Improving the efficacy and safety of biologic drugs with tolerogenic nanoparticles

TK Kishimoto, JD Ferrari, RA LaMothe, PN Kolte… - Nature …, 2016 - nature.com
TK Kishimoto, JD Ferrari, RA LaMothe, PN Kolte, AP Griset, C O'Neil, V Chan, E Browning…
Nature nanotechnology, 2016nature.com
The development of antidrug antibodies (ADAs) is a common cause for the failure of
biotherapeutic treatments and adverse hypersensitivity reactions. Here we demonstrate that
poly (lactic-co-glycolic acid)(PLGA) nanoparticles carrying rapamycin, but not free
rapamycin, are capable of inducing durable immunological tolerance to co-administered
proteins that is characterized by the induction of tolerogenic dendritic cells, an increase in
regulatory T cells, a reduction in B cell activation and germinal centre formation, and the …
Abstract
The development of antidrug antibodies (ADAs) is a common cause for the failure of biotherapeutic treatments and adverse hypersensitivity reactions. Here we demonstrate that poly(lactic-co-glycolic acid) (PLGA) nanoparticles carrying rapamycin, but not free rapamycin, are capable of inducing durable immunological tolerance to co-administered proteins that is characterized by the induction of tolerogenic dendritic cells, an increase in regulatory T cells, a reduction in B cell activation and germinal centre formation, and the inhibition of antigen-specific hypersensitivity reactions. Intravenous co-administration of tolerogenic nanoparticles with pegylated uricase inhibited the formation of ADAs in mice and non-human primates and normalized serum uric acid levels in uricase-deficient mice. Similarly, the subcutaneous co-administration of nanoparticles with adalimumab resulted in the durable inhibition of ADAs, leading to normalized pharmacokinetics of the anti-TNFα antibody and protection against arthritis in TNFα transgenic mice. Adjunct therapy with tolerogenic nanoparticles represents a novel and broadly applicable approach to prevent the formation of ADAs against biologic therapies.
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