Takayama Takuma, Shimizu Taro, Lila Amr S Abu, Kanazawa Yuki, Ando Hidenori, Ishima Yu, Ishida Tatsuhiro
Department of Pharmacokinetics and Biopharmaceutics, Institute of Biomedical Sciences, Tokushima University, 1-78-1, Sho-machi, Tokushima 770-8505, Japan.
Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Zagazig University, Zagazig 44519, Egypt.
Pharmaceutics. 2020 Oct 19;12(10):990. doi: 10.3390/pharmaceutics12100990.
Doxorubicin (DXR) has been reported to have direct cytotoxicity against cancer cells and indirect immunotoxicity by modulation of host antitumor immunity. Hence, it may prevent cancer progression by a dual mechanism. Doxil, a formulation of DXR encapsulated in polyethylene glycol modified (PEGylated) liposomes, is the most widely used of the clinically approved liposomal anticancer drugs. However, the effect of Doxil on host antitumor immunity is not well understood. In this study, Doxil efficiently suppressed tumor growth in immunocompetent mice bearing C26 murine colorectal carcinomas, but not in T cell-deficient nude mice, indicating a contribution of T cells to the overall antitumor effect of Doxil. In immunocompetent mice, Doxil increased major histocompatibility complex (MHC-1) levels in C26 tumors, which may be an indicator of increased immunogenicity of tumor cells, and potentially amplified tumor immunogenicity by decreasing immunosuppressive cells such as regulatory T cells, tumor-associated microphages and myeloid-derived suppressor cells that collectively suppress T cell-mediated antitumor responses. This suggests that encapsulation of DXR into PEGylated liposomes increased the therapeutic efficacy of DXR though effects on host antitumor immunogenicity in addition to direct cytotoxic effects on tumor cells. This report describes the role of host antitumor immunity in the overall therapeutic effects of Doxil. Manipulating pharmacokinetics and biodistribution of chemotherapeutic agents with immunomodulatory properties may increase their therapeutic efficacies by amplifying host antitumor immunity in addition to direct cytotoxic effects on tumor cells.
据报道,阿霉素(DXR)对癌细胞具有直接细胞毒性,并通过调节宿主抗肿瘤免疫产生间接免疫毒性。因此,它可能通过双重机制预防癌症进展。多柔比星脂质体(Doxil)是一种包裹在聚乙二醇修饰(聚乙二醇化)脂质体中的阿霉素制剂,是临床批准的脂质体抗癌药物中使用最广泛的一种。然而,Doxil对宿主抗肿瘤免疫的影响尚不完全清楚。在本研究中,Doxil有效地抑制了携带C26小鼠结直肠癌的免疫活性小鼠的肿瘤生长,但对T细胞缺陷的裸鼠无效,这表明T细胞对Doxil的整体抗肿瘤作用有贡献。在免疫活性小鼠中,Doxil提高了C26肿瘤中的主要组织相容性复合体(MHC-1)水平,这可能是肿瘤细胞免疫原性增加的一个指标,并且可能通过减少诸如调节性T细胞、肿瘤相关巨噬细胞和髓源性抑制细胞等免疫抑制细胞来放大肿瘤免疫原性,这些细胞共同抑制T细胞介导的抗肿瘤反应。这表明,将DXR包裹在聚乙二醇化脂质体中,除了对肿瘤细胞有直接细胞毒性作用外,还通过对宿主抗肿瘤免疫原性的影响提高了DXR的治疗效果。本报告描述了宿主抗肿瘤免疫在Doxil整体治疗效果中的作用。通过调节具有免疫调节特性的化疗药物的药代动力学和生物分布,除了对肿瘤细胞有直接细胞毒性作用外,还可以通过放大宿主抗肿瘤免疫来提高其治疗效果。