Department of Medical Oncology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, 310058, China.
College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, 310058, China.
Adv Mater. 2021 Mar;33(12):e2006003. doi: 10.1002/adma.202006003. Epub 2021 Feb 4.
A photothermal genome-editing strategy is described to improve immune checkpoint blockade (ICB) therapy by CRISPR/Cas9-mediated disruption of PD-L1 and mild-hyperthermia-induced activation of immunogenic cell death (ICD). This strategy relies on a supramolecular cationic gold nanorod that not only serves as a carrier to deliver CRISPR/Cas9 targeting PD-L1, but also harvests the second near-infrared-window (NIR-II) light and converts into mild hyperthermia to induce both ICD and gene expression of Cas9. The genomic disruption of PD-L1 significantly augments ICB therapy by improving the conversion of dendritic cells to T cells, followed by promoting the infiltration of cytotoxic T lymphocytes into tumors, thereby reprogramming immunosuppressive tumor microenvironment into immunoactive one. Such a therapeutic modality greatly inhibits the activity of primary and metastatic tumors and exhibits long-term immune memory effects against both rechallenged and recurrent tumors. The current therapeutic strategy for synergistic PD-L1 disruption and ICD activation represents an appealing way for cancer immunotherapy.
一种光热基因编辑策略被描述为通过 CRISPR/Cas9 介导的 PD-L1 破坏和温和热疗诱导的免疫原性细胞死亡 (ICD) 激活来改善免疫检查点阻断 (ICB) 治疗。该策略依赖于一种超分子阳离子金纳米棒,它不仅用作递送 CRISPR/Cas9 靶向 PD-L1 的载体,还可以收集第二个近红外窗口 (NIR-II) 光并将其转化为温和的热疗,从而诱导 ICD 和 Cas9 的基因表达。PD-L1 的基因组破坏通过改善树突状细胞向 T 细胞的转化,随后促进细胞毒性 T 淋巴细胞浸润肿瘤,从而将免疫抑制性肿瘤微环境重新编程为免疫活性微环境,从而显著增强 ICB 治疗。这种治疗方式极大地抑制了原发性和转移性肿瘤的活性,并对再次挑战和复发的肿瘤产生长期的免疫记忆效应。协同 PD-L1 破坏和 ICD 激活的当前治疗策略代表了癌症免疫治疗的一种有吸引力的方法。
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