State Key Laboratory of Oncogenes and Related Genes, Shanghai Cancer Institute, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200032, China.
ACS Appl Mater Interfaces. 2021 Jul 21;13(28):32763-32779. doi: 10.1021/acsami.1c07323. Epub 2021 Jul 8.
Due to a special pathological type of triple-negative breast cancer (TNBC) and the lack of expression of the estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (Her 2), targeted therapies are not effective. The lack of effective treatment drugs and insensitivity to the current single-treatment methods are the biggest problems that we face with the TNBC treatment. Therefore, new strategies to achieve selective treatment and further visual efficacy evaluation will be powerful tools against TNBC. Herein, a novel tumor-targeted nanosized ultrasound contrast nanobubble loaded with chlorin e6 (Ce6), metformin (MET), and perfluorohexane (PFH) and covalently connected to the anti-PD-L1 peptide (PPA-1) in the outer shell was fabricated. When accumulated in acidic tumor tissues, poly(ethylene glycol) (PEG) ligands detach, and PPA-1 is exposed for programmed death-ligand 1 (PD-L1) targeting and blocking. The released metformin can relieve hypoxia by inhibiting mitochondrial complex I in the tumor microenvironment (TME) and enhance the therapeutic efficacy of Ce6 while synergizing with PPA-1 by reducing PD-L1 expression. More significantly, photodynamic therapy (PDT) using multifunctional tumor-targeted nanosized ultrasound contrast agents (PD-L1-targeted pH-sensitive chlorin e6 (Ce6) and metformin (MET) drug-loaded phase transitional nanoparticles (Ce6/MET NPs-PPA-1)) combined with PD-L1 checkpoint blocking can not only reduce tumor-mediated immunosuppression but also produce strong antitumor immunity. This finding provides a new idea for constructing multifunctional TNBC therapeutic nanoagents.
由于三阴性乳腺癌(TNBC)的一种特殊病理类型和雌激素受体(ER)、孕激素受体(PR)和人表皮生长因子受体 2(Her 2)表达缺失,靶向治疗无效。缺乏有效的治疗药物和对当前单一治疗方法的不敏感是我们在 TNBC 治疗中面临的最大问题。因此,新的靶向治疗策略和进一步的可视化疗效评估将是对抗 TNBC 的有力工具。在此,构建了一种新型的肿瘤靶向纳米级超声造影纳米泡,该纳米泡负载了氯己定(Ce6)、二甲双胍(MET)和全氟己烷(PFH),并在外壳上共价连接了抗 PD-L1 肽(PPA-1)。当在酸性肿瘤组织中积累时,聚乙二醇(PEG)配体脱落,暴露 PPA-1 用于程序性死亡配体 1(PD-L1)靶向和阻断。释放的二甲双胍可以通过抑制肿瘤微环境(TME)中的线粒体复合物 I 来缓解缺氧,并增强 Ce6 的治疗效果,同时通过降低 PD-L1 表达与 PPA-1 协同作用。更重要的是,多功能肿瘤靶向纳米级超声造影剂(PD-L1 靶向 pH 敏感氯己定(Ce6)和二甲双胍(MET)载药相转变纳米颗粒(Ce6/MET NPs-PPA-1))联合 PD-L1 检查点阻断的光动力疗法(PDT)不仅可以减轻肿瘤介导的免疫抑制,还可以产生强烈的抗肿瘤免疫。这一发现为构建多功能 TNBC 治疗性纳米制剂提供了新的思路。
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