Abstract
Microbe-based cancer immunotherapy has recently emerged as a hot topic for cancer treatment. However, serious limitations remain including infection associated side-effect and unsatisfactory outcomes in clinic trials. Here, we fabricate different sizes of nano-formulations derived from yeast cell wall (YCW NPs) by differential centrifugation. The induction of anticancer immunity of our formulations appears to inversely correlate with their size due to the ability to accumulate in tumor-draining lymph node (TDLN). Moreover, we use a percolation model to explain their distribution behavior toward TDLN. The abundance and functional orientation of each effector component are significantly improved not only in the microenvironment in tumor but also in the TDLN following small size YCW NPs treatment. In combination with programmed death-ligand 1 (PD-L1) blockade, we demonstrate anticancer efficiency in melanoma-challenged mice. We delineate potential strategy to target immunosuppressive microenvironment by microbe-based nanoparticles and highlight the role of size effect in microbe-based immune therapeutics.
Subject terms: Biomedical engineering, Biomaterials, Tumour immunology, Cancer microenvironment
Components of the yeast cell wall, including but not limited to β-glucan, have been reported to act as danger signals and promote immune responses. Here the authors report the design and anti-tumor immune responses elicited by yeast cell wall-based nanoparticles in preclinical cancer models.
Introduction
Cancer immunotherapy is an unprecedented way of utilizing the body’s own immune system to fight tumors1–3. However, only a relatively limited (~20%) fraction of patients can benefit from this treatment, including immune checkpoint inhibitor (ICI)-based immunotherapy4. A tumor that resists cancer immunotherapy, so-called ‘cold’ tumor5, is generally with a poor reflection in cancer cell antigenicity and adjuvanticity6, as well as a highly immunosuppressive tumor microenvironment (TME) with limited infiltration by cytotoxic T cells (CTLs) and dendritic cells (DCs) coupled to the accumulation of various myeloid cell populations such as myeloid-derived suppressor cells (MDSCs) and tumor-associated macrophages (TAMs) subsets7. The remodeling of immunosuppressive TME has been considered as an important target for the development of combinatorial immunotherapeutic regimens with superior efficiency8,9.
Microbe-based cancer immunotherapy has recently emerged as an approach for inducing anticancer immunity. Over the last decade, various microbes, including bacteria10–13, oncolytic virus14,15 and fungi16, have been utilized to activate innate immunity and improve adaptive immunity, thereby augmenting antitumor immune response. For example, it has been reported that engineered attenuated Salmonella typhimurium can induce infiltration of immune cells and proinflammatory cytokines production in TME, thereby augmenting antitumor immunity17. Several recombinant yeast-based vaccines have been tested in clinical trials18. Despite the accumulating data, serious limitations remain19. Firstly, due to their potential to cause infections in patients, live microbes may cause the immune system to attack healthy cells, and their use may be in company with the risk of deadly infection. In addition, the facultative anaerobe Salmonella typhimurium VNP20009 failed in a phase I clinical trial because the monotherapy was found not enough to eliminate tumor effectively20. Microbe-based cancer immunotherapy is still in its early stage 21.
Yeast is one of the most common types of fungi, which has been widely used in fermentation and leavening in food manufacture. As the structure of yeast cell wall includes proteins and polysaccharides, such as β-glucan and chitin22,23 that do not exist in mammalians, they have been considered as ‘danger signals’, potentially resulting in the activation of potent, multiepitope immune response in our body24,25. In addition, yeast-derived β-glucan has been reported to activate DCs and macrophages, thus activating T cells to enhance the anti-tumor efficacy26. However, the micro-size of yeast limited their distribution and uptake efficiency in tumor and tumor-draining lymph node. Hence, in this work, we fabricate different sizes of nanoparticles derived from yeast (Saccharomyces Cerevisiae) cell wall, which have no reproduction ability. Intriguingly, the induction of anticancer immunity appears to inversely correlate with the size of yeast cell wall nanoparticles (YCW NPs). Small size of YCW NPs (~50 nm) showed better efficiency in controlling tumor growth after intratumor injection compared with middle (~200 nm) and large (~500 nm) size of YCW NPs. By observation of their distribution, we find a high accumulation of small size of YCW NPs in TDLN due to their size effects, as compared with middle and large size of YCW NPs. The mathematic percolation model is introduced to explain their accumulation behavior toward TDLNs. In addition, not only the microenvironment in tumors but also that in the TDLNs are remarkably rebuilt in the abundance and functional orientation of each cellular component following small size YCW NPs treatment. Furthermore, in combination with immune checkpoint blockade therapy, our technology enables complete tumor regression in 90–100% of treated mice with limited side effects. The systematic anticancer immune response is also induced to inhibit the growth of distant tumors. Our study develops microbe-based nanoparticles for enhancing cancer ICI-immunotherapy by remodeling the immunosuppressive microenvironment in tumors and TDLNs, and highlights the role of size effect in microbe-based immune therapeutics.
Results
Preparation and characterization of YCW NPs
Different nano-size yeast cell walls (YCW NPs) were obtained from the yeast cells. In brief, micro-size yeast cell walls (YCW MPs) were prepared firstly (Fig. 1A). After being broken and washed, yeast cell walls were centrifuged at 2400 g, 9600 g, and 21,100 g for 10 min to obtain three different YCW NPs, named large size of YCW NPs, middle size of YCW NPs, and small size of YCW NPs (Fig. 1A). We measured the compositions of YCW NPs, which contained ~88.20% β-glucan, 2.88% proteins and 8.92% others (Supplementary Fig. 1, Supplementary Table 2, Supplementary Table 3). As shown in scanning electron microscope (SEM) and transmission electron microscope (TEM) imaging, the diameter of YCW MPs were about 4 μm (Fig. 1Bleft), three different sizes of YCW NPs with the diameter of ~50 nm, ~200 nm, and ~500 nm were obtained, respectively (Fig. 1Bright). Although irregular shapes of NPs were observed (Supplementary Fig. 2A–D), most of them displayed a spherical or quasi-spherical morphology with a uniform of distribution (Fig. 1Bright, Supplementary Fig. 2A–D). The underlying causes likely include (1) spherical particles are more stable than nonspherical particles because they have lower surface free energy compared to nonspherical particles; (2) particles with irregular shape and surface are more prone to aggregate due to attractive van der Waals interactions during the ultrasonic treatment and removed by centrifugation-based separation procedures. Dynamic light scattering (DLS) showed the similar results as TEM and three kinds of YCW NPs had a similar zeta potential around −12 mV (Fig. 1C, Supplementary Fig. 2E). In addition, sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) assay further indicated that all of them had the similar profile of protein contents (Fig. 1D). The changes in diameter and zeta potential at room temperature and 4 °C within 2 weeks were not obvious, indicating great stability of the NPs (Supplementary Fig. 2F–G). We next studied their potential cytotoxicity on DCs (DC2.4), macrophages (RAW264.7), and melanoma (B16-F10) using methyl thiazolyl tetrazolium (MTT) assay, which revealed that three kinds of YCW NPs at indicated concentrations displayed no significant toxicity on both immune cells and tumor cells after incubation for 24 h (Supplementary Fig. 3A–C). These results indicated that the properties of YCW NPs with three different sizes were similar in those aspects.
