Zhang Yun, Yang Yanfang, Ye Jun, Gao Yue, Liao Hengfeng, Zhou Junzhuo, Feng Yu, Liu Dongdong, Meng Yingying, Chen Xiaoguang, Gao Lili, Liu Yuling
State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Institute of Materia Medica, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100050, China.
Beijing Key Laboratory of Drug Delivery Technology and Novel Formulation, Institute of Materia Medica, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100050, China.
Sci China Life Sci. 2021 Jul;64(7):1097-1115. doi: 10.1007/s11427-020-1739-6. Epub 2020 Sep 29.
As a potential cancer immunotherapeutic agent, chlorogenic acid (CHA) has entered phase II clinical trials in China as a lyophilized powder formulation for treating glioma. However, the in vivo instability of CHA necessitates daily intramuscular injections, resulting in patient noncompliance. In this study, CHA-phospholipid complex (PC)-containing PEGylated liposomes (CHA-PC PEG-Lipo, named as CPPL), with CHA-PC as the drug intermediate, were prepared to lower the administration frequency. CPPL demonstrated excellent physicochemical properties, enhanced tumor accumulation, and inhibited tumor growth even when the administration interval was prolonged to 4 days when compared to a CHA solution and CHA-PC loaded liposomes (CHA-PC Lipo, labeled as CPL), both of which only demonstrated antitumor efficacy with once-daily administration. Further evaluation of the in vivo antitumor immune mechanism suggested that the extended antitumor immune efficacy of CPPL could be attributed to its distinct immune-stimulating mechanism when compared with CHA solution and CPL, such as stimulating both CD4 and CD8 T cell infiltration, inhibiting myeloid-derived suppressor cell expression, reducing the expression of Th2 related factors, and notably, increasing the memory T cells in tumor tissues. This CHA-containing formulation could reduce the frequency of in vivo CHA administration during cancer treatment via T cells, especially memory T cell regulation.
作为一种潜在的癌症免疫治疗药物,绿原酸(CHA)已在中国进入II期临床试验,其剂型为用于治疗神经胶质瘤的冻干粉。然而,CHA在体内的不稳定性使得需要每日进行肌肉注射,导致患者依从性差。在本研究中,制备了以CHA-磷脂复合物(PC)为药物中间体的含聚乙二醇化脂质体的CHA-PC(CHA-PC PEG-Lipo,命名为CPPL),以降低给药频率。与CHA溶液和负载CHA-PC的脂质体(CHA-PC Lipo,标记为CPL)相比,CPPL表现出优异的物理化学性质、增强的肿瘤蓄积,并且即使给药间隔延长至4天也能抑制肿瘤生长,而CHA溶液和CPL均仅在每日一次给药时显示出抗肿瘤功效。对体内抗肿瘤免疫机制的进一步评估表明,与CHA溶液和CPL相比,CPPL延长的抗肿瘤免疫功效可归因于其独特的免疫刺激机制,例如刺激CD4和CD8 T细胞浸润、抑制髓源性抑制细胞表达、降低Th2相关因子的表达,并且值得注意的是,增加肿瘤组织中的记忆T细胞。这种含CHA的制剂可以通过T细胞,特别是记忆T细胞调节,降低癌症治疗期间体内CHA的给药频率。