Review Article

Pros and Cons of Antigen-Presenting Cell Targeted Tumor Vaccines

Table 2

Summary of in vivo APC targeting studies in the framework of antitumor vaccination.

Targeting moietyInjectionContentEffectReferences

CLR

DEC205
α-GalCer NP
fpOVA↑iNKT, ↓growth in B16F10, and EG7-OVA (P + T)[147]
Selected nucleic acid aptameri.v.OVA↑CD8, ↓growth OVA-B16 tumor (T if OT-I transfer)[95]
Anti-CD11c and DEC205 scFv coupled to NP i.v.OVA + ADJ↑CD8, ↓growth OVA-B16 tumor (P)[83]
mAb fused proteins.c.OVA + ADJ↑CD8, ↓growth OVA-B16 (P + T)[131]
mAb fused proteini.p.HER2 + ADJ↑CD8, ↑CD4, ↑humoral, and ↓growth neu-expressing mammary tumor (P)[148, 149]
mAb fused proteini.p.Mesothelin + ADJ↑cross-presentation, ↑CD4, ↑humoral, and ↓growth neu-expressing mammary tumor (P)[150]
scFV modified adenoviral vectorfpOVA↑T cell, ↑humoral (at low doses), ↓growth OVA-B16 (P) BUT better for untargeted vectors[127]
mAb fused proteinfpOVA + ADJ↑CD8, ↓growth B16 pseudo-metastasis model (P + T)[120]
Bacteriophage displaying scFV fpOVA↓growth B16F10 (Pro + Ther)[151]
mAb fused proteins.c.Trp2 and gp100 + ADJ↑CD8, ↑CD4, and ↓growth B16 melanoma (P + T)[152]
scFV fused to DNA vaccinei.m.Her2/neu + CPM↑CD8, ↑humoral, long lasting memory ↓growth HER2/neu+ D2F2/E2 breast tumor + spontaneous mammary carcinomas (P + T)[153]
Phase I clinical trial with CDX-1401 = human mAb fused protein i.d.NY-ESO-1 + ADJPatients with advanced malignancies: ↑cellular, ↑humoral (T)[154]

DEC206
Mannosylated NP
s.c.OVA + ADJ↑TH1 cell, ↑humoral, and ↓growth B16F10 (P + T)[155]
mAb fused to protein s.c.OVA + ADJ↑T cell, ↑humoral, and ↓growth B11-OVA (P) [156]
Mannan coupled proteini.p.MUC-1↑CD8, ↓growth P815 mastocytoma (T)[157]
Mannose coupled dendrimeri.d.OVA↑CD8, ↑CD4, ↑humoral, ↓growth B16-OVA (P) [158]
Mannosylated NPs.c.ErbB2/HER3 + ADJ↓growth huErbB2+ renal carcinoma cells (T)[125]
Mannan coated liposome-protamine-DNAUHPV16 E7↓growth E7+ TC-1 (P + T)[159]
Mannosylated and/or histidylated NP loaded with mRNAi.v.MART-1↑CD8, ↓growth B16F10 (P)[160, 161]
Mannan or pullulan NP complexed with proteinUHER2↑CD8, ↓growth HER2+ tumors (P + T)[162]
D-mannose conjugated lipid-core peptide systems.c.HPV16 E7↓growth TC-1 HPV-16 tumor (P)[163]
Clinical trial with mannan coupled proteins.c.MUC-1↑humoral, less ↑CD8, protection against recurrence in breast cancer patients[106]
Two phase I studies with CDX-1307 = hCG-β fused to mAbi.d. or i.v.hCG-β + ADJ ↑humoral and T cell with clinical benefit in patients with advanced epithelial malignancies[164]
DC-SIGN
LV pseudotyped with point-mutated Sindbis virus glycoprotein
i.d.OVA or PSCA↑CD8, ↑CD4, and ↓growth transgenic adenocarcinoma, E.G7-OVA and PSCA-expressing B16-F10 (P + T)[5, 103, 165]
mAb coupled proteinUKLH↓growth human Burkitt’s lymphoma cell line in humanized mice (P)[166]
IDLV pseudotyped with engineered Sindbis virus glycoprotein + currently tested in Phase I clinical trial ID-VP02s.c.NY-ESO + Vpx↑CD8, ↓growth CT26 colon carcinoma cells (P + T)[167, 168]

LOX-1
HSP70 fused to protein
s.c.OVA↑CD8 and cross-priming, ↓growth E.G7 cells (P)[169]

CLEC9A
mAb coupled to peptide
s.c.MUC-1 + ADJ↑TH1, ↓growth MUC-1-A2K/b+ MC38 (P + T)[170]
mAb coupled to peptides.c.OVA + ADJ↑CD8, ↓growth B16 lung pseudo metastases (P + T)[138]

DCIR2
Anti-DCIR2 or anti-DEC205 mAb coupled protein
i.p.OVA + ADJ↑CD8, ↑CD4 (mixed TH1/TH2), ↑humoral, and ↓growth B16F10-OVA (P + T)[171]

Integrin

CD11c
Targeted lipopeptide
i.d. OVA, WT1, tumor lysate + ADJ↓growth for OVA: E.G7-OVA, for mWT1: mWT1–1498 cells and for tumor lysate: MHC-I- B16D8 melanoma (T)[172]
Tumor-derived plasma membrane vesicles engrafted with two CD11c binding peptides i.v.OVA↑CD8, ↑humoral, and ↓growth of metastatic B16-OVA (T)[173]