YCW particles for activation of immune cells
We then studied the interactions of YCW particles, including YCW MPs and YCW NPs, with DCs and macrophages. Confocal fluorescence imaging and flow cytometry analysis of Cy5.5 indicated that after incubation for 24 h, Cy5.5-labelled YCW particles were taken up by both DCs and macrophages effectively (Fig. 1E,F, Supplementary Fig. 4A–F). It was observed that with increasing sizes, fluorescence intensity of Cy5.5-labelled YCW NPs decreased on DCs, but not obviously on macrophages. It has been reported that β-glucan could be recognized by Dectin-1 expression on DCs and macrophages, thereby activating DCs and macrophages. To confirm the cellular uptake of YCW NPs was related to Dectin-1, we applied Dectin-1 competitor laminarin incubation with immune cells for 2 h before incubation with Cy5.5-labelled YCW NPs. Flow cytometry analysis showed that the recognition and phagocytosis of YCW NPs by DCs and macrophages was, at least in part, related to Dectin-1 (Supplementary Fig. 4G–J).
DCs, as a kind of professional antigen-presenting cell, play a vital role in activating a series of adaptive immune responses27,28. Therefore, we tested the maturation of bone marrow-derived dendritic cells (BMDCs) treated with three different sizes of YCW NPs. Intriguingly, small size of YCW NPs showed the highest upregulation in co-stimulatory molecules including CD80, CD86, CD40, and MHCII compared with those treated with middle or large size of YCW NPs or MPs (Fig. 2A,B, Supplementary Fig. 5, Supplementary Fig. 6). In line with the result of BMDCs maturation, highest pro-inflammatory factors such as TNF-α, IL-1β, IL-12p70, IL-6 were also produced by the small size of YCW NPs incubation (Fig. 2C–F, Supplementary Fig. 5C–F). These results proved that YCW particles could efficiently activate BMDCs in a size-dependent manner, probably due to their uptake efficiency. At the same time, we also observed the expression of PD-L1 on BMDCs was significantly increased after incubation with YCW NPs (Supplementary Fig. 5I), however, the expression of PD-1, CTLA-4, LAG-3, and TIM-3 did not show such a dramatic change (Supplementary Fig. 5J–M). We next sought to unravel the mechanism whereby YCW NPs activate DCs. Studies have elucidated that yeast cell wall activates DCs and macrophages by Dectin-1/Syk pathway and TLR2/MyD88 pathway29,30. We performed western blotting assay to explore whether the YCW NPs activate DCs was also related to these pathways. A dramatic increase was observed in the expression level of TLR2, p-Syk, p-P65, MyD88, Dectin-1 in BMDCs after incubation with three different sizes of YCW NPs. In addition, with the decrease of size, the expression level was increased (Fig. 2G–L, Supplementary Fig. 7A). Next, we applied Dectin-1 competitor laminarin and TLR2 inhibitor C29 to pretreat BMDCs for 2 h. The results future confirmed that activation of BMDCs by YCW NPs was related to, at least in part, Dectin-1/Syk pathway and TLR2/MyD88 pathway (Fig. 2M–U, Supplementary Fig. 7B,C).
T cells play significant roles in immune response. To explore whether YCW NPs directly affect T cells, we incubated T cells with various YCW NPs for 24 h. The results of flow cytometry showed that T cells, unlike DCs and macrophages, could not effectively engulf YCW NPs (Supplementary Fig. 8A,B). At the same time, in vitro experiments revealed that three different sizes of YCW NPs did not promote the activation of T cells and the expression of PD-1 on T cells (Supplementary Fig. 8C–I), suggesting that YCW NPs did not affect T cells directly.
YCW NPs inhibited tumor growth by remodeling immunosuppressive tumor microenvironment
We next questioned whether YCW NPs could inhibit established tumor growth by altering immunosuppressive TME. In our experiment, B16-luc tumor cells were inoculated on the back of C57BL/6 mice and then we intratumorally injected three kinds of YCW NPs (0.375 mg/kg) at a frequency of once every two days for a total of five administrations (Fig. 3A). It was revealed that all YCW NPs inhibited the growth of B16-luc tumor significantly. Intriguingly, among the different size of YCW NPs, the small size of YCW NPs exhibited greatest antitumor efficiency (Fig. 3B,C), which was consistent with our in vitro data. Hematoxylin-eosin staining (H&E staining) of tumor in small size YCW NPs treated group confirmed that tumor cells were eradicated remarkably, which directly proved the remarkable anti-tumor efficacy of small size of YCW NPs (Fig. 3D). The weight of mice remained almost unchanged during the treatment compared to that of untreated control, indicating the limited side-effect of YCW NPs administration (Fig. 3E). Dose–response experiments also identified 0.375 mg/kg YCW NPs effectively inhibited tumor growth (Supplementary Fig. 9). We posited that the antitumor effect of YCW NPs was due to the alteration of immunosuppressive TME. We tested this hypothesis by analyzing the changes in tumor infiltrating immune cells after administration. The total and proportion of tumor infiltrating CD8+ T cells and CD4+ T cells was significantly increased in small size of YCW NPs treated group (Fig. 3F–H, Supplementary Fig. 10A, B), culminating with an inflamed tumor immune phenotype. However, we also observed the expression of PD-1 on T cells upregulated synchronously by YCW NPs treatment (Fig. 3I–J). Immunosuppressive cellular components including regulatory T cells (Tregs), MDSCs, and TAMs were further analyzed. Flow cytometry data showed that small size of YCW NPs depleted Tregs, MDSCs and TAMs considerably (Fig. 3K–P, Supplementary Fig. 10C–G). In TME, the number and function of DCs are in an impaired state. The presence of MDSCs, Tregs can inhibit the maturation of DCs, resulting in DCs not being able to secret appropriate co-stimulation and cytokine signals to T cells. The maturation of DCs is imperative to provide co-stimulatory signals to T cells, thereby effectively activating naïve T cells. Hence, we assessed the maturation of DCs within tumor. Compared with untreated tumors, the maturity of DCs was as high as about 35% in treated group, which was essential for promoting T cell priming and recruitment (Fig. 3Q–R, Supplementary Fig. 10H–I). Taken together, all these results indicated that immunosuppressive TME was dramatically reversed by YCW NPs treatment (Supplementary Fig. 11).
Small size of YCW NPs showed great ability to distribute to tumor draining lymph nodes
We next questioned why small size of YCW NPs showed better efficiency in controlling tumor growth compared to middle and large size of YCW NPs. The innate immune cells within TDLNs are critical for the generation of adaptive responses31,32. We reasoned that the distribution efficiency of YCW NPs towards TDLNs might influence their antitumor ability. To validate this hypothesis, three kinds of Cy5.5-labelled YCW NPs were intratumorally injected in B16 tumors. After 48 h, mice were sacrificed and the TDLNs were collected for fluorescence imaging ex vivo. Obviously, we observed that small size of YCW NPs facilitated their entry and targeting in TDLNs, followed by middle size of YCW NPs, while large size of YCW NPs or MPs had poorest ability to target TDLNs (Fig. 4A, Supplementary Fig. 12). Moreover, quantification data revealed that small size of YCW NPs treated mice showed 2.5-fold and 5-fold greater fluorescence in the TDLNs than those treated with the middle size of YCW NPs and large size of YCW NPs, respectively (Fig. 4B). Fluorescent quantitative data further indicated that about 5% of injected small NPs were accumulated in TDLN (Supplementary Fig. 13A,B). Confocal imaging of TDLNs also coincided with the ex vivo imaging (Fig. 4C). We therefore speculated that the distribution efficiency of YCW NPs toward TDLNs was negatively related to the sizes of YCW NPs (Fig. 4D).
