Huo Meirong, Zhao Yan, Satterlee Andrew Benson, Wang Yuhua, Xu Ying, Huang Leaf
Division of Molecular Pharmaceutics, Center for Nanotechnology in Drug Delivery, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States; State Key Laboratory of Natural Medicines, Department of Pharmaceutics, China Pharmaceutical University, Nanjing 210009, China.
Division of Molecular Pharmaceutics, Center for Nanotechnology in Drug Delivery, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States; Department of Pharmaceutics, School of Pharmacy, China Medical University, Shenyang 110122, China.
J Control Release. 2017 Jan 10;245:81-94. doi: 10.1016/j.jconrel.2016.11.013. Epub 2016 Nov 15.
Development of an effective treatment against advanced tumors remains a major challenge for cancer immunotherapy. We have previously developed a potent mannose-modified lipid calcium phosphate (LCP) nanoparticle (NP)-based Trp2 vaccine for melanoma therapy, but because this vaccine can induce a potent anti-tumor immune response only during the early stages of melanoma, poor tumor growth inhibition has been observed in more advanced melanoma models, likely due to the development of an immune-suppressive tumor microenvironment (TME). To effectively treat this aggressive tumor, a multi-target receptor tyrosine kinase inhibitor, sunitinib base, was efficiently encapsulated into a targeted polymeric micelle nano-delivery system (SUN), working in a synergistic manner with vaccine therapy in an advanced mouse melanoma model. SUN not only increased cytotoxic T-cell infiltration and decreased the number and percentage of MDSCs and Tregs in the TME, but also induced a shift in cytokine expression from Th2 to Th1 type while remodeling the tumor-associated fibroblasts, collagen, and blood vessels in the tumor. Additionally, inhibition of the Stat3 and AKT signaling pathways by SUN may induce tumor cell apoptosis or decrease tumor immune evasion. Our findings indicated that targeted delivery of a tyrosine kinase inhibitor to tumors can be used in a novel synergistic way to enhance the therapeutic efficacy of existing immune-based therapies for advanced melanoma.
开发一种有效的晚期肿瘤治疗方法仍然是癌症免疫治疗的一项重大挑战。我们之前开发了一种用于黑色素瘤治疗的、基于甘露糖修饰的脂质磷酸钙(LCP)纳米颗粒(NP)的Trp2疫苗,但由于这种疫苗仅在黑色素瘤早期阶段才能诱导有效的抗肿瘤免疫反应,在更晚期的黑色素瘤模型中观察到肿瘤生长抑制效果不佳,这可能是由于免疫抑制性肿瘤微环境(TME)的形成。为了有效治疗这种侵袭性肿瘤,一种多靶点受体酪氨酸激酶抑制剂舒尼替尼碱被高效包封于靶向聚合物胶束纳米递送系统(SUN)中,在晚期小鼠黑色素瘤模型中与疫苗疗法协同发挥作用。SUN不仅增加了细胞毒性T细胞浸润,减少了TME中髓源性抑制细胞(MDSC)和调节性T细胞(Treg)的数量和百分比,还诱导细胞因子表达从Th2型向Th1型转变,同时重塑肿瘤中的肿瘤相关成纤维细胞、胶原蛋白和血管。此外,SUN对Stat3和AKT信号通路的抑制可能诱导肿瘤细胞凋亡或减少肿瘤免疫逃逸。我们的研究结果表明,将酪氨酸激酶抑制剂靶向递送至肿瘤可通过一种新的协同方式用于提高现有基于免疫疗法对晚期黑色素瘤的治疗效果。
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