Programmed cell death protein-1 (PD-1) on T-cells combined with programmed cell death ligand-1 (PD-L1) critically accounts for tumor immune evasion. Anti-PD-1 (aPD-1) blocks the binding of PD-1 to PD-L1, thus allowing T-cell activation for
tumor cell eradication. Currently, the major challenges for
cancer immunotherapy are how to improve the response rate and overcome drug resistance.
Dermal administration turns out to be a promising route for
immunotherapy since skin is a highly active immune organ containing a large population of resident antigen-presenting cells. Microneedle arrays can pierce the immune-cell-rich epidermis, leading to a robust T-cell response in the microenvironment of
tumor cells. Herein, we successfully developed a microneedle patch loaded with pH-responsive
tumor-targeted
lipid nanoparticles (NPs), which allows local delivery of aPD-1 and
cisplatin (CDDP) precisely to
cancer tissues for
cancer therapy. For in vivo studies, aPD-1/CDDP@NPs delivered through microneedles effectively boosted the immune response, thereby a remarkable effect on
tumor regression was realized. Synergistic anticancer mechanisms were therefore activated through robust microneedle-induced T-cell response, blockage of PD-1 in T-cells by aPD-1, and an increase in direct cytotoxicity of CDDP in
tumor cells. Strikingly, transdermal delivery using MNs increased the response rate in the animal model unresponsive to aPD-1 systemic
therapy. This exhibited promise in the treatment of
immunotherapy-unresponsive
cancers. Taken together, microneedle-mediated local delivery of nano-encapsulated chemotherapeutic and immunotherapeutic agents at
tumor skin sites provides a novel treatment strategy and insights into
cancer therapy.