WO2023010784A1 - 3d-printed tumor vaccine composition, preparation method therefor, and application thereof - Google Patents

3d-printed tumor vaccine composition, preparation method therefor, and application thereof Download PDF

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WO2023010784A1
WO2023010784A1 PCT/CN2021/141918 CN2021141918W WO2023010784A1 WO 2023010784 A1 WO2023010784 A1 WO 2023010784A1 CN 2021141918 W CN2021141918 W CN 2021141918W WO 2023010784 A1 WO2023010784 A1 WO 2023010784A1
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tumor
printing
vaccine
antigen
vaccine composition
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PCT/CN2021/141918
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French (fr)
Chinese (zh)
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汪超
张越
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苏州大学
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/0005Vertebrate antigens
    • A61K39/0011Cancer antigens
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/32Macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. carbomers, poly(meth)acrylates, or polyvinyl pyrrolidone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/34Macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyesters, polyamino acids, polysiloxanes, polyphosphazines, copolymers of polyalkylene glycol or poloxamers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • A61K47/38Cellulose; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/42Proteins; Polypeptides; Degradation products thereof; Derivatives thereof, e.g. albumin, gelatin or zein
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y70/00Materials specially adapted for additive manufacturing
    • B33Y70/10Composites of different types of material, e.g. mixtures of ceramics and polymers or mixtures of metals and biomaterials
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y80/00Products made by additive manufacturing

Definitions

  • the invention relates to a 3D printed tumor vaccine composition and its preparation method and application, belonging to the technical field of biomedical materials.
  • 3D printing technology has a wide range of application prospects due to its advantages of rapid manufacturing, low cost, and customization.
  • 3D printing technology calculates through digital models, and uses some adhesive materials to print layer by layer to build objects, which can achieve high-precision manufacturing and effective use of raw materials.
  • its biggest advantage is that it can Realize high-volume, high-quality rapid manufacturing.
  • 3D printing technology is currently widely used in medical care, cultural education, aerospace and other fields, and is a popular and widely used intelligent rapid prototyping technology. Since 3D printing technology can achieve a high degree of bionic manufacturing, it has broad research and application prospects in the field of clinical personalized customization.
  • Cancer as a great problem facing centuries in the 21st century, is seriously threatening human health.
  • immunotherapy aims to suppress and kill tumor cells by stimulating and enhancing the body's immune function, so as to inhibit tumor growth or eliminate tumors.
  • Current immunotherapy includes tumor vaccines, immune checkpoint inhibition and T cell adoptive therapy, which is becoming one of the mainstream therapies for tumor treatment.
  • Tumor vaccines generate sustained anti-tumor immune recognition and stimulate specific immunity by providing multiple tumor antigens.
  • research on cancer vaccines is still in its infancy, and most cancer vaccines have poor clinical efficacy. This is mainly due to a lower level of uptake and recognition of tumor antigens by the body and a lower degree of activation of antigen-presenting cells.
  • tumor vaccines such as the efficient delivery of tumor antigens through nanoparticles and the delivery of antigens through gel carriers.
  • these technologies promote the recognition and uptake of antigens by immune cells to a certain extent, they are often accompanied by strong toxic side effects.
  • hydrogel-based tumor vaccines are difficult to manufacture and store stably in batches.
  • the present invention provides a 3D printed tumor vaccine composition to construct an implantable tumor vaccine with a specific structure and realize rapid and stable mass production.
  • the first object of the present invention is to provide a 3D printed tumor vaccine composition.
  • the tumor vaccine composition is prepared from tumor antigens or vaccine preparations and biosafety macromolecular materials into 3D printing inks.
  • a tumor vaccine composition with a porous structure is prepared; wherein, the porous structure is provided with a plurality of pores with a diameter of 1-10 ⁇ m on the surface and inside of the tumor vaccine composition.
  • the biosafety macromolecular material is gelatin, sodium alginate, agar, polylactic acid, polycaprolactone, cellulose, silk fibroin, methacrylic anhydride gelatin, polyethylene glycol diacrylate , polyvinylpyrrolidone, polyvinyl alcohol, polyethylene glycol, polyacrylamide and its derivatives, hyaluronic acid, carrageenan, etc. one or more.
  • tumor antigens are antigenic substances that can be recognized and taken up by antigen-presenting cells, newly appear or overexpressed during tumorigenesis and development, including proteins, polypeptides, nucleic acids, such as carcinoembryonic antigen (CEA), sugar One or more of base antigen, alpha-fetoprotein (AFP), glycoprotein antigen (CA50), cell antigen, tumor lysate, etc.
  • CEA carcinoembryonic antigen
  • AFP alpha-fetoprotein
  • CA50 glycoprotein antigen
  • tumor lysate etc.
  • the plurality of pore arrays with a pore diameter of 1-10 ⁇ m are arranged on the surface and inside of the tumor vaccine composition.
  • the second object of the present invention is to provide a method for preparing the tumor vaccine composition, comprising the following steps:
  • the tumor vaccine scaffold is cured and cross-linked to obtain the tumor vaccine composition.
  • the mass ratio of the biosafety macromolecular material to the tumor antigen or vaccine preparation is 1000:1-200:1.
  • step S3 removing air bubbles in the mixed solution is to ultrasonically treat the mixed solution for more than 3 minutes, and then centrifuge at 1000-3000 rpm.
  • step S4 the printing parameters are set as follows: the printing temperature is 20-30° C., the printing speed is 4-20 mm/s, and the layer height is 0.2-04 mm.
  • the third object of the present invention is to provide the application of said tumor vaccine composition in the preparation of drugs for anti-tumor immunotherapy and prevention.
  • the present invention uses tumor antigens mixed with biosafety macromolecular materials to construct printable bio-inks, batch, stable, and customizable manufacturing of tumor vaccine inks, and is used for 3D printing of tumor vaccine scaffolds.
  • implantable tumor vaccines can be constructed to promote the recognition and uptake of antigens by immune cells, induce robust immune responses, and achieve effective anti-tumor immunotherapy and prevention.
  • tumor vaccines based on 3D printing technology can also be combined with existing tumor immune preparations to construct a multifunctional immune activation microenvironment to achieve efficient immune system activation.
  • aTLS artificial tertiary lymphatic structure
  • the printed scaffolds with porous structures performed similar functions to real lymphoid organs.
  • the tumor vaccine composite 3D scaffold itself can also attract a large number of innate immune cells, including T cells, B cells, macrophages, dendritic cells (DC) and natural killer cells (NK), thereby forming an immune microenvironment, Used to enhance the efficacy of cancer vaccines.
  • the 3D printed scaffolds established a microenvironment conducive to immune cell infiltration. Such precise porous structures are difficult to achieve through conventional hydrogel or chemical engineering methods.
  • 3D printing technology enables rapid fabrication, high plasticity for personalized medicine, and relatively low cost, which provides new opportunities for the manufacture of vaccine scaffolds.
  • the vaccine carrier of the present invention is based on a biosafety polymer material, has good biosafety, and has few side effects;
  • the tumor vaccine of the present invention is more convenient to manufacture and store.
  • the potential adjuvant effect of its biosafety polymer materials has lower Side effects, can effectively promote the recognition and uptake of antigens, and induce a strong anti-tumor immune response;
  • the 3D printed tumor vaccine of the present invention combines 3D printing technology with tumor immunotherapy for the first time, and can simulate the lymphoid structure in the body.
  • Printed scaffolds with porous structures function similarly to real lymphoid organs.
  • the 3D scaffolds compounded by tumor vaccines can also attract a large number of innate immune cells. Using the potential advantages of 3D printing technology, it provides the possibility for clinical application transformation.
  • Tumor vaccines based on 3D printing technology can combine the advantages of traditional vaccines and personalized treatment to provide the basis for precision medicine and personalized prevention.
  • Fig. 1 is support model and pore structure of the present invention
  • Fig. 2 is the relationship between the rheological properties and the shear frequency of the printing ink of the present invention
  • Fig. 3 is the relationship between the rheological properties and the temperature of the printing ink of the present invention
  • Fig. 4 is the XRD analysis of the printing material before and after antigen loading of the present invention, wherein A is simple printing ink, and B is printing ink loaded with tumor antigen;
  • Fig. 5 is the relevant mechanical properties of the printable ink of the present invention.
  • Fig. 6 is the scanning electron microscope picture of printing scaffold vaccine of the present invention.
