Department of Pharmacology, The Pennsylvania State University College of Medicine, Hershey, Pennsylvania 17033, United States.
ACS Nano. 2013 Mar 26;7(3):2132-44. doi: 10.1021/nn304862b. Epub 2013 Feb 14.
Tumor-associated inflammation mediates the development of a systemic immunosuppressive milieu that is a major obstacle to effective treatment of cancer. Inflammation has been shown to promote the systemic expansion of immature myeloid cells which have been shown to exert immunosuppressive activity in laboratory models of cancer as well as cancer patients. Consequentially, significant effort is underway toward the development of therapies that decrease tumor-associated inflammation and immunosuppressive cells. The current study demonstrated that a previously described deep tissue imaging modality, which utilized indocyanine green-loaded calcium phosphosilicate nanoparticles (ICG-CPSNPs), could be utilized as an immunoregulatory agent. The theranostic application of ICG-CPSNPs as photosensitizers for photodynamic therapy was shown to block tumor growth in murine models of breast cancer, pancreatic cancer, and metastatic osteosarcoma by decreasing inflammation-expanded immature myeloid cells. Therefore, this therapeutic modality was termed PhotoImmunoNanoTherapy. As phosphorylated sphingolipid metabolites have been shown to have immunomodulatory roles, it was hypothesized that the reduction of immature myeloid cells by PhotoImmunoNanoTherapy was dependent upon bioactive sphingolipids. Mechanistically, PhotoImmunoNanoTherapy induced a sphingosine kinase 2-dependent increase in sphingosine-1-phosphate and dihydrosphingosine-1-phosphate. Furthermore, dihydrosphingosine-1-phosphate was shown to selectively abrogate myeloid lineage cells while concomitantly allowing the expansion of lymphocytes that exerted an antitumor effect. Collectively, these findings revealed that PhotoImmunoNanoTherapy, utilizing the novel nontoxic theranostic agent ICG-CPSNP, can decrease tumor-associated inflammation and immature myeloid cells in a sphingosine kinase 2-dependent manner. These findings further defined a novel myeloid regulatory role for dihydrosphingosine-1-phosphate. PhotoImmunoNanoTherapy holds the potential to be a revolutionary treatment for cancers with inflammatory and immunosuppressive phenotypes.
肿瘤相关炎症介导了全身性免疫抑制微环境的发展,这是有效治疗癌症的主要障碍。炎症已被证明可促进未成熟髓样细胞的全身性扩增,这些细胞在癌症的实验室模型以及癌症患者中表现出免疫抑制活性。因此,人们正在努力开发可减少肿瘤相关炎症和免疫抑制细胞的疗法。本研究表明,先前描述的一种深部组织成像方式可利用吲哚菁绿负载的磷酸钙硅纳米颗粒(ICG-CPSNPs)作为免疫调节剂。ICG-CPSNPs 作为光动力治疗的光敏剂的治疗应用显示,通过减少炎症扩张的未成熟髓样细胞,可阻断乳腺癌、胰腺癌和转移性骨肉瘤的小鼠模型中的肿瘤生长。因此,这种治疗方式被称为光免疫纳米治疗。由于已证明磷酸化鞘脂代谢物具有免疫调节作用,因此假设光免疫纳米治疗减少未成熟髓样细胞的作用依赖于生物活性鞘脂。从机制上讲,光免疫纳米治疗诱导了依赖于鞘氨醇激酶 2 的鞘氨醇-1-磷酸和二氢鞘氨醇-1-磷酸的增加。此外,二氢鞘氨醇-1-磷酸被证明选择性地消除髓样细胞系,同时允许发挥抗肿瘤作用的淋巴细胞扩增。总的来说,这些发现表明,利用新型无毒治疗剂 ICG-CPSNP 的光免疫纳米治疗可通过鞘氨醇激酶 2 依赖性方式减少肿瘤相关炎症和未成熟髓样细胞。这些发现进一步定义了二氢鞘氨醇-1-磷酸在髓样细胞调节中的新作用。光免疫纳米治疗有可能成为具有炎症和免疫抑制表型的癌症的革命性治疗方法。