Department of Biomedical and Environmental Engineering, Yale University School of Engineering and Applied Sciences, New Haven, Connecticut 06511, USA.
Nat Mater. 2012 Oct;11(10):895-905. doi: 10.1038/nmat3355. Epub 2012 Jul 15.
The tumour microenvironment thwarts conventional immunotherapy through multiple immunologic mechanisms, such as the secretion of the transforming growth factor-β (TGF-β), which stunts local tumour immune responses. Therefore, high doses of interleukin-2 (IL-2), a conventional cytokine for metastatic melanoma, induces only limited responses. To overcome the immunoinhibitory nature of the tumour microenvironment, we developed nanoscale liposomal polymeric gels (nanolipogels; nLGs) of drug-complexed cyclodextrins and cytokine-encapsulating biodegradable polymers that can deliver small hydrophobic molecular inhibitors and water-soluble protein cytokines in a sustained fashion to the tumour microenvironment. nLGs releasing TGF-β inhibitor and IL-2 significantly delayed tumour growth, increased survival of tumour-bearing mice, and increased the activity of natural killer cells and of intratumoral-activated CD8(+) T-cell infiltration. We demonstrate that the efficacy of nLGs in tumour immunotherapy results from a crucial mechanism involving activation of both innate and adaptive immune responses.
肿瘤微环境通过多种免疫机制(如转化生长因子-β[TGF-β]的分泌)来抑制传统免疫疗法,从而阻碍局部肿瘤免疫反应。因此,高剂量的白细胞介素 2(IL-2)——一种用于转移性黑色素瘤的常规细胞因子,仅能引起有限的反应。为了克服肿瘤微环境的免疫抑制性质,我们开发了载药环糊精纳米脂质体聚合物凝胶(nanolipogels;nLGs)和包载细胞因子的可生物降解聚合物纳米胶束,可将小分子疏水性抑制剂和水溶性蛋白细胞因子持续递送至肿瘤微环境。释放 TGF-β抑制剂和 IL-2 的 nLGs 显著延缓了肿瘤生长,提高了荷瘤小鼠的存活率,并增加了自然杀伤细胞和肿瘤内激活的 CD8(+) T 细胞浸润的活性。我们证明了 nLGs 在肿瘤免疫治疗中的疗效源于一种关键机制,涉及固有和适应性免疫反应的激活。