1. Introduction
The limited response rate of immune checkpoint therapies (10~40%) in clinical practice is renewing the call for cancer vaccines, which are believed to be the next frontier in cancer immunotherapy [
1]. Considering the diversity and heterogeneity of tumors, which antigens to use and how to use immunostimulatory adjuvants will greatly influence the activation of antitumor immunity, the alteration of tumor immunosuppressive environments, and the efficacy of cancer vaccines [
2,
3,
4,
5,
6,
7,
8].
In the 1890s, Dr. William Coley pioneered the injection of live bacteria into cancer patients to induce tumor regression, and later used heat-killed bacteria to reduce the lethality of infection, although their anti-tumor effects were confined to a subset of patients [
9]. The mechanism of action of “Coley’s toxin” was initially attributed to endotoxin for decades, and it was not until the 1990s that the important role played by bacterial DNA in anti-tumor immunity was gradually recognized [
9]. Oligodeoxynucleotides (ODNs) containing unmethylated cytosine–phosphate–guanosine (CpG) motifs, which are highly abundant in bacterial DNA, are readily recognized by Toll-like receptor 9 (TLR9) on immune cells, trigger an immunomodulatory cascade, and induce a Th1-biased immune milieu, which makes CpG ODNs have great potential to treat cancer, infections, and allergies [
10].
Recent studies suggest that the physicochemical and biological properties of CpG ODNs, including resistance to nuclease degradation, half-life period, immunostimulatory effect and side effects, highly depend on their structure, nucleotide sequence, spatial distribution, the number of CpG motifs, and bases surrounding CpG motifs [
11,
12]. Because natural CpG ODNs with a phosphodiester (PD) backbone are susceptible to deoxyribonuclease (DNase) degradation, those with a phosphorothioate (PS) backbone have been developed to increase the resistance to nucleases [
13], and have been utilized as adjuvants for the Hepatitis B vaccine since 2017, which is also the only FDA-approved use of CpG ODNs to date. However, repeated administration of PS-modified CpG ODNs is associated with adverse effects, such as lymphoid follicle destruction, reduced immune response, liver and renal damage, hemorrhagic ascites, and prolonged clotting [
13,
14,
15]. The fabrication of an unmodified PD-backbone CpG ODNs with a higher-order structure is a promising approach to simultaneously enhance nuclease resistance and avoid the side effects of PS modification [
13,
16,
17]. Moreover, due to their short half-life (less than 60 min), easy clearance from the body and low uptake efficiency by immune cells, the antitumor efficacy of free CpG ODNs monotherapy in clinical trials is limited and has not yet achieved clinical translation [
13,
18,
19].
Nanoplatforms provide the possibility to prolong the retention of CpG ODNs inside the body, enhance the cellular uptake efficiency of CpG ODNs by immune cells, further protect CpG ODNs from nuclease degradation, and improve the therapeutic efficacy [
13]. Especially, the optimization of nanoplatforms may realize the codelivery of immunostimulants and tumor antigens into the same antigen-presenting cells, reduce the non-specific immune stimulation, minimize side effects, and thus enhance the tumor antigen-specific immune response [
4,
5,
20]. Metal–organic nanoplatforms built from metal ions/cluster nodes and organic ligands are promising for the codelivery of immunostimulants and tumor antigens due to their adjustable composition, porous structure, versatile functional groups, strong biomolecules loading ability, and biodegradability [
9].
In this study, a green one-step synthesis process was adopted to prepare an amino-rich metal–organic nanoplatform (FN) using iron (III) chloride hexahydrate (FeCl3·6H2O) and 2-aminoterephthalic acid (NH2-C6H3-1,4-(COOH)2) in ethanol solvent at 70 °C for 4 h. The synthesized FN nanoplatform can simultaneously and effectively load model tumor antigens (OVA)/autologous tumor antigens (dLLC) and immunostimulatory CpG ODNs with an unmodified PD backbone and a guanine quadruplex structure to obtain various cancer vaccines. FN nanoplatforms and immunostimulatory CpG ODNs generate synergistic effects to enhance the immunogenicity of different antigens and inhibit the growth of established and distant tumors in both the mouse E.G7-OVA lymphoma model and the Lewis lung carcinoma model.