Our results were consistent with previous reports. Due to their unique size effect, nanoparticles have a natural tendency to passively draining lymph nodes. For example, studies showed that the size of particles below 200 nm could accumulate to draining lymph nodes fast. However, when the size was above 500 nm, they were limited by extracellular matrix, so that large particles could not get to draining lymph nodes33,34. Other research reported that small nanoparticles (10–100 nm) are absorbed by the lymphatic vessels and diffuse to lymph nodes to target DCs. Large nanoparticles (>100 nm) and microparticles (MPs) are mostly embedded in the interstitial matrix, and need to be captured by surrounding immune cells, indicating large nanoparticles are mainly delivered to the lymph nodes in a cell-mediated manner35. Data fitting results showed that the distribution capacity of nanoparticles was inversely proportional to the square root of the particle diameter. To explain this phenomenon, the percolation model was introduced. This model is based on stochastic processes, which describes the diffusion of hypothetical liquid particles in a random medium and has been widely used in subsurface hydrology36, petroleum engineering, materials science37, etc. Lymph nodes are composed of large number of tiny lymphatic vessels connected to each other. A simplified network is used instead of the complex structure of the internal circulation, including blood vessels and lymphatic vessels. When considering a bond percolation problem, the bonds of the network are either occupied (i.e. they are open to flow, diffusion, and reaction) or vacant. The bonds are occupied randomly and independently of each other with probability . One important concept is the bond percolation threshold . Below the threshold, there will be no large clusters (for sites percolation) or long-range connectivity (for bonds percolation). At this point, the nanoparticles would not be able to reach inside the lymph nodes. For nanoparticles of different diameters, the probability of each edge can be estimated by the percolation coefficient . For linear percolation, Darcy’s experimental law shows that . According to the model, we inferred that the radiation efficiency decreased nonlinearly with the diameter in a certain range. After testing the normal distribution of nanoparticle diameters obtained from each group, the mean value of each group was fitted by logarithmic least squares with respect to the radiation efficiency to obtain the quantitative relationship (Fig. 4E).
To characterize the change of TDLNs immune microenvironment, the distribution of YCW NPs in immune cells of lymph nodes was firstly evaluated. Similar with tumor (Supplementary Fig. 13G), signals of Cy5.5 were detected in main TDLNs immune cells (Fig. 4Fand Supplementary Fig. 13C–F), including DCs, macrophages, B cells and T cells, indicating that YCW NPs were distributed in immune cells of TDLNs and its contents appeared to inversely correlate with size of YCW NPs. The small size of YCW NPs had the stronger capacity to entry into these immune cells compared to middle and large ones. In contrast, non-TDLNs did not show any significant Cy5.5 intensity (Supplementary Fig. 13H). In view of distribution of YCW NPs in tumor infiltrating immune cells (Supplementary Fig. 13G), the transport of YCW NPs to lymph nodes was not only confined to simple diffusion, but also can be mediated by local immune cells in the tumor. Next, we explored the ability of three sizes of YCW NPs to regulate the microenvironment of TDLNs. Both T (CD4+ and CD8+) cells and B (CD19+) cells upregulated the expression of CD69 after 48 h of injection, indicating that both T cells and B cells were activated by the treatment (Fig. 4G). PD-1 is also expressed during the early phase of T cell activation38. Consistent with the results of tumor analysis, the expression of PD-1 on T cells upregulated synchronously by YCW NPs treatment, indicating YCW NPs could effectively activate T cells in both tumor and TDLNs (Fig. 4H). Next, we analyzed the expression of co-stimulatory molecules on DCs of TDLNs. The results showed that co-stimulatory molecules, such as MHCII, CD40, CD80, and CD86 were all increased in the treatment group compared with those in control group (Fig. 4I–L). Meanwhile, the expression of PD-L1 on DCs reflected the same trend (Fig. 4M), which might limit T cell responses. Together, these results suggested that compared with middle and large size of YCW NPs, small size of YCW NPs induced higher stimulatory markers on various immune cells in the mice, mainly due to their highest accumulation in TDLNs.
T-cell-mediated anti-tumor immune responses induced by small size of YCW NPs
As the YCW NPs encompassed ‘danger signals’ which may result in the activation of various innate immune cells, we next applied anti-CD4 antibody and anti-CD8a antibody to deplete T cells in vivo to see if the anticancer immune responses caused by YCW NPs were related to T-cell-mediated adaptive immunity. Before treatment, we performed T cell depletion by applying the antibodies on day 4 and day 7, respectively (Fig. 5A). Flow cytometry analysis of ratio of CD4+ T cells and CD8+ T cells in the serum was carried out to determine whether the corresponding T cells were completely depleted (Fig. 5B, Supplementary Fig. 14). After depletion of T cells successfully, we started administrating small NPs. The growth of tumor in both CD4+ and CD8+ T cell depletion groups increased faster than treated group (Fig. 5C–E), leading to diminished immunotherapy efficiency as determined by survival analysis (Fig. 5F–G). These data indicated that T-cell-mediated anti-tumor immune responses was indispensable for YCW NPs-based cancer immunotherapy.
Therapeutic efficacy of YCW NPs in combination with PD-L1 blockade
In our previous data, we found that both PD-1 on T cells and PD-L1 on DCs were significantly upregulated following the YCW NPs treatment (Fig. 3J, Fig. 4H,M). We speculated that blockade of PD-1/PD-L1 by antibody in combination with small size of YCW NPs might induce synergetic antitumor effect. To test this, we established a B16-luc melanoma model in C57BL/6 mice. Small size YCW NPs was administrated intratumorally at a frequency of once every two days for a total of four times. Anti-PD-L1 mAbs were injected intravenously for three times at three-day intervals (Fig. 6A). As expectedly, YCW NPs based immunotherapy showed great synergy with PD-L1 blockade in controlling tumor growth as compared with monotherapy (Fig. 6B–D). More encouraging, the combination treatment enabled complete tumor regression in 100% of treated mice (Fig. 6B–D), which was translated into significantly lengthened survival (Fig. 6E). Noteworthily, the combination treatment was well tolerated in the mice as evidenced by the slight weight change of mice and H&E staining of main organs (Fig. 6F–G, Supplementary Fig. 15A). By analysis of various immune components in tumor, we found that the combination treatment was sufficient to augment the infiltration of CD8+ T cells and CD4+ T cells into the tumors, indicating a robust T-cell mediated anti-tumor immunity (Fig. 6H–J). In addition, the frequency of MDSCs and TAMs in TME were remarkably reduced following the combination treatment (Fig. 6K–N, Supplementary Fig. 15B–C). All these data suggested that small size YCW NPs significantly synergized with PD-L1 blockade in inducing a robust antitumor immunity.
YCW NPs in combination with PD-L1 blockade inhibited metastatic tumor growth
The combination of small size of YCW NPs with anti-PD-L1 significantly inhibited the growth of B16-luc locally by destroying tumor to generate tumor cell lysates (TCLs). TCLs and small size of YCW NPs were jointly delivered to TDLNs to promote the maturation of DCs and activation of T cells and B cells (Fig. 7A). Next, we wondered whether local immunotherapy could be sufficient to induce systemic immune response to dampen the growth of distant tumors. Therefore, on day 0, we inoculated B16-luc tumor cells on both sides of the back of C57BL/6 mice. When the tumors grew up to 50 mm3, the same approaches and dosage were applied. It was observed from the growth curve that by local therapy, not only the treated tumors, but also the tumors on the opposite side regressed remarkably (Fig. 7B–G, Supplementary Fig. 16). After mice were sacrificed, the tumors were collected and weighed. It was showed that the weights of tumors on both sides of the combination treatment group were lower than that of the other treatment groups and the control group (Fig. 7H–J), indicating that the combination treatment induced systemic anti-tumor immune responses. Flow cytometry analysis reflected that the frequency of CD8+ T cells and CD4+ T cells in distant tumors increased after combination treatment (Fig. 7K–M). We further explored whether injected small size YCW NPs locally could treat lung metastasis of melanoma. Encouragingly, we found that the lung metastatic tumor growth was also regressed as indicated by the bioluminescence imaging (Fig. 7N) and reduced the number of metastatic tumor foci on lungs after necropsy (Fig. 7O–P). The results intuitively indicated that local administration of small size YCW NPs combined with PD-L1 blockade could dramatically produce systemic anti-tumor immune responses to promote metastatic tumor regression.
