Literature DB >> 28088862

Self-Assembling Peptide Epitopes as Novel Platform for Anticancer Vaccination.

Mazda Rad-Malekshahi1,2, Marieke F Fransen3, Małgorzata Krawczyk1, Mercedeh Mansourian1, Meriem Bourajjaj1, Jian Chen1, Ferry Ossendorp3, Wim E Hennink1, Enrico Mastrobattista1, Maryam Amidi1.   

Abstract

The aim of the present study was to improve the immunogenicity of peptide epitope vaccines using novel nanocarriers based on self-assembling materials. Several studies demonstrated that peptide antigens in nanoparticulate form induce stronger immune responses than their soluble forms. However, several issues such as poor loading and risk of inducing T cell anergy due to premature release of antigenic epitopes have challenged the clinical success of such systems. In the present study, we developed two vaccine delivery systems by appending a self-assembling peptide (Ac-AAVVLLLW-COOH) or a thermosensitive polymer poly(N-isopropylacrylamide (pNIPAm) to the N-terminus of different peptide antigens (OVA250-264, HPV-E743-57) to generate self-assembling peptide epitopes (SAPEs). The obtained results showed that the SAPEs were able to form nanostructures with a diameter from 20 to 200 nm. The SAPEs adjuvanted with CpG induced and expanded antigen-specific CD8+ T cells in mice. Furthermore, tumor-bearing mice vaccinated with SAPEs harboring the HPV E743-57 peptide showed a delayed tumor growth and an increased survival compared to sham-treated mice. In conclusion, self-assembling peptide based systems increase the immunogenicity of peptide epitope vaccines and therefore warrants further development toward clinical use.

Entities:  

Keywords:  human papillomavirus (HPV); immunotherapy; nanoparticles; ovalbumin (OVA); self-assembling peptide epitopes; therapeutic cancer vaccine

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Substances:

Year:  2017        PMID: 28088862      PMCID: PMC5415879          DOI: 10.1021/acs.molpharmaceut.6b01003

Source DB:  PubMed          Journal:  Mol Pharm        ISSN: 1543-8384            Impact factor:   4.939


Introduction

Utilizing the patient’s immune system represents a promising approach for eradication of cancer.[1,2] The immune system is well equipped to identify and eliminate malignant cells, but cancer cells can escape from immune surveillance, which can lead to the development of tumors with the potential to metastasize.[3,4] Cancer vaccines aim to evoke a strong adaptive immune response against tumor antigens,[5−7] and among many different strategies applied in recent years, synthetic peptide epitopes have been an important approach for T cell based immunotherapy of cancer.[8] However, unsatisfactory antitumor effects in both animal models and humans have raised the question whether these peptide epitopes, even in combination with strong adjuvants, are sufficiently immunogenic.[9−11] Insufficient efficiency of minimal peptide-based vaccines may be due to their rapid extracellular degradation, fast diffusion from the site of injection and poor uptake by antigen-presenting cells, including dendritic cells (DCs), as well as lack of generation of costimulatory signals.[12,13] In some publications, short peptide vaccines have been reported to induce T-cell tolerance and anergy by direct binding to major histocompatibility complex (MHC) molecules on all cells, instead of only antigen presenting cells.[14,15] Therefore, synthetic long peptides (SLPs) have been proposed as a solution of these drawbacks of the minimal peptide epitope vaccines.[16] However, SLPs are still prone to enzymatic degradation by proteases present in blood and also by endopeptidases and exopeptidases present on the surface of DCs.[16] Moreover, due to their relatively small size, these peptide vaccines are rapidly cleared from the injection site, and as a consequence, their uptake by DCs is limited.[17,18] Furthermore, lack of information on pharmacokinetic and physical properties (solubility/aggregation) of peptide vaccines impedes control and prediction of immune responses.[12] Numerous studies have demonstrated that delivery of peptide vaccines through particulate carriers (e.g., polymeric or lipidic nanostructures) can improve the efficacy of peptide epitopes through, for example, protection against degradation and better uptake by DCs.[19−24] Self-assembling peptides have gained increasing attention as a way to construct biomaterials for biomedical applications such as scaffolds for tissue engineering or nanomaterials for drug and vaccine delivery.[25] Self-assembling peptides can be synthesized by both standardized solid phase peptide synthesis methods and recombinant technology.[26,27] Furthermore, these peptides are easy to formulate since simple dispersion in aqueous media results in the spontaneous formation of discrete and uniform particles, without the need for laborious processing as often the case for other particulate systems.[28,29] Furthermore, other functionalities such as adjuvanticity and receptor/cell specificity can be introduced in a single polypeptide.[25] In the present study, we have designed short amphiphilic peptides (SA2 and SA7: Ac-AAVVLLLWE2–7-COOH) that form nanovesicular structures in aqueous solution.[30] The self-assembly was due to both hydrophobic clustering and intermolecular hydrogen bond formation as driving forces.[26,28] Progress in polymer science has resulted in a variety of polymers suitable for drug delivery applications.[31] Particularly, stimuli-responsive polymers that respond to certain stimuli such as pH, temperature, light, magnetism, or ultrasound have received tremendous interest in the last decades.[32] As an example, poly(N-isopropylacrylamide) (pNIPAm), is hydrophilic and water-soluble below the so-called lower critical solution temperature (LCST), whereas above this temperature of ∼33 °C it is insoluble in water and precipitates. Because of this thermoreversible behavior pNIPAm has been used in triggerable drug delivery systems.[34,33] The aim of this study was to augment the immunogenicity of peptide epitopes by conjugating them to self-assembling moieties to obtain well-defined nanostructures for cancer immunotherapy. In the present study, the OVA250–264 peptide (SGLEQLESIINFEKL (covering a CD8+ epitope of ovalbumin: SIINFEKL)) and the HPV16 E743–57 of the E7 protein of human papillomavirus type 16 (GQAEPDRAHYNIVTF (covering both a CD8+ epitope RAHYNIVTF and a CD4+ epitope PDRAHYNI)) were conjugated to the hydrophobic domain of the SA2 peptide (Ac-AAVVLLLW-COOH) or to the thermosensitive polymer (pNIPAm) to trigger peptide self-assembly into discrete nanostructures. The peptide vaccines were biophysically characterized, and their capacity to induce or expand antigen-specific CD8+ T cell were tested in mice. Finally, in vivo studies in mice were conducted to evaluate the efficacy of SAPEs that contain the HPV peptide epitope (HPV SAPEs) as a therapeutic vaccine.