  • Fig. 7 is the proof of the mass production and printing performance of the printed scaffold vaccine of the present invention.
  • Fig. 8 is the in vivo degradation and related characterization of the 3D printing scaffold vaccine of the present invention.
  • Fig. 9 is a HE stained section picture of tissue skin near the inoculation area after the 3D printing scaffold vaccine of the present invention is implanted;
  • Figure 10 shows that the 3D printing scaffold vaccine of the present invention induces the maturation of bone marrow-derived dendritic cells in vitro
  • Figure 11 shows that the 3D printing scaffold vaccine of the present invention induces the secretion of cytokines related to bone marrow-derived dendritic cells in vitro;
  • Figure 12 is a HE stained slice picture of the main organs of the mouse seven days after the 3D printing immunization vaccine of the present invention.
  • Fig. 13 is the change of relevant blood routine parameters of mice after vaccination with the 3D printing scaffold of the present invention.
  • Figure 14 is the recruitment of cells in vivo by the 3D printing scaffold vaccine of the present invention.
  • Figure 15 is the 3D printing scaffold vaccine of the present invention recruiting DC cells in vivo to promote DC cell maturation and antigen presentation;
  • Figure 16 shows that the 3D printing scaffold vaccine of the present invention recruits macrophages in vivo to promote macrophage differentiation and antigen presentation;
  • Figure 17 is the tumor growth curve after vaccination with the 3D printed scaffold of the present invention.
  • Figure 18 is the survival curve and body weight changes of mice vaccinated with 3D printed scaffolds of the present invention.
  • Figure 19 shows the immune cell infiltration and immune activation of the tumor tissue of mice vaccinated with the 3D printed scaffold of the present invention
  • Figure 20 shows the mathematical simulation and bionic manufacturing of the resected tumor through the 3D laser scanning system before the surgical resection of the tumor;
  • Figure 21 is the tumor growth curve of the 3D printed scaffold vaccine of the present invention inoculated at the resection site after surgical resection;
  • Figure 22 is the mouse survival curve and mouse body weight diagram of the 3D printed scaffold vaccine of the present invention inoculated at the resection site after surgical resection to prevent tumor metastasis;
  • Figure 23 shows the secretion of related cytokines in mouse serum after inoculation of the 3D printing scaffold vaccine of the present invention at the resection site after surgical resection;
  • Fig. 24 is a HE stained slice of a tumor in a mouse vaccinated with a printed scaffold vaccine after surgical resection.
  • C57BL/6 female mice aged 6-8 weeks were purchased from Changzhou Cavens Experimental Animal Co., Ltd. All mouse experiments were carried out in accordance with the animal experiment protocol approved by the Experimental Animal Center of Soochow University.
  • BMDCs Bone marrow-derived dendritic cells
  • the prepared tumor vaccine printing ink was sonicated for 1 minute, and then centrifuged at 1500-3000 rpm for 3 minutes to remove air bubbles in the solution, so as to avoid affecting the stability of subsequent printing and reducing the mechanical properties of the material. After removing air bubbles, draw the prepared solution into a sterile syringe and store in the refrigerator until use.
  • the scaffold vaccine is modeled by slicing software, by constructing a 10*10*4mm hexagonal scaffold vaccine, a 10mm cylindrical scaffold vaccine, and a personalized model prepared by customization.
  • the filling rate By adjusting the filling rate, the external pore distribution of the scaffold vaccine is adjusted. The higher the filling rate, the smaller the pore interval. Taking a layer height of 0.25 mm as an example, a 16-layer stacked scaffold node structure is constructed by printing and stacking. When the filling rate is 20%, the external scaffold pores are 500 ⁇ m, and the internal pore diameter distribution is about 10 ⁇ m, as shown in Figure 1.
  • the printing speed is 4-20mm/min
  • the printing layer height is 0.2-0.4mm
  • the printing temperature is 20-30 degrees Celsius
  • the filling rate is 20-100%
  • the printing G code is output.
  • a 3D printer is used to construct the scaffold vaccine. After the printing is completed, the scaffold vaccine is placed in a 2% CaCl 2 solution for 3 minutes to improve the stability and mechanical properties of the scaffold vaccine through calcium ion cross-linking.
  • the prepared scaffold vaccine was characterized by scanning electron microscopy. As shown in Figure 6, the scaffold structure was complete without obvious nodules. In addition, the scaffold vaccine had a good pore structure with an average pore size of about 5 ⁇ m. The printing system and batch Wendy manufacturing were proved. The results are shown in Figure 7. The stent vaccine can be stably manufactured in batches through the 3D printer. In addition, the printing system also has good reducibility and can better manufacture the required model.
  • Example 4 3D printed scaffold vaccine induces DC cell maturation and related cytokine secretion in vitro
  • BMDCs effectively secreted TNF- ⁇ , IL-1 ⁇ , IL-6 and other cytokines , which provides a basis for the subsequent induction of a strong anti-tumor immune response in vivo.
  • Example 5 In vivo biosafety and cell recruitment of 3D printed scaffold vaccines
  • mice were inoculated with blank scaffolds, scaffold vaccines, and PBS to study the biosafety of printed scaffold immune vaccines in vivo.
  • the main organs of the mice were collected and analyzed by HE staining section. The results are shown in Figure 12.
  • the major organs of the mice did not appear obvious damage, which confirmed the scaffold Biosafety of vaccines.
  • the blood of the mice was collected and anticoagulant was added for routine blood tests. The results are shown in Figure 13.
  • the main parameters of the blood routine in the experimental treatment group were significantly changed, and they were all within the normal index range. It further proves the safety and rationality of scaffold vaccine application in vivo.
  • scaffolds and scaffold immunized vaccines were respectively implanted in mice, and the immune cell recruitment and related immune cell activation of scaffold vaccines at different time points were studied. The results are shown in Figure 14.
  • the scaffold vaccine can effectively recruit T cells, B cells, NK cells, macrophages and DC cells.
  • the immune cell recruitment effect of the scaffold vaccine is also better.
  • DC cells and macrophages accounted for the largest proportion, therefore, DC cell activation and macrophage polarization in two different scaffolds were investigated.
  • the maturity of DC cells in the scaffold vaccine is higher than that of the blank scaffold, indicating that the scaffold vaccine can activate DC cells more effectively after antigen loading, which is consistent with the aforementioned activation of DC cells in vitro.
  • the antigen presentation level of DC cells in the scaffold vaccine is also more obvious.
  • the expression level of antigen-presenting molecule MHC II is twice that of the blank scaffold, indicating that the scaffold vaccine can more effectively promote the antigen expression of DC cells. identification and ingestion.
  • the polarization of macrophages also confirmed that the scaffold vaccine had a better immune activation effect than the blank scaffold. In the scaffold vaccine, more macrophages showed M1 type, and the antigen presentation level of macrophages also decreased. Consistent with DC cells, the results are shown in Figure 16. It is further proved that the scaffold vaccine can more effectively promote the recognition and uptake of antigens, and improve the immune activation level of the body.
  • Example 6 3D printing scaffold vaccine in vivo tumor prevention and anti-tumor efficacy
  • the in vivo tumor prevention efficacy of the scaffold vaccine was verified by constructing a prevention model. After the mice were inoculated with the scaffold vaccine, B16-OVA tumor cells were used to verify the preventive efficacy of the scaffold vaccine, and the tumor prevention efficacy was judged by detecting the tumor growth. As shown in Figure 17, the scaffold vaccine can significantly inhibit the growth of tumors, and after combined anti-PD-L1 treatment, synergistic treatment can be achieved, thereby effectively inhibiting the growth of tumors. The survival time of the mice in the scaffold vaccine group and the combined treatment group was also effectively prolonged, indicating that the scaffold vaccine has a good preventive effect.
  • the body weight of the mice did not change significantly during the experiment, which also indicates that the treatment method has relatively low side effects, and the results are shown in FIG. 18 .
  • the intrinsic mechanism of scaffold vaccine to inhibit tumor growth was studied.
  • CD8 + T cells were significantly increased in the scaffold vaccine treatment group and the combined treatment group.
  • the ratio of CD8 + T cells to Treg was also significantly higher than that of the control group.
  • the expression levels of Ki67, IFN- ⁇ and Granmezy B also increased significantly, confirming that after scaffold vaccination, Effectively activate the immune response of the system and form a robust anti-tumor immune microenvironment.