CD11b
Adenylate cyclase-
(CyaA-) based vector
i.p. vs. i.v. or i.d.OVA vs. HPV E7↓growth OVA-B16 or E.G7-OVA versus TC-1 (P + T)[113, 174]
Phase II study with ProCervix = CyaA-based vectors.c. HPV16 and 18 E7 + ADJClinical phase I trial indicated good safety and local tolerance at the highest dose, ↑T + ↑viral clearance + controlled HPV recurrenceNCT01957878

Fcγ receptor

IgG1-Fc tumor cellss.c.TAAs↓growth E.G7 (P + T)[175]
HER2-Fc cDNA i.m. + EPHER2Mu: ↑T, ↓growth HER2+ D2F2/E2 cells (P) 
Hu: in vitro cross-processing and ↑CD8+ T cells from breast cancer patients
[176]

MHC-II molecule

DNA loaded dendrimer with targeting peptide s.c.Trp2 or gp70 vs. OVA↑CD8, ↑humoral, ↓growth, strong for B16OVA, and weak for gp70 BUT better with EP (P) B16 with Trp2 (T) [177]
LV pseudotyped with scFv coupled to H protein of measles virus envelopei.v.OVA or male HY gene ↑CD4, ↑cytotoxic, and memory CD8 BUT not to the same extent as broad tropism LVs[112, 178]
LV pseudotyped with scFV coupled to murine leukemia virus envelopes.c.OVA↑CD8 mediated IFNγ secretion[179]
DNA encoding anti-MHC II and anti-CD40 scFv or chemokines (MIP-1α, RANTES) with scFV of idiotypei.m. or i.d. + EPIdiotypes↑CD8, ↑humoral, and ↓growth Id+ tumors (P)[180, 181]

Non-CLR surface marker

BST2
Protein fused anti-BST2 Ab
i.p.OVA or pHEL + ADJ↑CD4, ↑CD8, ↑humoral + ↓growth B16-OVA (P)[182]

Undefined

NP with cholesteryl pullulan towards medullary macrophagess.c.MAGE-A4 or mERK2 + ADJ↑cross-presentation, ↓growth MAGE-A4+ CMS5+ CT26, and mERK2+ sarcoma cell line (P + T)[183]
Listeria monocytogenes expressing TAAsi.p.VEGFR2 + ADJ ↑CD8 with epitope spreading, ↓growth breast tumors (P + T)[114, 184]
Coronavirus vectori.v.MelanA or Gp33 + ADJ↑CD8, expanded epitope repertoire, growth MelanA+ or gp33+ B16F10 (P + T) [185, 186]
APC specific nanobody displaying LVi.n.OVA↑CD4, ↑CD8, ↓growth (T) BUT not to the same extent as broad tropism LVs[45]
ISCOM vaccines.c.OVA↑CD8, ↓growth EG-7-, B16-, or Panc-OVA (P)[187]

Costimulatory molecule

CD40
PLGA-NP coated with mAb
s.c.OVA and E7 + ADJ↑CD8, ↑CD4 + ↓growth B16-OVA (P + T)[188]
CD40 targeted adenoviral vectori.p.PSMA + ADJ↑CD8, ↓growth RM-1-PSMA model (T)[189]
CD40L extracellular domain to adenoviral vector in mice + 
Clinical trial
i.d.Mice: Trp2 or gp100 
Human: MART-1
Mice: ↑CD8, ↓growth B16F10 (T) 
↑CD8 in melanoma-draining sentinel lymph nodes
[190, 191]

B7
Syngeneic epithelial cells continuously secreting CTLA-4-ErbB2 fusion vaccine
s.c.HuErbB2 + IL-15↑CD8, ↑humoral, ↓growth ErbB2+ renal cell carcinoma (T)[192]

Treml4, Ig superfamily member
mAb against Treml4
i.p.OVA or HER2 + ADJ↑CD8, ↑CD4, ↓growth neu+ mammary tumor cell line NT2.5 (P)[193]

TLRs
TLR9 targeting protein (via DNA sequence)
i.d.OVA + CpGTH - independent ↑CD8 + ↓growth E.G7-OVA (P + T)[194]
TLR2 targeting lipid moiety + epitopess.c.OVA↑CD8, ↑humoral + ↓growth B16-OVA, and Lewis lung-OVA (P + T)[195]
TLR5 targeted peptides (via flagellin) engrafted onto liposomes i.v.OVA↑maturation of DCs, ↑CD8, ↑humoral, ↓growth B16, and P815 (P + T) [173, 196]
TLR4 targeting protein (via fibronectin)i.t. or i.v.HPV E7 w or w/o ADJ or CPM↑CD8 with cure of established TC-1 tumors
i.t.: in the absence of additional ADJ
i.v.: when + ADJ or CPM + ADJ
[197]
TLR4 targeting protein (via fibronectin) + anti-CD40, TLR3 and TLR7 ligandss.c.OVA + ADJ↑CD8, ↓growth B16-OVA or B16.F10 (T)[198]
Chemokine related
Fusion of chemokine MCP3 or IP10 to lymphoma-derived scFv as protein or DNA plasmid
s.c. or i.d.scFV↑humoral, ↓growth 38C-13 and A20 (P) [199]
OVA with mAb or chemokine ligand XCL1 against XCR1i.v.OVA + ADJ↑CD8, ↓growth E.G7 (P)[200]

P: prophylactic, T: therapeutic, fp: footpad, i.v.: intravenous, s.c.: subcutaneous, i.p.: intraperitoneal, i.m.: intramuscular, EP: electroporated, i.d.: intradermal, i.n.: intranodal, i.t.: intratumoral, U: unknown, ADJ: adjuvant, CPM: cyclophosphamide iNKT: induced natural killer T cell, and in bold: all studies with human APCs.