2. Materials and Methods
2.1. Preparation of CpG ODNs with Guanine Quadruplex Structure
Guanine quadruples forming CpG oligodeoxynucleotides (GD3) with a sequence 5‘-GGGTTGGGGTCGTTTTGTCGTTTTGTCGTTGGGTTGGG-3’, a length of 38 mer, a phosphodiester backbone, and an HPLC purification grade were custom-synthesized by Eurofins Genomics (Tokyo, Japan). Then, 2 mg/mL GD3 aqueous solution prepared using sterile Milli-Q water and Dulbecco’s phosphate-buffered saline (10 × D-PBS; nacalai tesque, Kyoto, Japan) were mixed at a volume ratio of 5:1, treated at 90 °C for 5 min, cooled to 30 °C for 60 min, and stored at 4 °C. The product obtained was a CpG ODN forming a guanine quadruplex structure, which was analyzed by circular dichroism (CD) spectroscopy [
17].
2.2. Synthesis of Amino-Rich FN Nanoplatform
The synthesis of the amino-rich FN nanoplatform was performed from a solution of iron (III) chloride hexahydrate (40 mM) and 2-aminoterephthalic acid (20 mM) in ethanol solvent at 70 °C for 4 h. The obtained products were collected by centrifugation at 13,000 rpm for 10 min and washed by ethanol several times.
2.3. Preparation of Customized Cancer Vaccines Using ODNs, FN Nanoplatform and Tumor Antigens
In a typical synthesis, regarding cancer vaccines for E.G7-OVA lymphoma, the model tumor antigen OVA, ODNs, and FN nanoplatform were mixed in a final concentration of 1 μg/μL, 0.5 μg/μL, and 10 μg/μL, respectively, and then shaken for 1 h.
Regarding cancer vaccines for Lewis lung carcinoma, the synthesis process was performed as follows. Firstly, tumor cell lysate (dLLC) was prepared as autologous tumor antigen by repeatedly freezing and thawing 7 × 106 cells/mL Lewis lung carcinoma cells (LLC, Bioresource Research Center, Tsukuba, Japan) in −30 °C and 4 °C, followed by the centrifugation at 1500 rpm for 3 min to obtain the supernatant. Then, autologous tumor antigen dLLC, ODNs, and FN nanoplatform were mixed in a final concentration of 0.06 μL/μL, 0.5 μg/μL, and 10 μg/μL, respectively, and then shaken for 1 h.
2.4. Physical and Chemical Characterization of Nanoplatforms and Cancer Vaccines
A high-resolution field emission scanning electron microscope (FE-SEM, Hitachi SU8000, Tokyo, Japan) with an energy-dispersive X-ray spectrometer (EDX) attachment was used to observe the morphology of the samples and analyze the elemental maps of cancer vaccines. A Fourier transform infrared spectrophotometer (IRTracer-100, Shimadzu, Kyoto, Japan) was employed to obtain the infrared absorption spectra of the samples. An ELSZ-1000Z analyzer (Otsuka Electronics, Hirakata-shi, Japan) was utilized to assess the zeta potentials of nanoplatforms and cancer vaccines. Dynamic light scattering analysis was performed using a DLS-8000HAL spectrophotometer (Otsuka Electronics, Japan).
A Micro BCA protein assay kit (Thermo Fisher Scientific, Waltham, MA, USA) was used to analyze the protein concentrations of model tumor antigen OVA or LLC tumor cell lysates before and after loading onto nanoplatform. A NanoDrop 2000 spectrophotometer (Thermo Fisher Scientific, USA) was used to analyze the concentration of ODNs. The loading efficiencies of protein or nucleic acid are calculated according to the following formula: loading efficiency = (initial concentration—final concentration after loading)/initial concentration × 100%.