Experimental Section

Materials

Acetonitrile (ACN), dichloromethane (DCM), dimethylformamide (DMF), methyl-tert-butyl ether (MTBE), N-methyl-2-pyrrolidine (NMP), n-hexane, and diethyl ether were purchased from Biosolve BV (Valkenswaard, The Netherlands). N-Isopropylacrylamide (NIPAm; >99%), N,N-dimethyl acrylamide (DMAm; >99%), deuterium oxide (D2O), deuterated dimethyl sulfoxide, (99.9%, DMSO-d6), α-bromoisobutyryl bromide, triisopropylsilan, Nile red, poly-l-lysine, hexafluoroisopropanol (HFIP), and 4-(2-hydroxyethyl) piperazine-1-ethanesulfonic acid (HEPES) were purchased from Sigma-Aldrich (Zwijndrecht, The Netherlands). Sodium hydroxide and HCL were bought from Merck (Darmstadt, Germany). N,N-Diisopropyl-ethylamine (DIPEA) was purchased from Biosolve (Valkenswaard, The Netherlands). CuCl and CuCl2 were obtained from Sigma-Aldrich (Zwijndrecht, The Netherlands). Phosphate-buffered saline (NaCl, 8.2 g/L; Na2HPO4·12H2O, 3.1 g/L; NaH2PO4·2H2O, 0.3 g/L) (PBS) was purchased from B. Braun (Melsungen, Germany). Iscove’s Modified Dulbecco’s Medium (IMDM) was purchased from Lonza (Walkersville, USA). CPG ODN 1826 (CpG) was purchased from InvivoGen (Cayla, France). Tris(2-dimethylaminoethyl)amine (Me6TREN) was prepared according to a reported procedure.[34] PE-labeled H-2Db epitope E749–57 (RAHYNIVTF)- and PE-labeled H-2Db epitope OVA257–264 (SIINFEKL)-containing tetramers were constructed and used for the analysis of peptide-specific CTL immunity as described earlier.[35] All other chemicals were of analytical grade, and all aqueous solutions were prepared with Millipore Milli-Q deionized water (18.2 MΩ; Millipore Milli-Q system, Billerica, MA). HEPA vent filters were obtained from Whatman (Kent, U.K.). Resin-protected peptide epitopes of ovalbumin (OVA250–264: DEVSGLEQLESIINFEKL) and human papilloma virus type 16 (HPV 16) oncoprotein E7 (HPV16-E743–57: GQAEPDRAHYNIVTF) were ordered from Ansynth Service BV (Roosendaal, Netherlands). The purity of the mentioned peptides as determined by reverse-phase HPLC and mass spectrometry was >90%. The characteristics of the other peptides that were used in this study are listed in Table . The peptides were synthesized by standard solid-phase peptide synthesis and delivered with a purity >95%.
Table 1

List of Peptides and Peptide-Based Self-Assembling Peptide Epitopes (SAPEs) Used in This Study

namesequenceMw (g/mol)source
OVA250–264 (OVA)NH2-SGLEQLESIINFEKL-COOH (SIINFEKL is a CTL epitope of ovalbumin)1719.95Ansynth Service BV (Roosendaal, Netherlands)
HPV16 E743–57 (HPV)NH2-GQAEPDRAHYNIVTF-COOH (RAHYNIVTF is CTL epitope, and DRAHYNI is a Th epitope of HPV E7)1717.86Ansynth Service BV (Roosendaal, Netherlands)
OVA-SA (contains: OVA250–264)Ac-AAVVLLLWSGLEQLESIINFEKL-COOH2628.11Genscript (New Jersey, USA)
HPV-SA (contains: HPV16 E743–57)Ac-AAVVLLLWGQAEPDRAHYNIVTF-COOH2626.01Selleck Chemicals (Houston, TX)

Synthesis of Peptide–Polymer Conjugates

Synthesis of OVA and HPV Peptide-ATRP Macroinitiator

The synthesis of the OVA and HPV peptide-ATRP macroinitiator is shown in Scheme . Resin-protected peptides (OVA250–264 or HPV16 E743–57) with deprotected N-terminus (equal to 0.1 mmol of the peptide) was dispersed in and washed three times with 5 mL of dried dichloromethane. Next, the resin was washed three times with 5 mL of NMP. Subsequently, 3 equiv of DIPEA and 2 equiv of 2-bromo-isobutyryl bromide (relative to −NH2 groups) in NMP were added. The reaction mixture was stirred for 16 h at room temperature. The Kaiser test[36] was done to determine nonreacted free amines, and when this test was negative, the reaction was considered completed. The peptide-initiator was deprotected and cleaved from the resin as follows. First, the resin washed three times with NMP and subsequently a solution of TFA/water/triisopropylsilan (95/2.5/2.5 v/v/v %) was added and incubated for 4 h at room temperature under vigorous shaking to fully deprotect the peptide. Next, the peptide-initiator product was precipitated in a cold MTBE/n-hexane (1/1; v/v %), separated, and washed two times with MTBE/n-hexane using centrifugation (3000 × g, 5 min, 4 °C). The obtained product was dispersed in water and freeze-dried using a Christ “Alpha 1–2” freeze-dryer (Osterode, Germany). The molecular masses of the synthesized peptide-initiator was determined by electrospray mass spectrometry.
Scheme 1

Synthesis of ATRP Peptide Macroinitiator

Synthesis of OVA- and HPV-poly(NIPAm) and HPV-poly(DMAm) Conjugates

The OVA250–264- and the HPV16 E743–57-poly(NIPAm) peptidepolymer conjugates, referred to as OVA-pNIPAm and HPV-pNIPAm, and HPV16 E743–57-poly(DMAm), referred as to HPV-pDMAm, were synthesized using atom transfer radical polymerization (ATRP).[37] The polymerization reaction is shown in Scheme .
Scheme 2

Polymerization Reaction of (a) NIPAm and (b) DMAm Using the Peptide Macroinitiator

