Department of Pharmacology, Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, 6001 Forest Park Road, Dallas, TX 75390, USA; Children's Hospital and Institutes of Biomedical Sciences, Fudan University, Shanghai 200032, China.
Department of Pharmacology, Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, 6001 Forest Park Road, Dallas, TX 75390, USA; Department of Pathology, University of Texas Southwestern Medical Center, 6001 Forest Park Road, Dallas, TX 75390, USA.
J Control Release. 2019 Apr 28;300:154-160. doi: 10.1016/j.jconrel.2019.02.036. Epub 2019 Mar 4.
Solid cancers are able to escape immune surveillance and are resistant to current treatment in immunotherapy. Recent evidence indicates the critical role of the stimulator of interferon genes (STING) pathway in antitumor immunity. STING-targeted activation is extensively investigated as a new strategy for cancer therapy. Previously, we reported a safe and efficacious STING-activating nanovaccine to boost systemic tumor-specific T cell responses in multiple tumor models. Local radiotherapy has been reported to not only reduce tumor burden but also enhance local antitumor immunity in a STING-dependent manner. In this study, we demonstrate that combination of these two modalities leads to a synergistic response with long-term regression of large established tumors in two mouse tumor models. The percentage of CD8 T cells increased significantly in primary tumors after combination therapy. Mechanistically, the augmented T cell responses of radiotherapy and nanovaccine is STING pathway dependent. Furthermore, nanovaccine synergizes with radiotherapy to achieve a better therapeutic effect in distal tumors. These findings suggest that combination of local radiotherapy with systemic PC7A nanovaccine offers a useful strategy to improve the therapeutic outcome of late stage solid cancers.
实体瘤能够逃避免疫监视,并对免疫疗法中的现有治疗产生耐药性。最近的证据表明干扰素基因刺激物 (STING) 途径在抗肿瘤免疫中起着关键作用。STING 靶向激活被广泛研究作为癌症治疗的新策略。以前,我们报道了一种安全有效的 STING 激活纳米疫苗,可在多种肿瘤模型中增强全身性肿瘤特异性 T 细胞反应。局部放射治疗不仅已被报道可降低肿瘤负担,而且还可通过 STING 依赖性方式增强局部抗肿瘤免疫。在这项研究中,我们证明了这两种方式的联合治疗可导致两种小鼠肿瘤模型中已建立的大型肿瘤的协同反应,并实现长期消退。联合治疗后,原发性肿瘤中的 CD8 T 细胞百分比显着增加。从机制上讲,放射治疗和纳米疫苗的增强的 T 细胞反应依赖于 STING 途径。此外,纳米疫苗与放射疗法协同作用,可在远处肿瘤中实现更好的治疗效果。这些发现表明,局部放射治疗与全身性 PC7A 纳米疫苗的联合使用为改善晚期实体瘤的治疗效果提供了一种有用的策略。
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