2.5. In Vitro Assay
Bone marrow-derived dendritic cells (BMDCs) were isolated from C57BL/6J mice (5~6 weeks old, CLEA Inc., Tokyo, Japan) according to the following protocols. After the euthanasia of mice, bone marrow was harvested from the femurs and tibias. Then, erythrocytes lysis and the antibodies-mediated depletion of CD4+, CD8+, and I-A/I-E+ cells were carried out. The collected cells were subsequently cultured in RPMI 1640 medium containing 10% FBS and 20 ng/mL GM-CSF. On day 10, the loosely adherent and nonadherent cells were utilized as BMDCs.
To carry out the in vitro assay, BMDCs were seeded onto a cell culture plate at 2 × 105 cells/well and then exposed to culture medium supplemented with different samples: (i) free OVA (final concentration: 5 μg/mL OVA); (ii) free OVA + ODNs (final concentration: 5 μg/mL OVA, 2.5 μg/mL ODNs); (iii) OVA + FN (final concentration: 5 μg/mL OVA, 25 μg/mL FN); and (iv) OVA + ODNs + FN (final concentration: 5 μg/mL OVA, 2.5 μg/mL ODNs, 25 μg/mL FN). One day or three days later, cytokine concentration in the supernatant was quantified using enzyme-linked immunosorbent assay (ELISA) kits (BD Biosciences, Franklin Lakes, NJ, USA).
2.6. In Vivo Antigen Cross-Presentation
Female C57BL/6J mice (5~6 weeks old, CLEA Inc.) were subcutaneously administered with 100 μL of the as-prepared samples: (i) saline; (ii) free OVA (100 μg/mouse); (iii) free OVA + ODNs (100 μg/mouse OVA, 50 μg/mouse ODNs); (iv) OVA + FN (100 μg/mouse OVA, 1 mg/mouse FN); and (v) OVA + ODNs + FN (100 μg/mouse OVA, 50 μg/mouse ODNs, 1 mg/mouse FN). About one day later, nearby draining lymph nodes were harvested from euthanized mice, ground, and passed through a 70 μm cell strainer to prepare single-cell suspensions. After pretreatment with anti-CD16/CD32 antibody to block the Fc receptor, the cells were stained with antibodies, such as PE-Cyanine7-anti-CD11c and APC-anti-H-2Kb of MHC class I bound to peptide SIINFEKL (BioLegend, San Diego, CA, USA). SP6800 spectral cell analyzer (Sony, Tokyo, Japan) was used for flow cytometry and FlowJo software was used to analyze the data.
2.7. In Vivo Anti-Tumor Experiments Using EG7-OVA
Thirty female C57BL/6J mice (5~6 weeks old, CLEA Inc.) were randomly divided into five groups. On day 0, mice were subcutaneously inoculated in the left flank with E.G7-OVA lymphoma cells (American Type Culture Collection, ATCC, Manassas, VA, USA) at an approximate dose of 1.8 × 10
5 cells/mouse. On days 4, 7, and 10 after tumor inoculation, 100 μL of the following as-prepared samples were administered subcutaneously into the right flank of mice, respectively: (i) saline; (ii) free OVA (100 μg/mouse); (iii) free OVA + ODNs (100 μg/mouse OVA, 50 μg/mouse ODNs); (iv) OVA + FN (100 μg/mouse OVA, 1 mg/mouse FN); and (v) OVA + ODNs + FN (100 μg/mouse OVA, 50 μg/mouse ODNs, 1 mg/mouse FN). Tumor size measurement was performed using a digital caliper. The tumor is assumed to be an ellipsoid, and the volume can be calculated based on the following formula: π/6 × width × height × length. However, because height is difficult to measure, the following modified formula is widely used to calculate the tumor volume: 1/2 × tumor length × tumor width
2 [
21].
At the endpoint of the anti-tumor experiment, spleens were harvested, ground, and passed through a 70 μm cell strainer to obtain single-cell suspensions. After pretreatment with anti-CD16/CD32 antibody to block Fc receptor, the cells were stained with FITC-anti-CD4, APC-Cyanine7-anti-CD8a (Biolegend), and APC-anti-T-Select H-2Kb OVA Tetramer-SIINFEKL (MBL) antibodies. SP6800 spectral cell analyzer (Sony, Japan) was used for flow cytometry and FlowJo software was used to analyze the data. In addition, cytokine content in the spleen was tested by ELISA kits (BD Biosciences) after being treated with a tissue protein extraction reagent (Thermo Fisher Scientific, USA).
