs showed little detectable CpG or lipo-G4-CpG, while albumin-binding lipo-CpG and lipo-G2-CpG accumulated in the subcapsular sinus and interfollicular areas (Fig. 1f). LN-accumulating amphiphiles were associated with F4/80+ macrophages and CD11c+ dendritic cells, with only a minor contribution from skin-derived CD207+ DCs (Fig. 1g and Extended Data Fig. 3). If albumin “hitchhiking” mediates LN targeting, then covalent conjugation of oligos to albumin should also enhance LN accumulation. We found that injection of CpG conjugated to mouse serum albumin (MSA) gave slightly lower oligo uptake in LNs than lipo-CpG, but much greater accumulation than soluble CpG (Extended Data Fig. 4). Altogether, these data suggest that efficient LN delivery of CpG oligonucleotides conjugated to lipophilic tails is enhanced by partitioning from micelles into a serum albumin-bound state.
To identify potential differences in the function of CpG vs. optimally LN-targeted lipo-G2-CpG beyond altered biodistribution, we assessed several aspects of CpG bioactivity in vitro: lipo-G2-CpG was internalized by DCs into endolysosomes in a pattern indistinguishable from CpG in confocal microscopy, albeit to 2-fold higher levels (Extended Data Figs. 5a–b). Lipo-G2-CpG did not activate the lipid-binding receptor TLR2 in reporter cells, but both free CpG and amphiphile-CpG activated RAW macrophages bearing a NF-κB reporter in a CpG sequence-specific manner (Extended Data Figs. 5c–d). When DCs were activated with CpG or lipo-G2-CpG and pulsed with OVA protein to test cross-presentation of antigen to OT-I (OVA-specific) T-cells, DC activation by soluble or amphiphile-CpG led to similar T-cell proliferation (Extended Data Fig. 5e). Thus, lipid modification of CpG increased uptake in the presence of serum but did not otherwise greatly alter the bioactivity of CpG.
To determine the impact of LN targeting on the immune response, we immunized mice with ovalbumin protein (OVA) mixed with unmodified CpG, Cho-CpG, CpG emulsified in IFA, or lipo-Gn-CpGs (n=0, 2, 4, 6). OVA (which has only 13% sequence identity with albumin) showed minimal association with lipo-CpGs (data not shown) and thus these vaccinations assessed the impact of lymph node targeting of the adjuvant only, relying on normal lymphatic drainage of the OVA antigen. Lipo-Gn-CpG-adjuvanted vaccines primed significantly increased frequencies of antigen-specific, cytokine-producing CD8+ T-cells compared to unmodified CpG, Cho-CpG, or CpG in IFA, but the strongest responses (up to 32-fold greater than unmodified CpG) were elicited by lipo-CpG and lipo-G2-CpG (Figs. 2a–b; Extended Data Figs. 6a–b). Strikingly, the magnitude of the T-cell response was strongly correlated with LN accumulation of CpG (Fig. 2c). Lipo-CpG also modestly increased antibody responses by ~3-fold and enhanced CD8+ T-cell responses to the model HIV antigen SIV-gag (Extended Data Figs. 6c–d). Importantly, no antibodies against albumin were detected for any of the amphiphile-CpG vaccines (Extended Data Figs. 6e–f and data not shown). Control immunizations with non-TLR agonist lipo-GpC or diacyl-PEG conjugates (lipo-PEG) mixed with OVA were ineffective and amph-CpG responses were identical in TLR2−/− mice (Extended Data Figs. 6g–h), ruling out a direct adjuvant effect of the diacyl lipid tail. CpG that is not captured in local LNs drains to the systemic circulation, leading to systemic inflammatory toxicities21. Despite lymphadenopathy of draining LNs indicating local activity, repeated injections of lipo-CpGs showed greatly reduced systemic inflammation relative to free CpG (Figs. 2d–e and Extended Data Figs. 7a–b). While further work will be needed to determine any potential autoimmune toxicities related to LN targeting of CpG18, these results suggest that the LN targeting achieved by amph-CpGs greatly enhances the potency of this molecular adjuvant while simultaneously lowering acute systemic side effects.