The peptide macroinitiator (20 μmol) was dissolved in 2 mL of water/ACN (80:20 v/v %) in a screw-capped septum vial. In case of OVA250–264, the peptide was first dissolved in an alkaline solution (pH 12), and subsequently, the pH was adjusted to pH 8.5 with HCl (0.5 M). In another screw-capped septum vial, 15 μmol of CuBr, 0.05 μmol of CuBr2, and 5.3 mmol (600 mg) of NIPAm or 525 mg of DMAm were dissolved in 3 mL of water/ACN (80:20 v/v %). The vials were capped with a septum and the solutions were flushed with N2. Next, the peptide solution was added to the NIPAm or DMAm solution, flushed with N2, and placed in an ice bath, under rapid stirring. The polymerization was initiated by adding 0.1 mL of 0.4 M Me6TREN solution in water (degassed by flushing with N2 prior to addition), which immediately turned the reaction mixture blue. Periodically, 50 μL samples were taken, diluted in air-saturated D2O, and analyzed by 1H NMR to determine the NIPAm or DMAm conversion.[37] When the conversion was ∼70%, the reaction was stopped by flushing air into the reaction mixture. The crude product was dialyzed (with dialysis cassettes of 3000 kDa MWCO) against water at 4 °C for 2 days and subsequently lyophilized. The peptidepolymer conjugates were characterized by gel permeation chromatography (GPC) using Mixed-D columns (Polymer Laboratories), a solution of 10 mM LiCl in DMF as eluent, a flow of 0.7 mL/min, and a temperature of 40 °C. A refractive index detector was used, and PEG standards were used for calibration.

Formulation Preparation of Self-Assembling Peptide–Epitope (SAPE) Vaccines

Peptide–Peptide Vaccines

All peptide formulations indicated in Table (except OVA-SA peptide) were prepared as follows. One milligram of the peptide was hydrated with 40 μL of 0.2 M NaOH solution, and subsequently, phosphate buffered saline (PBS, 140 mM NaCl, 13 mM Na2HPO4, and 2.5 mM NaH2PO4, pH 7.4) was added in 200 μL portions up to 1 mL. After each step, the peptide dispersion was sonicated in a water bath sonicator (Fisher Scientific, Loughborough, UK) for 3 min at 30 °C. Before reaching to final volume, the pH was adjusted to pH 7.4 by dropwise adding 0.2 M HCl. To prepare the OVA-SA peptide formulation, one milligram of this peptide was dissolved in 200 μL of HFIP. After solvent evaporation, the obtained peptide film was hydrated in 40 μL of 0.2 M NaOH, and then similar to other peptide preparations, 1 mL of PBS (140 mM NaCl, 13 mM Na2HPO4, and 2.5 mM NaH2PO4, pH 7.4) was added in 200 μL portions. After pH adjustment, some of the peptide formulations were supplemented with CpG (20 μg per injection; 10 μL of a 2 mg/mL of a stock solution of CpG in PBS) as an adjuvant (Table ).
Table 2

List of Vaccine Formulations Used for Immunization Studies

  groups
in vivo experiment1234567
OVAaantigen cross presentationOVA-SA + CpGcOVA-pNIPAm + CpGOVA peptide + CpGno treatment   
vaccination in naïve mice Induction of endogenous CD8+ T cellsHPV-pNIPAm + CpGHPV-pNIPAmHPV peptide + CpGHPV peptideno treatment  
HPV-SA + CPGno treatment     
HPVbtherapeutic tumor experimentHPV-SA + CpGHPV-SAHPV-pNIPAm + CpGHPV-pNIPAmHPV-pDMAm + CpGHPV peptide + CpGno treatment

The dose of antigen in OVA-SA, OVA-pNIPAm, and OVA peptide was 40 nmol/injection (concentration: 200 μM).

The dose of antigen in HPV-SA, HPV-pNIPAm, HPV-pDMAm, and HPV peptide was 60 nmol/injection (concentration: 300 μM).

The dose of CPG in the formulations was 20 μg/injection.

The dose of antigen in OVA-SA, OVA-pNIPAm, and OVA peptide was 40 nmol/injection (concentration: 200 μM). The dose of antigen in HPV-SA, HPV-pNIPAm, HPV-pDMAm, and HPV peptide was 60 nmol/injection (concentration: 300 μM). The dose of CPG in the formulations was 20 μg/injection.

Peptide–Polymer Vaccines

Peptide-pNIPAm formulations were prepared by either a rapid heating[38] or a heat shock[39] procedure. First, the thermosensitive peptidepNIPAm conjugates and nonthermosensitive peptide-pDMAm, as a nonself-assembling peptidepolymer conjugate, were dissolved in 10 mM PBS or 20 mM HEPES at room temperature. Subsequently, some of the formulations were supplemented with CpG (20 μg per injection; 10 μL of 2 mg/mL stock solution of CpG in PBS), as an adjuvant (Table ). For the heat shock procedure, 100 μL of polymer solution (1 mg/mL) with or without CpG was added to 900 μL of PBS or HEPES heated at 50 °C. Next, the self-assembled nanostructures were equilibrated at 37 °C for at least 5 min before being analyzed for their physicochemical properties. For the rapid heating procedure, an aqueous polymer solution (1–10 mg/mL in PBS or HEPES) was rapidly heated at 50 °C and kept at this temperature for 5 min. Subsequently, the formed nanoassemblies were cooled down to 37 °C until further analysis.

Characterization of SAPEs

Critical Aggregation Concentration Determination

The critical aggregation concentration (CAC) of the OVA-SA and HPV-SA vaccines was determined using the Nile red assay as described by Zhang et al.[40] In short, peptide-based SAPEs were dissolved in PBS (pH 7.4) in concentrations ranging from 0.1 to 500 μg/mL. Next, 200 μL of each dilution was spiked with 0.2 μL of Nile red solution (1.25 mM in ethanol). After overnight incubation at room temperature, fluorescence emission (Ex550/Em635) was measured by a Horiba fluorolog fluorometer (Horiba Jobin Yvon, Longjumeau Cedex, France). The fluorescence intensity at 635 nm was plotted against the logarithm of peptide concentrations to determine the CAC. The point of intersection of two linear fits of the plot was considered as the CAC value. The CAC of OVA-pNIPAm and HPV-pNIPAm vaccines was determined by dynamic light scattering (DLS, Malvern Instruments, Malvern, U.K.). In detail, peptide-pNIPAm conjugates were dissolved in PBS (pH 7.4) in concentrations ranging from 1 to 1000 μg/mL. The thermosensitive SPAEs (peptide-pNIPAm) were formed by the rapid heating method, as described above. The Z-average diameter (Zave, nm) and light scattering intensity (LSI) of the SAPE dispersion were monitored by DLS at 37 °C. The LSI was plotted against the logarithm of the conjugate concentrations, and the point of intersection of two linear fits of the plot was considered as the CAC of the peptide-pNIPAm SAPEs.

