PT - JOURNAL ARTICLE AU - Bari, Elia AU - Ferrera, Francesca AU - Altosole, Tiziana AU - Perteghella, Sara AU - Mauri, Pierluigi AU - Rossi, Rossana AU - Passignani, Giulia AU - Mastracci, Luca AU - Galati, Martina AU - Astone, Giuseppina Iliana AU - Mastrogiacomo, Maddalena AU - Castagnola, Patrizio AU - Fenoglio, Daniela AU - Di Silvestre, Dario AU - Torre, Maria Luisa AU - Filaci, Gilberto TI - Trojan-horse silk fibroin nanocarriers loaded with a re-call antigen to redirect immunity against cancer AID - 10.1136/jitc-2022-005916 DP - 2023 Jan 01 TA - Journal for ImmunoTherapy of Cancer PG - e005916 VI - 11 IP - 1 4099 - http://jitc.bmj.com/content/11/1/e005916.short 4100 - http://jitc.bmj.com/content/11/1/e005916.full SO - J Immunother Cancer2023 Jan 01; 11 AB - Background The current challenge for immunotherapies is to generate effective antitumor immunity. Since tumor immune escape mechanisms do not impact pre-existing and consolidated immune responses, we tested the hypothesis of redirecting a pregenerated immunity to cancer: to recall a non-tumor antigen response against the tumor, silk fibroin nanoparticles (SFNs) have been selected as ‘Trojan-horse’ carriers, promoting the antigen uptake by the tumor cells.Methods SFNs have been loaded with either ovalbumin (OVA) or CpG oligonucleotide (CpG) as antigen or adjuvant, respectively. In vitro uptake of SFNs by tumor (B16/F10 melanoma and MB49 bladder cancer) or dendritic cells, as well as the presence of OVA-specific T cells in splenic and tumor-infiltrating lymphocytes, were assessed by cytometric analyses. Proof-of-concept of in vivo efficacy was achieved in an OVA-hyperimmune B16/F10 murine melanoma model: SFNs-OVA or SFNs-CpG were injected, separately or in association, into the subcutaneous peritumoral area. Cancer dimensions/survival time were monitored, while, at the molecular level, system biology approaches based on graph theory and experimental proteomic data were performed.Results SFNs were efficiently in vitro uptaken by cancer and dendritic cells. In vivo peritumor administration of SFNs-OVA redirected OVA-specific cytotoxic T cells intratumorally. Proteomics and systems biology showed that peritumoral treatment with either SFNs-OVA or SFNs-CpG dramatically modified tumor microenvironment with respect to the control (CTR), mainly involving functional modules and hubs related to angiogenesis, inflammatory mediators, immune function, T complex and serpins expression, redox homeostasis, and energetic metabolism. Both SFNs-OVA and SFNs-CpG significantly delayed melanoma growth/survival time, and their effect was additive.Conclusions Both SFNs-OVA and SFNs-CpG induce effective anticancer response through complementary mechanisms and show the efficacy of an innovative active immunotherapy approach based on the redirection of pre-existing immunity against cancer cells. This approach could be universally applied for solid cancer treatments if translated into the clinic using re-call antigens of childhood vaccination.All data relevant to the study are included in the article or uploaded as supplementary information. All data are available in the main text or the Supplemental materials.