  • Example 7 Surgical resection personalized customized 3D printing scaffold vaccine and tumor prevention
  • the personalized tumor vaccine can effectively inhibit the growth of the tumor, and at the same time effectively prolong the survival time of the mice. Combining anti-PD-L1 can more effectively inhibit tumor recurrence and migration, and at the same time effectively ensure the survival of mice after surgery.
  • the results are shown in Figure 22.
  • mice serum was collected, and the relevant cytokines in mouse serum were studied.
  • the results are shown in Figure 23.
  • TNF- ⁇ and IFN- ⁇ in mouse serum Both were significantly up-regulated, revealing the activation of the intrinsic immune system in mice.
  • the mouse tumors were collected, and analyzed by HE staining sections. It was found that individualized tumor vaccination after surgical resection could effectively inhibit the growth of tumors, and the results are shown in FIG. 24 .
  • the 3D printing-based tumor immune vaccine of the present invention can not only effectively prevent tumors, but also can make full use of the characteristics of 3D printing technology to realize batch stable and customized manufacturing of tumor vaccines.
  • tumor antigens can be used as the internal components of the scaffold vaccine to promote the improvement of the mechanical properties of the scaffold vaccine.
  • the potential adjuvant effect of the scaffold component can also effectively recruit immune cells to promote the recognition and uptake of immune cells to antigens, thereby Realize the construction of "artificial tertiary lymph nodes", and then realize effective immune activation and tumor prevention.

Abstract

Disclosed in the present invention are a 3D-printed tumor vaccine composition, a preparation method therefor, and an application thereof. According to the tumor vaccine composition of the present invention, a vaccine preparation containing a tumor antigen and a biosafety macromolecular material are prepared into 3D printing ink, and the tumor vaccine composition of a porous structure is prepared by means of 3D printing, wherein the porous structure is that a plurality of pores having the pore diameter of 1-10 μm are formed in the surface and the interior of the tumor vaccine composition.

Description

一种3D打印的肿瘤疫苗组合物及其制备方法与应用A 3D printed tumor vaccine composition and its preparation method and application 技术领域technical field
本发明涉及一种3D打印的肿瘤疫苗组合物及其制备方法与应用,属于生物医药材料技术领域。The invention relates to a 3D printed tumor vaccine composition and its preparation method and application, belonging to the technical field of biomedical materials.
背景技术Background technique
3D打印技术作为新兴的增材制造技术,由于其快速制造、低成本、可定制等一系列优点,因此具有广泛的应用前景。与传统的制造工艺相比,3D打印技术通过数字模型计算,运用一些可粘合材料进行逐层打印来构建物体,可以实现高精度的制造,以及有效利用原材料,此外,其最大优点还在于可以实现大批量、高品质的快速制造。3D打印技术目前被广泛用于医疗保健、文化教育以及航空航天等领域,是一种热门且应用极广的智能快速成型技术。由于3D打印技术可以实现较高程度的仿生制造,因此,在临床个性化定制领域具有广阔的研究应用前景。As an emerging additive manufacturing technology, 3D printing technology has a wide range of application prospects due to its advantages of rapid manufacturing, low cost, and customization. Compared with the traditional manufacturing process, 3D printing technology calculates through digital models, and uses some adhesive materials to print layer by layer to build objects, which can achieve high-precision manufacturing and effective use of raw materials. In addition, its biggest advantage is that it can Realize high-volume, high-quality rapid manufacturing. 3D printing technology is currently widely used in medical care, cultural education, aerospace and other fields, and is a popular and widely used intelligent rapid prototyping technology. Since 3D printing technology can achieve a high degree of bionic manufacturing, it has broad research and application prospects in the field of clinical personalized customization.
癌症,作为21世纪人类面临的一项极大难题,正在严重威胁着人类的健康。免疫治疗作为一种应用极广的癌症治疗手法,旨在通过刺激和增强机体的免疫功能来抑制和杀死肿瘤细胞,以达到抑制肿瘤生长或清除肿瘤的目的。目前的免疫治疗包括肿瘤疫苗,免疫检查点抑制以及T细胞过继疗法,它正成为肿瘤治疗的主流疗法之一。肿瘤疫苗,通过提供多种肿瘤抗原来产生持续的抗肿瘤免疫识别和刺激特异性免疫。然而,对癌症疫苗的研究仍处于初级阶段,大多数癌症疫苗临床疗效不佳。这主要是由于机体对肿瘤抗原的摄取和识别水平较低以及较低程度的抗原递呈细胞的激活。基于此,研究人员研究开发了一系列新型的肿瘤疫苗,如通过纳米粒子实现高效的肿瘤抗原递送以及通过凝胶载体实现抗原的递送。尽管这些技术在一定程度上促进了免疫细胞对抗原的识别和摄取,但往往伴随有较强的毒副作用。此外,基于水凝胶的肿瘤疫苗由于自身局限,很难批量稳定的制造和储存。Cancer, as a great problem facing mankind in the 21st century, is seriously threatening human health. As a widely used cancer treatment, immunotherapy aims to suppress and kill tumor cells by stimulating and enhancing the body's immune function, so as to inhibit tumor growth or eliminate tumors. Current immunotherapy includes tumor vaccines, immune checkpoint inhibition and T cell adoptive therapy, which is becoming one of the mainstream therapies for tumor treatment. Tumor vaccines generate sustained anti-tumor immune recognition and stimulate specific immunity by providing multiple tumor antigens. However, research on cancer vaccines is still in its infancy, and most cancer vaccines have poor clinical efficacy. This is mainly due to a lower level of uptake and recognition of tumor antigens by the body and a lower degree of activation of antigen-presenting cells. Based on this, researchers have researched and developed a series of new tumor vaccines, such as the efficient delivery of tumor antigens through nanoparticles and the delivery of antigens through gel carriers. Although these technologies promote the recognition and uptake of antigens by immune cells to a certain extent, they are often accompanied by strong toxic side effects. In addition, due to its own limitations, hydrogel-based tumor vaccines are difficult to manufacture and store stably in batches.
发明内容Contents of the invention
为解决上述技术问题,本发明提供一种3D打印的肿瘤疫苗组合物,构建具有特定结构的可植入肿瘤疫苗,实现快速、稳定的批量制造。In order to solve the above technical problems, the present invention provides a 3D printed tumor vaccine composition to construct an implantable tumor vaccine with a specific structure and realize rapid and stable mass production.
本发明的第一个目的是提供一种3D打印的肿瘤疫苗组合物,所述的肿瘤疫苗组合物是将肿瘤抗原或疫苗制剂与生物安全性大分子材料制备成3D打印墨水,通过3D打印,制备多孔结构的肿瘤疫苗组合物;其中,所述的多孔结构是在肿瘤疫苗组合物的表面和内部设置若干孔径为1-10μm的孔隙。The first object of the present invention is to provide a 3D printed tumor vaccine composition. The tumor vaccine composition is prepared from tumor antigens or vaccine preparations and biosafety macromolecular materials into 3D printing inks. Through 3D printing, A tumor vaccine composition with a porous structure is prepared; wherein, the porous structure is provided with a plurality of pores with a diameter of 1-10 μm on the surface and inside of the tumor vaccine composition.
进一步地,所述的生物安全性大分子材料为明胶、海藻酸钠、琼脂、聚乳酸、聚己内酯、纤维素、丝素蛋白、甲基丙烯酸酐化明胶、聚乙二醇二丙烯酸酯、聚乙烯吡咯烷酮、聚乙烯醇、聚乙二醇、聚丙烯酰胺及其衍生物、透明质酸、卡拉胶等中的一种或多种。Further, the biosafety macromolecular material is gelatin, sodium alginate, agar, polylactic acid, polycaprolactone, cellulose, silk fibroin, methacrylic anhydride gelatin, polyethylene glycol diacrylate , polyvinylpyrrolidone, polyvinyl alcohol, polyethylene glycol, polyacrylamide and its derivatives, hyaluronic acid, carrageenan, etc. one or more.
进一步地,所述的肿瘤抗原为可以被抗原递呈细胞识别摄取,在肿瘤发生、发展过程中新出现或过度表达的抗原物质,包括蛋白、多肽、核酸,如癌胚抗原(CEA)、糖基抗原、甲胎蛋白(AFP)、糖蛋白抗原(CA50)、细胞抗原、肿瘤裂解物等中的一种或多种。Further, the tumor antigens are antigenic substances that can be recognized and taken up by antigen-presenting cells, newly appear or overexpressed during tumorigenesis and development, including proteins, polypeptides, nucleic acids, such as carcinoembryonic antigen (CEA), sugar One or more of base antigen, alpha-fetoprotein (AFP), glycoprotein antigen (CA50), cell antigen, tumor lysate, etc.
