Department of Chemistry, University of Georgia, Athens, GA, 30602, USA.
Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA, 30322, USA.
J Nanobiotechnology. 2021 Jun 14;19(1):182. doi: 10.1186/s12951-021-00919-z.
BACKGROUND: Photodynamic therapy (PDT) may elicit antitumor immune response in addition to killing cancer cells. However, PDT as a monotherapy often fails to induce a strong immunity. Immune checkpoint inhibitors, which selectively block regulatory axes, may be used in combination with PDT to improve treatment outcomes. Indoleamine 2,3-dioxygenase (IDO) is an immunoregulatory enzyme and an important meditator of tumor immune escape. Combination therapy with PDT and IDO-targeted immune checkpoint blockage is promising but has been seldom been explored. METHODS: Herein we report a composite nanoparticle that allows for simultaneous delivery of photosensitizer and IDO inhibitor. Briefly, we separately load ZnFPc, a photosensitizer, and NLG919, an indoleamine 2,3-dioxygenase (IDO) inhibitor, into ferritin and poly(lactide-co-glycolic)-block-poly(ethylene glycol) (PEG-PLGA) nanoparticles; we then conjugate these two compartments to form a composite nanoparticle referred to as PPF NPs. We tested combination treatment with PPF NPs first in vitro and then in vivo in B16F10-tumor bearing C57/BL6 mice. RESULTS: Our results showed that PPF NPs can efficiently encapsulate both ZnFPc and NLG919. In vivo studies found that the combination treatment led to significantly improved tumor suppression and animal survival. Moreover, the treatment increased tumor infiltration of CD8 T cells, while reducing frequencies of MDSCs and Tregs. 30% of the animals showed complete tumor eradication, and they successfully rejected a second tumor inoculation. Overall, our studies introduce a unique composite nanoplatform that allows for co-delivery of photosensitizer and IDO inhibitor with minimal inter-species interference, which is ideal for combination therapy.
背景:光动力疗法 (PDT) 除了能杀死癌细胞外,还可能引发抗肿瘤免疫反应。然而,PDT 作为单一疗法往往无法诱导强烈的免疫反应。免疫检查点抑制剂选择性阻断调节轴,可与 PDT 联合使用以改善治疗效果。吲哚胺 2,3-双加氧酶 (IDO) 是一种免疫调节酶,也是肿瘤免疫逃逸的重要调节因子。PDT 与 IDO 靶向免疫检查点阻断联合治疗具有广阔的前景,但尚未得到广泛探索。
方法:本文报道了一种可同时递送光敏剂和 IDO 抑制剂的复合纳米颗粒。简而言之,我们分别将光敏剂 ZnFPc 和 IDO 抑制剂 NLG919 装载到铁蛋白和聚乳酸-羟基乙酸共聚物-嵌段-聚乙二醇 (PEG-PLGA) 纳米颗粒中;然后将这两个隔室连接起来,形成一种复合纳米颗粒,称为 PPF NPs。我们首先在体外测试了 PPF NPs 的联合治疗,然后在 B16F10 肿瘤荷瘤 C57/BL6 小鼠体内进行了测试。
结果:我们的结果表明,PPF NPs 可以有效地包裹 ZnFPc 和 NLG919。体内研究发现,联合治疗可显著抑制肿瘤生长并提高动物存活率。此外,该治疗方法增加了肿瘤浸润 CD8+T 细胞的数量,同时减少了 MDSC 和 Treg 的频率。30%的动物实现了肿瘤完全消除,并且成功地拒绝了第二次肿瘤接种。总之,我们的研究引入了一种独特的复合纳米平台,可实现光敏剂和 IDO 抑制剂的共递药,最小化种间干扰,是联合治疗的理想选择。
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