纳米级还原氧化石墨烯介导的光热治疗联合 IDO 抑制和 PD-L1 阻断协同促进抗肿瘤免疫。
Nanoscale Reduced Graphene Oxide-Mediated Photothermal Therapy Together with IDO Inhibition and PD-L1 Blockade Synergistically Promote Antitumor Immunity.
机构信息
The Tianjin Key Laboratory of Biomaterials, Institute of Biomedical Engineering , Peking Union Medical College & Chinese Academy of Medical Sciences , Tianjin 300192 , China.
出版信息
ACS Appl Mater Interfaces. 2019 Jan 16;11(2):1876-1885. doi: 10.1021/acsami.8b18751. Epub 2019 Jan 7.
Despite the potential efficacy of immune checkpoint blockade for effective treatment of cancer, this therapeutic modality is not generally curative, and only a fraction of patients respond. Combination approaches provide strategies to target multiple antitumor immune pathways to induce synergistic antitumor immunity. Here, a multi-combination immunotherapy, including photothermal therapy (PTT), indoleamine-2,3-dioxygenase (IDO) inhibition, and programmed cell death-ligand 1 (PD-L1) blockade, is introduced for inducing synergistic antitumor immunity. We designed a multifunctional IDO inhibitor (IDOi)-loaded reduced graphene oxide (rGO)-based nanosheets (IDOi/rGO nanosheets) with the properties to directly kill tumor cells under laser irradiation and in situ trigger antitumor immune response. In vivo experiments further revealed that the triggered immune response can be synergistically promoted by IDO inhibition and PD-L1 blockade; the responses included the enhancement of tumor-infiltrating lymphocytes, including CD45 leukocytes, CD4 T cells, CD8 T cells, and NK cells; the inhibition of the immune suppression activity of regulator T cells (T); and the production of INF-γ. We also demonstrate that the three combinations of PTT, IDO inhibition, and PD-L1 blockade can effectively inhibit the growth of both irradiated tumors and tumors in distant sites without PTT treatment. This work can be thought of as an important proof of concept to target multiple antitumor immune pathways to induce synergistic antitumor immunity.
尽管免疫检查点阻断在癌症的有效治疗方面具有潜在疗效,但这种治疗方式并非普遍具有治愈性,只有一部分患者有反应。联合治疗方法提供了靶向多种抗肿瘤免疫途径的策略,以诱导协同抗肿瘤免疫。在这里,我们引入了一种多组合免疫疗法,包括光热疗法(PTT)、吲哚胺 2,3-双加氧酶(IDO)抑制和程序性细胞死亡配体 1(PD-L1)阻断,以诱导协同抗肿瘤免疫。我们设计了一种具有在激光照射下直接杀死肿瘤细胞和原位触发抗肿瘤免疫反应能力的多功能 IDO 抑制剂(IDOi)负载还原氧化石墨烯(rGO)基纳米片(IDOi/rGO 纳米片)。体内实验进一步表明,IDO 抑制和 PD-L1 阻断可以协同促进触发的免疫反应;反应包括增强肿瘤浸润淋巴细胞,包括 CD45 白细胞、CD4 T 细胞、CD8 T 细胞和 NK 细胞;抑制调节性 T 细胞(T)的免疫抑制活性;和 INF-γ 的产生。我们还证明,PTT、IDO 抑制和 PD-L1 阻断的三种组合可以有效抑制照射肿瘤和未经 PTT 治疗的远处肿瘤的生长。这项工作可以被认为是一个重要的概念验证,旨在靶向多种抗肿瘤免疫途径以诱导协同抗肿瘤免疫。