To further demonstrate that our proposed YCW NPs-based immunotherapy could be broadly applicable, we subsequently constructed tumor model of CT26 on BALB/c mice. On day 0, we injected CT26 tumor cells on both sides of back of BALB/c mice. On the sixth day, we administrated small size YCW NPs at one tumor locally, and injected the anti-PD-L1 antibody intravenously. The frequency and dosage of drugs was same as before-mentioned. We again observed a sharp inhibition in tumor growth in the CT26 model. Tumor growth curves on primary tumors and distant tumors suggested that tumors of both sides were remarkably suppressed (Fig. 8A–D). On day 17, we collected tumors for weighing, and result was agreement with that shown in curves of tumor growth (Fig. 8E–G). During the process of therapy, the weight of mice remained almost unchanged (Fig. 8H), indicating that our therapy approach did not produce obvious side effects in the mice.
Discussion
In recent years, microbe-based cancer therapy has attracted much attention due to its rapid progress. Nevertheless, it still has not achieved satisfactory effects in clinic. It has been documented that bacterial therapy merely resulted in a low tumor regression rate but produced undesirable dose-dependent side effects11,39. Oncolytic viruses can induce potent immune responses through generating antitumor cytokines. However, they can also cause serious systemic toxicity40–42. Fungi, as one kind of eukaryotic microbe, own similar structure with mammals. Various fungi have been utilized as food, and for use of food manufacture in the long history of humans. Yeast is one of the most common types of fungi with a relatively good biosafety. In addition, yeast-derived β-glucan has been considered as immuno-stimulating agent to treat cancer 43.
To address the challenges of microbe-based cancer therapy, in this work, we prepared nanoparticles derived from yeast cell wall. Compared with live yeast cells, the YCW NPs have no activity of reproduction, as well as a much smaller size than yeast cells. To study whether the size effect influences the therapeutic efficiency, three different sizes of YCW NPs were prepared by differential centrifugation. They had no obvious differences in loading of proteins and polysaccharides. Different from macrophages, DCs showed cellular uptake of YCW NPs in a size-dependent manner in the range of 50–500 nm. Previous studies showed that smaller nanoparticles are more easily uptake into the DCs. For example, compared with PLGA nanoparticles with a diameter of more than 1 μm, PLGA NPs with a diameter of 300 nm have a higher DCs uptake efficiency44,45. Perhaps due to the greater ability of macrophages to engulf and digest foreign particles46, NPs uptake by macrophages is not affected by the particle size significantly in the range from 50 to 500 nm. Nevertheless, we also observed that macrophages showed greater ability to phagocytosis YCW NPs than YCW MPs.
The tumor and TDLNs immune microenvironment regulation are mediated by components of YCW NPs, such as β-glucan which is immunomodulatory compound to activate DCs and macrophages within tumor and TDLNs47. Intriguingly, we found significantly-improved tumor regression following intratumorally injection of YCW NPs. Furthermore, we found that this anticancer effect caused by YCW NPs was inversely correlated with their sizes, that was, with the decrease of diameters, tumors were suppressed more efficiently. The innate immune cells within TDLNs is critical for the generation of adaptive responses31. Therefore, we were interested to explore whether the small size of YCW NPs could promote their TDLNs accumulation. As expected, we observed that small size of YCW NPs facilitated their entry and targeting in TDLNs, followed by middle size YCW NPs, while large size of YCW NPs had the poorest ability to target TDLNs. The alteration of TDLNs immune microenvironment was also evaluated. As a result, the abundance and functional orientation of each effector subset by small size of YCW NPs treatment were significantly improved not only in the microenvironment in tumors but also in the TDLN, the latter of which might be the key site for initiation of greatest anticancer efficiency in response to small size of YCW NPs. As a natural nanoparticle, all composition of which can together to trigger antitumor immune responses. For example, yeast-derived β-glucan has been considered as a major immuno-stimulating agent to treat cancer26. Other yeast-derived components including protein, lipid, and nucleic acid48,49 may also play roles in remodeling immunosuppressive TME, which should be investigated in the future work. Glucan particles (GPs) which have already been described for a variety of applications by the Levitz group and others50–52 can serve as an effective adjuvant and vaccine platform for cancer immunotherapy. Our nano-formulate yeast cell wall (YCW NPs) is produced from “GPs” (Fig. 1A-B). However, the GPs showed a diameter with ~4 μm, limiting their ability of entry and targeting in TDLNs (Supplementary Fig. 12) as well as therapeutic outcomes (Supplementary Fig. 17) compared to YCW NPs (~50 nm). We indicate the role of particle size in inducing anticancer immunity.
We then used the mathematic percolation model to explain this phenomenon. It visually demonstrated the influence of size effects with mathematical model. To our knowledge, this is the first study of size-dependent immunotherapy based on nanoparticles derived from yeast, delineating theoretical basis for how the size effect influences the efficiency of cancer immunotherapy. Although in this work we mainly studied the role of size effect of YCW NPs, the role of other properties, such as charge densities, in controlling tumor growth and activating immune cells is an issue that warrants further investigation.
Given that both PD-1 on T cells and PD-L1 on DCs were significantly upregulated following the YCW NPs treatment (Fig. 3J, Fig. 4H, M), we speculated that blockade of PD-1/PD-L1 in combination with small size YCW NPs was capable to induce synergetic antitumor effect. To maximize the therapeutic outcomes, PD-L1 blockade therapy was then introduced to synergy with YCW NPs. Strikingly, the combination treatment enabled complete tumor regression in 100% of treated mice, significantly lengthened survival. Moreover, the systematic anticancer immune response was also triggered to restrain the growth of distant tumor following combination therapy. Importantly, we found the mice could well tolerate the combination treatment through monitoring the change in body weight together with histological examination of main organs, suggesting that the combination treatment did not elicit apparent cytotoxicity and thus appeared safe for the mice.
In conclusion, we developed a yeast-based nanoparticle for enhancing cancer immunotherapy. We also studied how size effect of NPs influenced the anticancer efficiency. The small size of YCW NPs dramatically inhibited tumor growth by remodeling the immunosuppressive microenvironment in both the tumors and TDLN. In combination with PD-L1 blockade, we demonstrated an excellent anticancer efficiency in treating melanoma-bearing mice. We delineated potential strategy to target immunosuppressive microenvironment with microbe-based nanoparticles and highlighted the role of size effect in microbe-based immune therapeutics. Nanoparticles comprised of polysaccharides also act as danger signals to provoke immune response53,54. However, most of them are synthesized nanoparticles and need complicated chemical reactions with high level of skills and cost. In contrast, the preparation of nano-formulate YCW is very simple, including ultrasonic treatment and centrifugation-based separation procedures. In addition, the size of YCW is tunable by differential centrifugation. Due to its ease of preparation, low-cost, feasibility and biosafety of yeast-derived nanoparticles, this technology may have promising clinical translation potential.
