The in vivo therapeutic efficacy of DC-based
cancer vaccines is limited by suboptimal DC maturation protocols. Although delivery of TLR adjuvants systemically boosts DC-based
cancer vaccine efficacy, it could also increase toxicity. Here, we have engineered a
drug-inducible, composite activation receptor for DCs (referred to herein as DC-CAR) comprising the TLR adaptor MyD88, the CD40 cytoplasmic region, and 2
ligand-binding
FKBP12 domains. Administration of a
lipid-permeant dimerizing
ligand (
AP1903) induced oligomerization and activation of this fusion
protein, which we termed iMyD88/CD40.
AP1903 administration to vaccinated mice enabled prolonged and targeted activation of iMyD88/CD40-modified DCs. Compared with conventionally matured DCs, AP1903-activated iMyD88/CD40-DCs had increased activation of proinflammatory MAPKs. AP1903-activated iMyD88/CD40-transduced human or mouse DCs also produced higher levels of Th1
cytokines, showed improved migration in vivo, and enhanced both
antigen-specific CD8+ T cell responses and innate NK cell responses. Furthermore, treatment with
AP1903 in vaccinated mice led to robust antitumor immunity against preestablished E.G7-OVA
lymphomas and aggressive B16.F10
tumors. Thus, the iMyD88/CD40 unified "switch" effectively and safely replaced exogenous adjuvant cocktails, allowing remote and sustained DC activation in vivo. DC "licensing" through iMyD88/CD40 may represent a mechanism by which to exploit the natural synergy between the TLR and CD40 signaling pathways in DCs using a single small molecule
drug and could augment the efficacy of antitumor DC-based
vaccines.