Jiang Qingzhi, Zhang Chi, Wang Huilan, Peng Tao, Zhang Li, Wang Yang, Han Weidong, Shi Chunmeng
Department of Oncology, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Rocket Force Medicine, Third Military Medical University, Chongqing, China.
Front Oncol. 2019 Nov 12;9:1196. doi: 10.3389/fonc.2019.01196. eCollection 2019.
Cancer immunotherapy including adoptive T cell therapy (ACT) is widely used in the clinic and is highly beneficial for patients with hematological malignancies; however, it remains a challenge to develop effective immunotherapy strategies for the treatment of solid cancers, due to the inefficiency of the immune response and the immunosuppressive tumor microenvironment (TME). Immunogenic cell death (ICD) converts dying cancer cells into a therapeutic vaccine and stimulate a systemic antigen-specific antitumor immune response, which can effectively subvert the immunosuppressive TME and enhance the efficiency of immune responses, relative to conventional immunotherapeutic regimens. However, the application of traditional inducers of ICD in anti-cancer immunotherapy has been limited because of low levels of ICD induction and a lack of tumor-targeting accumulation. Mitochondria are important for tumor-targeting strategies and have emerged as organelles with key roles in the immune system. We hypothesized that the alteration of mitochondria in cancer cells could be an important target for the development of an efficient ICD inducer for use in cancer immunotherapy. Here, we report the evaluation of a mitochondria-targeted small molecule, IR-780, that acts as an ICD inducer and exhibits exceptional antineoplastic activity. IR-780 specifically accumulated in tumor cells to elicit ICD and , effectively suppressed tumor growth and lung metastasis, and enhanced adoptive T-cell therapy effects against solid tumors in mouse models. These anticancer effects were linked to dendritic cell maturation and synergistic effector T cell priming and infiltration into tumors. The underlying mechanism involves the direct targeting of the mitochondria by IR-780, to destroy cancer cells, including drug-resistant cancer cells, leading to the full exposure of tumor-associated antigens (TAAs), thereby enhancing antigen-specific antitumor immune responses. These features of IR-780 suggest that it has the advantage of leading to complete TAA exposure and the stimulation of efficient antitumor immune responses in the TME. IR-780 has potential for use as a preparative ICD inducer, in combination with conventional immunostimulatory regimens for cancer immunotherapy, particularly in the context of solid tumor treatment.
包括过继性T细胞疗法(ACT)在内的癌症免疫疗法在临床上被广泛应用,对血液系统恶性肿瘤患者非常有益;然而,由于免疫反应效率低下和免疫抑制性肿瘤微环境(TME),开发有效的免疫疗法策略来治疗实体癌仍然是一项挑战。免疫原性细胞死亡(ICD)将垂死的癌细胞转化为治疗性疫苗,并刺激全身性抗原特异性抗肿瘤免疫反应,相对于传统免疫治疗方案,这可以有效地颠覆免疫抑制性TME并提高免疫反应的效率。然而,由于ICD诱导水平低且缺乏肿瘤靶向积累,传统的ICD诱导剂在抗癌免疫治疗中的应用受到限制。线粒体对于肿瘤靶向策略很重要,并且已成为在免疫系统中起关键作用的细胞器。我们假设癌细胞中线粒体的改变可能是开发用于癌症免疫治疗的高效ICD诱导剂的重要靶点。在此,我们报告了对一种线粒体靶向小分子IR-780的评估,它作为一种ICD诱导剂,具有出色的抗肿瘤活性。IR-780特异性地在肿瘤细胞中积累以引发ICD,并有效抑制肿瘤生长和肺转移,并增强过继性T细胞疗法对小鼠模型中实体瘤的治疗效果。这些抗癌作用与树突状细胞成熟以及协同效应T细胞启动和浸润肿瘤有关。潜在机制涉及IR-780直接靶向线粒体,以破坏癌细胞,包括耐药癌细胞,导致肿瘤相关抗原(TAA)完全暴露,从而增强抗原特异性抗肿瘤免疫反应。IR-780的这些特性表明,它具有导致TAA完全暴露并在TME中刺激高效抗肿瘤免疫反应的优势。IR-780有潜力作为一种制备性ICD诱导剂,与传统免疫刺激方案联合用于癌症免疫治疗,特别是在实体瘤治疗方面。
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