Molecular Targeting Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan 20133, Italy.
Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan 20133, Italy.
J Immunol Res. 2019 Jun 20;2019:2015892. doi: 10.1155/2019/2015892. eCollection 2019.
Caloric restriction mimetics (CRMs), compounds that mimic the biochemical effects of nutrient deprivation, administered via systemic route promote antitumor effects through the induction of autophagy and the modulation of the immune microenvironment; however, collateral effects due to metabolic changes and the possible weight loss might potentially limit their administration at long term. Here, we investigated in mice local administration of CRMs via aerosol to reduce metastasis implantation in the lung, whose physiologic immunosuppressive status favors tumor growth. Hydroxycitrate, spermidine, and alpha-lipoic acid, CRMs that target different metabolic enzymes, administered by aerosol, strongly reduced implantation of intravenously injected B16 melanoma cells without overt signs of toxicity, such as weight loss and changes in lung structure. Cytofluorimetric analysis of lung immune infiltrates revealed a significant increase of alveolar macrophages and CD103+ dendritic cells in mice treated with CRMs that paralleled an increased recruitment and activation of both CD3 T lymphocytes and NK cells. These effects were associated with the upregulation of genes related to M1 phenotype, as IL-12 and STAT-1, and to the decrease of M2 genes, as IL-10 and STAT-6, in adherent fraction of lung immune infiltrate, as revealed by real-time PCR analysis. Thus, in this proof-of-principle study, we highlight the antitumor effect of CRM aerosol delivery as a new and noninvasive therapeutic approach to locally modulate immunosurveillance at the tumor site in the lung.
热量限制模拟物(CRMs)是一类模拟营养缺乏的生化效应的化合物,通过全身给药途径可以通过诱导自噬和调节免疫微环境来发挥抗肿瘤作用;然而,由于代谢变化和可能的体重减轻引起的副作用可能会限制其长期应用。在这里,我们在小鼠中通过气溶胶局部给予 CRM 以减少肺中的转移定植,肺的生理免疫抑制状态有利于肿瘤生长。通过气溶胶给予靶向不同代谢酶的 CRM,如羟基柠檬酸、亚精胺和α-硫辛酸,强烈减少了静脉注射 B16 黑色素瘤细胞的植入,而没有明显的毒性迹象,如体重减轻和肺结构改变。对肺免疫浸润物的流式细胞分析显示,用 CRM 治疗的小鼠肺泡巨噬细胞和 CD103+树突状细胞显著增加,这与 CD3 T 淋巴细胞和 NK 细胞的募集和激活增加平行。这些效应与粘附部分中与 M1 表型相关的基因的上调有关,如 IL-12 和 STAT-1,以及与 M2 基因的下调有关,如 IL-10 和 STAT-6,这是通过实时 PCR 分析揭示的。因此,在这项原理验证研究中,我们强调了 CRM 气溶胶递送的抗肿瘤作用,作为一种新的非侵入性治疗方法,可局部调节肺中肿瘤部位的免疫监视。
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