2.8. In Vivo Anti-Tumor Experiments Using LLC
Twenty female C57BL/6J mice (5~6 weeks old, CLEA Inc.) were randomly divided into five groups. On day 0, mice were subcutaneously inoculated in the left flank with Lewis lung carcinoma cells at an approximate dose of 1.5 × 105 cells/mouse. On days 4, 7, and 10 after tumor inoculation, 100 μL of the following as-prepared samples were administered subcutaneously into the right flank of mice, respectively: (i) saline; (ii) free dLLC (6 μL/mouse dLLC); (iii) free dLLC + ODNs (6 μL/mouse dLLC, 50 μg/mouse ODNs); (iv) dLLC + FN (6 μL/mouse dLLC, 1 mg/mouse FN); and (v) dLLC + ODNs + FN (6 μL/mouse dLLC, 50 μg/mouse ODNs, 1 mg/mouse FN). Tumor size measurement was performed using a digital caliper and tumor volume was calculated using the following formula: 1/2 × tumor length × tumor width2.
At the endpoint of the anti-tumor experiment, spleens and tumors were harvested, ground, and passed through a 70 μm cell strainer to obtain single-cell suspensions. After pretreatment with an anti-CD16/CD32 antibody to block the Fc receptor, the splenocytes were stained with PE-Cyanine7-anti-CD4, APC-anti-CD3, and APC-Cyanine7-anti-CD8a antibodies and the tumor cells were stained with FITC-anti-CD80, PE-anti-CD3, PE-Cyanine7-anti-CD11c, and APC-Cyanine7-anti-CD8a antibodies (BioLegend), respectively. SP6800 spectral cell analyzer (Sony, Japan) was used for flow cytometry and FlowJo software was used to analyze the data. In addition, cytokine content in the spleen was tested by ELISA kits.
2.9. Statistical Analysis
Statistical analysis was performed using a one-way analysis of variance (ANOVA) with Tukey’s multiple comparisons post hoc test. All the data are expressed in mean ± standard deviation (SD). Statistical significance is defined as a p-value less than or equal to 0.05.
4. Discussion
Metal–organic nanoplatforms are promising in drug delivery systems and cancer treatment due to their adjustable composition, porous structure, versatile functional groups, strong biomolecules loading ability, and biodegradability. However, metal–organic nanoplatforms are generally synthesized using toxic solvent, such as N,N-dimethylformamide, through a solvothermal method over 100 °C for 1~2 days. Regarding their biomedical application, there is great concern about the toxicity of residues. In this study, an amino-rich FN nanoplatform was synthesized using ethanal solvent at 70 °C for only 4 h. The use of ethanol green solvent with high biocompatibility is beneficial for its biomedical application. The synthesized amino-rich FN nanoplatform can simultaneously and effectively load model tumor antigens (OVA)/autologous tumor antigens (dLLC) and immunostimulatory CpG ODNs via electrostatic and aromatic interactions to obtain customized cancer vaccines.
CpG ODNs are readily recognized by TLR9 on immune cells and trigger an immunomodulatory cascade that involves antigen-presenting cells, T cells, and natural killer cells, which makes them promising for cancer immunotherapy. Because natural PD-backbone CpG ODNs are easily degraded by DNase, those with a PS backbone with enhanced stability [
13] were approved as adjuvants for the Hepatitis B vaccine in 2017. However, repeated administration of PS-modified CpG ODNs resulted in several side effects, such as lymphoid follicle destruction, reduced immune response, liver and renal damage, hemorrhagic ascites, and prolonged clotting [
13,
14,
15]. In this study, unmodified PD-backbone CpG ODNs with a higher-order guanine quadruplex structure and high nuclease resistance [
17] were firstly used to evaluate their antitumor efficacy. Moreover, the amino-rich FN nanoplatform was used to co-deliver CpG ODNs and tumor antigens to further enhance their immunostimulatory effect and antitumor efficacy.
