A biologic scaffold–associated type 2 immune microenvironment inhibits tumor formation and synergizes with checkpoint immunotherapy
Open accessAbstract
Biologic scaffolds synergize with immune checkpoint blockade to inhibit tumor growth in mice in a process requiring T cells and macrophages.
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ECM bioscaffold immune regulation is not only at the local level but also systemic.
“research indicates that this immune regulation is not only at the local level, but also systemic, as suggested in studies with decellularized tissues [57,58], or MBV [76,168,197]”
From Immune Response to Extracellular Matrix Bioscaffolds: A Comprehensive Review (2025) · cites this paper as [58]
The Discussion says the experiments examined the acute local immune response and that further investigation is needed to determine whether biologic scaffold implantation has systemic effects. Although the Results report IL-4 expression in draining lymph-node T cells, the paper does not present systemic immune regulation as an established finding. (LLM, conf=0.88)
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Experimental — accuracy not yet measuredWolf et al. reported M2-biased microenvironment created by ECM materials showed tumor-suppressive effects because phenotypes of M2 macrophages in dECM niche were distinct from traditional M2 macrophages.
“Nonetheless, Wolf et al. reported that M2-biased microenvironment created by ECM materials showed tumor-suppressive effects because the phenotypes of M2 macrophages in the dECM niche were distinct from those of traditional M2 macrophages55.”
From Bioengineered liver crosslinked with nano-graphene oxide enables efficient liver regeneration via MMP suppression and immunomodulation (2023) · cites this paper as [55]
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Cites
Subramanian, A., Tamayo, P., Mootha, V. K., Mukherjee, S., Ebert, B. L., Gillette, M. A., Paulovich, A., Pomeroy, S. L., Golub, T. R., Lander, E. S., et al. (2005) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0506580102 · Cited by 53,625 · see citing works
Foreign body reaction to biomaterials
Anderson, J. M., Rodriguez, A., & Chang, D. T. (2008) · Seminars in Immunology · doi:10.1016/j.smim.2007.11.004 · Cited by 5,138 · cited 3× · see citing works
“Ly6G is a marker of immunosuppressive myeloidderived suppressive cells (MDSCs) in the context of cancer, but it is also expressed by neutrophils, which are recruited to synthetic materials during the foreign body reaction (7, 33, 34).”
BackgroundHornung, V., Bauernfeind, F., Halle, A., Samstad, E. O., Kono, H., Rock, K. L., Fitzgerald, K. A., & Latz, E. (2008) · Nature Immunology · doi:10.1038/ni.1631 · Cited by 3,065 · see citing works
Recommendations for myeloid-derived suppressor cell nomenclature and characterization standards
Bronte, V., Brandau, S., Chen, S.-H., Colombo, M. P., Frey, A. B., Greten, T. F., Mandruzzato, S., Murray, P. J., Ochoa, A., Ostrand-Rosenberg, S., et al. (2016) · Nature Communications · doi:10.1038/ncomms12150 · Cited by 2,751 · see citing works
Macrophage Phenotype as a Determinant of Biologic Scaffold Remodeling
Badylak, S. F., Valentin, J. E., Ravindra, A. K., McCabe, G. P., & Stewart-Akers, A. M. (2008) · Tissue Engineering Part A · doi:10.1089/ten.tea.2007.0264 · Cited by 729 · see citing works
Alum interaction with dendritic cell membrane lipids is essential for its adjuvanticity
Flach, T. L., Ng, G., Hari, A., Desrosiers, M. D., Zhang, P., Ward, S. M., Seamone, M. E., Vilaysane, A., Mucsi, A. D., Fong, Y., et al. (2011) · Nature Medicine · doi:10.1038/nm.2306 · Cited by 405 · see citing works
Doloff, J. C., Veiseh, O., Vegas, A. J., Tam, H. H., Farah, S., Ma, M., Li, J., Bader, A., Chiu, A., Sadraei, A., et al. (2017) · Nature Materials · doi:10.1038/nmat4866 · Cited by 283 · see citing works
Biologic scaffold composed of skeletal muscle extracellular matrix
Wolf, M. T., Daly, K. A., Reing, J. E., & Badylak, S. F. (2012) · Biomaterials · doi:10.1016/j.biomaterials.2011.12.055 · Cited by 259 · see citing works
Self-citationRegenerative therapy after cancer: what are the risks?