进一步地,所述的若干孔径为1-10μm的孔隙阵列排布在肿瘤疫苗组合物的表面和内部。Further, the plurality of pore arrays with a pore diameter of 1-10 μm are arranged on the surface and inside of the tumor vaccine composition.
本发明的第二个目的是提供一种所述的肿瘤疫苗组合物的制备方法,包括如下步骤:The second object of the present invention is to provide a method for preparing the tumor vaccine composition, comprising the following steps:
S1、将生物安全性大分子材料充分溶解,得到生物安全性大分子材料溶液;S1. Fully dissolving the biosafety macromolecular material to obtain a biosafety macromolecular material solution;
S2、将肿瘤抗原或疫苗制剂制备成溶液,过滤除菌得到肿瘤抗原或疫苗制剂溶液;S2. Prepare the tumor antigen or vaccine preparation into a solution, and filter and sterilize to obtain the tumor antigen or vaccine preparation solution;
S3、将生物安全性大分子材料溶液与肿瘤抗原或疫苗制剂溶液混合,并去除混合溶液中的气泡,得到3D打印墨水;S3. Mix the biosafety macromolecular material solution with the tumor antigen or vaccine preparation solution, and remove the air bubbles in the mixed solution to obtain 3D printing ink;
S4、设置打印参数,构建打印模型,然后通过3D打印机打印制备肿瘤疫苗支架;S4. Set the printing parameters, construct the printing model, and then prepare the tumor vaccine scaffold by printing with a 3D printer;
S5、打印结束后,对肿瘤疫苗支架进行固化交联,得到所述的肿瘤疫苗组合物。S5. After the printing is completed, the tumor vaccine scaffold is cured and cross-linked to obtain the tumor vaccine composition.
进一步地,所述的生物安全性大分子材料与所述的肿瘤抗原或疫苗制剂的质量比为1000:1-200:1。Further, the mass ratio of the biosafety macromolecular material to the tumor antigen or vaccine preparation is 1000:1-200:1.
进一步地,在S3步骤中,去除混合溶液中的气泡是将混合溶液超声处理3分钟以上,然后在1000~3000rpm下离心处理。Further, in the step S3, removing air bubbles in the mixed solution is to ultrasonically treat the mixed solution for more than 3 minutes, and then centrifuge at 1000-3000 rpm.
进一步地,在S4步骤中,打印参数设置为:打印温度为20~30℃,打印速度为4-20mm/s,层高为0.2~04mm。Further, in step S4, the printing parameters are set as follows: the printing temperature is 20-30° C., the printing speed is 4-20 mm/s, and the layer height is 0.2-04 mm.
本发明的第三个目的是提供所述的肿瘤疫苗组合物在制备抗肿瘤免疫治疗与预防的药物中的应用。The third object of the present invention is to provide the application of said tumor vaccine composition in the preparation of drugs for anti-tumor immunotherapy and prevention.
本发明利用肿瘤抗原与生物安全性大分子材料相混合,构建可打印生物墨水,批 量、稳定、可定制的制造肿瘤疫苗墨水,用于3D打印肿瘤疫苗支架。通过3D打印技术,构建可植入的肿瘤疫苗,促进免疫细胞对抗原的识别和摄取,诱导强健的免疫反应,实现有效的抗肿瘤免疫治疗与预防。与此同时,基于3D打印技术的肿瘤疫苗还可以结合现有的肿瘤免疫制剂,构建多功能免疫激活微环境,实现高效的免疫系统激活。The present invention uses tumor antigens mixed with biosafety macromolecular materials to construct printable bio-inks, batch, stable, and customizable manufacturing of tumor vaccine inks, and is used for 3D printing of tumor vaccine scaffolds. Through 3D printing technology, implantable tumor vaccines can be constructed to promote the recognition and uptake of antigens by immune cells, induce robust immune responses, and achieve effective anti-tumor immunotherapy and prevention. At the same time, tumor vaccines based on 3D printing technology can also be combined with existing tumor immune preparations to construct a multifunctional immune activation microenvironment to achieve efficient immune system activation.
在生物学中,一个关键观点是结构决定功能。我们使用3D打印技术构建了一个“人工三级淋巴结构(aTLS)”,可以模拟体内的淋巴结构。在我们的研究中,具有多孔结构的打印支架具有与真实淋巴器官相似的功能。例如,肿瘤疫苗复合的3D支架本身也可以吸引大量先天性免疫细胞,包括T细胞、B细胞、巨噬细胞、树突状细胞(DC)和自然杀伤细胞(NK),从而形成免疫微环境,用于增强癌症疫苗效果。3D打印的支架建立了有利于免疫细胞浸润的微环境。这种精确的多孔结构很难通过传统的水凝胶或化学工程方法来实现。此外,3D打印技术能够实现快速制造,高可塑性的个性化医疗和相对较低的成本,这为疫苗支架的制造提供了新的机会。In biology, a key idea is that structure determines function. We used 3D printing technology to construct an "artificial tertiary lymphatic structure (aTLS)" that can mimic the lymphatic structure in vivo. In our study, the printed scaffolds with porous structures performed similar functions to real lymphoid organs. For example, the tumor vaccine composite 3D scaffold itself can also attract a large number of innate immune cells, including T cells, B cells, macrophages, dendritic cells (DC) and natural killer cells (NK), thereby forming an immune microenvironment, Used to enhance the efficacy of cancer vaccines. The 3D printed scaffolds established a microenvironment conducive to immune cell infiltration. Such precise porous structures are difficult to achieve through conventional hydrogel or chemical engineering methods. In addition, 3D printing technology enables rapid fabrication, high plasticity for personalized medicine, and relatively low cost, which provides new opportunities for the manufacture of vaccine scaffolds.
本发明的有益效果是:The beneficial effects of the present invention are:
1、本发明的疫苗载体是由生物安全性高分子材料为基底,具有良好的生物安全性,副作用小;1. The vaccine carrier of the present invention is based on a biosafety polymer material, has good biosafety, and has few side effects;
2、本发明所述的肿瘤疫苗与现阶段肿瘤疫苗相比,其制造、储存更为便捷,相较于传统疫苗的佐剂,其生物安全性高分子材料的潜在佐剂效应具有更低的副作用,可以有效促进抗原的识别和摄取,诱发强健的抗肿瘤免疫反应;2. Compared with the current stage tumor vaccines, the tumor vaccine of the present invention is more convenient to manufacture and store. Compared with the adjuvants of traditional vaccines, the potential adjuvant effect of its biosafety polymer materials has lower Side effects, can effectively promote the recognition and uptake of antigens, and induce a strong anti-tumor immune response;
3、本发明所述的3D打印肿瘤疫苗第一次将3D打印技术与肿瘤免疫治疗相结合,可以模拟体内的淋巴结构。具有多孔结构的打印支架具有与真实淋巴器官相似的功能。例如,肿瘤疫苗复合的3D支架本身也可以吸引大量先天性免疫细胞,利用3D打印技术的潜在优势,为临床应用转化提供了可能。3. The 3D printed tumor vaccine of the present invention combines 3D printing technology with tumor immunotherapy for the first time, and can simulate the lymphoid structure in the body. Printed scaffolds with porous structures function similarly to real lymphoid organs. For example, the 3D scaffolds compounded by tumor vaccines can also attract a large number of innate immune cells. Using the potential advantages of 3D printing technology, it provides the possibility for clinical application transformation.
4、基于3D打印技术的肿瘤疫苗可以结合传统疫苗和个性化治疗的优点,为精准医疗,个性预防提供基础。4. Tumor vaccines based on 3D printing technology can combine the advantages of traditional vaccines and personalized treatment to provide the basis for precision medicine and personalized prevention.