Methods
This research complies with all relevant ethical regulations approved by Soochow University.
Materials
Yeast and antibodies applied in this study were shown in Supplementary Table 1.
Cell lines
Melanoma B16-luc (catalog number: fh1123), CT26 (catalog number: TCM37), RAW264.7 (catalog number: TCM13), and DC2.4 (catalog number: fh1026) were purchased from Cell Bank, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences. B16-luc cells and RAW264.7 cells were maintained in Dulbecco’s modified Eagle’s medium (DMEM) containing 10% fetal bovine serum (Gibco), penicillin (100 U/ml; Invitrogen), and streptomycin (100 U/ml; Invitrogen). CT26 cells and DC2.4 cells were maintained in RPMI 1640 medium containing 10% fetal bovine serum (Gibco), penicillin (100 U/ml; Invitrogen), and streptomycin (100 U/ml; Invitrogen). BMDCs were isolated from bone marrow cavities of 7–8-week-old C57BL/6 mice according to an established approach55,56. In brief, bone marrow cells were isolated from female C57BL/6 mice, then incubated in RPMI 1640 medium with GM-CSF (20 ng/mL) for seven days. At last, bone marrow DCs were utilized at 7 days.
Mice
C57BL/6 and BALB/c female mice (6–8 weeks) were obtained from Nanjing Peng Sheng Biological Technology Co. Ltd. We performed all mice studies in accordance with the animal protocol approved by our university laboratory animal center (Approval number: SUDA20210201A02). Experimental group sizes were approved by the regulatory authorities for animal welfare after being defined to balance statistical power, feasibility and ethical aspects. Maximal tumor burden permitted is 1200 mm3. In some cases, this limit has been exceeded the last day of measurement and the mice were immediately euthanized. The actual tumor size (even if larger than 1200 mm3) has been recorded and presented in the Article and Source data file.
Preparation and characterization of nanoparticles with different sizes
To form nanoparticles, the yeast cells were incubated in NaOH at 80 °C for 1 h. After cooled down to room temperature, the lysis of yeast cells was centrifuged at 2000 g for 10 min to obtain insoluble matter containing cell walls. Then it was washed with H2O, isopropanol, and acetone, and centrifuged to obtain micro-sized cell walls. After broken by ultrasonic cell disruptor, NPs with different sizes were obtained by differential centrifugation. Specifically, 25 mg micro-sized cell walls were dissolved in PBS (pH = 7.4), and after crushing, precipitate obtained at 2400 g for 10 min was resuspended in PBS to form large size of YCW NPs. Insoluble matter obtained by centrifuging supernatant at 9600 g for 10 min was middle size of YCW NPs. Next, supernatant centrifuged at 21,100 g for 10 min to form small size of YCW NPs. The morphologies of yeast cell wall (YCW MPs) were observed by scanning electron microscopy (SEM) and transmission electron microscopy (TEM). Three YCW NPs were characterized by TEM. In detail, we activated the carbon-coated 400-mesh grid firstly, then dropped YCW particles on the grids, and washed with H2O. Finally, we observed YCW particles by TEM after dried. We utilized double sticky carbon tape to deposit the silicon wafer dripped with YCW particles on the sample stage, then dried it overnight for SEM. Size distribution and zeta potential of three YCW NPs in aqueous solution were observed by Zetasizer nano ZS instrument. The stability of different YCW NPs was monitored at 4 °C and room temperature in 2 weeks. SDS-PAGE and BCA assay were utilized to evaluate the expression and concentration of protein of different YCW NPs. To determine the composition of polysaccharides, the polysaccharides were first hydrolyzed into monosaccharides. Then the kinds and proportions of monosaccharides were determined by high performance liquid chromatography. We converted proteins into peptides with enzyme digestion assay, and then utilized LC-MS/MS to determine proteins contained in YCW NPs by searching through the protein database. The composition of YCW NPs was determined and analyzed by Shanghai Fuda Analytical Testing Group.
In vitro cytotoxicity assessment
The cytotoxicity of three YCW NPs to DCs (DC2.4), macrophages (RAW264.7) and B16 was assessed by MTT assay following the standard protocol. In brief, the cells were seeded into 96-well plate at 105 cells/mL for 12 h, and then incubated with three YCW NPs for 24 h. The concentrations of YCW NPs incubated with DC2.4 and RAW264.7 were from 0 μg/mL to 150 μg/mL. The concentration of YCW NPs to B16 was 150 μg/mL. Subsequently, MTT solution was added to each well and the plates were incubated for 4 h. At the end of incubation, supernatants were aspirated, and 100 µL of dimethyl sulfoxide was added to each well with shaking for 10 min at dark to dissolve formazan crystals. The absorbance was measured at 570 nm by a microplate reader.
In vitro cellular uptake and BMDCs maturation assay
To evaluate the ability of cellular uptake of YCW particles, including MPs, large NPs, middle NPs, and small NPs, DC2.4, BMDCs and RAW264.7 were incubated with Cy5.5, or Cy5.5-labelled YCW particles for 24 h. The amount of Cy5.5-labelled YCW particles phagocytosed by antigen-presenting cells (APCs) was judged by flow cytometry and confocal microscopy analysis. In experiment of flow cytometry, DC2.4 and BMDCs were first stained with FITC-CD11c, then the mean fluorescence intensity (MFI) of Cy5.5 on FITC-CD11c+ cells was measured. Similarly, after staining RAW264.7 with FITC-F4/80, MFI of Cy5.5 was also measured. In confocal assay, DC2.4, BMDCs and RAW264.7 were incubated with different preparations, including Cy5.5 and Cy5.5-labelled YCW particles, for 24 h. After washing with PBS for three times, cells were fixed with 4% paraformaldehyde for 30 min. Next, cell nuclei were stained with DAPI (4′,6-diamidino-2-phenylindole) for 10 min. The phagocytic ability of APCs (such as DCs and macrophages) was observed by confocal microscope (Zeiss LSM 800). In order to verify whether cellular uptake of YCW NPs by DCs and macrophages was related to Dectin-1, we applied Dectin-1 competitor laminarin (100 μM) to pretreat DCs and macrophages for 2 h. Then DCs and macrophages were incubated with YCW NPs for 24 h. The results of cellular uptake were analyzed by flow cytometry and confocal assay as before. To explore the effect of YCW NPs, including large NPs, middle NPs, and small NPs, on T cells, we incubated cells obtained from inguinal lymph nodes with YCW NPs for 24 h. Then we analyzed the influences of YCW NPs on T cells. Specifically, after cells were incubated with Cy5.5-labelled YCW NPs for 24 h, the MFI of Cy5.5 was analyzed by flow cytometry to determine the phagocytosis of YCW NPs by T cells. After cells obtained from inguinal lymph nodes were incubated with YCW NPs for 24 h, the activation of T cells was detected by flow cytometry, including the expression of CD69 and PD-1 on CD4 T cells and CD8 T cells.
In the assay of maturation of BMDCs, 5 × 105 immature BMDCs were seeded on 24-well plates, after incubated with PBS, lipopolysaccharides (LPS, positive control), YCW particles, including MPs, large NPs, middle NPs, and small NPs, for 24 h, BMDCs were collected at 100 g for 3 min, and supernatants were harvested for enzyme-linked immunosorbent assay (ELISA). The collected BMDCs were resuspended in FACS buffer (PBS containing 1% FBS) and stained with FITC-CD11c, APC-CD86, PE-CD80, PE-MHCII, APC-CD40, PE-PD-L1, APC-PD-1, PE-CTLA-4, PE-LAG-3, PE-TIM-3 at room temperature for 30 min before analyzing by flow cytometry (BD Accurit C6 Plus). The concentration of inflammatory factors secreted in supernatants, such as TNF-a, IL-1β, IL-12p70, IL-6, was measured by ELISA (BioLegend) according to the manufacturer’s instructions.
