using nanostructured materials to modulate the immune system€¦ · • 1590 n/m for short versus...
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Using Nanostructured Materials to Modulate the
Immune System
Tejal A. Desai
Professor and Chair
Dept. of Bioengineering and Therapeutic Sciences
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How can material structure modulate cellular function for therapeutic purposes?
Transdermal Oral Retinal Cardiac
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Can we tune material structure to modulate
fibrosis?
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Fibrosis: Fibroblasts Activated by Aberrant Mechanical Tension and TGFβ
Wound Healing
Fibrosis
TGFβ
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High Aspect Ratio Features Provide Anti-fibrotic Signals
Kam, et. al, Nanoletters 2013; Tissue Engineering 2014
FITC-IgG Adsorption Vinculin, F-Actin, DAPI
P(20)
3 mm
3 mm
P(1)
10 mm 10 mm
10 mm 10 mm 20 mm
20 mm
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Long aspect ratio structures inhibit fibroblast activation in vitro
Allen, Ryu et al., 2016
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Long Structures Decrease Fibrotic Response in vivo
Allen, J. and Ryu, J. et al, Tissue Engineering part A 2015 Submitted 8
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Nanorod fabrication scheme
Zamecnik et al., ACS Nano 2017.
Scale Bar 20μm
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Merge Phalloidin Nanowires DAPI
No
nan
ow
ires
Lo
w
nan
ow
ires
Hig
h
nan
ow
ires
Nanowires alter cellular morphology and actin cytoskeleton
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Nanowires decrease TGFβ and collagen transcription
0
0.5
1
1.5
2
2.5
TGFbeta TBRII COL1
Fo
ld C
han
ge
RTqPCR
No nanowires + TGF
Low nanowires + TGF
High nanowires + TGF
**
**
*
*
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Can we use “nanostructure” to enhance
immunotherapy?
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Features vs. Challenges
Small signaling
protein
Received
interest in for
cancer &
autoimmune
disease
Short
half-life
Not bioavailable
Pleiotropic
>30% require
hospitalization
IFNγ
TNFα
IL-2
Systemic Cytokine Therapy
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Endogenous cytokine capture for prolonged
& localized immune activation
Longer
half life
Applicable to
many cytokine
targets
Targeted delivery
Reduced side
effects
Tailored Immune
Response
Cytokine Capture
Strategy
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Endogenous
cytokine complexes
with antibody
Localized, cell
specific
activation Cellular influx
Loose network
formation
Subcutaneous
injection
T= 0 T= minutes T= hours T= days
- Receptor A
- Receptor
B
a b c d
Nanostructures as an injectable cytokine trap
Zamecnik et al., ACS Nano 2017.
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N
W
o
nly
N
W
+
A
b
N
W
+
R
ed
uc
ed
A
b
0
5 0
1 0 0
1 5 0
N W F I T C - I G G C o n j u g a t i o n
Fl
uo
re
sc
en
ce
In
te
ns
it
y * * * * p < 0 . 0 0 0 1
* * * * p < 0 . 0 0 0 1
a b
d c
Ab
Ab
Ab
e
0 . 0 0 0 . 0 5 0 . 1 0
0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
C o n c . o f N W - A b
Co
nc
.
of
I
L-
2
Bo
un
d
to
N
W
s a t u r a t i o n o f b i n d i n g
Reduced Antibody Native Antibody
Scale Bar 20μm
Nanowires can conjugate to IgG species and sequester cytokines
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Nanowires persist in vivo for >6 weeks 2 week 4 week 6 week
DAPI
F4/80
NWs
Scale bar - 100μm
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Sprent et al., 2012
Can we use this strategy to activate T cells specifically and locally?