Donnenberg, V. S., Zimmerlin, L., Rubin, J. P., & Donnenberg, A. D. (2010) · Tissue Engineering Part B: Reviews · doi:10.1089/ten.teb.2010.0352 · Cited by 95 · see citing works
Flagged first, then by citations
Research works printed but not linked: 30
- [2]Polykandriotis E, Arkudas A, Horch RE, Kneser U, To matrigel or not to matrigel. Am. J. Pathol 172, 1441– 1442 (2008). 18403599 PMC2329852
- [3]Badylak SF, Freytes DO, Gilbert TW, Extracellular matrix as a biological scaffold material: Structure and function. Acta Biomater. 5, 1– 13 (2009). 18938117
- [4]Allman AJ, McPherson TB, Badylak SF, Merrill LC, Kallakury B, Sheehan C, Raeder RH, Metzger DW, Xenogeneic extracellular matrix grafts elicit a TH2-restricted immune response. Transplantation 71, 1631– 1640 (2001). 11435976
- [6]Sadtler K, Estrellas K, Allen BW, Wolf MT, Fan H, Tam AJ, Patel CH, Luber BS, Wang H, Wagner KR, Powell JD, Housseau F, Pardoll DM, Elisseeff JH, Developing a pro-regenerative biomaterial scaffold microenvironment requires T helper 2 cells. Science 352, 366– 370 (2016). 27081073 PMC4866509
- [8]Badylak SF, Hoppo T, Nieponice A, Gilbert TW, Davison JM, Jobe BA, Esophageal preservation in five male patients after endoscopic inner-layer circumferential resection in the setting of superficial cancer: A regenerative medicine approach with a biologic scaffold. Tissue Eng. Part A 17, 1643– 1650 (2011). 21306292 PMC3098955
- [9]Puckett Y, Pham T, McReynolds S, Ronaghan CA, Porcine urinary bladder matrix for management of infected radiation mastectomy wound. Cureus 9, e1451 (2017). 28929035 PMC5590770
- [10]Sbitany H, Serletti JM, Acellular dermis-assisted prosthetic breast reconstruction: A systematic and critical review of efficacy and associated morbidity. Plast. Reconstr. Surg 128, 1162– 1169 (2011). 22094735
- [11]Sade B, Oya S, Lee JH, Non-watertight dural reconstruction in meningioma surgery: Results in 439 consecutive patients and a review of the literature. Clinical article. J. Neurosurg 114, 714– 718 (2011). 20707618
- [12]Saleh W. K. Abu, Al Jabbari O, Ramlawi B, Bruckner BA, Loebe M, Reardon MJ, Case report: Cardiac tumor resection and repair with porcine xenograft. Methodist Debakey Cardiovasc. J 12, 116– 118 (2016). 27486495 PMC4969019
- [13]Dvorak HF, Tumors: Wounds that do not heal—Redux. Cancer Immunol. Res 3, 1– 11 (2015). 25568067 PMC4288010
- [14]Junttila MR, de Sauvage FJ, Influence of tumour micro-environment heterogeneity on therapeutic response. Nature 501, 346– 354 (2013). 24048067
- [15]Mellman I, Coukos G, Dranoff G, Cancer immunotherapy comes of age. Nature 480, 480– 489 (2011). 22193102 PMC3967235
- [16]Sadtler K, Allen BW, Estrellas K, Housseau F, Pardoll DM, Elisseeff JH, The scaffold immune microenvironment: Biomaterial-mediated immune polarization in traumatic and nontraumatic applications. Tissue Eng. Part A 23, 1044– 1053 (2017). 27736323 PMC6436021
- [17]DeNardo DG, Barreto JB, Andreu P, Vasquez L, Tawfik D, Kolhatkar N, Coussens LM, CD4+ T cells regulate pulmonary metastasis of mammary carcinomas by enhancing protumor properties of macrophages. Cancer Cell 16, 91– 102 (2009). 19647220 PMC2778576
