Article
Author: Huang, Lei ; Wang, Qiuhe ; Tang, Dean G. ; Xu, Zhuya ; Liang, Shujing ; Zhong, Zhixian ; Xu, Mingcheng ; Dong, Chunyan ; Ren, Jiale ; Yang, Jingxian ; Xu, Congcong ; Wu, Jichuan ; Jamroze, Anmbreen ; Shen, Haifa ; Fan, Ting ; Zhu, Zhounan ; Chen, Chunxiu ; Tang, Yuying ; Zhu, Hanfei ; Cai, Yihua ; Ma, Xiaopin ; Yu, Bo ; Chen, Fengjia ; Li, Qianyun ; Cao, Wanlu ; Zhang, Mingna ; Li, Hangwen
mRNA neoantigen cancer vaccine inducing neoantigen-specific T cell responses holds great promise for cancer immunotherapy; however, its clinical translation remains challenging because of suboptimal neoantigen prediction accuracy and low delivery efficiency, which compromise the in vivo therapeutic efficacy. We present a lipopolyplex (LPP)–formulated mRNA cancer vaccine encoding tandem neoantigens as a cancer therapeutic regimen. The LPP-formulated mRNA vaccines elicited robust neoantigen-specific CD8
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T cell responses in three syngeneic murine tumor models (CT26, MC38, and B16F10) to suppress tumor growth. Prophylactic cancer vaccine treatment completely prevented tumor development, and long-lasting memory T cells protected mice from tumor cell rechallenge. Combining the vaccine with immune checkpoint inhibitor further boosted the antitumor activity. Of note, LPP-based personalized cancer vaccine was administered in two cancer patients and induced meaningful neoantigen-specific T cell and clinical responses. In conclusion, we demonstrated that the LPP-based mRNA vaccine can elicit strong antitumor immune responses, and the results support further clinical evaluation of the therapeutic mRNA cancer vaccine.