Institute of Functional Nano & Soft Materials (FUNSOM), Collaborative Innovation Center of Suzhou Nano Science and Technology, and ‡School of Biology & Basic Medical Science, Medical College, Soochow University , Suzhou, Jiangsu 215123, China.
ACS Nano. 2017 May 23;11(5):4463-4474. doi: 10.1021/acsnano.7b00715. Epub 2017 Apr 21.
While immunotherapy has become a highly promising paradigm for cancer treatment in recent years, it has long been recognized that photodynamic therapy (PDT) has the ability to trigger antitumor immune responses. However, conventional PDT triggered by visible light has limited penetration depth, and its generated immune responses may not be robust enough to eliminate tumors. Herein, upconversion nanoparticles (UCNPs) are simultaneously loaded with chlorin e6 (Ce6), a photosensitizer, and imiquimod (R837), a Toll-like-receptor-7 agonist. The obtained multitasking UCNP-Ce6-R837 nanoparticles under near-infrared (NIR) irradiation with enhanced tissue penetration depth would enable effective photodynamic destruction of tumors to generate a pool of tumor-associated antigens, which in the presence of those R837-containing nanoparticles as the adjuvant are able to promote strong antitumor immune responses. More significantly, PDT with UCNP-Ce6-R837 in combination with the cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) checkpoint blockade not only shows excellent efficacy in eliminating tumors exposed to the NIR laser but also results in strong antitumor immunities to inhibit the growth of distant tumors left behind after PDT treatment. Furthermore, such a cancer immunotherapy strategy has a long-term immune memory function to protect treated mice from tumor cell rechallenge. This work presents an immune-stimulating UCNP-based PDT strategy in combination with CTLA-4 checkpoint blockade to effectively destroy primary tumors under light exposure, inhibit distant tumors that can hardly be reached by light, and prevent tumor reoccurrence via the immune memory effect.
近年来,免疫疗法已成为癌症治疗极具前景的范例,但人们早就认识到,光动力疗法(PDT)有能力引发抗肿瘤免疫反应。然而,传统的可见光触发 PDT 的穿透深度有限,其产生的免疫反应可能不足以消除肿瘤。在此,上转换纳米粒子(UCNP)同时负载光敏剂氯乙酮(Ce6)和 Toll 样受体 7 激动剂咪喹莫特(R837)。在近红外(NIR)光照射下获得的多功能 UCNP-Ce6-R837 纳米粒子具有增强的组织穿透深度,能够有效进行光动力破坏肿瘤以产生肿瘤相关抗原池,在含有 R837 的纳米粒子作为佐剂的情况下,能够促进强烈的抗肿瘤免疫反应。更重要的是,UCNP-Ce6-R837 的 PDT 联合细胞毒性 T 淋巴细胞相关蛋白 4(CTLA-4)检查点阻断不仅在消除暴露于 NIR 激光的肿瘤方面显示出优异的疗效,而且对抑制 PDT 治疗后遗留的远处肿瘤的生长也产生了强烈的抗肿瘤免疫作用。此外,这种癌症免疫治疗策略具有长期的免疫记忆功能,可以保护接受治疗的小鼠免受肿瘤细胞再挑战。本工作提出了一种基于免疫刺激 UCNP 的 PDT 策略,结合 CTLA-4 检查点阻断,可在光照下有效破坏原发性肿瘤,抑制难以用光到达的远处肿瘤,并通过免疫记忆效应防止肿瘤复发。