Particle Size and Zeta Potential Measurement

The prepared SAPE particles in PBS (pH 7.4) were sized using an ALV CGS-3 goniometer system (Malvern Instruments, Malvern, U.K.) equipped with a JDS Uniphase 22 mW He–Ne laser operating at 632.8 nm, an optical fiber-based detector, a digital LV/LSE-5003 correlator. and a temperature controller (Julabo water bath). The DLS time correlation was analyzed by ALV Correlator 3.0 software (ALV, Langen, Germany). Zeta potential measurement of the peptide particles was performed in 10 mM HEPES, pH 7.0, at 25 °C for the peptidepeptide and 37 °C for the peptide-pNIPAm assemblies using a Malvern Zetasizer Nano-Z (Malvern Instruments, Malvern, U.K.) with universal ZEN 1002 “dip” cells and DTS (Nano) software (version 4.20). DTS 1235 latex beads (Zeta Potential Transfer Standard, Malvern Instruments, Malvern, U.K.) were used for calibration.

Particle Morphology

The morphology and size of the peptide-pNIPAm SAPEs were visualized by transmission electron microscopy (TEM). Briefly, samples (0.1 mg/mL in HEPES 10 mM) were soaked onto prewarmed carbon-coated copper grids for 2 min, and excess liquid was removed by a filter paper. The grids were subjected to negative staining with 2% uranyl acetate (Merck, Germany) for 45 s and dried for 10 min at room temperature before acquisition of TEM images (Tecnai 10, Philips, The Netherlands). Atomic force microscopy (AFM) was applied to visualize the morphology of the peptide-based vaccines. Briefly, 40 μL of a 0.02% (w/v) polylysine solution in water was placed on a freshly cleaved mica substrate and, after 5 min incubation, washed with filtered Milli-Q water followed by drying under N2 flow. Next, 30 μL of the sample was loaded on the treated mica and incubated for 1 min, followed by washing three times with 20 μL of filtrated Milli-Q water to discharge nonattached particles and salts. Finally, the prepared sample was dried by an N2 flow. ScanAsyst image mode was used at room temperature with a Digital Instruments NanoScope V, equipped with silicon nitride cantilevers (Veeco, NY, USA). Images were analyzed by NanoScope Analysis 1.40 software. Several images were taken at different days of individually prepared samples.

Circular Dichroism

Circular dichroism spectra were obtained by a double beam DSM 1000 CD spectrometer (Online Instrument Systems, Bogart, GA, USA) using quartz cuvettes with different path length appropriate for the different concentrations. Samples of peptide-based SAPEs (at concentration of 200 mM OVA-SA and 300 mM HPV-SA) were prepared in PBS (pH 7.4, 140 mM NaCl). Five measurements at 25 °C using 1 nm intervals and 1 nm bandwidth at a wavelength range from 185–250 nm were performed. Next, the spectrum of the buffer was subtracted from the averaged spectrum of the samples. To normalize for concentration, the results are presented as molar ellipticity.

Cell Lines

TC-1 cells were derived from primary lung epithelial cells of C57BL/6 mice cotransformed with HPV-16 E6 and E7 and c-Ha-ras oncogenes.[41] These cells were cultured at 37 °C with 5% CO2 in IMDM, supplemented with 8% fetal calf serum (FCS) (Greiner), 400 μg/mL of Geneticin (G418) (Life Technology), 2 mM l-glutamine, 1 mM sodium pyruvate, 2 mM nonessential amino acid, and 100 IU/mL penicillin.[42]

In Vivo MHC Class I-Restricted Antigen Presentation with OVA SAPEs

To establish antigen presentation in vivo, CD8+ T cells were isolated from spleen and lymph nodes of CD90.1 OT-I mice. T cells were enriched using the CD8+ enrichment kit according to manufacturer’s protocol (BD Bioscience), and 500,000 cells were injected intravenously into the tail vein of CD90.2 mice (n = 5/group). One day later, mice were vaccinated via subcutaneous (s.c.) injection with self-assembled or soluble peptide constructs containing OVA CTL epitopes (40 nmol/injection) (Table ). Peripheral blood mononuclear cells (PBMCs) were collected at days 3, 5, 7, and 10 after immunization to analyze the expansion of the transferred OVA-specific T cells caused by cross presentation of the OVA antigen. After lysis of red blood cells, T cells were stained with fluorescently labeled antibodies for CD8α and the OT-I congenic marker CD90.1 (Thy1.1) and analyzed by flow cytometry. T cell expansion is expressed as the number of transferred (OT-I) T cells as a percentage of total CD8+ T cells.

Endogenous CD8+ T Cell Activation

To evaluate the potency of the SAPE vaccines to induce endogenous specific CD8+ T cells, naïve C57BL/6 mice (n = 5) were s.c. vaccinated in the right flank with the indicated formulations in Table . After 14 days, the mice received a booster injection. PBMCs were collected 10 days after prime vaccination and 5 and 7 days after the boost vaccination. To quantify antigen-specific CD8+ T cells by flow cytometry, after lysis of red blood cells, T cells were stained with CD8α and H-2Db E749–57 APC tetramer for HPV vaccines.

Therapeutic Vaccination in Mice with Established Tumor

Groups of mice (n = 12) were challenged in the right flank with 100,000 TC-1 tumor cells. At day 7, when the tumors were palpable (tumor size between 0.5 and 10 mm3), mice were s.c. vaccinated with the vaccine formulations (Table ). Mice received a booster immunization 14 days after prime vaccination. Tumor size was measured two-dimensionally with calipers 2–3 times per week and followed for approximately 35 days.[43] Mice were sacrificed for ethical reasons when the actual tumor volume reached about 2000 mm3 or when the tumor became ulcerated. Before and after booster vaccination, blood samples were collected via tail vein in heparinized tubes for detecting HPV-specific CD8+ T by flow cytometry.

Statistical Analysis

Data were analyzed using GraphPad Prism 5.02 software. For tumor experiments, Kaplan–Meier survival curves were applied, and the differences between survival curves were analyzed by log-rank test (p < 0.05 was considered statistically significant). Expansion of antigen-specific CD8+ T cells in the blood of immunized mice after booster vaccination with the SAPE vaccines was compared to control mice by student t test. The percentage of OT-I cells on day 5 postimmunization in mice treated with SAPE vaccines was compared to control group by student t test.

