State Key Laboratory of Oncogenes and Related Genes, Renji Hospital, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, 200127, China.
State Key Laboratory of Oncogenes and Related Genes, Shanghai Cancer Institute, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200032, China.
Biomaterials. 2022 Jun;285:121517. doi: 10.1016/j.biomaterials.2022.121517. Epub 2022 Apr 25.
Systemic lupus erythematosus (SLE) is a potentially life-threatening autoimmune disease that is characterized by alterations in the balance between effector and regulatory CD4 T cells. We observed the upregulation of the immune checkpoints (ICs) PD-1 and TIGIT in pathogenic CD4 T cells during disease progression, and downregulation of their ligands PD-L1 and CD155. Inspired by biomimetic nanotechnology, we fabricated dexamethasone (DXM)-loaded IFN-γ-treated MHC class I deficient cancer membrane-coated nanoparticles (IM-MNPs/DXM) to safely harness the immunosuppressive power of tumor cells for the treatment of SLE. The IM-MNPs inherited the membrane functions, which allowed these particles to evade immune clearance and accumulate in inflammatory organs. The IM-MNPs specifically targeted SLE CD4 T cells and agonist PD-1/TIGIT signaling to inhibit effector T cell function while enhancing the immunosuppressive function of regulatory T cells (Tregs). The sustained release of DXM inhibited the production of proinflammatory cytokines in the inflammatory microenvironment to further promote Treg-mediated immune homeostasis. The IM-MNPs/DXM showed significant therapeutic efficacy in ameliorating lupus nephritis (LN) and decreasing side effects in vivo. Therefore, the particle represents a promising platform to improve current SLE treatment efficacy while minimizing systemic side effects of DXM and ICs agonist therapy.
系统性红斑狼疮(SLE)是一种潜在危及生命的自身免疫性疾病,其特征是效应和调节性 CD4 T 细胞之间的平衡发生改变。我们在疾病进展过程中观察到致病性 CD4 T 细胞中免疫检查点(ICs)PD-1 和 TIGIT 的上调,以及其配体 PD-L1 和 CD155 的下调。受仿生纳米技术的启发,我们制备了负载地塞米松(DXM)的 IFN-γ 处理的 MHC Ⅰ类缺陷型癌细胞膜包覆的纳米颗粒(IM-MNPs/DXM),以安全利用肿瘤细胞的免疫抑制能力来治疗 SLE。IM-MNPs 继承了膜功能,使这些颗粒能够逃避免疫清除并在炎症器官中积累。IM-MNPs 特异性靶向 SLE CD4 T 细胞,并激活 PD-1/TIGIT 信号,抑制效应 T 细胞功能,同时增强调节性 T 细胞(Tregs)的免疫抑制功能。DXM 的持续释放抑制了炎症微环境中促炎细胞因子的产生,进一步促进了 Treg 介导的免疫稳态。IM-MNPs/DXM 在改善狼疮肾炎(LN)和减少体内副作用方面显示出显著的治疗效果。因此,该颗粒代表了一种有前途的平台,可以提高当前 SLE 治疗效果,同时最大限度地减少 DXM 和 ICs 激动剂治疗的全身副作用。
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