Synthesis of lipo-CpG is straightforward due to the solubility imparted by the long polar oligonucleotide block, but depending on the amino acid sequence, lipidated polypeptides can be essentially insoluble22. To generalize this LN targeting strategy to antigens and other potential vaccine components, we synthesized peptides linked to a diacyl lipid tail via a PEG block chosen to promote the conjugate solubility (amph-peptides, Fig. 3a). Amph-peptides and lipo-PEGs in water form micelles, but these amphiphiles can also insert their diacyl tails into cell membranes. We found that lipo-PEG amphiphiles with short PEG blocks exhibited preferential plasma membrane insertion when incubated with cells in the presence of albumin in vitro (Figs. 3b and Extended Data Figs. 8a–b), which might limit transit to LNs on albumin in vivo. However, increasing the polar block to 48 ethylene glycol units gave amphiphiles that partitioned preferentially into solution while retaining albumin binding (Figs. 3b and Extended Data Fig. 8c), consistent with prior studies23. This in vitro partitioning directly predicted in vivo draining patterns, as lipo-PEG-FAM amphiphiles injected s.c. showed increasing LN accumulation with increasing PEG block length (Fig. 3c). Although optimal immunostimulatory CpGs are ~20 bases, an analogous trend was observed for DNA amphiphiles as a function of oligo length (Extended Data Figs. 8d–e). Like amph-CpGs, the structure of the hydrophobic block was also important; while lipo-PEG amphiphiles with long diacyl tails (≥16 carbons, which exhibit a high affinity for albumin24) showed intense LN accumulation, shorter lipid tails with low affinity for albumin showed low LN accumulation (Fig. 3d). Based on these findings establishing design rules for efficient targeting of lipo-PEG amphiphiles to LNs, we conjugated peptide antigens to DSPE-PEG(2KDa) to generate amph-peptides for vaccination studies (Extended Data Fig. 9a).
To test the potency of combined antigen and adjuvant targeting to LNs, we prepared amph-peptide (DSPE-PEG-peptide) conjugates of a model HIV antigen (AL11 epitope from Simian Immunodeficiency Virus (SIV) gag25), the tumor-associated self-antigen Trp2 from melanoma26, and a peptide derived from the human papillomavirus (HPV)-derived cervical cancer antigen E727. Amph-peptides accumulated efficiently in LNs (Extended Data Figs. 9b–c). C57Bl/6 mice immunized with amph-peptides and amph-CpG (lipo-G2-CpG) showed dramatically increased expansion of antigen-specific, cytokine-producing CD8+ T-cells and enhanced cytolytic activity relative to unmodified peptide/CpG immunizations (Figs. 4a–c). To test whether amph-vaccine delivery enhances the protective efficacy of peptide vaccines, animals bearing established TC-1 tumors (expressing the E7 oncoprotein from HPV) or B16F10 melanomas were vaccinated. Amph-vaccines triggered sustained regression of large TC-1 tumors that were only modestly impacted by soluble vaccines (Fig. 4d) and slowed the growth of melanoma tumors, where a traditional soluble vaccine had no effect (Fig. 4e). In addition to enhancing the effectiveness of optimal T-cell epitopes, synthetic “long peptide” antigens28 also exhibited enhanced immunogenicity when delivered as amph-peptides (Extended Data Figs. 10a–e). This result is of particular interest since a finite pool of long sequences permit peptide vaccines to provide effective coverage of epitopes across the diverse haplotypes of a given target patient population. Amphiphile-long peptides were also ~10-fold more potent than soluble peptides when combined with non-CpG, non-LN-targeted alternative TLR adjuvants (Extended Data Fig. 10f), showing that CpG is not required to see an enhanced response to LN-targeted peptides. Altogether, the results presented here define design rules for amphiphile conjugates as a general strategy to enhance the potency and safety of LN-active compounds, an approach that may be applicable to a broad range of immunomodulatory therapeutics and imaging agents. These findings also have implications for how the immune system may survey lipophilic antigens. Further work will be needed to determine whether albumin binding is functionally critical, or alternatively whether other rare serum components may have a role in the observed lymph node targeting.
METHODS SUMMARY
Synthesis of vaccine amphiphiles
CpG/ODN amphiphiles were synthesized using an ABI 394 synthesizer on a 1.0 micromole scale. All lipophilic phosphoramidites were conjugated as a final ‘base’ on the 5′ end of oligos19. Antigen amphiphiles were synthesized by reacting N-terminal cysteine-modified peptides with maleimide-PEG2000-DSPE in DMF.
Immunizations
Six-to-eight week old C57BL/6 mice (female, Jackson Laboratory) were immunized with 10 μg of antigen mixed with 1.24 nmol CpG adjuvant in 100 μl of PBS subcutaneously at the base of the tail. All procedures were performed in accordance with the guidelines for animal care in USDA-inspected MIT animal facility.
Full Methods and any associated references are available in the online version of the paper.
