Tondini and Reintjens et al. showed that covalent conjugation of adjuvant CRX-527, a TLR4 ligand comprised of a detoxified lipid A analog, to MHC-I and -II-restricted TH and CTL peptide antigens improved antigen uptake by and maturation of DCs and specific T cell activation in vitro. Intradermal injection of mice with peptide–CRX-527 conjugates stimulated DC migration and peptide-specific T cell priming and expansion, and enhanced tumor protection and host survival in prophylactic and therapeutic vaccination models. Antitumor activity was greatest when hosts were vaccinated with both MHC-I and -II-restricted peptide–CRX-527 conjugates.
Contributed by Paula Hochman
ABSTRACT: Adjuvants play a determinant role in cancer vaccination by optimally activating APCs and shaping the T cell response. Bacterial-derived lipid A is one of the most potent immune-stimulators known, and is recognized via Toll-like receptor 4 (TLR4). In this study, we explore the use of the synthetic, non-toxic, lipid A analog CRX-527 as an adjuvant for peptide cancer vaccines. This well-defined adjuvant was covalently conjugated to antigenic peptides as a strategy to improve vaccine efficacy. We show that coupling of this TLR4 agonist to peptide antigens improves vaccine uptake by dendritic cells (DCs), maturation of DCs and T cell activation in vitro, and stimulates DC migration and functional T cell priming in vivo. This translates into enhanced tumor protection upon prophylactic and therapeutic vaccination via intradermal injection against B16-OVA melanoma and HPV-related TC1 tumors. These results highlight the potential of CRX-527 as an adjuvant for molecularly defined cancer vaccines, and support the design of adjuvant-peptide conjugates as a strategy to optimize vaccine formulation.