Zhang Ni, Song Jiao, Liu Yi, Liu Mingzhu, Zhang Liang, Sheng Danli, Deng Liming, Yi Hengjing, Wu Meng, Zheng Yuanyi, Wang Zhigang, Yang Zhu
Department of Oncology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China.
Department of Gynecology and Obstetrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China.
J Control Release. 2019 Jul 28;306:15-28. doi: 10.1016/j.jconrel.2019.05.036. Epub 2019 May 25.
Melanoma remains one of the most challenging malignant tumor related deaths worldwide and alternative approaches to efficiently treat melanoma are eagerly needed. Anti-PD1 antibody (aPD1) immunotherapy is the most significant and impactful therapy for melanoma by immune checkpoint inhibition and T cell stimulation to mediate tumor killing. But the clinical remission rate of aPD1 immunotherapy is limited in melanoma. Here we show a potent combination of aPD1 and photothermal therapy (PTT) by effective delivery of a multifunctional phase-transformation nanocarrier to melanoma tumor. We successfully synthesized multifunctional nanoparticles (NPs) encapsulated with aPD1, iron oxide and perfluoropentane (PFP) in lactic-co-glycolic acid (PLGA) shell modified with poly ethylene glycol (PEG) and Gly-Arg-Gly-Asp-Ser (GRGDS) peptides (GOP@aPD1). In vitro, GOP@aPD1 NPs were characterized for particle size and drug-loading efficiency. The NPs were also tested for photothermal property, optical droplet vaporization (ODV) capacity and the ability of aPD1 release profile. In vivo, GOP@aPD1 NPs were systemically administered to melanoma-bearing mice demonstrated no toxicity and accumulation at tumor site. When mediated with PTT, this synergistic treatment achieved enhanced antitumor efficacy, due to combination of the effective aPD1 release and increased CD8+ T cell infiltration in tumor site. In conclusion, GOP@aPD1 NPs combined with PTT could potentiate the efficacy of aPD1 not only by tumor-targeted delivery of aPD1 but also by activating the immune system in the tumor microenvironment, which is a highly effective approach to treat melanoma.
黑色素瘤仍然是全球范围内与恶性肿瘤相关的最具挑战性的死亡原因之一,因此迫切需要有效治疗黑色素瘤的替代方法。抗PD1抗体(aPD1)免疫疗法是通过免疫检查点抑制和T细胞刺激来介导肿瘤杀伤,从而成为治疗黑色素瘤最重要且最具影响力的疗法。但是aPD1免疫疗法在黑色素瘤中的临床缓解率有限。在此,我们展示了一种通过将多功能相变纳米载体有效递送至黑色素瘤肿瘤,实现aPD1与光热疗法(PTT)的有效联合。我们成功合成了用聚乙二醇(PEG)和甘氨酸-精氨酸-甘氨酸-天冬氨酸-丝氨酸(GRGDS)肽修饰的乳酸-乙醇酸共聚物(PLGA)外壳包裹aPD1、氧化铁和全氟戊烷(PFP)的多功能纳米颗粒(NPs)(GOP@aPD1)。在体外,对GOP@aPD1 NPs进行了粒径和载药效率表征。还测试了这些纳米颗粒的光热性能、光学液滴汽化(ODV)能力以及aPD1释放曲线。在体内,将GOP@aPD1 NPs全身给药至荷黑色素瘤小鼠,结果显示其在肿瘤部位无毒性且无蓄积。当与PTT联合使用时,这种协同治疗由于有效释放aPD1并增加肿瘤部位CD8 + T细胞浸润,从而实现了增强的抗肿瘤疗效。总之,GOP@aPD1 NPs与PTT联合使用不仅可以通过aPD1的肿瘤靶向递送,还可以通过激活肿瘤微环境中的免疫系统来增强aPD1的疗效,这是一种治疗黑色素瘤的高效方法。