- [18]Hodde JP, Suckow MA, Wolter WR, Hiles MC, Small intestinal submucosa does not promote PAIII tumor growth in Lobund-Wistar rats. J. Surg. Res 120, 189– 194 (2004). 15234212
- [19]Sadtler K, Sommerfeld SD, Wolf MT, Wang X, Majumdar S, Chung L, Kelkar DS, Pandey A, Elisseeff JH, Proteomic composition and immunomodulatory properties of urinary bladder matrix scaffolds in homeostasis and injury. Semin. Immunol 29, 14– 23 (2017). 28583764 PMC8509637
- [20]Brown B, Lindberg K, Reing J, Stolz DB, Badylak SF, The basement membrane component of biologic scaffolds derived from extracellular matrix. Tissue Eng. 12, 519– 526 (2006). 16579685
- [21]Sicari BM, Rubin JP, Dearth CL, Wolf MT, Ambrosio F, Boninger M, Turner NJ, Weber DJ, Simpson TW, Wyse A, Brown EHP, Dziki JL, Fisher LE, Brown S, Badylak SF, An acellular biologic scaffold promotes skeletal muscle formation in mice and humans with volumetric muscle loss. Sci. Transl. Med 6, 234ra58 (2014). PMC5942588 24786326
- [22]Alvarez OM, Smith T, Gilbert TW, Onumah NJ, Wendelken ME, Parker R, Markowitz L, Diabetic foot ulcers treated with porcine urinary bladder extracellular matrix and total contact cast: Interim analysis of a randomized, controlled trial. Wounds. 29, 140– 146 (2017). 28267677
- [24]Wu I, Nahas Z, Kimmerling KA, Rosson GD, Elisseeff JH, An injectable adipose matrix for soft-tissue reconstruction. Plast. Reconstr. Surg 129, 1247– 1257 (2012). 22327888 PMC3430131
- [25]Beachley VZ, Wolf MT, Sadtler K, Manda SS, Jacobs H, Blatchley MR, Bader JS, Pandey A, Pardoll D, Elisseeff JH, Tissue matrix arrays for high-throughput screening and systems analysis of cell function. Nat. Methods 12, 1197– 1204 (2015). 26480475 PMC4666781
- [26]Jenkins SJ, Ruckerl D, Thomas GD, Hewitson JP, Duncan S, Brombacher F, Maizels RM, Hume DA, Allen JE, IL-4 directly signals tissue-resident macrophages to proliferate beyond homeostatic levels controlled by CSF-1. J. Exp. Med 210, 2477– 2491 (2013). 24101381 PMC3804948
- [27]Brown BN, Londono R, Tottey S, Zhang L, Kukla KA, Wolf MT, Daly KA, Reing JE, Badylak SF, Macrophage phenotype as a predictor of constructive remodeling following the implantation of biologically derived surgical mesh materials. Acta Biomater. 8, 978– 987 (2012). 22166681 PMC4325370
- [28]Xue J, Schmidt SV, Sander J, Draffehn A, Krebs W, Quester I, De Nardo D, Gohel TD, Emde M, Schmidleithner L, Ganesan H, Nino-Castro A, Mallmann MR, Labzin L, Theis H, Kraut M, Beyer M, Latz E, Freeman TC, Ulas T, Schultze JL, Transcriptome- based network analysis reveals a spectrum model of human macrophage activation. Immunity 40, 274– 288 (2014). 24530056 PMC3991396
- [31]Marichal T, Ohata K, Bedoret D, Mesnil C, Sabatel C, Kobiyama K, Lekeux P, Coban C, Akira S, Ishii KJ, Bureau F, Desmet CJ, DNA released from dying host cells mediates aluminum adjuvant activity. Nat. Med 17, 996– 1002 (2011). 21765404
- [32]Kim J, Li WA, Choi Y, Lewin SA, Verbeke CS, Dranoff G, Mooney DJ, Injectable, spontaneously assembling, inorganic scaffolds modulate immune cells in vivo and increase vaccine efficacy. Nat. Biotechnol 33, 64– 72 (2015). 25485616 PMC4318563