附图说明:Description of drawings:
图1为本发明的支架模型及孔隙结构;Fig. 1 is support model and pore structure of the present invention;
图2为本发明的打印墨水的流变性能与剪切频率的关系;Fig. 2 is the relationship between the rheological properties and the shear frequency of the printing ink of the present invention;
图3为本发明的打印墨水的流变性能与温度的变化关系;Fig. 3 is the relationship between the rheological properties and the temperature of the printing ink of the present invention;
图4为本发明的装载抗原前后打印材料的XRD分析,其中A为单纯的打印墨水,B为装载肿瘤抗原的打印墨水;Fig. 4 is the XRD analysis of the printing material before and after antigen loading of the present invention, wherein A is simple printing ink, and B is printing ink loaded with tumor antigen;
图5为本发明的可打印墨水的相关力学性能;Fig. 5 is the relevant mechanical properties of the printable ink of the present invention;
图6为本发明的打印支架疫苗的扫面电镜图片;Fig. 6 is the scanning electron microscope picture of printing scaffold vaccine of the present invention;
图7为本发明的打印支架疫苗的批量制造以及打印性能的证明;Fig. 7 is the proof of the mass production and printing performance of the printed scaffold vaccine of the present invention;
图8为本发明的3D打印支架疫苗的体内降解以及相关表征;Fig. 8 is the in vivo degradation and related characterization of the 3D printing scaffold vaccine of the present invention;
图9为本发明的3D打印支架疫苗埋植后接种区域附近组织皮肤的HE染色切片图片;Fig. 9 is a HE stained section picture of tissue skin near the inoculation area after the 3D printing scaffold vaccine of the present invention is implanted;
图10为本发明的3D打印支架疫苗体外诱导骨髓来源树突状细胞成熟;Figure 10 shows that the 3D printing scaffold vaccine of the present invention induces the maturation of bone marrow-derived dendritic cells in vitro;
图11为本发明的3D打印支架疫苗体外诱导骨髓来源树突状细胞相关细胞因子分泌;Figure 11 shows that the 3D printing scaffold vaccine of the present invention induces the secretion of cytokines related to bone marrow-derived dendritic cells in vitro;
图12为本发明的3D打印免疫疫苗接种后七天小鼠主要器官的HE染色切片图片;Figure 12 is a HE stained slice picture of the main organs of the mouse seven days after the 3D printing immunization vaccine of the present invention;
图13为本发明的3D打印支架疫苗接种后小鼠相关血常规参数的变化;Fig. 13 is the change of relevant blood routine parameters of mice after vaccination with the 3D printing scaffold of the present invention;
图14为本发明的3D打印支架疫苗体内细胞招募;Figure 14 is the recruitment of cells in vivo by the 3D printing scaffold vaccine of the present invention;
图15为本发明的3D打印支架疫苗体内招募DC细胞促进DC细胞成熟和抗原递呈;Figure 15 is the 3D printing scaffold vaccine of the present invention recruiting DC cells in vivo to promote DC cell maturation and antigen presentation;
图16为本发明的3D打印支架疫苗体内招募巨噬细胞,促进巨噬细胞分化和抗原递呈;Figure 16 shows that the 3D printing scaffold vaccine of the present invention recruits macrophages in vivo to promote macrophage differentiation and antigen presentation;
图17为本发明3D打印支架疫苗接种后的肿瘤生长曲线;Figure 17 is the tumor growth curve after vaccination with the 3D printed scaffold of the present invention;
图18为本发明3D打印支架疫苗接种后的小鼠的生存曲线以及体重变化;Figure 18 is the survival curve and body weight changes of mice vaccinated with 3D printed scaffolds of the present invention;
图19为本发明3D打印支架疫苗接种后的小鼠的肿瘤组织的免疫细胞浸润情况及免疫激活;Figure 19 shows the immune cell infiltration and immune activation of the tumor tissue of mice vaccinated with the 3D printed scaffold of the present invention;
图20为在手术切除肿瘤前通过3维激光扫描系统对切除肿瘤进行数学模拟并进行仿生制造;Figure 20 shows the mathematical simulation and bionic manufacturing of the resected tumor through the 3D laser scanning system before the surgical resection of the tumor;
图21为本发明的3D打印支架疫苗在手术切除后在切除部位接种后的肿瘤转移预防的肿瘤生长曲线;Figure 21 is the tumor growth curve of the 3D printed scaffold vaccine of the present invention inoculated at the resection site after surgical resection;
图22为本发明的3D打印支架疫苗在手术切除后在切除部位接种后的肿瘤转移预防的小鼠生存曲线以及小鼠体重图;Figure 22 is the mouse survival curve and mouse body weight diagram of the 3D printed scaffold vaccine of the present invention inoculated at the resection site after surgical resection to prevent tumor metastasis;
图23为在手术切除后,在切除部位接种本发明的3D打印支架疫苗后小鼠血清中相关细胞因子的分泌情况;Figure 23 shows the secretion of related cytokines in mouse serum after inoculation of the 3D printing scaffold vaccine of the present invention at the resection site after surgical resection;
图24为小鼠在手术切除后接种打印支架疫苗的肿瘤HE染色切片图。Fig. 24 is a HE stained slice of a tumor in a mouse vaccinated with a printed scaffold vaccine after surgical resection.
具体实施方式Detailed ways
下面结合具体实施例对本发明作进一步说明,以使本领域的技术人员可以更好地理解本发明并能予以实施,但所举实施例不作为对本发明的限定。The present invention will be further described below in conjunction with specific examples, so that those skilled in the art can better understand the present invention and implement it, but the given examples are not intended to limit the present invention.
6-8周龄的C57BL/6雌性小鼠购于常州卡文斯实验动物有限公司。所有小鼠实验按照苏州大学实验动物中心批准的动物实验方案进行。C57BL/6 female mice aged 6-8 weeks were purchased from Changzhou Cavens Experimental Animal Co., Ltd. All mouse experiments were carried out in accordance with the animal experiment protocol approved by the Experimental Animal Center of Soochow University.
小鼠黑色素瘤B16-OVA肿瘤细胞购于中国科学院上海生物科学研究所细胞库。骨髓来源的树突状细胞(BMDCs)按照既定方法从7-8周龄C57BL/6小鼠骨髓腔提取。使用第三 代或者第四代传代培养的细胞用于本发明的各实施例。Mouse melanoma B16-OVA tumor cells were purchased from the Cell Bank of Shanghai Institute of Biological Sciences, Chinese Academy of Sciences. Bone marrow-derived dendritic cells (BMDCs) were extracted from the bone marrow cavity of 7-8-week-old C57BL/6 mice according to established methods. Cells subcultured in the third or fourth generation were used in the embodiments of the present invention.
实施例1:3D支架免疫疫苗打印墨水的制备以及支架疫苗的构建Example 1: Preparation of 3D scaffold immune vaccine printing ink and construction of scaffold vaccine
称取海藻酸钠溶解于10mL去离子水中,在混匀仪下充分混合溶解。得到均一的海藻酸钠溶液后,称取一定质量的明胶加入海藻酸钠溶液中,在60℃油浴30分钟,使明胶充分溶解,得到可打印墨水。称取肿瘤相关抗原,溶解在PBS中,将配置好的无菌抗原溶液加入打印墨水中,通过物理混合,使抗原溶液和打印墨水充分混合。将制备好的肿瘤疫苗打印墨水超声1分钟,随后在1500-3000rpm离心3分钟,除去溶液中的气泡,避免影响后续打印的稳定性和降低材料的力学性能。除去气泡后,将制备好的溶液吸取到无菌的注射器中,放置于冰箱储存待用。Weigh sodium alginate and dissolve it in 10mL deionized water, and fully mix and dissolve under the mixer. After obtaining a uniform sodium alginate solution, weigh a certain amount of gelatin and add it to the sodium alginate solution, and place it in an oil bath at 60° C. for 30 minutes to fully dissolve the gelatin to obtain a printable ink. Weigh the tumor-associated antigen, dissolve it in PBS, add the prepared sterile antigen solution into the printing ink, and mix the antigen solution and the printing ink fully through physical mixing. The prepared tumor vaccine printing ink was sonicated for 1 minute, and then centrifuged at 1500-3000 rpm for 3 minutes to remove air bubbles in the solution, so as to avoid affecting the stability of subsequent printing and reducing the mechanical properties of the material. After removing air bubbles, draw the prepared solution into a sterile syringe and store in the refrigerator until use.