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Lymph
Node
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
0
1 0
2 0
3 0
4 0
%K
i6
7+
N a t u r a l K i l l e r
* * * p < 0 . 0 0 0 1
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
0
2 0
4 0
6 0
8 0
%C
D1
22
+
C D 8
* * p < 0 . 0 0 5 * p < 0 . 0 5
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
4 0
5 0
6 0
7 0
8 0
%C
D2
5+
T r e g
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
0
1 0
2 0
3 0
4 0
5 0
%K
i6
7+
N a t u r a l K i l l e r
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
0
2
4
6
8
%C
D1
22
+
C D 8
* p < 0 . 0 0 3
* p < 0 . 0 5
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
4 0
4 5
5 0
5 5
6 0
6 5
%
CD
25
+
T r e g
Skin IL-2 S4B6
Strong signal Weak signal
CD122
+ CD25
CD8 Memory
T cells, NK
Cells
Regulatory T
Cells
CD122
S4B6 antibody-conjugated wires locally activate NK andd CD8 Cells in vivo
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IL-2 JES6-1
Strong signal Weak signal
CD122
only
Tregs NK and
effector T
cells
CD25
JES6-1-NWs locally activate Tregs and inhibit Teffs in the skin
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
4 0
5 0
6 0
7 0
8 0
E f f e c t o r T C e l l s
%
Pa
re
nt
p < 0 . 0 5
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
0
2 0
4 0
6 0
R e g u l a t o r y T C e l l s
%
Pa
re
nt
p < 0 . 0 5
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
0
1 0
2 0
3 0
C D 8 T C e l l s
%
Pa
re
nt
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
5 0
6 0
7 0
8 0
9 0
C D 4 T C e l l s
%
Pa
re
nt
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IL-2 JES6-1
Strong signal Weak signal
CD122
only
Tregs NK and
effector T
cells
CD25
JES6-1 NWs have little effect in the draining lymph nodes
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
8 0
8 5
9 0
9 5
1 0 0
E f f e c t o r T C e l l s
%
Pa
re
nt
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
6
8
1 0
1 2
1 4
R e g u l a t o r y T C e l l s
%
Pa
re
nt
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
0
1 0
2 0
3 0
4 0
C D 8 T C e l l s
%
Pa
re
nt
N
an
ow
ir
es
A
b N
an
ow
ir
es
A
b o
nly
6 0
6 5
7 0
7 5
8 0
8 5
9 0
C D 4 T C e l l s
%
Pa
re
nt
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Disease Model –K5-TGO-DO11 Autoimmune Skin Disease
• K5-TGO-DO11 transgenic mouse that exhibits antigen specific immune response to OVA
• OVA under control of tetracycline promotor in keratinocytes,
• Leads to acute dermatitis and influx of CD4’s into the skin
Hypothesis – local augmentation of Treg activation before antigen is turned on will ameliorate disease phenotype
Rosenblum et al, Nature, 2011
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B
la
nk
, -
D
is
ea
se
A
b-
N
W
, -
D
is
ea
se
B
la
nk
, +
D
is
ea
se
A
b-
N
W
, +
D
is
ea
se
0
2 0
4 0
6 0
8 0
T e f f ( D O 1 1 S u b s e t ) % C T L A - 4 +
%
Pa
re
nt
B
la
nk
, -
D
is
ea
se
A
b-
N
W
, -
D
is
ea
se
B
la
nk
, +
D
is
ea
se
A
b-
N
W
, +
D
is
ea
se
0
2 0
4 0
6 0
8 0
T e f f ( D O 1 1 S u b s e t ) % K i 6 7 +
%
Pa
re
nt
B
la
nk
, -
D
is
ea
se
A
b-
N
W
, -
D
is
ea
se
B
la
nk
, +
D
is
ea
se
A
b-
N
W
, +
D
is
ea
se
7 0
8 0
9 0
1 0 0
T r e g ( D O 1 1 S u b s e t ) % C T L A - 4 +
%
Pa
re
nt
* * *
B
la
nk
, -
D
is
ea
se
A
b-
N
W
, -
D
is
ea
se
B
la
nk
, +
D
is
ea
se
A
b-
N
W
, +
D
is
ea
se
0
2 0
4 0
6 0
8 0
1 0 0
T r e g ( D O 1 1 S u b s e t ) % K i 6 7 +
%
Pa
re
nt
* * *
Ab-NWs selectively activate antigen specific Tregs - but not effector cells - in the skin
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Decreased epithelial hyperplasia and myeloid infiltrate observed in vivo
No Treatment (Blank wires) Treated (AB-NWs)
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“Nanostructured” implants for improved wound healing: Stents and Vascular Grafts
Lee et al, Nanoletters 2014; ACS Biomaterial Science, 2016
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Injected Microstructures preserve and improve cardiac output after MI
Le LV et al., Biomaterials 2018
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Harnessing micro- and nano-topographical cues for therapy
Smooth
Muscle
Cells
Endothelial
Cells
Epithelial
Cells
Fibroblasts
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Acknowledgements
• NIH • NSF • JDRF • Zambon Ltd • Al Mann Institute • CIRM • Eli Lily • Abbvie • Santen • Gates Foundation
The Therapeutic Micro and
Nanotechnology Laboratory
at UCSF
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Characterizing mechanics of fibers
Nanoindentation:
• 1590 N/m for short versus 750 N/m for long microfibers (** p < 0.01, n ≥ 12)
• constant prescribed displacement rate of 10 nm/s
with Julia Greer at Caltech