State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, West China Medical School, Sichuan University, and Collaborative Innovation Center of Biotherapy, Chengdu, 610041, China.
West China School of Pharmacy, Sichuan University. Chengdu, 610041, PR China.
Biomaterials. 2022 Feb;281:121328. doi: 10.1016/j.biomaterials.2021.121328. Epub 2021 Dec 20.
Chemotherapy drugs play important roles in clinical treatment, and most first-line regimens of cancer therapy contain chemotherapy drugs. In particular, some chemotherapeutic drugs can also produce ICD effect and enhance the immune response of the body. However, most chemotherapy drugs do not specifically target tumors or the complex tumor microenvironment, which renders their curative effect insufficient. Therefore, we constructed a tumor microenvironment-responsive drug delivery system (AgS-PAsp-cRGD) combined with doxorubicin (DOX) for tumor therapy. Firstly, AgS nanoparticles (NPs) were modified with polymer aspartic acid (PAsp) to construct the drug-loading platform. Then, an active targeting ligand (cRGD) was coupled through an amide reaction to enhance the functional targeting ability of the drug delivery system. In vivo imaging of the system showed that the nanoparticles accumulated in the tumor site, which facilitated the delivery of the chemotherapy drug DOX to the targeted tumor site. Furthermore, the photothermal effect of AgS NPs can effectively killed tumor cells, and also helped the release of DOX from nanoparticles into tumor tissue, thus enhancing the chemotherapeutic effect. Moreover, combined with the ICD effect jointly induced by photothermal therapy (PTT) and DOX, the treatment further activated the host immune response against tumors by enhancing the presentation of antigens and promoting the differentiation of T cells. This strategy of photo-chemo-immunotherapy showed excellent antitumor effect, not only eliminating the primary tumor but also preventing recurrence and inhibiting metastasis.
化疗药物在临床治疗中发挥着重要作用,大多数癌症治疗的一线方案都包含化疗药物。特别是,一些化疗药物还可以产生 ICD 效应,增强机体的免疫反应。然而,大多数化疗药物不能特异性地针对肿瘤或复杂的肿瘤微环境,导致其疗效不足。因此,我们构建了一种肿瘤微环境响应性药物递送系统(AgS-PAsp-cRGD),并结合多柔比星(DOX)进行肿瘤治疗。首先,AgS 纳米颗粒(NPs)被聚合物天冬氨酸(PAsp)修饰,构建载药平台。然后,通过酰胺反应偶联一个主动靶向配体(cRGD),以增强药物递送系统的功能靶向能力。该系统的体内成像显示,纳米颗粒在肿瘤部位聚集,有利于化疗药物 DOX 递送到靶向肿瘤部位。此外,AgS NPs 的光热效应可以有效地杀死肿瘤细胞,并且还帮助 DOX 从纳米颗粒中释放到肿瘤组织中,从而增强化疗效果。此外,结合光热疗法(PTT)和 DOX 共同诱导的 ICD 效应,通过增强抗原呈递和促进 T 细胞分化,进一步激活宿主对肿瘤的免疫反应。这种光化疗免疫治疗策略表现出优异的抗肿瘤效果,不仅消除了原发肿瘤,还防止了复发和抑制了转移。