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Journal of Controlled Release
journal homepage: www.elsevier.com/locate/jconrel
A PEGylated hyaluronic acid conjugate for targeted cancer immunotherapy
Jung Min Shin
a,1
, Se Jin Oh
b,c,d,1
, Seunglee Kwon
a
, V.G. Deepagan
a
, Minchang Lee
a
,
Seok Ho Song
a
, Hyo-Jung Lee
b,c,d
, Suyeon Kim
b,c,d
, Kwon-Ho Song
b,c,d
, Tae Woo Kim
b,c,d,e,⁎
,
Jae Hyung Park
a,⁎⁎
a
School of Chemical Engineering, College of Engineering, Sungkyunkwan University, Suwon 16419, Republic of Korea
b
Laboratory of Tumor Immunology, Department of Biomedical Sciences, Graduate School of Medicine, Korea University, Seoul 02841, Republic of Korea
c
Department of Biochemistry and Molecular Biology, College of Medicine, Korea University, Seoul 02841, Republic of Korea
d
Department of Biomedical Science, College of Medicine, Korea University, Seoul 02841, Republic of Korea
e
Translational Research Institute for Incurable Diseases, College of Medicine, Korea University, Seoul 02841, Republic of Korea
ARTICLE INFO
Keywords:
Cancer immunotherapy
Foreignization
Antigen delivery
Hyaluronic acid
PEGylation
Matrix metalloproteinase 9 (MMP9)
ABSTRACT
The cell-free approach to foreignizing tumor cells with non-self antigens has received increasing attention as a
method to induce cytotoxic T lymphocyte (CTL)-mediated immunological rejection of tumors, because the
clinical translation of the conventional CTL-based cancer immunotherapies has been limited by a complicated
manufacturing process and autotransplantation. In this study, we prepared matrix metalloproteinase 9 (MMP9)-
responsive polymeric conjugates consisting of PEGylated hyaluronic acid (HA) as the targeting moiety and
ovalbumin (OVA) as the model foreign antigen. The MMP9-cleavable linker was introduced between PEG and
the HA backbone to facilitate the detachment of the PEG corona from the conjugate at the tumor site. From the in
vitro cellular uptake study, it was revealed that the conjugate was effectively taken up by the CD44-expressing
TC-1 cancer cells in the presence of MMP9 via receptor-mediated endocytosis. When the conjugate was sys-
temically administered into the tumor-bearing mice with endogenous OVA-specific CTLs, the tumor growth was
markedly inhibited, which was attributed to the significant antigen presentation on the tumor cells. Overall, the
MMP9-responsive conjugates bearing foreign antigens might have the potential as an alternative to CTL-based
cancer immunotherapeutics.
1. Introduction
CD8
+
cytotoxic T lymphocytes (CTLs) have been explored as a tool
to eliminate target cells with antigenic peptides presented by surface
major histocompatibility complex (MHC) class I molecules [1–3].
Therefore, CTL-based cancer immunotherapies such as adoptive cell
therapy (ACT) and engineered chimeric antigen receptor (CAR) T cell
therapy have shown the potential to treat cancer without side effects
[4–7]. In the clinic, these therapies have exhibited statistically sig-
nificant improvement over conventional chemotherapy and radio-
therapy by avoiding non-specific cell death [8–10]. Although ACT and
CAR T cell therapies are effective strategies to overwhelm cancer, they
require a high cost, a complicated manufacturing process and auto-
grafting, limiting their extended applications to cancer patients
[11–13]. Besides, most existing approaches for CTL activation focus on
delivering tumor antigen to antigen-presenting cells not tumors. In this
regard, the innovative cell-free approach to foreignizing tumor cells via
site-specific non-self antigen delivery can be an option to induce the
CTL-mediated immunological rejection of tumors. Recently, we re-
ported on a hyaluronic acid (HA)-based polymeric conjugate as a po-
tential immunotherapeutic agent to foreignize cancer cells by deli-
vering the antigen via receptor-mediated endocytosis [14]. Owing to its
specific binding affinity to the HA receptor (CD44), the conjugate was
selectively taken up by the cancer cells, resulting in high antitumor
efficacy after its systemic administration into the tumor-bearing mice
[15]. The conjugate, however, exhibited significant accumulation in the
liver. This might be due to its uptake by phagocytic cells in the re-
ticuloendothelial system and by liver sinusoidal endothelial cells ex-
pressing the other HA receptor (stabilin-2), and thus requires a strategy
to minimize the liver accumulation of the conjugate [16,17].
In recent years, stimuli-sensitive drug delivery systems have
emerged to treat intractable diseases, since they release the drug at the
http://dx.doi.org/10.1016/j.jconrel.2017.08.032
Received 3 May 2017; Received in revised form 14 August 2017; Accepted 23 August 2017
⁎
Correspondence to: Tae Woo Kim, Laboratory of Tumor Immunology, Department of Biomedical Sciences, Graduate School of Medicine, Korea University, Seoul 02841, Republic of
Korea.
⁎⁎
Corresponding author.
1
These authors contributed equally to this paper.
E-mail addresses: twkim0421@korea.ac.kr (T.W. Kim), jhpark1@skku.edu (J.H. Park).
Journal of Controlled Release 267 (2017) 181–190
Available online 26 August 2017
0168-3659/ © 2017 Published by Elsevier B.V.
T