IL-2/anti-IL-2 antibody complexes augment immune responses to therapeutic cancer vaccines

Menée à l'aide de modèles murins de tumeurs solides, cette étude met en évidence l'intérêt de complexes anticorps-anti-IL2/IL-2 pour augmenter l'efficacité de vaccins anticancéreux à base de bâtonnets de silice mésoporeuse

Résumé en anglais

Cancer vaccines offer the promise of stimulating the immune system to eradicate tumor cells but have been hampered by modest clinical efficacy. Here, we present a combination therapy that enhances the potency of an established therapeutic cancer vaccine by pairing it with IL-2/anti-IL-2 antibody complexes (IL-2cx). The primary effect of the combination is to synergistically expand and activate conventional dendritic cells (cDCs), an antigen-presenting cell subset specialized in priming antitumor T cells. Relative to either monotherapy, we demonstrate the superior cDC engagement driven by Vax+IL-2cx leads to improved efficacy in aggressive mouse solid tumors. Our findings provide a path to overcome limitations of cancer vaccines in clinical development. One driver of the high failure rates of clinical trials for therapeutic cancer vaccines is likely the inability to sufficiently engage conventional dendritic cells (cDCs), the antigen-presenting cell (APC) subset that is specialized in priming antitumor T cells. Here, we demonstrate that, relative to vaccination with an injectable mesoporous silica rod (MPS) vaccine alone (Vax), combining MPS vaccines with CD122-biased IL-2/anti-IL-2 antibody complexes (IL-2cx) drives ~3-fold expansion of cDCs at the vaccination sites, vaccine-draining lymph nodes, and spleens of treated mice. Furthermore, relative to Vax alone, Vax+IL-2cx led to a ~3-fold increase in the numbers of CD8+ T cells and ~15-fold increase in the numbers of NK cells at the vaccination site. Notably, with both the model protein antigen OVA as well as various peptide neoantigens, Vax+IL-2cx induced ~5 to 30-fold greater numbers of circulating antigen-specific CD8+ T cells relative to Vax alone. We further demonstrate that Vax+IL-2cx leads to significantly improved efficacy in the MC38 colon carcinoma model relative to either monotherapy alone, driving complete regressions in 50% of mice in a cDC-dependent manner. Relative to vaccine alone, Vax+IL-2cx led to comparable numbers of CD8+ T cells, but markedly greater numbers of NK cells and activated cDCs in the B16F10 melanoma tumor microenvironment post-therapy. Taken together, these findings suggest that the administration of factors that engage both the cDC-CD8+ T cell and cDC-NK cell axes can boost the potency of therapeutic cancer vaccines.