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Development of Adamantane-Conjugated TLR7/8 Agonists for Supramolecular Delivery and Cancer Immunotherapy
Journal article   Open access   Peer reviewed

Development of Adamantane-Conjugated TLR7/8 Agonists for Supramolecular Delivery and Cancer Immunotherapy

Christopher B Rodell, Maaz S Ahmed, Christopher S Garris, Mikael J Pittet and Ralph Weissleder
Theranostics, v 9(26), pp 8426-8436
2019
PMID: 31879528
url
https://doi.org/10.7150/thno.35434View
Published, Version of Record (VoR)CC BY-NC V4.0 Open

Abstract

Adamantane - chemistry Animals Cell Proliferation - drug effects Cyclodextrins - chemistry Female Imidazoles - pharmacology Immunotherapy - methods Macrophages - drug effects Macrophages - metabolism Mice Mice, Inbred C57BL Nanoparticles - chemistry RAW 264.7 Cells Toll-Like Receptor 7 - agonists Toll-Like Receptor 8 - antagonists & inhibitors
Tumor-associated macrophages (TAMs) are often abundant in solid cancers, assuming an immunosuppressive (M2-like) phenotype which supports tumor growth and immune escape. Recent methods have focused on identification of means (e.g., drugs, nanomaterials) that polarize TAMs to a tumor suppressive (M1-like) phenotype; however, reducing the systemic side effects of these therapies and enabling their delivery to TAMs has remained a challenge. Here, we develop R848-Ad, an adamantane-modified derivative of the toll-like receptor (TLR) 7/8 agonist resiquimod (R848) through iterative drug screening against reporter cell lines. The adamantane undergoes guest-host interaction with cyclodextrin nanoparticles (CDNPs), enabling drug loading under aqueous conditions and TAM-targeted drug delivery. Therapeutic efficacy and systemic side effects were examined in a murine MC38 cancer model. R848-Ad retained macrophage polarizing activity through agonization of TLR7/8, and the adamantane moiety improved drug affinity for the CDNP. In preclinical studies, nanoformulated R848-Ad resulted in a drastic reduction in measurable systemic effects (loss of body weight) relative to similarly formulated R848 alone while arresting tumor growth. The findings demonstrate the ability of strong nanoparticle-drug interactions to limit systemic toxicity of TLR agonists while simultaneously maintaining therapeutic efficacy.

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Medicine, Research & Experimental
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