Journal of the American Chemical Society
Page 6 of 8
1
2
3
4
5
6
7
8
T. Engagement of the PD-1 immunoinhibitory receptor by a novel
B7 family member leads to negative regulation of lymphocyte
activation. J. Exp. Med. 2000, 192, 1027-1034.
6. Sanmamed, M. F.; Chen, L. P. A paradigm shift in cancer
immunotherapy: From enhancement to normalization. Cell 2018,
175, 313-326.
7. Zou, W. P.; Wolchok, J. D.; Chen, L. P. PD-L1 (B7-H1) and
PD-1 pathway blockade for cancer therapy: Mechanisms,
response biomarkers, and combinations. Sci. Transl. Med. 2016, 8,
328rv324.
8. Brahmer, J. R.; Tykodi, S. S.; Chow, L. Q. M.; Hwu, W. J.;
Topalian, S. L.; Hwu, P.; Drake, C. G.; Camacho, L. H.; Kauh, J.;
Odunsi, K.; Pitot, H. C.; Hamid, O.; Bhatia, S.; Martins, R.; Eaton,
K.; Chen, S. M.; Salay, T. M.; Alaparthy, S.; Grosso, J. F.;
Korman, A. J.; Parker, S. M.; Agrawal, S.; Goldberg, S. M.;
Pardoll, D. M.; Gupta, A.; Wigginton, J. M. Safety and activity of
anti-PD-L1 antibody in patients with advanced cancer. N. Engl. J.
Med. 2012, 366, 2455-2465.
9. Molinier-Frenkel, V.; Castellano, F. Immunosuppressive
enzymes in the tumor microenvironment. FEBS Lett. 2017, 591,
3135-3157.
10. Chen, Y. C.; Sun, J. J.; Huang, Y. X.; Lu, B. F.; Li, S.
Improved cancer immunochemotherapy via optimal co-delivery
of chemotherapeutic and immunomodulatory agents. Mol. Pharm.
2018, 15, 5162-5173.
11. Smyth, M. J.; Ngiow, S. F.; Ribas, A.; Teng, M. W.
Combination cancer immunotherapies tailored to the tumour
microenvironment. Nat. Rev. Clin. Oncol. 2016, 13, 143-158.
12. Zappasodi, R.; Merghoub, T.; Wolchok, J. D. Emerging
concepts for immune checkpoint blockade-based combination
therapies. Cancer Cell 2018, 34, 690.
13. Yu, S.; Wang, C.; Yu, J.; Wang, J.; Lu, Y.; Zhang, Y.;
Zhang, X.; Hu, Q.; Sun, W.; He, C.; Chen, X.; Gu, Z. Injectable
bioresponsive gel depot for enhanced immune checkpoint
blockade. Adv. Mater. 2018, 30, e1801527.
14. Ruan, H.; Bu, L.; Hu, Q.; Cheng, H.; Lu, W.; Gu, Z.
Strategies of combination drug delivery for immune checkpoint
blockades. Adv. Healthc. Mater. 2019, 8, e1801099.
15. Prendergast, G. C.; Malachowski, W. P.; DuHadaway, J. B.;
Muller, A. J. Discovery of IDO1 inhibitors: From bench to
bedside. Cancer Res. 2017, 77, 6795-6811.
16. Cheong, J. E.; Sun, L. Targeting the IDO1/TDO2-KYN-
AhR pathway for cancer immunotherapy - challenges and
opportunities. Trends Pharmacol. Sci. 2018, 39, 307-325.
17. Nayak-Kapoor, A.; Hao, Z.; Sadek, R.; Dobbins, R.;
Marshall, L.; Vahanian, N. N.; Jay Ramsey, W.; Kennedy, E.;
Mautino, M. R.; Link, C. J.; Lin, R. S.; Royer-Joo, S.; Liang, X.;
Salphati, L.; Morrissey, K. M.; Mahrus, S.; McCall, B.; Pirzkall,
A.; Munn, D. H.; Janik, J. E.; Khleif, S. N. Phase Ia study of the
indoleamine 2,3-dioxygenase 1 (IDO1) inhibitor navoximod
(GDC-0919) in patients with recurrent advanced solid tumors. J.
