Department of Chemistry, The University of Chicago , 929 East 57th Street, Chicago, Illinois 60637, United States.
Department of Radiation and Cellular Oncology and The Ludwig Center for Metastasis Research, The University of Chicago , Chicago, Illinois 60637, United States.
J Am Chem Soc. 2016 Sep 28;138(38):12502-10. doi: 10.1021/jacs.6b06663. Epub 2016 Sep 14.
Photodynamic therapy (PDT) can destroy local tumors and minimize normal tissue damage, but is ineffective at eliminating metastases. Checkpoint blockade immunotherapy has enjoyed recent success in the clinic, but only elicits limited rates of systemic antitumor response for most cancers due to insufficient activation of the host immune system. Here we describe a treatment strategy that combines PDT by a new chlorin-based nanoscale metal-organic framework (nMOF), TBC-Hf, and a small-molecule immunotherapy agent that inhibits indoleamine 2,3-dioxygenase (IDO), encapsulated in the nMOF channels to induce systemic antitumor immunity. The synergistic combination therapy achieved effective local and distant tumor rejection in colorectal cancer models. We detected increased T cell infiltration in the tumor microenvironment after activation of the immune system with the combination of IDO inhibition by the small-molecule immunotherapy agent and immunogenic cell death induced by PDT. We also elucidated the underlying immunological mechanisms and revealed compensatory roles of neutrophils and B cells in presenting tumor-associated antigens to T cells in this combination therapy. We believe that nMOF-enabled PDT has the potential to significantly enhance checkpoint blockade cancer immunotherapy, affording clinical benefits for the treatment of many difficult-to-treat cancers.
光动力疗法(PDT)可以破坏局部肿瘤并最小化正常组织损伤,但对消除转移无效。检查点阻断免疫疗法在临床上最近取得了成功,但由于宿主免疫系统的激活不足,对于大多数癌症,它仅引起有限的全身性抗肿瘤反应。在这里,我们描述了一种治疗策略,该策略将新型基于叶绿素的纳米级金属有机骨架(nMOF)TBC-Hf 的 PDT 与小分子免疫治疗剂结合使用,小分子免疫治疗剂可抑制吲哚胺 2,3-双加氧酶(IDO),并封装在 nMOF 通道中以诱导全身性抗肿瘤免疫。协同联合治疗在结直肠癌模型中实现了有效的局部和远处肿瘤排斥。我们在通过小分子免疫治疗剂抑制 IDO 和 PDT 诱导的免疫原性细胞死亡来激活免疫系统后,在肿瘤微环境中检测到 T 细胞浸润增加。我们还阐明了潜在的免疫学机制,并揭示了在这种联合治疗中,中性粒细胞和 B 细胞在向 T 细胞呈递肿瘤相关抗原方面的代偿作用。我们相信,nMOF 增强的 PDT 有可能显著增强检查点阻断癌症免疫疗法,为治疗许多难以治疗的癌症带来临床益处。
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