To explore the mechanism of activation of DCs by YCW NPs, we carried out western blotting assay. The total proteins of BMDCs pre-incubated with three different sizes of YCW NPs for 24 h were extracted, and the expression of TLR-2, p-Syk, p-P65, MyD88, Dectin-1 was detected by western blotting. In brief, cells were lysed, using RIPA lysis buffer with PMSF protease inhibitor and phosphatase inhibitor obtain total proteins, which were then separated the protein by 12.5% SDS-PAGE gel electrophoresis. Next, proteins were transferred to PVDF membrane by wet method. The membrane was blocked with 3% BSA solution, and incubated with anti-p-P65, anti-TLR-2, anti-p-Syk, anti-MyD88, anti-Dectin-1 and anti-GAPDH antibody overnight, and then incubated with rabbit secondary antibody (Goat anti-Rabbit IgG (H+L)-HRP) for 1 h. The bands were developed by chemiluminescence, and the image was quantitatively analyzed with Image J software. To further confirm the activation of DCs via Dectin-1/Syk pathway and TLR2/MyD88 pathway, we pretreated BMDCs with Dectin-1 competitor laminarin (100 μM) and TLR2 inhibitor C29 (50 μM) for 2 h, respectively. After incubated with small NPs for 24 h, proteins of BMDCs were collected for western blotting assay as before.
Analysis of lymph nodes ex vivo
To analyze the accumulation of YCW particles, including MPs, large NPs, middle NPs and small NPs toward tumor draining lymph nodes (TDLNs), C57BL/6 mice were intratumorally injected with Cy5.5-labelled YCW particles. After 48 h, mice were sacrificed and TDLNs were harvested for imaging by IVIS Spectrum Imaging System and confocal microscopy. At the same time, tumors, TDLNs and non-TDLNs were collected for flow cytometry. The tumors, TDLNs and non-TDLNs were grinded and digested, and then stained with FITC-CD11c, FITC-F4/80, FITC-CD19, FITC-CD3 antibodies to evaluate the number of different NPs in DCs, macrophages, B cells and T cells. Meanwhile, to observe the distribution of YCW particles toward TDLNs more intuitively, TDLNs from different groups were buried in optimal cutting temperature compound, then cut into micrometer slices and fixed on slides. After staining cell nucleus with DAPI, the sections were observed using confocal microscope. In order to analyze the activation status of immune cells in TDLNs, PE-MHCII, APC-CD40, PE–CD80, APC–CD86 were stained to observe the maturation of DCs. APC–CD69 staining was used to evaluate the activation state of T cells and B cells. At the same time, APC–PD-1 and APC–PD-L1 staining was applied to examine the expression levels of PD-1 and PD-L1 on T cells and APCs, respectively.
Therapeutic experiments of YCW NPs
To determine the administration dose, we carried out the dose-dependent experiment. In detail, 1 × 106 B16-luc cells were implanted on the right flank of depilated C57BL/6 mice to establish tumor model of melanoma on day 0. On day 7, mice were divided into five groups (UnTx, 0.09 mg/kg, 0.18 mg/kg, 0.375 mg/kg, 0.75 mg/kg; the number of female C57BL/6 was 25) and were treated with different dose of small NPs intratumorally every 2 days. The tumor volumes were observed every 2 days. Tumor volume was calculated using the formulation: length × width × width/2.
The treatment efficiency of three different size of YCW NPs was evaluated on model of B16-luc tumor bearing C57BL/6 mice. 1 × 106 B16-luc cells were implanted on the right flank of depilated C57BL/6 mice to establish tumor model of melanoma on day 0. On day 6, mice were divided into four groups (UnTx, large NPs, middle NPs, small NPs; the number of female C57BL/6 was 23) and were treated with 7.5 µg (50 µL per mouse, 0.375 mg/kg) of YCW NPs intratumorally every 2 days. To monitor the therapeutic effect of YCW NPs, the tumor volume and weight of tumor were observed every 2 days. Tumor volume was calculated using the formulation: length × width × width/2.
In experiment of treatment of B16-luc by combining small size of YCW NPs with anti-PD-L1, mice were divided into four groups (UnTx, small NPs, anti-PD-L1, combination; the number of female C57BL/6 was 20). The dosage and frequency of administration of small size of YCW NPs were the same as above. Anti-PD-L1 was injected intravenously every 3 days (50 µg per mouse). The volume of tumor and body weight of mice were recorded every 2 days. Hematoxylin-eosin staining (H&E staining) of major organs was used for assessing the safety of therapeutic. Mice were sacrificed on day 20 to analyze microenvironment of primary and distant tumor. The relative frequency of various immune cell subsets including T cells, MDSCs, Tregs, TAMs, as well as PD-L1 expression on tumor cells were examined by flow cytometry analysis.
In another treatment experiment, CT26 tumor cells (2 × 106 per mouse) were injected at both sides of back of BALB/c mice. On day 6, small size YCW NPs and anti-PD-L1 were administrated as described above. The tumor volume and weight were monitored to evaluate the therapeutic effect. In lung metastasis model, 1 × 106 B16-luc tumor cells were injected intravenously instead. The number of black spots representative of metastatic lesions in lung was counted to evaluate the treatment effect. The number of female BALB/c mice was 16.
To compare the treatment effect of our system (YCW NPs) and existing system (YCW MPs - GPs), we carried out therapeutic experiments with B16. 1 × 106 B16-luc cells were implanted on the right flank of depilated C57BL/6 mice to establish tumor model of melanoma on day 0. On day 8, mice were divided into three groups (UnTx, YCW MPs – GPs, YCW small NPs; the number of female C57BL/6 was 12) and were treated with 7.5 µg (50 µL per mouse, 0.375 mg/kg) of GPs and NPs intratumorally every 2 days. To monitor the therapeutic effect, the tumor volume and weight of mice were observed every 2 days. Tumor volume was calculated using the formulation: length × width × width/2.
Depletion of T cells
C57BL/6 mice were inoculated with B16-luc and divided into four groups (UnTx, anti-CD4 group, anti-CD8a group, no depletion group; the number of female C57BL/6 was 16). On day 4 and day 7, mice were injected intravenously with anti-CD4 (20 µg per mouse) and anti-CD8a (20 µg per mouse) respectively. Next, on day 8, peripheral blood mononuclear cells were collected to analyze the efficiency of T cell (including CD4 and CD8a) depletion. On the same day, the mice were treated with small size of YCW NPs every 2 days except for UnTx. The tumor size and weight were observed every 2 days.
In vivo bioluminescence imaging
Tumor growth of B16-luc was monitored using in vivo IVIS Spectrum Imaging System (PerkinElmer Ltd). Mice were injected with D-luciferin (1.5 mg/mL) intraperitoneally, bioluminescence imaging was obtained after 10 min and exposure time was 30 s. Bioluminescence intensity was quantified as average radiance (photons s−1 cm−2 sr−1) with IVIS Living Image 4.2.
Statistical analysis
All results were expressed as mean ± SD. Unless otherwise stated, all experiments used biological replication. Student’s t test (two-tailed) was utilized for two groups compared. One-way ANOVA using the Tukey post-test for more than two groups compared. All statistical analyses were performed using GraphPad Prism (8.0). For animal survival analysis, the statistical differences were determined by log-rank test. The results were significant when ****P < 0.0001; ***P < 0.005; **P < 0.01; *P < 0.05. All experiments were run at least in triplicate.
