纳米颗粒增强放疗引发强大的癌症免疫治疗。
Nanoparticle-Enhanced Radiotherapy to Trigger Robust Cancer Immunotherapy.
机构信息
Institute of Functional Nano and Soft Materials (FUNSOM), Jiangsu Key Laboratory for Carbon-based Functional Materials and Devices, Soochow University, Suzhou, Jiangsu, 215123, China.
出版信息
Adv Mater. 2019 Mar;31(10):e1802228. doi: 10.1002/adma.201802228. Epub 2019 Jan 21.
External radiotherapy is extensively used in clinic to destruct tumors by locally applied ionizing-radiation beams. However, the efficacy of radiotherapy is usually limited by tumor hypoxia-associated radiation resistance. Moreover, as a local treatment technique, radiotherapy can hardly control tumor metastases, the major cause of cancer death. Herein, core-shell nanoparticles based poly(lactic-co-glycolic) acid (PLGA) are fabricate, by encapsulating water-soluble catalase (Cat), an enzyme that can decompose H O to generate O , inside the inner core, and loading hydrophobic imiquimod (R837), a Toll-like-receptor-7 agonist, within the PLGA shell. The formed PLGA-R837@Cat nanoparticles can greatly enhance radiotherapy efficacy by relieving the tumor hypoxia and modulating the immune-suppressive tumor microenvironment. The tumor-associated antigens generated postradiotherapy-induced immunogenic cell death in the presence of such R837-loaded adjuvant nanoparticles will induce strong antitumor immune responses, which together with cytotoxic T-lymphocyte associated protein 4 (CTLA-4) checkpoint blockade will be able to effectively inhibit tumor metastases by a strong abscopal effect. Moreover, a long term immunological memory effect to protect mice from tumor rechallenging is observed post such treatment. This work thus presents a unique nanomedicine approach as a next-generation radiotherapy strategy to enable synergistic whole-body therapeutic responses after local treatment, greatly promising for clinical translation.
外部放疗广泛应用于临床,通过局部应用电离辐射束破坏肿瘤。然而,放疗的疗效通常受到肿瘤乏氧相关的辐射抗性的限制。此外,作为一种局部治疗技术,放疗很难控制肿瘤转移,这是癌症死亡的主要原因。在此,通过将水溶性过氧化氢酶(Cat)封装在内核中,并在 PLGA 壳内装载疏水性咪喹莫特(R837),构建了基于核壳纳米粒子的聚乳酸-羟基乙酸共聚物(PLGA)。所形成的 PLGA-R837@Cat 纳米粒子通过缓解肿瘤乏氧和调节免疫抑制性肿瘤微环境,极大地增强了放疗疗效。在这种负载 R837 的佐剂纳米粒子存在下,放疗诱导免疫原性细胞死亡产生的肿瘤相关抗原将引发强烈的抗肿瘤免疫反应,与细胞毒性 T 淋巴细胞相关蛋白 4(CTLA-4)检查点阻断一起,通过强烈的远隔效应,能够有效地抑制肿瘤转移。此外,在这种治疗后,还观察到对肿瘤再挑战的长期免疫记忆效应。因此,这项工作提出了一种独特的纳米医学方法,作为下一代放疗策略,在局部治疗后能够实现协同的全身治疗反应,非常有希望进行临床转化。