肿瘤坏死物质驱动的纳米反应器可增强射频消融治疗并促进抗肿瘤免疫反应。

Tumor-killing nanoreactors fueled by tumor debris can enhance radiofrequency ablation therapy and boost antitumor immune responses.

机构信息

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

Macao Institute of Materials Science and Engineering, Macau University of Science and Technology, Taipa, Macau, PR China.

出版信息

Nat Commun. 2021 Jul 14;12(1):4299. doi: 10.1038/s41467-021-24604-9.

Abstract

Radiofrequency ablation (RFA) is clinically adopted to destruct solid tumors, but is often incapable of completely ablating large tumors and those with multiple metastatic sites. Here we develop a CaCO-assisted double emulsion method to encapsulate lipoxidase and hemin with poly(lactic-co-glycolic acid) (PLGA) to enhance RFA. We show the HLCaP nanoreactors (NRs) with pH-dependent catalytic capacity can continuously produce cytotoxic lipid radicals via the lipid peroxidation chain reaction using cancer cell debris as the fuel. Upon being fixed inside the residual tumors post RFA, HLCaP NRs exhibit a suppression effect on residual tumors in mice and rabbits by triggering ferroptosis. Moreover, treatment with HLCaP NRs post RFA can prime antitumor immunity to effectively suppress the growth of both residual and metastatic tumors, also in combination with immune checkpoint blockade. This work highlights that tumor-debris-fueled nanoreactors can benefit RFA by inhibiting tumor recurrence and preventing tumor metastasis.

摘要

射频消融 (RFA) 被临床用于破坏实体瘤,但常不能完全消融大肿瘤和多发性转移灶。在这里,我们开发了一种 CaCO 辅助的双重乳液法,用聚(乳酸-共-乙醇酸)(PLGA)包载脂肪酶和血红素以增强 RFA。我们展示了具有 pH 依赖性催化能力的 HLCaP 纳米反应器 (NR) 可以通过脂质过氧化链式反应,利用癌细胞碎片作为燃料,持续产生细胞毒性脂质自由基。在 RFA 后固定在残余肿瘤内,HLCaP NR 通过触发铁死亡对残余肿瘤在小鼠和兔中表现出抑制作用。此外,RFA 后用 HLCaP NR 治疗可以引发抗肿瘤免疫,有效抑制残余和转移肿瘤的生长,也可以与免疫检查点阻断联合使用。这项工作强调了肿瘤碎片燃料的纳米反应器可以通过抑制肿瘤复发和防止肿瘤转移来受益于 RFA。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20fe/8280226/b04b7fe552f4/41467_2021_24604_Fig1_HTML.jpg

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