Booty et al. showed that, by comparison to antigen endocytosis by DCs, antigens directly delivered to the cytosol by gentle microfluidic squeezing triggered CD8+ T cells about 1000 times more efficiently. Activation was observed using squeezed cells of diverse and plentiful phenotypes (e.g., T cells, B cells, and splenocytes in mice; PBMCs in humans). In mice, squeezed cells loaded with tumor antigen resulted in T cell activation, tumor growth inhibition, and prolonged survival. These data suggest that, as highly efficient elicitors of CD8+ T cell responses, squeezed cells may have clinical potential as cancer therapeutics.
Contributed by Margot O’Toole
ABSTRACT: CD8(+) T cell responses are the foundation of the recent clinical success of immunotherapy in oncologic indications. Although checkpoint inhibitors have enhanced the activity of existing CD8(+) T cell responses, therapeutic approaches to generate Ag-specific CD8(+) T cell responses have had limited success. Here, we demonstrate that cytosolic delivery of Ag through microfluidic squeezing enables MHC class I presentation to CD8(+) T cells by diverse cell types. In murine dendritic cells (DCs), squeezed DCs were _1000-fold more potent at eliciting CD8(+) T cell responses than DCs cross-presenting the same amount of protein Ag. The approach also enabled engineering of less conventional APCs, such as T cells, for effective priming of CD8(+) T cells in vitro and in vivo. Mixtures of immune cells, such as murine splenocytes, also elicited CD8(+) T cell responses in vivo when squeezed with Ag. We demonstrate that squeezing enables effective MHC class I presentation by human DCs, T cells, B cells, and PBMCs and that, in clinical scale formats, the system can squeeze up to 2 billion cells per minute. Using the human papillomavirus 16 (HPV16) murine model, TC-1, we demonstrate that squeezed B cells, T cells, and unfractionated splenocytes elicit antitumor immunity and correlate with an influx of HPV-specific CD8(+) T cells such that >80% of CD8s in the tumor were HPV specific. Together, these findings demonstrate the potential of cytosolic Ag delivery to drive robust CD8(+) T cell responses and illustrate the potential for an autologous cell-based vaccine with minimal turnaround time for patients.