Intratumoural vaccination via checkpoint degradation-coupled antigen presentation

Nature. 2026 Feb;650(8102):736-747. doi: 10.1038/s41586-025-09903-1. Epub 2026 Jan 7.

Abstract

Decreased cross-presentation by antigen-presenting cells induces the scarcity of tumour-reactive T cells within the tumour bed, rendering in situ T cell rejuvenation through immunogenicity reprogramming highly desirable yet challenging1-3. Here we developed an intratumoural vaccination chimera (iVAC) to reprogram tumour cells into an antigen-presenting state (APC-like tumour cells) with restored anti-tumour immunity. The iVAC chimeras consist of a covalently engineered PD-L1 degrader conjugated to immunogenic antigens, which could relieve immune checkpoint inhibition while enforcing the cross-presentation of exogenous antigens. Functionally, the iVAC-induced antigen processing and presentation elicited potent tumour killing through reactivation of resident antigen-specific CD8+ T cells, which simultaneously remodelled the tumour microenvironment to promote durable tumour-specific immunity. Extending this strategy, we used iVAC with a cytomegalovirus (CMV)-derived antigen to activate CMV-specific T cells against breast cancer in vitro, in a humanized mouse model as well as in a patient-derived tumour model. This study establishes a foundation for chemically reprogramming cancer cells within tumour beds to endow APC-like functions, providing an avenue for stimulating anti-tumour immunity.

MeSH terms

  • Animals
  • Antigen Presentation* / immunology
  • Antigen-Presenting Cells / immunology
  • Antigens, Neoplasm / immunology
  • Antigens, Viral / immunology
  • B7-H1 Antigen / antagonists & inhibitors
  • B7-H1 Antigen / immunology
  • B7-H1 Antigen / metabolism
  • Breast Neoplasms* / immunology
  • Breast Neoplasms* / pathology
  • Breast Neoplasms* / therapy
  • CD8-Positive T-Lymphocytes / immunology
  • Cancer Vaccines* / administration & dosage
  • Cancer Vaccines* / immunology
  • Cell Line, Tumor
  • Cross-Priming / immunology
  • Cytomegalovirus / immunology
  • Female
  • Humans
  • Mice
  • Proteolysis
  • Tumor Microenvironment / immunology
  • Vaccination

Substances

  • Antigens, Neoplasm
  • Antigens, Viral
  • B7-H1 Antigen
  • Cancer Vaccines