Engineered Small Extracellular Vesicles as a FGL1/PD-L1 Dual-Targeting Delivery System for Alleviating Immune Rejection

  • Hsiang i. Tsai
  • , Yingyi Wu
  • , Xiaoyan Liu
  • , Zhanxue Xu
  • , Longshan Liu
  • , Changxi Wang
  • , Huanxi Zhang
  • , Yisheng Huang
  • , Linglu Wang
  • , Weixian Zhang
  • , Dandan Su
  • , Fahim Ullah Khan
  • , Xiaofeng Zhu
  • , Rongya Yang
  • , Yuxin Pang
  • , John E. Eriksson
  • , Haitao Zhu
  • , Dongqing Wang
  • , Bo Jia
  • , Fang Cheng*
  • Hongbo Chen
*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

55 Citations (Scopus)
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Abstract

There is an urgent need for developing new immunosuppressive agents due to the toxicity of long-term use of broad immunosuppressive agents after organ transplantation. Comprehensive sample analysis revealed dysregulation of FGL1/LAG-3 and PD-L1/PD-1 immune checkpoints in allogeneic heart transplantation mice and clinical kidney transplant patients. In order to enhance these two immunosuppressive signal axes, a bioengineering strategy is developed to simultaneously display FGL1/PD-L1 (FP) on the surface of small extracellular vesicles (sEVs). Among various cell sources, FP sEVs derived from mesenchymal stem cells (MSCs) not only enriches FGL1/PD-L1 expression but also maintain the immunomodulatory properties of unmodified MSC sEVs. Next, it is confirmed that FGL1 and PD-L1 on sEVs are specifically bound to their receptors, LAG-3 and PD-1 on target cells. Importantly, FP sEVs significantly inhibite T cell activation and proliferation in vitro and a heart allograft model. Furthermore, FP sEVs encapsulated with low-dose FK506 (FP sEVs@FK506) exert stronger effects on inhibiting T cell proliferation, reducing CD8+ T cell density and cytokine production in the spleens and heart grafts, inducing regulatory T cells in lymph nodes, and extending graft survival. Taken together, dual-targeting sEVs have the potential to boost the immune inhibitory signalings in synergy and slow down transplant rejection.

Original languageEnglish
Article number2102634
JournalAdvanced Science
Volume9
Issue number3
DOIs
Publication statusPublished - 2021
MoE publication typeA1 Journal article-refereed

Funding

H‐i T., Y.Y.W., and X.Y.L contributed equally to this work. This research was supported by the National Natural Science Foundation of China (81702750, 81970145 and 82001698); Natural Science Foundation of Guangdong Province (2020A1515011465 and 2020A151501467); Science, Technology & Innovation Commission of Shenzhen Municipality (JCYJ20180307154700308, JCYJ20170818163844015, JCYJ20180307151420045, JCYJ20190807151609464, JCYJ20200109142605909 and JCYJ20210324120007020); Sun Yat‐sen University (20ykzd17 and 20ykpy122); International Collaboration of Science and Technology of Guangdong Province (2020A0505100031); Guangdong Provincial Key Laboratory of Digestive Cancer Research (No. 2021B1212040006); The Social Development Foundation of Jiangsu Province (BE2018691) and Sigrid Jusélius Foundation in Finland for funding the project. H-i T., Y.Y.W., and X.Y.L contributed equally to this work. This research was supported by the National Natural Science Foundation of China (81702750, 81970145 and 82001698); Natural Science Foundation of Guangdong Province (2020A1515011465 and 2020A151501467); Science, Technology & Innovation Commission of Shenzhen Municipality (JCYJ20180307154700308, JCYJ20170818163844015, JCYJ20180307151420045, JCYJ20190807151609464, JCYJ20200109142605909 and JCYJ20210324120007020); Sun Yat-sen University (20ykzd17 and 20ykpy122); International Collaboration of Science and Technology of Guangdong Province (2020A0505100031); Guangdong Provincial Key Laboratory of Digestive Cancer Research (No. 2021B1212040006); The Social Development?Foundation of Jiangsu Province?(BE2018691) and Sigrid Jus?lius?Foundation in Finland for funding the project.

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