Supplementary Material
Acknowledgments
This work was supported in part by the Koch Institute Support (core) Grant P30-CA14051 from the National Cancer Institute, the NIH (grants AI091693, AI104715, and AI095109), the Dept. of Defense (W911NF-13-D-0001 and W911NF-07-D-0004, T.O. 8) and the Ragon Institute of MGH, MIT, and Harvard. D.J.I. is an investigator of the Howard Hughes Medical Institute. We thank Dr. T.C. Wu for kindly providing the TC-1 tumor cells. We thank the Koch Institute Swanson Biotechnology Center for technical support, specifically the applied therapeutics & whole animal imaging core facility, histology and flow cytometry core facility. The authors wish to dedicate this paper to the memory of Officer Sean Collier, for his caring service and sacrifice in protecting the MIT community.
Footnotes
Supplementary Information is available in the online version of the paper.
Author Contributions H.L. designed and performed most experiments and analyzed the data, and wrote the manuscript; Y.Z. carried out tumor therapy experiments and analyzed the data. K.D.M. carried out in vitro bioactivity studies of CpG, bio-layer interforometry binding studies and in vivo immunizations of SIV-gag and analysed the data. A.V.L. and B.H. assisted in tetramer/in vivo cytotoxicity assays and contributed experimental suggestions. G.L.S. assisted optimization of proinflamatory cytokines assays. G.L.S., C.P., and D.S.V. contributed to in vitro T-cell proliferation assays. D.J.I. supervised all experiments and wrote the manuscript.
Author Information Reprints and permissions information is available at www.nature.com/reprints. The authors declare competing financial interests: a patent application for amphiphile vaccines has been filed, with D.J.I. and H.L. as inventors. Readers are welcome to comment on the online version of the paper. Correspondence and requests for materials should be addressed to D.J.I (djirvine@mit.edu).
References
- 1.Salhab M, Patani N, Mokbel K. Sentinel lymph node micrometastasis in human breast cancer: an update. Surg Oncol. 2011;20:E195–E206. doi: 10.1016/j.suronc.2011.06.006. [DOI] [PubMed] [Google Scholar]
- 2.Tsopelas C, Sutton R. Why certain dyes are useful for localizing the sentinel lymph node. J Nucl Med. 2002;43:1377–1382. [PubMed] [Google Scholar]
- 3.Johansen P, Mohanan D, Martínez-Gómez JM, Kündig TM, Gander B. Lympho-geographical concepts in vaccine delivery. J Controlled Release. 2010;148:56–62. doi: 10.1016/j.jconrel.2010.05.019. [DOI] [PubMed] [Google Scholar]
- 4.Moon JJ, Huang B, Irvine DJ. Engineering nano- and microparticles to tune immunity. Adv Mater. 2012;24:3724–3746. doi: 10.1002/adma.201200446. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Gupta RK. Aluminum compounds as vaccine adjuvants. Adv Drug Deliv Rev. 1998;32:155–172. doi: 10.1016/s0169-409x(98)00008-8. [DOI] [PubMed] [Google Scholar]
- 6.Bachmann MF, Jennings GT. Vaccine delivery: a matter of size, geometry, kinetics and molecular patterns. Nat Rev immunol. 2010;10:787–796. doi: 10.1038/nri2868. [DOI] [PubMed] [Google Scholar]
- 7.Hubbel JA, Thomas SN, Swartz MA. Materials engineering for immunomodulation. Nature. 2009;462:449–460. doi: 10.1038/nature08604. [DOI] [PubMed] [Google Scholar]
- 8.Temmerman MD, et al. Particulate vaccines: on the quest for optimal delivery and immune response. Drug discovery today. 2011;16:569–582. doi: 10.1016/j.drudis.2011.04.006. [DOI] [PubMed] [Google Scholar]
- 9.Pal I, Ramsey JD. The role of the lymphatic system in vaccine trafficking and immune response. Adv Drug Deliv Rev. 2011;63:909–922. doi: 10.1016/j.addr.2011.05.018. [DOI] [PubMed] [Google Scholar]
- 10.Reddy ST, et al. Exploiting lymphatic transport and complement activation in nanoparticle vaccines. Nat Biotechnol. 2007;25:1159–1164. doi: 10.1038/nbt1332. [DOI] [PubMed] [Google Scholar]