Results and Discussion

Design of Peptide-Based SAPEs

The SA2 peptide was previously designed and studied in depth as a self-assembling peptide forming nanovesicles in aqueous solutions.[29] In the present study, we have exploited the capacity of SA2 hydrophobic domain (SA: Ac-AAVVLLLW-COOH) to form nanostructures once conjugated to antigen epitopes. To this end, peptides (OVA250–264 (SGLEQLESIINFEKL) derived from chicken ovalbumin and containing the H2b restricted MHC class I peptide epitope SIINFEKL, and HPV743–57 (GQAEPDRAHYNIVTF) derived from human papillomavirus E7 protein and containing the H2b restricted MHC class I peptide epitope RAHYNIVTF) were fused to the C-terminus of the SA domain (OVA-SA and HPV-SA, Table ). In the selected HPV743–57 and OVA250–264 peptides, the presence of the natural flanking amino acids, GQAEPD at the N-terminus of the HPV and SGLEQLE at the N-terminus of OVA CTL epitopes, allows proper cleavage and processing of the peptides in DCs.[44,45]

Synthesis and Characterization of Peptide-pNIPAm and -pDMAm Conjugates

The OVA and HPV peptide macroinitiators were synthesized by coupling an ATRP initiator to the N-terminus of the peptides (Scheme ). The molecular masses of the peptide-initiators were determined using an electron spray mass spectrometer, and this analysis showed that the ATRP initiator was coupled to the N-terminus of the peptides (data not shown). OVA-pNIPAm, HPV-pNIPAm, and HPV-pDMAm peptidepolymer conjugates were synthesized by ATRP using NIPAm and DMAm, as the monomer and the peptide macroinitiators (Scheme ). The structures of the synthesized polymers were confirmed by 1H NMR spectroscopy. Table summarizes the molecular characteristics of the synthesized polymers. The resulting OVA-pNIPAm and HPV-pNIPAm peptidepolymer conjugates have pNIPAm block length of Mn ≈ 30,000 and 40 000 g/mol and a fixed peptide molecular weight of 1719 g/mol (OVA) and 1717 g/mol (HPV), respectively. The HPV-pDMAm peptide polymer conjugate had also Mn ≈ 30 000 g/mol, similar to the peptide-pNIPAm conjugates. ATRP was used for the synthesis of the peptide-pDMAm and peptide-pNIPAm conjugates since this is an efficient polymerization technique, especially for acrylamides, and results in polymers with a very low polydispersity.[46,47] The synthesized peptide-pNIPAm and peptide-pDMAm conjugates had an average molecular weight close to the target value and a very low polydispersity. It has been shown that pNIPAm is a thermosensitive polymer with an LCST around 33 °C in aqueous solution.[48] Consequently, it is expected that peptide-pNIPAm conjugate can form self-assemblies with a hydrophilic peptide shell and a hydrophobic pNIPAm core above the LCST of the pNIPAm blocks as first described for PEG-pNIPAm.[49] However, pDMAm is a nonthermosensitive/fully water-soluble polymer, and the resulting peptide-pDMAm conjugate does, therefore, not self-assemble into nanoparticles and was used as a control formulation in the in vivo tumor experiments.
Table 3

Characteristics of Peptide-pNIPAm Conjugates Used in This Study

Peptide-pNIPAmMnaMwaMw/Mn
OVA-pNIPAm28,40033,6001.18
HPV-pNIPAm38,90042,1001.08
HPV-pDMAm29,50035,1001.19

Mn = number-average molar weight (g/mol) and Mw = weight-average molar weight (g/mol) as determined by GPC.

Mn = number-average molar weight (g/mol) and Mw = weight-average molar weight (g/mol) as determined by GPC.

Characterization of Self-Assembling Peptide Epitopes (SAPEs)

To characterize the peptide nanostructures, several complementary methods were applied (Table ). In peptide based systems, similar to the previously reported SA2 peptide, amphiphilic peptide epitopes self-assembled into discrete nanostructures above a threshold concentration, the critical aggregation concentration (CAC). The CAC values of the OVA-SA and HPV-SA vaccines were both ca. 15 μM, which is in the same range as that of SA2,[29] and indicate that the peptide epitope sequences appended to the C-terminus of the self-assembling SA domain had marginal influence on the CAC.[29]
Table 4

Characteristics of the Self-Assembling Peptides Epitopes Used in the Present Study

peptide(s)size (nm)a,b/PDIzeta potentialb (mV)
OVA-SA (Ac-AAVVLLLWSGLEQLESIINFEKL)24 ± 3/0.29 ± 0.16–17 ± 1
HPV-SA (Ac-AAVVLLLWGQAEPDRAHYNIVTF)86 ± 7/0.37 ± 0.03–20 ± 2
OVA-pNIPAm115 ± 3/0.10 ± 0.02–19 ± 1
HPV-pNIPAm196 ± 2/0.07 ± 0.03–16 ± 2

Measurement was performed by dynamic light scattering.

All measurements were repeated three times.

Measurement was performed by dynamic light scattering. All measurements were repeated three times. AFM revealed that OVA-SA particles had a spherical morphology with similar particle size as measured by DLS (Figure ). The obtained HPV-SA nanoparticles were also analyzed at concentrations used for the in vivo experiments (300 μM), which showed consistent characteristics regarding size and morphology. DLS for the HPV-SA peptide revealed that self-assembling peptide formed nanostructures with a mean hydrodynamic diameter of 85 nm and a PDI of 0.4 (Table ). AFM analysis of the immobilized nanostructures on mica revealed toroidal structures with a diameter of ∼100 nm in accordance with the size obtained by DLS (Figure ). The observed concave structures may suggest a hollow, vesicular nature of these nanostructures, similar to the vesicular structures formed by the previously reported SA2 peptide.[30] Although the CAC for the different SA based peptides were dictated by the SA tag, the morphology of the nanoparticles, however, was affected by the appended peptide epitope sequences. Negative zeta potential was seen for both SAPEs at pH 7.4. The isoelectric point (pI) of the OVA and HPV peptides are 4.1 and 5.7, respectively,[50] and therefore, they bear negative charge at pH 7.4.
Figure 1

AFM images of (a) OVA-SA and (b) HPV-SA peptides self-assemblies immobilized on poly-l-lysine coated mica.

