Protein-based
vaccines have significant potential as
infectious disease and anticancer
therapeutics, but clinical impact has been limited in some applications by their inability to generate a coordinated cellular immune response. Here, a pH-responsive carrier incorporating poly(propylacrylic
acid) (
PPAA) was evaluated to test whether improved cytosolic delivery of a
protein antigen could enhance CD8+ cytotoxic lymphocyte generation and prophylactic
tumor vaccine responses.
PPAA was directly conjugated to the model
ovalbumin antigen via reducible
disulfide linkages and was also tested in a particulate formulation after condensation with cationic poly(dimethylaminoethyl
methacrylate) (
PDMAEMA). Intracellular trafficking studies revealed that both
PPAA-containing formulations were stably internalized and evaded exocytotic pathways, leading to increased intracellular accumulation and potential access to the cytosolic MHC-1 antigen presentation pathway. In an EG.7-OVA mouse
tumor protection model, both
PPAA-containing carriers robustly inhibited
tumor growth and led to an approximately 3.5-fold increase in the longevity of
tumor-free survival relative to controls. Mechanistically, this response was attributed to the 8-fold increase in production of
ovalbumin-specific CD8+ T-lymphocytes and an 11-fold increase in production of antiovalbumin
IgG. Significantly, this is one of the first demonstrated examples of in vivo immunotherapeutic efficacy using soluble
protein-
polymer conjugates. These results suggest that carriers enhancing cytosolic delivery of
protein antigens could lead to more robust CD8+ T-cell response and demonstrate the potential of pH-responsive
PPAA-based carriers for therapeutic
vaccine applications.