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一种用于联合治疗肿瘤复发和转移的肿瘤到淋巴结手术导航多功能凝胶系统。

A tumor-to-lymph procedure navigated versatile gel system for combinatorial therapy against tumor recurrence and metastasis.

作者信息

Qin Lin, Cao Jun, Shao Kun, Tong Fan, Yang Zhihang, Lei Ting, Wang Yazhen, Hu Chuan, Umeshappa Channakeshava Sokke, Gao Huile, Peppas Nicholas A

机构信息

Key Laboratory of Drug-Targeting and Drug Delivery System of the Education Ministry and Sichuan Province, Sichuan Engineering Laboratory for Plant-Sourced Drug and Sichuan Research Center for Drug Precision Industrial Technology, West China School of Pharmacy, Sichuan University, Chengdu 610041, China.

National Engineering Research Center for Biomaterials, Sichuan University, Chengdu 610064, China.

出版信息

Sci Adv. 2020 Sep 4;6(36). doi: 10.1126/sciadv.abb3116. Print 2020 Sep.

Abstract

Application of cancer vaccines is limited due to their systemic immunotoxicity and inability to satisfy all the steps, including loading of tumor antigens, draining of antigens to lymph nodes (LNs), internalization of antigens by dendritic cells (DCs), DC maturation, and cross-presentation of antigens for T cell activation. Here, we present a combinatorial therapy, based on a α-cyclodextrin (CD)-based gel system, DOX/ICG/CpG-P-ss-M/CD, fabricated by encapsulating doxorubicin (DOX) and the photothermal agent indocyanine green (ICG). Upon irradiation, the gel system exhibited heat-responsive release of DOX and vaccine-like nanoparticles, CpG-P-ss-M, along with chemotherapy- and phototherapy-generated abundant tumor-specific antigen storage in situ. The released CpG-P-ss-M acted as a carrier adsorbed and delivered antigens to LNs, promoting the uptake of antigens by DCs and DC maturation. Notably, combined with PD-L1 blocking, the therapy effectively inhibited primary tumor growth and induced tumor-specific immune response against tumor recurrence and metastasis.

摘要

癌症疫苗的应用受到限制,因为它们具有全身免疫毒性,且无法满足所有步骤,包括肿瘤抗原的负载、抗原引流至淋巴结(LN)、树突状细胞(DC)对抗原的内化、DC成熟以及抗原交叉呈递以激活T细胞。在此,我们提出一种基于α-环糊精(CD)凝胶系统DOX/ICG/CpG-P-ss-M/CD的联合疗法,该系统通过包裹阿霉素(DOX)和光热剂吲哚菁绿(ICG)制成。照射后,凝胶系统表现出DOX和疫苗样纳米颗粒CpG-P-ss-M的热响应释放,同时化疗和光疗在原位产生大量肿瘤特异性抗原储存。释放的CpG-P-ss-M作为载体吸附并将抗原递送至LN,促进DC对抗原的摄取和DC成熟。值得注意的是,与PD-L1阻断相结合,该疗法有效抑制原发性肿瘤生长,并诱导针对肿瘤复发和转移的肿瘤特异性免疫反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7912/7473750/c07d66682d54/abb3116-F1.jpg

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