AFM images of (a) OVA-SA and (b) HPV-SA peptides self-assemblies immobilized on poly-l-lysine coated mica. The previous study on SA2 peptide demonstrated the ability of this peptide to form a stable beta-sheet structure once integrated into self-assemblies.[29] However, comparison between the secondary structures of HPV-SA and OVA-SA with SA2 above their CACs can be indicative in similarity or dissimilarity of self-assembling pathways in these series of peptides. The CD spectrum of the HPV-SA and OVA-SA nanostructures showed a negative peak between 210 and 220 nm (Figure S1) that is typical for peptides forming β-sheets.[51] This result is in accordance with the obtained secondary structure of previously studied SA2 peptide.[29] Peptide-pNIPAm (OVA and HPV) SAPEs prepared by rapid heating in PBS were characterized for their morphology, size, polydispersity, and zeta potential (Table ). OVA-pNIPAm and HPV-pNIPAm SAPEs had a mean hydrodynamic diameter of 115 and 196 nm, respectively, with a narrow size distribution (Table ). TEM analysis showed spherical particles of 20–80 nm for both OVA-pNIPAm and HPV-pNIPAm SAPEs (Figure ) but no particles for HPV-pDMAm conjugate. The mean hydrodynamic diameters of all nanoparticle formulations, determined by TEM, were smaller than those determined by DLS. In a nonmonodisperse particle suspension, the mean hydrodynamic diameter of the particles might be overestimated by DLS measurement because of the presence of large particles or small aggregates.[52,53] TEM analysis of SAPE nanostructures demonstrates that the majority of the particles are in a range of 20–50 nm. However, there are a few larger particles of 200–500 nm, which affect the actual average particle size of SAPE nanostructures as measured by DLS. Zeta potential analysis of the peptide-pNIPAm nanoparticles showed a negative zeta potential for both nanoparticles at pH 7.4 (Table ), which indicates the presence of negatively charged OVA or HPV peptide at the surface of the nanoparticles at pH 7.4. From all these results, it can be concluded that these amphiphilic peptide polymer conjugates mainly form micelles. The CAC of OVA-pNIPAm and HPV-pNIPAm SAPEs was ∼0.02 mg/mL, comparable to those of other amphiphilic pNIPAM block copolymers.[54] Preparation of the peptide-pNIPAm nanoparticles was relatively easy because of the hydrophilicity of pNIPAm at ambient temperature (below the LCST of pNIPAm, 33 °C), which allows dissolution of the peptide-pNIPAm conjugates in an aqueous solution and at room temperature. Next, rapid heating of this solution resulted in small and relatively uniform nanoparticles with a narrow size distribution due to dehydration and self-assembling of the pNIPAm part of the conjugate.
Figure 2

TEM pictures of nanoparticles composed of (a) HPV-pNIPAm and (b) OVA-pNIPAm SAPEs.

TEM pictures of nanoparticles composed of (a) HPV-pNIPAm and (b) OVA-pNIPAm SAPEs.

In Vivo Antigen Cross-Presentation

To assess the T cell activation capacity of the SAPEs in vivo, OVA-specific CD8+ T cells (OT-I) were injected into C57BL/6 mice 1 day before administration of OVA containing SAPEs. In this way, the precursor frequency of OVA-specific T cells was artificially elevated to high levels, thereby facilitating the read-out of in vivo antigen processing and presentation and enabling the detection of subtle differences between vaccine formulations in terms of (cross-)presentation of the OVA antigens. The degree of OT-I T cells expansion as a consequence of in vivo (cross-)presentation of the OVA antigens at various time points after vaccination is shown in Figure . High numbers of OT-I cells were observed in the blood samples peaking at day 5 after vaccination with both SAPE vaccines (OVA-SA and pNIPAm-OVA) adjuvanted with CpG, which proved stronger to the administration of the OVA250–264 peptide with CpG (Figure ) (p < 0.05 for pNIPAm-OVA). The strong expansion of OT-I cells indicated the capacity of these designed vaccines for cross-presentation, which is necessary for effective induction of cellular immunity.[55] These results clearly show that SAPE formulations adjuvanted with CpG are efficiently processed in vivo leading to T cell activation.
Figure 3

In vivo (cross)-presentation of OVA antigen to OVA-specific CD8+ (OT-I) T cells. The percentage of OT-I cells relative to the total number of CD8+ T cells in PMBCs of the mice vaccinated with 200 μL of indicated peptide formulations (equal to 40 nmol of OVA peptide/injection) on days 2, 5, 7, and 9 postimmunization. N = 5 mice per group, representative of two experiments. The percentage of OT-I cells on day 5 postimmunization in mice treated with OVA-SA + CpG and OVA-pNIPAm + CpG vaccines is compared to that of soluble OVA peptide + CpG. Statistical significance of the compared groups is calculated by student’s t test. N = 5 mice per group, and data are presented as mean ± SE.

In vivo (cross)-presentation of OVA antigen to OVA-specific CD8+ (OT-I) T cells. The percentage of OT-I cells relative to the total number of CD8+ T cells in PMBCs of the mice vaccinated with 200 μL of indicated peptide formulations (equal to 40 nmol of OVA peptide/injection) on days 2, 5, 7, and 9 postimmunization. N = 5 mice per group, representative of two experiments. The percentage of OT-I cells on day 5 postimmunization in mice treated with OVA-SA + CpG and OVA-pNIPAm + CpG vaccines is compared to that of soluble OVA peptide + CpG. Statistical significance of the compared groups is calculated by student’s t test. N = 5 mice per group, and data are presented as mean ± SE.

Endogenous Specific CD8+ T Cell Activation

The development of strong functional CD8+ T cells is a necessity for robust antitumor immunity. As the HPV SAPEs were further evaluated in vivo for antitumor efficacy, the immunostimulatory potential of the HPV vaccines were investigated for induction of an endogenous T cell response by s.c. injection of formulated SAPEs in a prime-boost regimen into naïve C57BL/6 mice (Table ). Ten days after prime injection and 5 and 7 days after the booster, the induction of specific HPV CD8+ T cells in the collected blood samples was analyzed using tetramer staining. For both adjuvanted SAPEs (HPV-SA and HPV-pNIPAm), as shown in Figure , the nanoassemblies were able to induce significantly higher HPV-specific CD8+ T cell response in mice after booster vaccination, as compared to the control groups (p < 0.001). The response increased from day 5 to 7 after booster immunization (p < 0.001). However, after prime immunization, the mice showed weak immune responses. Thus, for such peptide vaccines, not only an adjuvant is necessary to induce a strong immune response but also a booster vaccination is important to induce strong immunity and antigen-specific memory T cells.[42]
Figure 4

Percentage of endogenous HPV 16 E749–57-specific CD8+ T cells in peripheral blood of mice vaccinated with indicated formulations (equal to 60 nmol of HPV peptide per injection) 10 days after prime vaccination and 6 or 7 days after booster vaccination. HPV-SA + CpG was tested in a different experiment thus presented separately because of different background (untreated mice) in FACS analysis. HPV-specific CD8+T cell expansion after booster vaccination in mice treated with HPV-SA + CpG and HPV-pNIPAm + CpG vaccines is compared to untreated mice and/or soluble HPV peptide + CpG. Statistical significance of the compared groups is calculated by student’s t test. N = 5 mice per group, and data are presented as mean ± SE.

