While combating the spread of infectious diseases, vaccination stands as a highly effective method for preventing hospitalization and fatality[1, 2]. Despite most marketed vaccines consisting of attenuated or inactivated pathogens, the trend is shifting towards the design of microbial subunit vaccines based on specific antigenic components from the pathogens. As microbial subunit vaccines do not contain live components of the pathogen, there is no risk of disease transmission, making them safer and more stable than vaccines containing whole pathogens[3]. Among subunit vaccines, virus-like particles (VLPs) formed by self-assembled viral proteins are highly desirable due to their exceptional immunogenicity[4, 5]. The Hepatitis B surface antigen (HBsAg) and human papillomavirus (HPV) vaccines are well-known examples of VLP-based vaccines[6–8]. However, VLP-based vaccines face several interrelated pharmacological challenges, including rapid degradation and clearance, low accumulation in secondary lymphoid organs, and inefficient delivery of antigen to the MHC class I antigen processing pathway, which is crucial for inducing a CD8 + T cell response[9–11]. As a result, VLP-based antigens alone may not be immunogenic enough, and often require the addition of appropriate adjuvants to enhance the immune response[12].
Adjuvants are immunomodulatory substances added to vaccines for several benefits, such as enhanced immunogenicity, antigen dose sparing, quicker immune response, prolonged duration of prophylaxis, and less booster vaccinations[13, 14]. Adjuvants act as an antigen reservoir and increase the duration of antigen presentation to immune cells. They also stimulate the recruitment and activation of antigen-presenting cells (APCs), which play a critical role in immunostimulation. APCs process vaccine antigens and transport them to draining lymph nodes, where they promote the proliferation and differentiation of T and B cells[15].
To date, most licensed VLP-based vaccines utilize the classic aluminum adjuvants, such as aluminum hydroxide or aluminum phosphate. These adjuvants are highly effective in enhancing antibody responses as they can adsorb antigens through electrostatic interaction, which helps to maintain the physiochemical properties and stability of the vaccine[16]. When injected, antigens that are bound with adjuvants diffuse more slowly from the site of administration, allowing antigen-presenting cells (APCs) to accumulate for better recognition, processing, and presentation of the antigens. Flach et al. demonstrated that aluminum adjuvant could perturb the DC membrane and induce cell membrane lipid reordering without entering the cell, which further lead to antigen uptake and upregulation of CD4 + T cells[17]. However, aluminum adjuvants are usually associated with adverse reactions such as localized inflammation, pain and tenderness at the injection site, and allergic reactions, immunosuppression, and even teratogenic, carcinogenic, and mutagenic risks [18–23]. In some cases, they have also been linked to neurodegeneration, renal dysfunction, and the increased production of eosinophils and immunoglobulin E due to the propensity of Th2 immune bias[24]. Furthermore, substantial amounts of mechanistic studies have demonstrated that the aluminum salt-based adjuvants stimulate the Th2 immune responses, with minimum or no Th1 responses[25]. It is not ideal for viral diseases that require a Th1-mediated immunity and activation of cytotoxic T cells for protection. Th1-type immune responses can be stimulated by using innate immunostimulants such as CpG oligodeoxynucleotides[26], monophosphoryl lipid A[27], and poly I:C[28], however, immunostimulants may produce adverse reactions such as autoimmune diseases while effectively inducing an immune response.
It has been known that Class I MHC (MHC-I) molecules present primarily endogenous antigens, i.e. antigens that are present in the cytosol and are subject to the cytosolic processing mechanisms that comprise the conventional MHC-I processing pathway, which plays important roles in generating CD8 T cell responses[29]. After phagocytic or endocytic uptake, some exogenous antigens can escape the vacuolar system and penetrate into the cytosol, accessing the conventional MHC-I antigen processing mechanisms[30]. Thus, it is possible for adjuvants to deliver exogenous antigens to stimulate CD8 T cell responses by mechanisms that may contribute to the substitution of MHC-I processing pathways. The cationic delivery system with “sponge effect” has the potential to allow for the exogenous antigen to escape from the endosomes and enter the cytosol for inducing CD8 + T cell responses via the MHC-I pathway[31].
Over the past few decades, substantial research efforts have been dedicated to the development of alternative vaccine adjuvants. The development and synthesis of adjuvants to regulate the immune system and enhance vaccine efficacy have been widely studied for the improvement of vaccine design and treatment of infectious diseases. The properties of adjuvants depend largely on particle size[32], hydrophobicity[33], administration route[34], antigen release kinetics[35], and surface charge[36]. For example, positive-charged adjuvants like liposomes, cationic polymers, or emulsions interact well with negative-charged cell membranes of antigen-presenting cells (APCs), promoting the intracellular uptake of antigens [37, 38]. However, these adjuvants are often composed of multiple components and complicated to prepare, making overall quality control more complex. For instance, chitosan, a cationic polymer, acts as an adjuvant largely based on its structure, amphiphilicity, and surface charge of self-assembled structures[39]. However, the varying quality of chitosan in different batches due to its complicated synthesis can affect the immunogenicity of vaccines and limit its clinical use[40, 41]. There is a pressing need for the development of adjuvants which have a broad-spectrum of safety, good stability, ease of production and use, and can effectively activate humoral and cellular immune responses with no adverse reactions.
Based on our previous work, hybrid nanoparticles provide a convenient approach for multiple functionalities and regulating properties[42, 43]. The structures and properties of hybrid nanoparticles can be easily regulated by changing the mixing ratios of different components rather than complicated synthesis. Cationic hybrid nanoparticles may be an effective vaccine adjuvant to potentiate the immune response, as they can delivery antigens and enhance the cellular uptake of antigens by APCs through electrostatic absorption. In light of the challenges posed by current vaccine adjuvants, we aim to develop a cationic hybrid polymer lipid nanoparticle (HPLNP) as an efficient vaccine adjuvant with multifaceted immune responses (Fig. 1B). The HPLNP is composed of two FDA-approved materials: polyethylene glycol-b- poly (L-lactic acid) (PEG-PLLA) polymer and cationic lipid 1,2-dioleoyl-3-trimethylammonium-propane (DOTAP). As shown in Fig. 1(A), the HPLNP can be prepared by a simple one-step method based on several minutes of mixing, stirring and organic solvent evaporation. The physicochemical properties of HPLNPs can be preciously controlled by regulating the mixing ratios of polymer and lipid. The size distribution, PDI, and zeta potential of HPLNPs were analysed through dynamic light scattering, and the morphology was confirmed through transmission electron microscopy (TEM). The HBsAg-VLP was used as a model antigen and mixed with the HPLNP to create vaccine formulations. Flow cytometry was applied to optimise the vaccine formulation through analysing the intracellular uptake of antigen by APCs. Finally, the in vivo immunisation of the optimised vaccine formulation was carried out. The antigen depot effect and the lymph node drainage of the optimised vaccine formulation were studied by the small animal in vivo imaging. The humoral responses of different formulations were compared by analysing the serum anti-HBsAg IgG concentration at specific time points. The IgG2a/IgG1 ratio was calculated to estimate the Th1/Th2 immune response trend. The secretion of cytokines in serum was evaluated by Elisa kit. Meanwhile, the activation of B cells and T cells in the spleen or lymph nodes was tested by flow cytometry. For biosafety assessment, the immunohistochemical staining of different organs and intramuscular injection sites post prime immunisation were finally analysed and the mice body weights were monitored during the immunisation.