Reporting summary
Further information on research design is available in the Nature Research Reporting Summary linked to this article.
Supplementary information
Acknowledgements
We thank the graduate student interdisciplinary innovation training program of Soochow University. This work was supported by National Natural Science Foundation of China (No. 31900988 C.W., 81770216 J.C., and 11971021 Jin.C.), the Natural Science Foundation of Jiangsu Province (No. SBK2019040088 C.W.), Jiangsu Province Six Talent Peaks Project (No. SWYY-110 C.W.). This work was also supported by the Program for Jiangsu Specially-Appointed Professors to C.W. This work was partly supported by Collaborative Innovation Center of Suzhou Nano Science & Technology, the Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD), the 111 Project. This work was partly supported by Undergraduate Training Program for Innovation and Entrepreneurship, Soochow University (Project 201910285013Z).
Source data
Author contributions
C.W. and J.X. designed the project. J.X. performed the experiments, collected the data, and analyzed and interpreted the data. All authors contributed to the writing of the paper, discussed the results and implications, and edited the paper at all stages.
Peer review information
Nature Communications thanks Jianxiang Zhang and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.
Data availability
Source data are provided with this paper. The authors declare that all other data supporting the findings of this study are available within the paper, Supplementary Information or Source Data file. Source data are provided with this paper.
Competing interests
The authors declare no competing interests.
Footnotes
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Contributor Information
Jianhong Chu, Email: jhchu@suda.edu.cn.
Jingrun Chen, Email: jingrunchen@suda.edu.cn.
Chao Wang, Email: cwang@suda.edu.cn.
Supplementary information
The online version contains supplementary material available at 10.1038/s41467-021-27750-2.
References
- 1.Irvine DJ, Dane EL. Enhancing cancer immunotherapy with nanomedicine. Nat. Rev. Immunol. 2020;20:321–334. doi: 10.1038/s41577-019-0269-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Sanmamed MF, Chen L. A paradigm shift in cancer immunotherapy: from enhancement to normalization. Cell. 2018;175:313–326. doi: 10.1016/j.cell.2018.09.035. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Hubbell J, Thomas S, Swartz M. Materials engineering for immunomodulation. Nature. 2009;462:449–460. doi: 10.1038/nature08604. [DOI] [PubMed] [Google Scholar]
- 4.Hegde PS, Chen DS. Top 10 Challenges in Cancer Immunotherapy. Immunity. 2020;52:17–35. doi: 10.1016/j.immuni.2019.12.011. [DOI] [PubMed] [Google Scholar]
- 5.Haanen JBAG. Converting Cold into Hot Tumors by Combining Immunotherapies. Cell. 2017;170:1055–1056. doi: 10.1016/j.cell.2017.08.031. [DOI] [PubMed] [Google Scholar]
- 6.Senovilla L, et al. An immunosurveillance mechanism controls cancer cell ploidy. Science. 2012;337:1678–1684. doi: 10.1126/science.1224922. [DOI] [PubMed] [Google Scholar]
- 7.Vitale I, Shema E, Loi S, Galluzzi L. Intratumoral heterogeneity in cancer progression and response to immunotherapy. Nat. Med. 2021;27:212–224. doi: 10.1038/s41591-021-01233-9. [DOI] [PubMed] [Google Scholar]
- 8.Rodriguez-Ruiz ME, Vitale I, Harrington KJ, Melero I, Galluzzi L. Immunological impact of cell death signaling driven by radiation on the tumor microenvironment. Nat. Immunol. 2020;21:120–134. doi: 10.1038/s41590-019-0561-4. [DOI] [PubMed] [Google Scholar]
- 9.Binnewies M, et al. Understanding the tumor immune microenvironment (TIME) for effective therapy. Nat. Med. 2018;24:541–550. doi: 10.1038/s41591-018-0014-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Leventhal DS, et al. Immunotherapy with engineered bacteria by targeting the STING pathway for anti-tumor immunity. Nat. Commun. 2020;11:2739. doi: 10.1038/s41467-020-16602-0. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Sedighi M, et al. Therapeutic bacteria to combat cancer; current advances, challenges, and opportunities. Cancer Med. 2019;8:3167–3181. doi: 10.1002/cam4.2148. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Zhou S, Gravekamp C, Bermudes D, Liu K. Tumour-targeting bacteria engineered to fight cancer. Nat. Rev. Cancer. 2018;18:727–743. doi: 10.1038/s41568-018-0070-z. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Yi X, et al. Bacteria-triggered tumor-specific thrombosis to enable potent photothermal immunotherapy of cancer. Sci. Adv. 2020;6:eaba3546. doi: 10.1126/sciadv.aba3546. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Lee P, Gujar S. Potentiating prostate cancer immunotherapy with oncolytic viruses. Nat. Rev. Urol. 2018;15:235–250. doi: 10.1038/nrurol.2018.10. [DOI] [PubMed] [Google Scholar]
- 15.Park AK, et al. Effective combination immunotherapy using oncolytic viruses to deliver CAR targets to solid tumors. Sci. Transl. Med. 2020;12:eaaz1863. doi: 10.1126/scitranslmed.aaz1863. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Limon JJ, Skalski JH, Underhill DM. Commensal Fungi in Health and Disease. Cell Host Microbe. 2017;22:156–165. doi: 10.1016/j.chom.2017.07.002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Zheng JH, et al. Two-step enhanced cancer immunotherapy with engineered Salmonella typhimurium secreting heterologous flagellin. Sci. Transl. Med. 2017;9:eaak9537. doi: 10.1126/scitranslmed.aak9537. [DOI] [PubMed] [Google Scholar]
- 18.Kumar R, Kumar P. Yeast-based vaccines: new perspective in vaccine development and application. FEMS Yeast Res. 2019;19:foz007. doi: 10.1093/femsyr/foz007. [DOI] [PubMed] [Google Scholar]
- 19.Zitvogel L, Ma Y, Raoult D, Kroemer G, Gajewski TF. The microbiome in cancer immunotherapy: Diagnostic tools and therapeutic strategies. Science. 2018;359:1366–1370. doi: 10.1126/science.aar6918. [DOI] [PubMed] [Google Scholar]
- 20.Lou X, Chen Z, He Z, Sun M, Sun J. Bacteria-mediated synergistic cancer therapy: small microbiome has a big hope. Nano-Micro Lett. 2021;13:1–26. doi: 10.1007/s40820-020-00560-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Chilakapati SR, Ricciuti J, Zsiros E. Microbiome and cancer immunotherapy. Curr. Opin. Biotechnol. 2020;65:114–117. doi: 10.1016/j.copbio.2020.02.007. [DOI] [PubMed] [Google Scholar]
- 22.Ruiz-Herrera J, Ortiz-Castellanos L. Cell wall glucans of fungi. A review. Cell Surf. 2019;5:100022. doi: 10.1016/j.tcsw.2019.100022. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Galinari É, Almeida-Lima J, Macedo GR, Mantovani HC, Rocha HAO. J.I.j.o.b.m. Antioxidant, antiproliferative, and immunostimulatory effects of cell wall α-d-mannan fractions from Kluyveromyces marxianus. Int. J. Biol. Macromol. 2018;109:837–846. doi: 10.1016/j.ijbiomac.2017.11.053. [DOI] [PubMed] [Google Scholar]
