PMID- 37870457 OWN - NLM STAT- MEDLINE DCOM- 20231114 LR - 20231122 IS - 2373-9878 (Electronic) IS - 2373-9878 (Linking) VI - 9 IP - 11 DP - 2023 Nov 13 TI - Tumor Antigen-Primed Dendritic Cell-Derived Exosome Synergizes with Colony Stimulating Factor-1 Receptor Inhibitor by Modulating the Tumor Microenvironment and Systemic Immunity. PG - 6409-6424 LID - 10.1021/acsbiomaterials.3c00469 [doi] AB - Dendritic cell-derived exosomes (Dex) have overcome the disadvantages associated with dendritic cell (DC) vaccines, such as cost effectiveness, stability, and sensitivity to the systemic microenvironment. However, in clinical trials, Dex failed to provide satisfactory results because of many reasons, including inadequate maturation of DC as well as the immunosuppressive tumor microenvironment (TME). Hence, culturing DCs in the presence of a maturation cocktail showed an induced expression of MHCs and co-stimulatory molecules. Additionally, targeting the colony stimulating factor-1 (CSF-1)/CSF-1 receptor (CSF-1R) signaling pathway by a CSF-1R inhibitor could deplete tumor-associated macrophages (TAMs) and myeloid-derived suppressor cells (MDSCs) which are responsible for immunosuppressive TME. Hence, in this study, mDex(TA) were isolated from bone marrow-derived DC cultured in the presence of a novel maturation cocktail and tumor antigen. mDex(TA) showed elevated expression of major histocompatibility complexes (MHCs) and co-stimulatory molecules and was found capable of activating naive DC and T cells in vitro more efficiently when compared to imDex(TA) isolated from immature DCs. In addition, PLX-3397, a small molecule inhibitor of CSF-1/CSF-1R, was used in combination to enhance the antitumor efficacy of mDex(TA). PLX-3397 showed dose-dependent toxicity against bone marrow-derived macrophages (BMDMs). In the B16-F10 murine melanoma model, we found that the combination treatment delayed tumor growth and improved survival compared to the mice treated with mDex(TA) alone by enhancing the CD8 T cells infiltration in TME. mDex(TA) when combined with PLX-3397 modulated the TME by shifting the Th1/Th2 toward a dominant Th1 population and depleting the TAMs and MDSCs. Interestingly, PLX-3397-induced FoxP3 expression was diminished when it was used in combination with mDex(TA). Combination treatment also induced favorable systemic antitumor immunity in the spleen and lymph node. In conclusion, our findings provide insights into the synergy between mDex(TA)-based immunotherapy and PLX-3397 as the combination overcame the disadvantages associated with monotherapy and offer a therapeutic strategy for the treatment of solid tumors including melanoma. FAU - Barnwal, Anjali AU - Barnwal A AD - Centre for Biomedical Engineering, Indian Institute of Technology Delhi, New Delhi 110016, India. AD - Department of Biomedical Engineering, All India Institute of Medical Science, Delhi 110029, India. FAU - Gaur, Vidit AU - Gaur V AD - Centre for Biomedical Engineering, Indian Institute of Technology Delhi, New Delhi 110016, India. AD - Department of Biomedical Engineering, All India Institute of Medical Science, Delhi 110029, India. FAU - Sengupta, Anindita AU - Sengupta A AD - Centre for Biomedical Engineering, Indian Institute of Technology Delhi, New Delhi 110016, India. AD - Department of Biomedical Engineering, All India Institute of Medical Science, Delhi 110029, India. FAU - Tyagi, Witty AU - Tyagi W AUID- ORCID: 0000-0002-6164-3523 AD - National Institute of Immunology, Delhi 110067, India. FAU - Das, Sanjeev AU - Das S AD - National Institute of Immunology, Delhi 110067, India. FAU - Bhattacharyya, Jayanta AU - Bhattacharyya J AUID- ORCID: 0000-0003-0202-4770 AD - Centre for Biomedical Engineering, Indian Institute of Technology Delhi, New Delhi 110016, India. AD - Department of Biomedical Engineering, All India Institute of Medical Science, Delhi 110029, India. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231023 PL - United States TA - ACS Biomater Sci Eng JT - ACS biomaterials science & engineering JID - 101654670 RN - 81627-83-0 (Macrophage Colony-Stimulating Factor) RN - 0 (Antigens, Neoplasm) SB - IM MH - Mice MH - Animals MH - Macrophage Colony-Stimulating Factor/pharmacology MH - Tumor Microenvironment MH - *Exosomes MH - Antigens, Neoplasm MH - *Melanoma MH - Dendritic Cells OTO - NOTNLM OT - CSF-1R inhibitor OT - Cancer immunotherapy OT - DC-derived exosomes OT - Melanoma OT - PLX-3397 OT - Tumor microenvironment EDAT- 2023/10/23 12:42 MHDA- 2023/11/14 06:43 CRDT- 2023/10/23 10:03 PHST- 2023/11/14 06:43 [medline] PHST- 2023/10/23 12:42 [pubmed] PHST- 2023/10/23 10:03 [entrez] AID - 10.1021/acsbiomaterials.3c00469 [doi] PST - ppublish SO - ACS Biomater Sci Eng. 2023 Nov 13;9(11):6409-6424. doi: 10.1021/acsbiomaterials.3c00469. Epub 2023 Oct 23.