Department of Lymphoma, Tianjin's Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital, Tianjin Medical University, Tianjin, 300060, People's Republic of China.
Int J Nanomedicine. 2021 Mar 12;16:2107-2121. doi: 10.2147/IJN.S295565. eCollection 2021.
Although anti-programmed cell death protein 1 antibody (aPD1) immunotherapy and chemotherapy has made much progress in the treatment of melanoma, the efficacy still needs to be further improved.
Cancer treatment has been greatly enhanced by the use of nanotechnology. Cancer cell membrane (CCM)-camouflaged nanoparticles have shown promising potential in tumor therapy due to their excellent homologous-targeting ability, long blood circulation and immune escape. This work presents a biocompatible and tumor acidic environmental responsive CCM-camouflaged mesoporous silica nanoparticle (CMSN) that is loaded with dacarbazine (DTIC) and combined with aPD1 to achieve better antitumor efficacy.
In vitro cell experiments demonstrated that DTIC@CMSN exhibits a better anti-tumor killing efficiency and a stronger ability to promote the apoptosis of tumor cells than free DTIC. In vivo antitumor results demonstrated that combination therapy of DTIC@CMSN chemotherapy and aPD1 immunotherapy remarkably suppress the melanoma growth and prolong survival time due to highly selective tumor killing, activation of tumor-specific T cells, and regulation of the immunosuppressive tumor microenvironment. In addition, safety evaluation studies of DTIC@CMSN also demonstrate their increased tumor accumulation and decreased systemic toxicity.
This study provides a promising nano-platform for the combination of chemotherapy with immunotherapy, which is potentially useful for the treatment of melanoma.
尽管抗程序性细胞死亡蛋白 1 抗体(aPD1)免疫疗法和化疗在治疗黑色素瘤方面取得了很大进展,但疗效仍需进一步提高。
纳米技术的应用极大地增强了癌症的治疗效果。由于具有优异的同源靶向能力、长血液循环时间和免疫逃逸能力,细胞膜伪装纳米颗粒在肿瘤治疗中显示出了很有前景的潜力。本研究提出了一种具有生物相容性和肿瘤酸性环境响应性的细胞膜伪装介孔硅纳米颗粒(CMSN),负载了达卡巴嗪(DTIC)并与 aPD1 结合,以实现更好的抗肿瘤疗效。
体外细胞实验表明,DTIC@CMSN 比游离 DTIC 具有更好的抗肿瘤杀伤效率和更强的促进肿瘤细胞凋亡能力。体内抗肿瘤结果表明,DTIC@CMSN 化疗联合 aPD1 免疫治疗由于高度选择性的肿瘤杀伤、肿瘤特异性 T 细胞的激活以及免疫抑制肿瘤微环境的调节,显著抑制了黑色素瘤的生长并延长了生存时间。此外,DTIC@CMSN 的安全性评估研究也表明其增加了肿瘤的积累并降低了全身毒性。
本研究为化疗与免疫治疗相结合提供了一种很有前途的纳米平台,对于黑色素瘤的治疗具有潜在的应用价值。