Percentage of endogenous HPV 16 E749–57-specific CD8+ T cells in peripheral blood of mice vaccinated with indicated formulations (equal to 60 nmol of HPV peptide per injection) 10 days after prime vaccination and 6 or 7 days after booster vaccination. HPV-SA + CpG was tested in a different experiment thus presented separately because of different background (untreated mice) in FACS analysis. HPV-specific CD8+T cell expansion after booster vaccination in mice treated with HPV-SA + CpG and HPV-pNIPAm + CpG vaccines is compared to untreated mice and/or soluble HPV peptide + CpG. Statistical significance of the compared groups is calculated by student’s t test. N = 5 mice per group, and data are presented as mean ± SE. In general, therapeutic cancer vaccines aim to raise the number of antigen-specific CD8+ cytotoxic T lymphocyte cells.[56−58] Our experiments show efficient endogenous CD8+ T cell activation (HPV vaccines) indicating that these designed vaccines enable effective cross-presentation, which is obligatory for induction of cellular immunity.[59] Our results also point out that the adjuvant and particulate system have a complementary effect to induce efficient immune responses, in agreement with other studies.[60] It has been reported that CpG enhanced antigen cross-presentation and improved CD8+ T cell responses.[61,62] The effect of ODNs containing unmethylated cytosine-guanine (CpG) motifs as toll-like receptor 9 (TLR-9) agonist on cellular immunity has been associated with its ability to induce and expand the number of activated DCs. In addition, it can elevate the expansion of antigen-stimulated T cells by inhibition of activation-induced cell death.[63,64] Therefore, codelivery of efficient adjuvants such as toll-like receptor ligands with the SAPEs can improve the efficiency of such formulations.[65,66] Interestingly, several peptide-based toll-like receptor ligands exist (such as RS01, Gln-Glu-Ile-Asn-Ser-Ser-Tyr; RS09, Ala-Pro-Pro-His-Ala-Leu-Ser) that can be exploited for incorporation into SAPEs to improve CTL responses.[67] Codelivery of antigen and adjuvant does not only result in proper DC activation and antigen presentation, but it also significantly lowers systemic toxicity due to reduced systemic exposure.[68,69]

Tumor Control in Mice Treated with HPV Vaccines

To investigate the potential antitumor efficacy of HPV SAPE vaccines in a mouse model of HPV-related cancer, naïve mice were s.c. inoculated with TC-1 tumor cells expressing HPV16 oncogenes E6 and E7. Seven days after tumor inoculation (when the tumors were palpable), the treatment group received HPV SAPE vaccines adjuvanted with CpG in a prime-boost regimen. In addition, one group of mice was vaccinated with soluble HPV16 E743–57 peptide, without a self-assembling domain, +CpG. As negative controls, one group did not receive any formulation, and one group was treated with HPV-pDMAm + CpG, a similar structure as HPV-pNIPAm, without SAPE forming capacities. Tumor size was monitored over time, and the proportions of mice with a tumor size not exceeding the humane end point (tumor size of 2000 mm3) are presented in a Kaplan–Meier plot (Figure ). Both HPV SAPE vaccines adjuvanted with CpG strongly delayed the tumor growth and significantly prolonged the overall survival of mice compared with untreated mice (p < 0.0005 for HPV-pNIPAm + CpG and p < 0.05 for HPV-SA + CpG). Importantly, the HPV-pDMAm vaccine did not delay tumor outgrowth, indicating that self-assembly into nanostructures is crucial for efficient vaccine function, and merely elongating the peptide by attaching a long polymer chain did not enhance T cell activating properties.[70] Moreover, development of HPV-associated tumors was not delayed by injection of only HPV16 E743–57 peptide + CpG, emphasizing the need for nanoparticle formation of the peptide vaccine for efficient T cell priming, delaying tumor growth. These results are strongly indicative that the expansion of antigen–specific T cells is associated with the particulate form of peptide vaccines, while the soluble form of peptide vaccine is not effective at all.
Figure 5

Survival of mice per group presented in Kaplan–Meier plot. Seven days after TC-1 tumor inoculation in wild-type C57BL/6 mice, and when tumors were palpable, mice were either left untreated or were s.c. vaccinated in the opposite flank with the indicated formulations (equal to 60 nmol of HPV peptide per injection) followed by a boost injection 14 days after the prime dose. Statistical differences between the groups were calculated using a log-rank (Mantel–Cox) test. The survival of mice vaccinated with SAPE vaccines (HPV-SA and HPV-pNIPAm) with CpG was significantly longer compared to the no treatment group (p < 0.0005 for HPV-pNIPAm + CpG and p < 0.05 for HPV-SA + CpG). However, there was no significant difference in survival between mice vaccinated with either HPV peptide + CpG or HPV-pDMAm + CpG and untreated mice. Numbers in the legends represent median survival in days. *p < 0.05, ***p < 0.001. N = 12 mice per group, pooled results from two independent experiments.