Immunother. cancer 2018, 6, 61.
In summary, we report a modularly designed and self-
assembled IDO nanoinhibitor. In vivo studies demonstrate that
it achieves potent and persistent inhibition of intratumoral IDO
pathway due to its preferential tumor accumulation and
sustained drug release. Significantly, this nanoinhibitor boosts
the anti-tumor immune response of PD-L1 blockade by
increasing
immune
effector
cells
and
reducing
immunosuppressive cells. Therefore, it holds great promise to
serve as a powerful combination partner to enhance the
efficacy of current immune checkpoint blockade-based
immunotherapies by combinatorial normalization of the
immunosuppressive TME.
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
ASSOCIATED CONTENT
Supporting Information
The Supporting Information is available free of charge on the
ACS Publications website at DOI:
Materials, methods, 1H-NMR analysis, HPLC analysis,
MALDI-TOF-MS analysis, CMC measurement, acidic pH-
triggered disassembly, cell viability, cellular uptake,
pharmacokinetics, bio-distribution, flow cytometry analysis and
serum biochemical analysis. (PDF)
AUTHOR INFORMATION
Corresponding Author
*E-mail: niegj@nanoctr.cn
*E-mail: liyy@nanoctr.cn
Author Contributions
#These authors contributed equally to this work.
Notes
The authors declare no competing financial interest.
ACKNOWLEDGMENT
This work was supported by the grants from National Basic
Research Plan of China (2018YFA0208900, 2016YFA0201600),
National Natural Science Foundation of China (31571021),
Innovation Group of the National Natural Science Foundation of
China (11621505), Frontier Research Program of the Chinese
Academy of Sciences (QYZDJ-SSW-SLH022), and the Key
Laboratory of Biomedical Effects of Nanomaterials and
Nanosafety, CAS.
REFERENCES
1. Chen, D. S.; Mellman, I. Oncology meets immunology: the
cancer-immunity cycle. Immunity 2013, 39, 1-10.
2. Topalian, S. L.; Drake, C. G.; Pardoll, D. M. Immune
checkpoint blockade: A common denominator approach to cancer
therapy. Cancer Cell 2015, 27, 450-461.
3. Ribas, A.; Wolchok, J. D. Cancer immunotherapy using
checkpoint blockade. Science 2018, 359, 1350-1355.
4. Zou, W. P.; Chen, L. P. Inhibitory B7-family molecules in
the tumour microenvironment. Nat. Rev. Immunol. 2008, 8, 467-
477.
18. Munn, D. H.; Mellor, A. L. IDO in the tumor
microenvironment: Inflammation, counter-regulation, and
tolerance. Trends Immunol. 2016, 37, 193-207.
19. Uyttenhove, C.; Pilotte, L.; Theate, I.; Stroobant, V.; Colau,
D.; Parmentier, N.; Boon, T.; Van den Eynde, B. J. Evidence for a
tumoral immune resistance mechanism based on tryptophan
degradation by indoleamine 2,3-dioxygenase. Nat. Med. 2003, 9,
1269-1274.
20. Munn, D. H.; Sharma, M. D.; Baban, B.; Harding, H. P.;
Zhang, Y.; Ron, D.; Mellor, A. L. GCN2 kinase in T cells
mediates proliferative arrest and anergy induction in response to
indoleamine 2,3-dioxygenase. Immunity 2005, 22, 633-642.
5. Freeman, G. J.; Long, A. J.; Iwai, Y.; Bourque, K.; Chernova,
T.; Nishimura, H.; Fitz, L. J.; Malenkovich, N.; Okazaki, T.;
Byrne, M. C.; Horton, H. F.; Fouser, L.; Carter, L.; Ling, V.;
Bowman, M. R.; Carreno, B. M.; Collins, M.; Wood, C. R.; Honjo,
ACS Paragon Plus Environment