When coculture with primary BMDCs are in vitro, the combination of an amino-rich FN nanoplatform and CpG ODNs more effectively stimulates the secretion of Th1 cytokines such as IL-12 and TNF-α. IL-12 is a proinflammatory cytokine secreted by antigen-presenting cells such as dendritic cells and macrophages [
22]. IL-12 is known to promote the differentiation of Th0 lymphocytes into a Th1 phenotype, enhance the cytolytic activities of cytotoxic T lymphocytes and natural killer (NK) cells, and facilitate the transformation of the immunosuppressive tumors into immunologically active tumors [
22]. TNF-α is known to be an effective tumoricidal cytokine for inducing the apoptotic cell death of tumor cells and inhibiting the tumor growth in a dose-dependent manner [
22]. Herein, the combination of an amino-rich FN nanoplatform and CpG ODNs effectively enhances the secretion of Th1 cytokines by antigen-presenting cells.
In this study, two different tumor-bearing mouse models, e.g., the E.G7-OVA lymphoma model and the Lewis lung carcinoma model, were used to investigate the antitumor efficacy of an amino-rich FN nanoplatform loaded with different tumor antigens and immunostimulatory CpG ODNs. Here, we confirmed the synergistic antitumor effects of an amino-rich FN nanoplatform and immunostimulatory CpG ODNs using these two completely different types of tumor models. This preparation method can be generalized to other tumors by using different tumor antigens. In addition, it should be mentioned that an FN nanoplatform loaded with CpG ODNs is designed to be the adjuvant for therapeutic cancer vaccines in this study. Therefore, subcutaneous administration of the as-prepared cancer vaccines was employed to trigger a systemic antitumor immune response, and the inhibition effects on the distant tumors were investigated. In fact, intratumoral or intravenous administration of an FN nanoplatform loaded with CpG ODNs as a medicine is also promising for cancer treatment, and the relevant work using different antitumor experimental processes will be considered in the future.
For mouse models and different groups used in this study, the CD4
+ and CD3
+CD4
+ cell populations in the spleen are almost the same, and the CD8
+ and CD3
+CD8
+ cell populations in the spleen are almost the same, as shown in
Figure 7. But for tumor tissue, the situation is much more complicated. The CD3
+CD8
+ cell populations in tumors represent the infiltration of cytotoxic T cells in the tumor sites, while the CD3
−CD8
+ cell populations can represent NK cells in the tumor sites in this study [
23]. Therefore, we stained the cells derived from the spleen and tumor in the Lewis lung carcinoma-bearing mouse model using an anti-CD3 antibody to clarify this difference in splenocytes and tumor cells.
In both the E.G7-OVA lymphoma model and the Lewis lung carcinoma model, vaccination using an amino-rich FN nanoplatform loaded with tumor antigens and immunostimulatory CpG ODNs greatly enhances the cell populations of typical T lymphocytes in splenocytes such as CD4
+ and CD8
+ T cells. Traditionally, CD4
+ T cells have been regarded as providing help to CD8
+ T cells in triggering an antitumor immune response. However, recent findings have indicated that CD4
+ T cells may also possess direct antitumor capacity [
24]. CD8
+ T cells, also known as cytotoxic T lymphocytes, play a pivotal role in antitumor immunity, selectively detecting and eliminating tumor cells [
25]. Moreover, in the Lewis lung carcinoma model, vaccination using an amino-rich FN nanoplatform loaded with tumor antigens and immunostimulatory CpG ODNs efficiently increases the CD3
+CD8
+, CD3
−CD8
+, and CD11b
+CD80
+ cell populations in the tumors, suggesting the alteration of the tumor microenvironment from cold to hot tumors. The increase in CD3
+CD8
+ T cell population in the tumor sites shows the same trend as that in the spleens, and the infiltration of cytotoxic CD3
+CD8
+ T cells in the tumor sites facilitates the detection and elimination of tumor cells [
26,
27]. Here, the increase in CD3
−CD8
+ cell population can be attributed to the increase in NK cells [
23], because CpG ODNs readily trigger the immune activation of NK cells. The increase in CD11b
+CD80
+ cell population, representing M1 macrophages, provides a beneficial tumor microenvironment to suppress tumor growth [
26].