通过切片软件对支架疫苗进行建模,通过构建10*10*4mm的六方体支架疫苗、10mm圆柱支架疫苗以及通过定制化制备的个性化模型。通过调节填充率,调节支架疫苗外在的孔隙分布,填充率越高,孔隙间隔越小。以0.25mm层高为例,通过打印堆叠,构建16层堆叠的支架节构,20%填充率时,外在支架孔隙在500μm,内在孔径分布在10μm左右,如图1所示。基于不同模型,打印速度4-20mm/min,打印层高0.2-0.4mm,打印温度20-30摄氏度,填充率20-100%,并输出打印G代码。通过3D打印机,构建支架疫苗,打印完成后,将支架疫苗放置于2%CaCl 2溶液中处理3分钟,通过钙离子交联提高支架疫苗的稳定性和力学性能。 The scaffold vaccine is modeled by slicing software, by constructing a 10*10*4mm hexagonal scaffold vaccine, a 10mm cylindrical scaffold vaccine, and a personalized model prepared by customization. By adjusting the filling rate, the external pore distribution of the scaffold vaccine is adjusted. The higher the filling rate, the smaller the pore interval. Taking a layer height of 0.25 mm as an example, a 16-layer stacked scaffold node structure is constructed by printing and stacking. When the filling rate is 20%, the external scaffold pores are 500 μm, and the internal pore diameter distribution is about 10 μm, as shown in Figure 1. Based on different models, the printing speed is 4-20mm/min, the printing layer height is 0.2-0.4mm, the printing temperature is 20-30 degrees Celsius, the filling rate is 20-100%, and the printing G code is output. A 3D printer is used to construct the scaffold vaccine. After the printing is completed, the scaffold vaccine is placed in a 2% CaCl 2 solution for 3 minutes to improve the stability and mechanical properties of the scaffold vaccine through calcium ion cross-linking.
实施例2:3D打印支架疫苗的相关表征Example 2: Relevant characterization of 3D printed scaffold vaccines
首先我们通过流变实验验证了肿瘤疫苗的相关流变性能,结果如图2,图3所示,随着剪切频率的变化,肿瘤疫苗打印墨水仍具有良好的流变性能。此外,随着温度的增加,出现凝胶-溶胶转变。XRD分析证明,在抗原加入前后,材料均是无定型结构,如图4所示。采用力学测试系统对加入抗原前后的打印墨水的力学性能进行研究,结过如图5所示,再加入抗原后,材料的力学性能出现一定程度的提升,其拉伸应力、断裂应变以及压缩应力都有效提高,证明抗原可以在系统中充当组分。利用扫描电镜对制备的支架疫苗进行表征,结果如图6所示,支架结构完整,没有明显的结节,此外,支架疫苗具有良好的孔洞结构,平均孔隙约为5μm。对于打印系统以及批量温蒂制造进行了证明,结果如图7所示,可以通过3D打印机批量稳定的制造支架疫苗,此外,打印系统也具有良好的还原性,可以较好地制造所需模型。First, we verified the rheological properties of tumor vaccines through rheological experiments. The results are shown in Figure 2 and Figure 3. With the change of shear frequency, tumor vaccine printing inks still have good rheological properties. Furthermore, a gel-sol transition occurs with increasing temperature. XRD analysis proved that before and after adding the antigen, the material had an amorphous structure, as shown in FIG. 4 . A mechanical testing system was used to study the mechanical properties of the printing ink before and after adding the antigen. As shown in Figure 5, after adding the antigen, the mechanical properties of the material improved to a certain extent, and its tensile stress, fracture strain and compressive stress All were effectively improved, proving that the antigen can act as a component in the system. The prepared scaffold vaccine was characterized by scanning electron microscopy. As shown in Figure 6, the scaffold structure was complete without obvious nodules. In addition, the scaffold vaccine had a good pore structure with an average pore size of about 5 μm. The printing system and batch Wendy manufacturing were proved. The results are shown in Figure 7. The stent vaccine can be stably manufactured in batches through the 3D printer. In addition, the printing system also has good reducibility and can better manufacture the required model.
实施例3:3D打印制剂疫苗的生物安全性分析Example 3: Biosafety Analysis of 3D Printed Preparation Vaccines
小鼠皮下接种支架疫苗,研究支架疫苗的体内降解情况,结果如图8所示,随着埋植时间的延长,支架疫苗逐渐降解,在第七天,大部分支架疫苗降解。此外,扫描电镜图片也对 不同时间点的支架疫苗的形貌结构进行了研究,也佐证了支架疫苗在体内的降解。与此同时,收集接种区域的皮肤组织,研究在疫苗接种后相关区域的毒副作用,通过对皮肤组织的HE染色切片可以发现,在打印疫苗接种区域皮肤没有明显的损伤,证明支架疫苗具有良好的生物安全性以及较低的副作用,实验结果如图9所示。Mice were subcutaneously inoculated with stent vaccines, and the in vivo degradation of the stent vaccines was studied. The results are shown in Figure 8. As the implantation time prolongs, the stent vaccines gradually degrade. On the seventh day, most of the stent vaccines degrade. In addition, the scanning electron microscope pictures also studied the morphology and structure of the scaffold vaccine at different time points, which also proved the degradation of the scaffold vaccine in vivo. At the same time, the skin tissue in the vaccinated area was collected to study the toxic and side effects of the relevant area after vaccination. It can be found through the HE stained section of the skin tissue that there is no obvious damage to the skin in the vaccinated area, which proves that the scaffold vaccine has good Biological safety and low side effects, the experimental results are shown in Figure 9.
实施例4:3D打印支架疫苗体外诱导DC细胞成熟和相关细胞因子分泌Example 4: 3D printed scaffold vaccine induces DC cell maturation and related cytokine secretion in vitro
根据已有方法提取小鼠骨髓来源树突状细胞,待其成熟度至10%左右时,将其与LPS,PBS,空白支架以及装载肿瘤抗原的支架疫苗共孵育24小时,收集上清液保存于-80℃供后续检测细胞因子,1,200rpm离心3分钟收集BMDCs,通过流式细胞术分析共刺激因子(CD80,CD86)的表达。结果如图10所示,支架疫苗可以有效的促进DC细胞的成熟,此外,空白支架也可以在一定程度上提高DC的成熟度,证明了空白支架的潜在佐剂效应。通过ELISA对刺激后DC细胞分泌的相关细胞因子进行分析,结果如图11所示,经过空白支架以及支架疫苗刺激后,BMDC有效地分泌了TNF-α,IL-1β,IL-6等细胞因子,这为后续体内诱导强烈的抗肿瘤免疫应答提供了依据。Extract mouse bone marrow-derived dendritic cells according to existing methods, and when the maturity reaches about 10%, incubate them with LPS, PBS, blank scaffolds, and scaffold vaccines loaded with tumor antigens for 24 hours, and collect the supernatant for storage For subsequent detection of cytokines at -80°C, BMDCs were collected by centrifugation at 1,200 rpm for 3 minutes, and the expression of co-stimulatory factors (CD80, CD86) was analyzed by flow cytometry. The results are shown in Figure 10, the scaffold vaccine can effectively promote the maturation of DC cells, in addition, the blank scaffold can also improve the maturity of DC to a certain extent, which proves the potential adjuvant effect of the blank scaffold. The relevant cytokines secreted by DC cells after stimulation were analyzed by ELISA. The results are shown in Figure 11. After being stimulated by blank scaffolds and scaffold vaccines, BMDCs effectively secreted TNF-α, IL-1β, IL-6 and other cytokines , which provides a basis for the subsequent induction of a strong anti-tumor immune response in vivo.
实施例5:3D打印支架疫苗体内生物安全性以及细胞招募Example 5: In vivo biosafety and cell recruitment of 3D printed scaffold vaccines
(1)体内生物安全性(1) Biosafety in vivo
小鼠分别接种空白支架,支架疫苗,以及PBS,研究打印支架免疫疫苗在体内的生物安全性。在接种后第七天,收集小鼠主要器官,进行HE染色切片分析,结果如图12所示,在节中空白支架和支架疫苗后,小鼠的主要器官没有出现明显的损伤,证实了支架疫苗的生物安全性。此外,收集小鼠血液,加入抗凝剂进行血常规测试,结果如图13所示,实验处理组与对照组相比,血常规的主要参数均为出现明显变化,均在正常指标范围内,进一步证明了支架疫苗在体内应用的安全性和合理性。Mice were inoculated with blank scaffolds, scaffold vaccines, and PBS to study the biosafety of printed scaffold immune vaccines in vivo. On the seventh day after inoculation, the main organs of the mice were collected and analyzed by HE staining section. The results are shown in Figure 12. After the blank scaffold and scaffold vaccine in the section, the major organs of the mice did not appear obvious damage, which confirmed the scaffold Biosafety of vaccines. In addition, the blood of the mice was collected and anticoagulant was added for routine blood tests. The results are shown in Figure 13. Compared with the control group, the main parameters of the blood routine in the experimental treatment group were significantly changed, and they were all within the normal index range. It further proves the safety and rationality of scaffold vaccine application in vivo.
