State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, International Joint Research Laboratory of Nano-Micro Architecture Chemistry (NMAC), International Research Center for Chemistry-Medicine Joint Innovation, College of Chemistry, Jilin University, 2699 Qianjin Street, Changchun 130012, China.
Department of Thyroid, The Second Hospital of Jilin University, No. 218, Ziqiang Street, Nanguan District, Changchun 130041, China.
Acta Biomater. 2022 May;144:109-120. doi: 10.1016/j.actbio.2022.03.030. Epub 2022 Mar 18.
Programmed cell death protein 1 (PD-1)/Programmed Cell Death Ligand 1 (PD-L1) blockade immunotherapy has emerged as a promising strategy to treat both solid and hematological malignancies. Despite the considerable therapeutic effects obtained in pre-clinical and clinical studies, PD-1/PD-L1 blockade therapy is still limited by the low benefit rates and a large number of patients still do not respond to this treatment. In this study, we developed a highly efficient and cancer-specific immunogenic cell death nanoinducer for effective tumor immunotherapy. A leukocyte membrane coated poly (lactic-co-glycolic acid) encapsulating glycyrrhetinic acid (GCMNPs) was developed to enhance targeting, tumor-homing capacity, and reduce toxicity in vivo. GCMNPs could induce ferroptosis in acute myeloid leukemia and colorectal cancer cells by downregulating glutathione-dependent peroxidases 4, leading to increased lipid peroxidation levels. Moreover, GCMNPs and ferumoxytol could synergistically enhance Fe-dependent cytotoxicity through the Fenton reaction. Finally, in vivo studies showed that GCMNPs synergized with ferumoxytol and anti-PD-L1 synergistically improve T-cell immune response against leukemia and colorectal tumor. This study anticipated that the combination of glycyrrhetinic acid-based nanomaterials and ferrotherapy would provide further insights into anti-cancer immune response to PD-1/PD-L1 blockade for both solid and hematological malignancies. STATEMENT OF SIGNIFICANCE: Despite the considerable therapeutic effects obtained in pre-clinical and clinical studies, PD-1/PD-L1 blockade therapy is still limited by the low benefit rates and a large number of patients still do not respond to this treatment. We designed a glycyrrhetinic acid-based nanoplatform as a new ICD inducer (GCMNPs), with high cancer cell specificity and reduced toxicity to AML and CRC. GCMNPs cooperates with ferumoxytol to promote a Fenton reaction and induce ferroptosis. Moreover, the combination of GCMNPs and ferumoxytol enhanced the blockage of PD-1/PD-L1 to activate T cells, subsequently generating a systemic immune response in CRC and AML mouse models. This pre-clinical findings provide the proof-of-concept of combination of glycyrrhetinic acid-based nanomaterials and ferrotherapy as an "ICD nano-inducer" and immunotherapeutic agent for treating cancer.
程序性细胞死亡蛋白 1 (PD-1)/程序性细胞死亡配体 1 (PD-L1) 阻断免疫疗法已成为治疗实体瘤和血液恶性肿瘤的一种很有前途的策略。尽管在临床前和临床研究中取得了相当大的治疗效果,但 PD-1/PD-L1 阻断疗法仍然受到低受益率的限制,并且大量患者仍然对这种治疗没有反应。在这项研究中,我们开发了一种高效且具有肿瘤特异性的免疫原性细胞死亡纳米诱导剂,用于有效的肿瘤免疫治疗。开发了一种白细胞膜包裹的包载甘草次酸的聚乳酸-羟基乙酸共聚物纳米粒(GCMNPs),以增强靶向性、肿瘤归巢能力,并降低体内毒性。GCMNPs 通过下调谷胱甘肽依赖性过氧化物酶 4 诱导急性髓系白血病和结直肠癌细胞发生铁死亡,导致脂质过氧化水平升高。此外,GCMNPs 和 Fer-oxytol 可以通过 Fenton 反应协同增强铁依赖性细胞毒性。最后,体内研究表明,GCMNPs 与 Fer-oxytol 协同作用,并与抗 PD-L1 协同作用,改善对白血病和结直肠肿瘤的 T 细胞免疫反应。这项研究预计,基于甘草次酸的纳米材料与铁疗法的结合将为实体瘤和血液恶性肿瘤的 PD-1/PD-L1 阻断提供进一步的抗癌免疫反应见解。
意义声明:尽管在临床前和临床研究中取得了相当大的治疗效果,但 PD-1/PD-L1 阻断疗法仍然受到低受益率的限制,并且大量患者仍然对这种治疗没有反应。我们设计了一种基于甘草次酸的纳米平台作为一种新的 ICD 诱导剂(GCMNPs),对 AML 和 CRC 具有高癌细胞特异性和降低毒性。GCMNPs 与 Fer-oxytol 协同作用促进 Fenton 反应并诱导铁死亡。此外,GCMNPs 与 Fer-oxytol 的组合增强了 PD-1/PD-L1 的阻断作用,以激活 T 细胞,随后在 CRC 和 AML 小鼠模型中产生全身免疫反应。这项临床前研究结果为基于甘草次酸的纳米材料和铁疗法的组合作为“ICD 纳米诱导剂”和治疗癌症的免疫治疗剂提供了概念验证。
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