- 24.Kalafati L, et al. Innate Immune Training of Granulopoiesis Promotes Anti-tumor Activity. Cell. 2020;183:771–785. doi: 10.1016/j.cell.2020.09.058. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Mirza Z, Soto ER, Dikengil F, Levitz SM, Ostroff GR. Beta-glucan particles as vaccine adjuvant carriers. Methods Mol. Biol. 2017;1625:143–157. doi: 10.1007/978-1-4939-7104-6_11. [DOI] [PubMed] [Google Scholar]
- 26.Geller A, Shrestha R, Yan J. Yeast-Derived beta-Glucan in Cancer: novel uses of a traditional therapeutic. Int. J. Mol. Sci. 2019;20:3618. doi: 10.3390/ijms20153618. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Wculek SK, et al. Dendritic cells in cancer immunology and immunotherapy. Nat. Rev. Immunol. 2020;20:7–24. doi: 10.1038/s41577-019-0210-z. [DOI] [PubMed] [Google Scholar]
- 28.Mayoux M, et al. Dendritic cells dictate responses to PD-L1 blockade cancer immunotherapy. Sci. Transl. Med. 2020;12:eaav7431. doi: 10.1126/scitranslmed.aav7431. [DOI] [PubMed] [Google Scholar]
- 29.Rogers NC, et al. Syk-dependent cytokine induction by Dectin-1 reveals a novel pattern recognition pathway for C type lectins. Immunity. 2005;22:507–517. doi: 10.1016/j.immuni.2005.03.004. [DOI] [PubMed] [Google Scholar]
- 30.Wang W, et al. A small secreted protein triggers a TLR2/4-dependent inflammatory response during invasive Candida albicans infection. Nat. Commun. 2019;10:1015. doi: 10.1038/s41467-019-08950-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Leal JM, et al. Innate cell microenvironments in lymph nodes shape the generation of T cell responses during type I inflammation. Sci. Immunol. 2021;6:eabb9435. doi: 10.1126/sciimmunol.abb9435. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Haley du Bois TAH, Amanda WL. Tumor-draining lymph nodes: at the crossroads of metastasis and immunity. Sci. Immunol. 2021;6:eabg3551. doi: 10.1126/sciimmunol.abg3551. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.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]
- 34.Zinkhan S, et al. The impact of size on particle drainage dynamics and antibody response. J. Control Release. 2021;331:296–308. doi: 10.1016/j.jconrel.2021.01.012. [DOI] [PubMed] [Google Scholar]
- 35.Schudel A, Francis DM, Thomas SN. Material design for lymph node drug delivery. Nat. Rev. Mater. 2019;4:415–428. doi: 10.1038/s41578-019-0110-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Berkowitz B, Balberg I. Percolation theory and its application to groundwater hydrology. Water Resour. Res. 1993;29:775–794. [Google Scholar]
- 37.Chen D, Lin Z, Zhu H, Kee RJ. Percolation theory to predict effective properties of solid oxide fuel-cell composite electrodes. J. Power Sources. 2009;191:240–252. [Google Scholar]
- 38.Ahn E, et al. Role of PD-1 during effector CD8 T cell differentiation. Proc. Natl Acad. Sci. USA. 2018;115:4749–4754. doi: 10.1073/pnas.1718217115. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Dougan M, Dougan SK. Programmable bacteria as cancer therapy. Nat. Med. 2019;25:1030–1031. doi: 10.1038/s41591-019-0513-4. [DOI] [PubMed] [Google Scholar]
- 40.Gujar S, Bell J, Diallo JS. SnapShot: Cancer Immunotherapy with Oncolytic Viruses. Cell. 2019;176:1240–1240. doi: 10.1016/j.cell.2019.01.051. [DOI] [PubMed] [Google Scholar]
- 41.Arwert EN, et al. Sting and irf3 in stromal fibroblasts enable sensing of genomic stress in cancer cells to undermine oncolytic viral therapy. Nat. Cell Biol. 2020;22:758–766. doi: 10.1038/s41556-020-0527-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42.Bommareddy PK, Shettigar M, Kaufman HL. Author Correction: integrating oncolytic viruses in combination cancer immunotherapy. Nat. Rev. Immunol. 2018;18:536. doi: 10.1038/s41577-018-0031-5. [DOI] [PubMed] [Google Scholar]
- 43.Geller A, Shrestha R, Yan J. Yeast-derived β-glucan in cancer: novel uses of a traditional therapeutic. Int. J. Mol. Sci. 2019;20:3618. doi: 10.3390/ijms20153618. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Jia J, et al. Interactions Between Nanoparticles and Dendritic Cells: From the Perspective of Cancer Immunotherapy. Front. Oncol. 2018;8:404. doi: 10.3389/fonc.2018.00404. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45.Joshi VB, Geary SM, Salem AK. Biodegradable particles as vaccine delivery systems: size matters. AAPS J. 2013;15:85–94. doi: 10.1208/s12248-012-9418-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Swanson JA, Cannon GJ. The macrophage capacity for phagocytosis. J. Cell Sci. 1992;101:907–913. doi: 10.1242/jcs.101.4.907. [DOI] [PubMed] [Google Scholar]
- 47.Chan GC, Chan WK, Sze DM. The effects of beta-glucan on human immune and cancer cells. J. Hematol. Oncol. 2009;2:25. doi: 10.1186/1756-8722-2-25. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48.Kim OY, et al. Bacterial outer membrane vesicles suppress tumor by interferon-gamma-mediated antitumor response. Nat. Commun. 2017;8:626. doi: 10.1038/s41467-017-00729-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Kim OY, et al. Immunization with Escherichia coli outer membrane vesicles protects bacteria-induced lethality via Th1 and Th17 cell responses. J. Immunol. 2013;190:4092–4102. doi: 10.4049/jimmunol.1200742. [DOI] [PubMed] [Google Scholar]
- 50.Stubbs AC, et al. Whole recombinant yeast vaccine activates dendritic cells and elicits protective cell-mediated immunity. Nat. Med. 2001;7:625–629. doi: 10.1038/87974. [DOI] [PubMed] [Google Scholar]
- 51.Huang H, Ostroff GR, Lee CK, Specht CA, Levitz SM. Characterization and optimization of the glucan particle-based vaccine platform. Clin. Vaccin. Immunol. 2013;20:1585–1591. doi: 10.1128/CVI.00463-13. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 52.Zhang M, Kim JA, Huang AY. Optimizing Tumor Microenvironment for Cancer Immunotherapy: beta-Glucan-Based Nanoparticles. Front. Immunol. 2018;9:341. doi: 10.3389/fimmu.2018.00341. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 53.Son S, et al. Sugar-Nanocapsules Imprinted with Microbial Molecular Patterns for mRNA Vaccination. Nano Lett. 2020;20:1499–1509. doi: 10.1021/acs.nanolett.9b03483. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 54.Zeng Y, et al. Polysaccharide-based nanomedicines for cancer immunotherapy: a review. Bioact. Mater. 2021;6:3358–3382. doi: 10.1016/j.bioactmat.2021.03.008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 55.Fan Q, et al. An implantable blood clot–based immune niche for enhanced cancer vaccination. Sci. Adv. 2020;6:eabb4639. doi: 10.1126/sciadv.abb4639. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 56.Han X, et al. Red blood cell–derived nanoerythrosome for antigen delivery with enhanced cancer immunotherapy. Sci. Adv. 2019;5:eaaw6870. doi: 10.1126/sciadv.aaw6870. [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
Source data are provided with this paper. The authors declare that all other data supporting the findings of this study are available within the paper, Supplementary Information or Source Data file. Source data are provided with this paper.