Survival of mice per group presented in Kaplan–Meier plot. Seven days after TC-1 tumor inoculation in wild-type C57BL/6 mice, and when tumors were palpable, mice were either left untreated or were s.c. vaccinated in the opposite flank with the indicated formulations (equal to 60 nmol of HPV peptide per injection) followed by a boost injection 14 days after the prime dose. Statistical differences between the groups were calculated using a log-rank (Mantel–Cox) test. The survival of mice vaccinated with SAPE vaccines (HPV-SA and HPV-pNIPAm) with CpG was significantly longer compared to the no treatment group (p < 0.0005 for HPV-pNIPAm + CpG and p < 0.05 for HPV-SA + CpG). However, there was no significant difference in survival between mice vaccinated with either HPV peptide + CpG or HPV-pDMAm + CpG and untreated mice. Numbers in the legends represent median survival in days. *p < 0.05, ***p < 0.001. N = 12 mice per group, pooled results from two independent experiments. Based on these results, it can be concluded that the soluble form of the peptide vaccine even with a strong adjuvant is not effective. However, in the form of a particular structure, it is efficiently processed and presented by DCs to activate effector T cells that delay the tumor growth. It has been shown that peptide vaccines offer a promising approach to raising specific humoral or cellular immune responses against cancer cells.[71] Various studies proposed to deliver peptide vaccines in a particulate form, which favors innate immune recognition and activation.[72,73] Only a few studies explored peptide self-assembly as a means to present peptide epitopes in a particulate form to the immune system. For example, Collier and co-workers produced a nanofiber vaccine by incorporating a fiberizing self-assembling peptide into the structure of a peptide antigen.[74] They showed that the self-assembling peptide epitope triggered the formation of high-levels of IgG1, IgG2a, and IgG3 antibodies against the attached antigen epitope.[74] Most other studies used long stretches of amino acids to drive peptide self-assembly, which impedes solid phase peptide synthesis.[75−78] In addition, it also increases the risk of immunogenicity against the carrier part.[79] In this study, we demonstrated that by attaching an eight amino acid peptide sequence or a thermosensitive polymer tail to antigenic peptide epitopes with different length and composition, discrete nanostructures could be generated in a reproducible fashion. This strategy can overcome some shortages of other particulate systems. Besides the ease of production and well-defined formulation, several studies indicated a correlation between epitope density and immune responses.[80−82] In the designed SAPEs, the generated particles comprise a high density of antigenic epitopes displayed on the surface of nanoparticles, while in several studied polymeric nanoparticles the reported peptide loading was on the average <5%.[83,84] Our in vivo results have shown that relatively short HPV peptides in particulate forms are able to significantly delay the tumor growth but did not cause complete tumor regression, and this is in agreement with previous studies.[35,45] In a study, we evaluated the antitumor efficacy of a synthetic long peptide (SLP) covering HPV peptide encapsulated in polymeric nanoparticles (NPs) in a therapeutic tumor model.[45] Similar to the results described here we showed that the peptide vaccine in the particulate form without adjuvant (Poly I:C) did not significantly delay tumor growth or prolong the survival of mice in comparison with untreated mice. Interestingly, peptide-loaded nanoparticles with poly I:C (encapsulated or soluble) significantly prolonged the survival of mice compared to the untreated group. Although there are differences between the two studies in the experimental settings, such as the nature of the particulate carrier, type, and dosage of the adjuvants and length of HPV peptide vaccines, similar results in antitumor efficacy for the adjuvanted particulate systems in both studies were observed. These findings support our hypothesis that by simply extending the peptide epitopes with a self-assembling segment, a particulate antigen-delivery system can be established without laborious processing and formulation steps.

Conclusion

We conclude that nanoparticle formation based on the introduced self-assembling materials for peptide vaccines can be an attractive approach and simple alternative for other particulate systems. The extension of minimal epitopes by a self-assembling segment can efficiently augment the induction of a desired immune response: first, by risk reduction of T cell anergy since the segments have to be processed by DCs to release the minimal epitopes; second, by enhancing cellular uptake of particulate vaccines and antigen-specific T cell response. The described approach exploits the advantages of self-assembling peptide epitopes to improve tumor-specific T cell response for cancer treatment. In conclusion, this study demonstrates that self-assembling peptidepeptide and peptidepolymer conjugates are attractive systems for molecularly well-defined vaccines.
  73 in total

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Authors:  Marie-Luce De Temmerman; Joanna Rejman; Jo Demeester; Darrell J Irvine; Bruno Gander; Stefaan C De Smedt
Journal:  Drug Discov Today       Date:  2011-05-04       Impact factor: 7.851

Review 3.  Stimuli-responsive polymers: biomedical applications and challenges for clinical translation.

Authors:  Allan S Hoffman
Journal:  Adv Drug Deliv Rev       Date:  2012-12-12       Impact factor: 15.470

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Authors:  Sjoerd H van der Burg; Ramon Arens; Ferry Ossendorp; Thorbald van Hall; Cornelis J M Melief
Journal:  Nat Rev Cancer       Date:  2016-03-11       Impact factor: 60.716

5.  Reduction Sensitive PEG Hydrogels for Codelivery of Antigen and Adjuvant To Induce Potent CTLs.

Authors:  Chintan H Kapadia; Shaomin Tian; Jillian L Perry; J Christopher Luft; Joseph M DeSimone
Journal:  Mol Pharm       Date:  2016-09-22       Impact factor: 4.939

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Authors:  Isabelle Dimier-Poisson; Rodolphe Carpentier; Thi Thanh Loi N'Guyen; Fatima Dahmani; Céline Ducournau; Didier Betbeder
Journal:  Biomaterials       Date:  2015-02-19       Impact factor: 12.479

7.  CD40-targeted dendritic cell delivery of PLGA-nanoparticle vaccines induce potent anti-tumor responses.

Authors:  Rodney A Rosalia; Luis J Cruz; Suzanne van Duikeren; Angelino T Tromp; Ana L Silva; Wim Jiskoot; Tanja de Gruijl; Clemens Löwik; Jaap Oostendorp; Sjoerd H van der Burg; Ferry Ossendorp
Journal:  Biomaterials       Date:  2014-11-26       Impact factor: 12.479

Review 8.  Prospects of combinatorial synthetic peptide vaccine-based immunotherapy against cancer.

Authors:  Ramon Arens; Thorbald van Hall; Sjoerd H van der Burg; Ferry Ossendorp; Cornelis J M Melief
Journal:  Semin Immunol       Date:  2013-05-21       Impact factor: 11.130

Review 9.  Therapeutic cancer vaccines.

Authors:  Cornelis J M Melief; Thorbald van Hall; Ramon Arens; Ferry Ossendorp; Sjoerd H van der Burg
Journal:  J Clin Invest       Date:  2015-07-27       Impact factor: 14.808

10.  Peptide-based immunotherapeutics and vaccines.

Authors:  Pedro A Reche; Enrique Fernandez-Caldas; Darren R Flower; Masha Fridkis-Hareli; Yoshihiko Hoshino
Journal:  J Immunol Res       Date:  2014-02-04       Impact factor: 4.818

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2.  Self-Assembly as a Molecular Strategy to Improve Immunotherapy.

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Review 4.  Cationic Nanoparticle-Based Cancer Vaccines.

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5.  Direct Identification of Amyloid Peptide Fragments in Human α-Synuclein Based on Consecutive Hydrophobic Amino Acids.

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Review 6.  Advances in intracellular delivery through supramolecular self-assembly of oligonucleotides and peptides.

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Review 7.  Peptide-Based Nanovaccines in the Treatment of Cervical Cancer: A Review of Recent Advances.

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