RT Journal Article SR Electronic T1 Nano immunoconjugates crossing blood-brain barrier activate local brain tumor immune system for glioma treatment JF bioRxiv FD Cold Spring Harbor Laboratory SP 466508 DO 10.1101/466508 A1 Anna Galstyan A1 Antonella Chiechi A1 Alan J. Korman A1 Tao Sun A1 Liron L. Israel A1 Oliver Braubach A1 Rameshwar Patil A1 Ekaterina Shatalova A1 Vladimir A. Ljubimov A1 Janet Markman A1 Zachary Grodzinski A1 Keith L. Black A1 Manuel L. Penichet A1 Eggehard Holler A1 Alexander V. Ljubimov A1 Hui Ding A1 Julia Y. Ljubimova YR 2018 UL http://biorxiv.org/content/early/2018/11/09/466508.abstract AB Treatment of brain gliomas with checkpoint inhibitor antibodies to cytotoxic T-lymphocyte-associated antigen 4 (a-CTLA-4) and programmed cell death-1 (a-PD-1) was largely unsuccessful due to their inability to cross the blood-brain barrier (BBB). We describe a new generation of nano immunoconjugates (NICs) developed on natural biopolymer scaffold, poly(β-L-malic acid), with covalently attached a-CTLA-4 and/or a-PD-1 for delivery across the BBB and activation of local brain anti-tumor immune response in glioma-bearing mice. NIC treatment of mice bearing intracranial GL261 glioblastoma (GBM) resulted in an increase of CD8+ T-cells with a decrease of T regulatory cells (Tregs) in the brain tumor area. Survival of GBM-bearing mice treated with combination of NICs was significantly longer compared to animals treated by single checkpoint inhibitor-bearing NICs or free a-CTLA-4 and a-PD-1. Our study demonstrates trans-BBB delivery of nanopolymer-conjugated checkpoint inhibitors as an effective treatment of GBM via activation of both systemic and local brain tumor immune response.