ArticleCell reports. Medicine2026
A poly(I:C)/QS-21-based in situ vaccine synergizes with anti-PD-1 therapy to overcome tumor immunoresistance.
Article in Cell reports. Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Despite remarkable advances in cancer immunotherapy, immunoresistance remains a critical barrier to its broader success. To address this challenge, we develop an adjuvant system that combines polyinosinic:polycytidylic acid (poly(I:C)) with QS-21 and functions as an in situ cancer vaccine, effectively boosting antitumor immunity across diverse tumor types. This synergistic formulation leverages QS-21-mediated cytosolic delivery of poly(I:C) to potentiate the TBK1-IRF3-type I interferon axis. This activation licenses robust IRF1 nuclear translocation as a downstream transcriptional integrator, thereby inducing immunogenic cell death in tumor cells. Intratumoral administration of this system enhances dendritic cell maturation and neoantigen presentation, which elicits a robust neoantigen-specific T cell response and generates protective immune memory that prevents tumor recurrence. Moreover, the adjuvant sensitizes tumors to anti-PD-1 therapy and, when combined with microwave ablation, significantly improves antitumor efficacy. Collectively, this approach offers a promising strategy to overcome immunoresistance and advance combination immunotherapies.
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