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免疫抑制纳米颗粒用于肝脏免疫相关不良事件的管理

Immunosuppressive Nanoparticles for Management of Immune-Related Adverse Events in Liver.

机构信息

Institute of Functional Nano & Soft Materials (FUNSOM), Jiangsu Key Laboratory for Carbon-based Functional Materials and Devices, Soochow University, Suzhou, Jiangsu 215123, China.

The First Affiliated Hospital, Department of Chemistry, Jinan University, Guangzhou 510632, China.

出版信息

ACS Nano. 2021 May 25;15(5):9111-9125. doi: 10.1021/acsnano.1c02391. Epub 2021 May 14.

Abstract

Immune checkpoint blockade (ICB) therapy has been considered as an effective way to boost immune cells to recognize and attack tumors. However, side effects known as immune-related adverse events (irAEs) should be carefully managed. Here, we engineer immunosuppressive nanoparticles by coating PD-L1 overexpressed mesenchymal stem cells (MSCs) plasma membrane on poly lactic--glycolic acid nanoparticles (MSC-PD-L1 NPs) for managing and reducing irAEs induced by immune checkpoint inhibitors. The nanoparticles can enrich at liver site after intravenous administration. In the high dose of anti-PD-L1 mAb-induced irAEs clinically relevant mouse model, a low dose of MSC-PD-L1 NPs (2 mg/kg) sufficiently rescues hepatitis by inactivating T cells and macrophages in the liver tissue. More intriguingly, due to the dose threshold for nanoparticles to the tumor site, we unexpectedly find that the injected NPs do not affect the efficiency of ICB therapy to inhibit solid tumor growth. Such a strategy shows potential for managing the various cancer immunotherapy associated irAEs in clinical applications.

摘要

免疫检查点阻断(ICB)治疗被认为是一种有效的方法,可以增强免疫细胞识别和攻击肿瘤的能力。然而,被称为免疫相关不良反应(irAEs)的副作用需要谨慎管理。在这里,我们通过在聚乳酸-乙醇酸纳米颗粒(MSC-PD-L1 NPs)上覆盖 PD-L1 过表达间充质干细胞(MSCs)的质膜,来设计免疫抑制性纳米颗粒,以管理和减少免疫检查点抑制剂引起的 irAEs。这些纳米颗粒在静脉给药后可以在肝脏部位富集。在高剂量抗 PD-L1 mAb 诱导的 irAEs 临床相关小鼠模型中,低剂量的 MSC-PD-L1 NPs(2mg/kg)通过在肝组织中使 T 细胞和巨噬细胞失活,充分挽救了肝炎。更有趣的是,由于纳米颗粒到达肿瘤部位的剂量阈值,我们意外地发现注射的 NPs 不会影响 ICB 治疗抑制实体瘤生长的效率。这种策略为管理临床应用中各种癌症免疫治疗相关的 irAEs 提供了潜力。

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