(2)体内免疫细胞招募(2) In vivo immune cell recruitment
分别在小鼠体内埋植空白支架以及支架免疫疫苗,研究在不同时间点的支架疫苗的体内免疫细胞招募情况以及相关的免疫细胞激活。结果如图14所示,支架疫苗可以有效的招募T细胞、B细胞、NK细胞、巨噬细胞以及DC细胞,此外,相比于空白支架,支架疫苗的免疫细胞招募效果也更好。在招募的免疫细胞中,DC细胞和巨噬细胞的比例最多,因此,研究了在两种不同支架中的DC细胞激活和巨噬细胞极化情况。如图15所示,支架疫苗中的DC细胞成熟度相较于空白支架更高,表明装载抗原后支架疫苗可以更有效的激活DC细胞,这与前述的体外DC细胞激活相一致。此外,支架疫苗中的DC细胞的抗原递呈水平也更明显,在第九天,抗原递呈分子MHC II的表达水平是空白支架的一倍,表明支架疫苗可以更有效的促进DC细胞的抗原识别和摄取。巨噬细胞的极化情况也证实支架疫苗相较于空白的 支架具有更好的免疫激活效果,在支架疫苗中,更多的巨噬细胞表现出M1型,巨噬细胞的抗原递呈水平也与DC细胞相一致,结果如图16所示。进一步证明,支架疫苗能更有效地促进抗原的识别和摄取,提高机体的免疫激活水平。Blank scaffolds and scaffold immunized vaccines were respectively implanted in mice, and the immune cell recruitment and related immune cell activation of scaffold vaccines at different time points were studied. The results are shown in Figure 14. The scaffold vaccine can effectively recruit T cells, B cells, NK cells, macrophages and DC cells. In addition, compared with the blank scaffold, the immune cell recruitment effect of the scaffold vaccine is also better. Among the recruited immune cells, DC cells and macrophages accounted for the largest proportion, therefore, DC cell activation and macrophage polarization in two different scaffolds were investigated. As shown in Figure 15, the maturity of DC cells in the scaffold vaccine is higher than that of the blank scaffold, indicating that the scaffold vaccine can activate DC cells more effectively after antigen loading, which is consistent with the aforementioned activation of DC cells in vitro. In addition, the antigen presentation level of DC cells in the scaffold vaccine is also more obvious. On the ninth day, the expression level of antigen-presenting molecule MHC II is twice that of the blank scaffold, indicating that the scaffold vaccine can more effectively promote the antigen expression of DC cells. identification and ingestion. The polarization of macrophages also confirmed that the scaffold vaccine had a better immune activation effect than the blank scaffold. In the scaffold vaccine, more macrophages showed M1 type, and the antigen presentation level of macrophages also decreased. Consistent with DC cells, the results are shown in Figure 16. It is further proved that the scaffold vaccine can more effectively promote the recognition and uptake of antigens, and improve the immune activation level of the body.
实施例6:3D打印支架疫苗体内肿瘤预防和抗肿瘤疗效Example 6: 3D printing scaffold vaccine in vivo tumor prevention and anti-tumor efficacy
通过构建预防模型来验证支架疫苗的体内肿瘤预防疗效。在小鼠接种支架疫苗后,用B16-OVA肿瘤细胞验证支架疫苗的预防疗效,通过检测肿瘤生长情况来判断肿瘤预防疗效。如图17所示,支架疫苗可以显著抑制肿瘤的生长,在联合anti-PD-L1治疗后,可以实现协同治疗,进而有效的抑制肿瘤的生长。支架疫苗组和联合治疗组的小鼠存活时间也得到有效延长,表明支架疫苗具有良好的预防疗效。此外,实验过程中小鼠的体重未出现明显的变化,也表明治疗方法具有较低的副作用,结果如图18所示。通过对肿瘤组织中的免疫细胞进行分析,研究了支架疫苗抑制肿瘤生长的内在机制。如图19所示,支架疫苗治疗组以及联合治疗组中CD8 +T细胞出现明显提高。在支架疫苗治疗后,CD8 +T细胞与Treg的比例也明显高于对照组,与此同时,Ki67,IFN-γ以及Granmezy B的表达水平也出现明显的提升,证实了在支架疫苗接种后,有效的激活了系统的免疫应答,形成了强健的抗肿瘤免疫微环境。 The in vivo tumor prevention efficacy of the scaffold vaccine was verified by constructing a prevention model. After the mice were inoculated with the scaffold vaccine, B16-OVA tumor cells were used to verify the preventive efficacy of the scaffold vaccine, and the tumor prevention efficacy was judged by detecting the tumor growth. As shown in Figure 17, the scaffold vaccine can significantly inhibit the growth of tumors, and after combined anti-PD-L1 treatment, synergistic treatment can be achieved, thereby effectively inhibiting the growth of tumors. The survival time of the mice in the scaffold vaccine group and the combined treatment group was also effectively prolonged, indicating that the scaffold vaccine has a good preventive effect. In addition, the body weight of the mice did not change significantly during the experiment, which also indicates that the treatment method has relatively low side effects, and the results are shown in FIG. 18 . Through the analysis of immune cells in tumor tissue, the intrinsic mechanism of scaffold vaccine to inhibit tumor growth was studied. As shown in Figure 19, CD8 + T cells were significantly increased in the scaffold vaccine treatment group and the combined treatment group. After scaffold vaccine treatment, the ratio of CD8 + T cells to Treg was also significantly higher than that of the control group. At the same time, the expression levels of Ki67, IFN-γ and Granmezy B also increased significantly, confirming that after scaffold vaccination, Effectively activate the immune response of the system and form a robust anti-tumor immune microenvironment.
实施例7:手术切除个性化定制3D打印支架疫苗及肿瘤预防Example 7: Surgical resection personalized customized 3D printing scaffold vaccine and tumor prevention
由于3D打印技术可以实现良好的生物仿生和制造,基于此,结合临床实际,我们将手术切除与支架疫苗相结合,构建个性化的3D打印支架疫苗。首先,我们通过激光扫描三维建模技术,对小鼠待切除肿瘤进行数学模拟,构建个性化肿瘤疫苗模型,结果如图20所示,通过3D打印技术可以有效的实现手术伤口的个性化定制化。在手术切除小鼠肿瘤后,将定制化的支架疫苗埋植在手术部位,进行伤口填充和二次免疫。随后研究在定制化手术填充和免疫后的小鼠对于肿瘤迁移和复发的疗效。结果如图21所示,个性化肿瘤疫苗可以有效的抑制肿瘤的生长,同时有效的延长小鼠的生存时间。联合anti-PD-L1可以更有效的抑制肿瘤的复发和迁徙,同时有效的保证术后小鼠的生存状况,结果如图22所示。在接种个性化疫苗后收集小鼠血清,研究小鼠血清中相关细胞因子的情况,结果如图23所示,在支架疫苗和联合治疗组中,小鼠血清中的TNF-α以及IFN-γ均明显上调,揭示了小鼠内在免疫系统的激活。收集小鼠肿瘤,通过HE染色切片分析发现手术切除后进行个性化肿瘤疫苗接种可以有效的抑制肿瘤的生长,结果如图24所示。Since 3D printing technology can achieve good biomimicry and manufacturing, based on this, combined with clinical practice, we combined surgical resection with scaffold vaccine to construct a personalized 3D printed scaffold vaccine. First, we used laser scanning 3D modeling technology to mathematically simulate the tumor to be resected in mice to build a personalized tumor vaccine model. The results are shown in Figure 20. 3D printing technology can effectively realize the personalized customization of surgical wounds . After the mouse tumor was surgically removed, the customized scaffold vaccine was implanted in the surgical site for wound filling and secondary immunization. The mice were subsequently studied for tumor migration and recurrence after customized surgical filling and immunization. The results are shown in FIG. 21 , the personalized tumor vaccine can effectively inhibit the growth of the tumor, and at the same time effectively prolong the survival time of the mice. Combining anti-PD-L1 can more effectively inhibit tumor recurrence and migration, and at the same time effectively ensure the survival of mice after surgery. The results are shown in Figure 22. After inoculation of personalized vaccines, mice serum was collected, and the relevant cytokines in mouse serum were studied. The results are shown in Figure 23. In the scaffold vaccine and combined treatment groups, TNF-α and IFN-γ in mouse serum Both were significantly up-regulated, revealing the activation of the intrinsic immune system in mice. The mouse tumors were collected, and analyzed by HE staining sections. It was found that individualized tumor vaccination after surgical resection could effectively inhibit the growth of tumors, and the results are shown in FIG. 24 .