- [34]Jhunjhunwala S, Aresta-DaSilva S, Tang K, Alvarez D, Webber MJ, Tang BC, Lavin DM, Veiseh O, Doloff JC, Bose S, Vegas A, Ma M, Sahay G, Chiu A, Bader A, Langan E, Siebert S, Li J, Greiner DL, Newburger PE, von Andrian UH, Langer R, Anderson DG, Neutrophil responses to sterile implant materials. PLOS ONE 10, e0137550 (2015). 26355958 PMC4565661
- [35]Pardoll DM, The blockade of immune checkpoints in cancer immunotherapy. Nat. Rev. Cancer 12, 252– 264 (2012). 22437870 PMC4856023
- [37]Golumbek PT, Lazenby AJ, Levitsky HI, Jaffee LM, Karasuyama H, Baker M, Pardoll DM, Treatment of established renal cancer by tumor cells engineered to secrete interleukin-4. Science 254, 713– 716 (1991). 1948050
- [38]Tepper RI, Pattengale PK, Leder P, Murine interleukin-4 displays potent anti-tumor activity in vivo. Cell 57, 503– 512 (1989). 2785856
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Immune Response to Extracellular Matrix Bioscaffolds: A Comprehensive Review
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“…understanding these immunological effects, research indicates that this immune regulation is not only at the local level, but also systemic, as suggested in studies with decellularized tissues [57,58], or MBV [76,168,197], which have even shown potential epigenetic effects on macrophages [77].”
Matrix-Bound Nanovesicles Promote Prohealing Immunomodulation Without Immunosuppression
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- Authors
- Wolf, M. T., Ganguly, S., Wang, T. L., Anderson, C. W., Sadtler, K., Narain, R., Cherry, C., Parrillo, A. J., Park, B. V., Wang, G., Pan, F., Sukumar, S., Pardoll, D. M., & Elisseeff, J. H.
- Affiliations
- Johns Hopkins University (US)
- Yale University (US)
- Boston Children's Hospital (US)
- University of Illinois Chicago (US)
- Corresponding author
- Elisseeff, Jennifer H.
- ORCID
- Venue
- Science Translational Medicine
- Published
- 2019-01-30
- Volume
- 11
- Issue
- 477
- ISSN
- 1946-6234 (ISSN-L)
- 1946-6242
- PMC
- PMC7254933
- OpenAlex
- W2914708864
- Cited by
- 131
- References
- 9
- Citations by year
- 2026: 9 · 2025: 13 · 2024: 16 · 2023: 20 · 2022: 17 · 2021: 26 · 2020: 24 · 2019: 6
- FWCI
- 7.63
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Science Translational Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (RO1AI099300, RO1AI089830)
- U.S. Department of Defense (PC130767, W81XWH-15-1-0017)
- National Cancer Institute (P30CA006973)
- Melanoma Research Alliance (Melanoma Research Alliance)
- The Bloomberg~Kimmel Institute for Cancer Immunotherapy
- Hartwell Foundation
- ACell Inc
- The Fetting Fund for Cancer Prevention Research
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Keywords
- tumor microenvironment, Th2 immune response, biological scaffolds, tumor growth inhibition, PD-1/PD-L1 blockade, immunotherapy synergy, Th2 cells, macrophage phenotype, eosinophil infiltration, angiogenic factors, complement system
- MeSH terms
- Animals, Biocompatible Materials, Urinary Bladder, Extracellular Matrix, Immunotherapy, Inflammation, Lymphocyte Activation, Macrophages, Melanoma, Experimental, Phenotype, Wound Healing, Interleukin-4, Lymphocytes, Tumor-Infiltrating, Cell Polarity, Th2 Cells, Myeloid Cells, Cell Line, Tumor, Cell Proliferation, Mice, Tissue Scaffolds, Tumor Microenvironment, Carcinogenesis
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