- 11.St John AL, Chan CY, Staats HF, Leong KW, Abraham NA. Synthetic mast-cell granules as adjuvants to promote and polarize immunity in lymph nodes. Nat Mater. 2012;11:250–257. doi: 10.1038/nmat3222. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Trubetskoy VS, Torchilin VP. Use of polyoxyethylene-lipid conjugates as long-circulating carriers for delivery of therapeutic and diagnostic agents. Adv Drug Deliv Rev. 1995;16:311–320. [Google Scholar]
- 13.Keler T, He L, Ramakrishna V, Champion B. Antibody-targeted vaccines. Oncogene. 2007;26:3758–3767. doi: 10.1038/sj.onc.1210375. [DOI] [PubMed] [Google Scholar]
- 14.Tenbusch M, et al. Immunogenicity of DNA vaccines encoding simian immunodeficiency virus antigen targeted to dendritic cells in rhesus macaques. PLoS ONE. 2012;7:e39038. doi: 10.1371/journal.pone.0039038. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Faries MB, et al. Active macromolecule uptake by lymph node antigen-presenting cells: a novel mechanism in determining sentinel lymph node status. Ann Surg Oncol. 2000;7:98–105. doi: 10.1007/s10434-000-0098-6. [DOI] [PubMed] [Google Scholar]
- 16.Schaafsma BE, et al. The clinical use of indocyanine green as a near-infrared fluorescent contrast agent for image-guided oncologic surgery. J Surg Oncol. 2011;104:323–332. doi: 10.1002/jso.21943. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Vollmer J, Krieg AM. Immunotherapeutic applications of CpG oligodeoxynucleotide TLR9 agonists. Adv Drug Deliv Rev. 2009;61:195–204. doi: 10.1016/j.addr.2008.12.008. [DOI] [PubMed] [Google Scholar]
- 18.Bode C, Zhao G, Steinhagen F, Kinjo T, Klinman DM. CpG DNA as a vaccine adjuvant. Expert Rev Vaccines. 2011;10:499–511. doi: 10.1586/erv.10.174. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Liu H, Kwong B, Irvine DJ. Membrane anchored immunostimulatory oligonucleotides for in vivo cell modification and localized immunotherapy. Angew Chem, Int Ed. 2011;50:7252–7255. doi: 10.1002/anie.201101266. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Krieg AM, Stein CA. Phosphorothioate oligodeoxynucleotides: antisense or anti-protein? Antisense Res Dev. 1995;5:241–241. doi: 10.1089/ard.1995.5.241. [DOI] [PubMed] [Google Scholar]
- 21.Bourquin C, et al. Targeting CpG oligonucleotides to the lymph node by nanoparticles elicits efficient antitumoral immunity. J Immunol. 2008;181:2990–2998. doi: 10.4049/jimmunol.181.5.2990. [DOI] [PubMed] [Google Scholar]
- 22.Zeng M, Ghosh S, Lau YF, Brown LE, Jackson DC. Highly immunogenic and totally synthetic lipopeptides as self-adjuvanting immunocontraceptive vaccines. J Immunol. 2002;169:4905–4912. doi: 10.4049/jimmunol.169.9.4905. [DOI] [PubMed] [Google Scholar]
- 23.Kastantin M, Missirlis D, Black M, Ananthanarayanan B, Peters D, Tirrell M. Thermodynamic and kinetic stability of DSPE-PEG(2000) micelles in the presence of bovine serum albumin. J Phys Chem B. 2010;114:12632–12640. doi: 10.1021/jp1001786. [DOI] [PubMed] [Google Scholar]
- 24.Peters T. All About Albumin: Biochemistry, Genetics, and Medical Applications. Academic Press; San Diego: 1995. [Google Scholar]
- 25.Barouch DH, et al. Immunogenicity of recombinant adenovirus serotype 35 vaccine in the presence of pre-existing anti-Ad5 immunity. J Immunol. 2004;172:6290–6297. doi: 10.4049/jimmunol.172.10.6290. [DOI] [PubMed] [Google Scholar]
- 26.Schreurs MW, et al. Dendritic cells break tolerance and induce protective immunity against a melanocyte differentiation antigen in an autologous melanoma model. Cancer Res. 2000;60:6995–7001. [PubMed] [Google Scholar]
- 27.Feltkamp MC, et al. Vaccination with cytotoxic T lymphocyte epitope-containing peptide protects against a tumor induced by human papillomavirus type 16-transformed cells. Eur J Immunol. 1993;23:2242–2249. doi: 10.1002/eji.1830230929. [DOI] [PubMed] [Google Scholar]
- 28.Kenter GG, et al. Vaccination against HPV-16 oncoproteins for vulvar intraepithelial neoplasia. N Engl J Med. 2009;361:1838–1847. doi: 10.1056/NEJMoa0810097. [DOI] [PubMed] [Google Scholar]
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