综上,本发明的基于3D打印的肿瘤免疫疫苗不仅可以有效的实现肿瘤的预防,此外还可以充分利用3D打印技术的特点,实现肿瘤疫苗的批量稳定制造以及定制化制造。同时,肿瘤抗原可以作为支架疫苗的内在成分,促进支架疫苗力学性能的提升,支架疫苗通过支架组分的潜在佐剂效应也可以有效的招募免疫细胞,促进免疫细胞对抗原的识别和摄取,从而 实现“人工三级淋巴结”的构建,进而实现有效的免疫激活和肿瘤预防。To sum up, the 3D printing-based tumor immune vaccine of the present invention can not only effectively prevent tumors, but also can make full use of the characteristics of 3D printing technology to realize batch stable and customized manufacturing of tumor vaccines. At the same time, tumor antigens can be used as the internal components of the scaffold vaccine to promote the improvement of the mechanical properties of the scaffold vaccine. The potential adjuvant effect of the scaffold component can also effectively recruit immune cells to promote the recognition and uptake of immune cells to antigens, thereby Realize the construction of "artificial tertiary lymph nodes", and then realize effective immune activation and tumor prevention.
以上所述实施例仅是为充分说明本发明而所举的较佳的实施例,本发明的保护范围不限于此。本技术领域的技术人员在本发明基础上所作的等同替代或变换,均在本发明的保护范围之内。本发明的保护范围以权利要求书为准。The above-mentioned embodiments are only preferred embodiments for fully illustrating the present invention, and the protection scope of the present invention is not limited thereto. Equivalent substitutions or transformations made by those skilled in the art on the basis of the present invention are all within the protection scope of the present invention. The protection scope of the present invention shall be determined by the claims.

Claims (10)

  1. 一种3D打印的肿瘤疫苗组合物,其特征在于,所述的肿瘤疫苗组合物是将肿瘤抗原或疫苗制剂与生物安全性大分子材料制备成3D打印墨水,通过3D打印,制备多孔结构的肿瘤疫苗组合物;其中,所述的多孔结构是在肿瘤疫苗组合物的表面和内部设置若干孔径为1-10μm的孔隙。A 3D printed tumor vaccine composition, characterized in that the tumor vaccine composition is prepared from tumor antigens or vaccine preparations and biosafety macromolecular materials into 3D printing ink, and the porous structure of the tumor is prepared by 3D printing Vaccine composition; wherein, the porous structure is provided with several pores with a diameter of 1-10 μm on the surface and inside of the tumor vaccine composition.
  2. 根据权利要求1所述的肿瘤疫苗组合物,其特征在于,所述的生物安全性大分子材料为明胶、海藻酸钠、琼脂、聚乳酸、聚己内酯、纤维素、丝素蛋白、甲基丙烯酸酐化明胶、聚乙二醇二丙烯酸酯、聚乙烯吡咯烷酮、聚乙烯醇、聚乙二醇、聚丙烯酰胺及其衍生物、透明质酸、卡拉胶中的一种或多种。The tumor vaccine composition according to claim 1, wherein the biosafety macromolecular material is gelatin, sodium alginate, agar, polylactic acid, polycaprolactone, cellulose, silk fibroin, formazan One or more of acrylic anhydride-based gelatin, polyethylene glycol diacrylate, polyvinylpyrrolidone, polyvinyl alcohol, polyethylene glycol, polyacrylamide and its derivatives, hyaluronic acid, and carrageenan.
  3. 根据权利要求1所述的肿瘤疫苗组合物,其特征在于,所述的肿瘤抗原为可以被抗原递呈细胞识别摄取,在肿瘤发生、发展过程中新出现或过度表达的抗原物质。The tumor vaccine composition according to claim 1, characterized in that, the tumor antigen is an antigen substance that can be recognized and taken up by antigen-presenting cells, and newly appears or is overexpressed during tumorigenesis and development.
  4. 根据权利要求3所述的肿瘤疫苗组合物,其特征在于,所述的肿瘤抗原为癌胚抗原、糖基抗原、甲胎蛋白、糖蛋白抗原、细胞抗原、肿瘤裂解物中的一种或多种。The tumor vaccine composition according to claim 3, wherein the tumor antigen is one or more of carcinoembryonic antigen, glycosyl antigen, alpha-fetoprotein, glycoprotein antigen, cell antigen, tumor lysate kind.
  5. 根据权利要求1所述的肿瘤疫苗组合物,其特征在于,所述的若干孔径为1-10μm的孔隙阵列排布在肿瘤疫苗组合物的表面和内部。The tumor vaccine composition according to claim 1, wherein the plurality of pore arrays with a pore diameter of 1-10 μm are arranged on the surface and inside of the tumor vaccine composition.
  6. 一种权利要求1~5任一项所述的肿瘤疫苗组合物的制备方法,其特征在于,包括如下步骤:A preparation method of the tumor vaccine composition according to any one of claims 1 to 5, characterized in that it comprises the steps of:
    S1、将生物安全性大分子材料充分溶解,得到生物安全性大分子材料溶液;S1. Fully dissolving the biosafety macromolecular material to obtain a biosafety macromolecular material solution;
    S2、将肿瘤抗原或疫苗制剂制备成溶液,过滤除菌得到肿瘤抗原或疫苗制剂溶液;S2. Prepare the tumor antigen or vaccine preparation into a solution, and filter and sterilize to obtain the tumor antigen or vaccine preparation solution;
    S3、将生物安全性大分子材料溶液与肿瘤抗原或疫苗制剂溶液混合,并去除混合溶液中的气泡,得到3D打印墨水;S3. Mix the biosafety macromolecular material solution with the tumor antigen or vaccine preparation solution, and remove the air bubbles in the mixed solution to obtain 3D printing ink;
    S4、设置打印参数,构建打印模型,然后通过3D打印机打印制备肿瘤疫苗支架;S4. Set the printing parameters, construct the printing model, and then prepare the tumor vaccine scaffold by printing with a 3D printer;
    S5、打印结束后,对肿瘤疫苗支架进行固化交联,得到所述的肿瘤疫苗组合物。S5. After the printing is completed, the tumor vaccine scaffold is cured and cross-linked to obtain the tumor vaccine composition.
  7. 根据权利要求6所述的制备方法,其特征在于,所述的生物安全性大分子材料与所述的肿瘤抗原或疫苗制剂的质量比为1000:1-200:1。The preparation method according to claim 6, characterized in that the mass ratio of the biosafety macromolecular material to the tumor antigen or vaccine preparation is 1000:1-200:1.
  8. 根据权利要求6所述的制备方法,其特征在于,在S3步骤中,去除混合溶液中的气泡是将混合溶液超声处理3分钟以上,然后在1000~3000rpm下离心处理。The preparation method according to claim 6, characterized in that, in step S3, removing the air bubbles in the mixed solution is to ultrasonically treat the mixed solution for more than 3 minutes, and then centrifuge at 1000-3000 rpm.
  9. 根据权利要求6所述的制备方法,其特征在于,在S4步骤中,打印参数设置为:打印温度为20~30℃,打印速度为4-20mm/s,层高为0.2~04mm。The preparation method according to claim 6, characterized in that, in the step S4, the printing parameters are set as follows: the printing temperature is 20-30°C, the printing speed is 4-20mm/s, and the layer height is 0.2-04mm.
  10. 权利要求1~5任一项所述的肿瘤疫苗组合物在制备抗肿瘤免疫治疗与预防的 药物中的应用。The application of the tumor vaccine composition described in any one of claims 1 to 5 in the preparation of anti-tumor immunotherapy and prevention drugs.
PCT/CN2021/141918 2021-08-03 2021-12-28 3d-printed tumor vaccine composition, preparation method therefor, and application thereof WO2023010784A1 (en)

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