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聚集体嵌合订书肽与抗 PD-L1 肽偶联增强结直肠癌的免疫治疗。

Polymer chimera of stapled oncolytic peptide coupled with anti-PD-L1 peptide boosts immunotherapy of colorectal cancer.

机构信息

Shanghai Frontiers Science Center for Chinese Medicine Chemical Biology, Institute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.

School of Pharmacy, Fudan University, Shanghai, 201203, China.

出版信息

Theranostics. 2022 Apr 24;12(7):3456-3473. doi: 10.7150/thno.71129. eCollection 2022.

Abstract

Scarce tumor mutation burden and neoantigens create tremendous obstacles for an effective immunotherapy of colorectal cancer (CRC). Oncolytic peptides rise as a promising therapeutic approach that boosts tumor-specific immune responses by inducing antigenic substances. However, the clinical application of oncolytic peptides has been hindered because of structural instability, proteolytic degradation, and undesired toxicity when administered systemically. Based on wasp venom peptide, an optimized stapled oncolytic peptide MP9 was developed with rigid α-helix, protease-resistance, and CRC cell cytotoxicity. By incorporating four functional motifs that include D-peptidomimetic inhibitor of PD-L1, matrix metalloproteinase-2 (MMP-2) cleavable spacer, and MP9 with 4-arm PEG, a novel peptide-polymer conjugate (PEG-MP9-aPDL1) was obtained and identified as the most promising systemic delivery vehicle with PD-L1 targeting specificity and favorable pharmacokinetic properties. We demonstrated that PEG-MP9-aPDL1-driven oncolysis induces a panel of immunogenic cell death (ICD)-relevant damage-associated molecular patterns (DAMPs) both and , which are key elements for immunotherapy with PD-L1 inhibitor. Further, PEG-MP9-aPDL1 exhibited prominent immunotherapeutic efficacy in a CRC mouse model characterized by tumor infiltration of CD8+ T cells and induction of cytotoxic lymphocytes (CTLs) in the spleens. Our findings suggest that PEG-MP9-aPDL1 is an all-in-one platform for oncolytic immunotherapy and immune checkpoint blockade (ICB).

摘要

稀缺的肿瘤突变负担和新抗原为结直肠癌(CRC)的有效免疫治疗带来了巨大的障碍。溶瘤肽作为一种有前途的治疗方法,通过诱导抗原物质,提高肿瘤特异性免疫反应。然而,由于结构不稳定、蛋白水解降解以及全身给药时的非期望毒性,溶瘤肽的临床应用受到了阻碍。基于黄蜂毒液肽,开发了一种优化的订书肽溶瘤肽 MP9,其具有刚性α-螺旋、蛋白酶抗性和 CRC 细胞细胞毒性。通过整合包括 PD-L1 的 D-肽模拟抑制剂、基质金属蛋白酶-2(MMP-2)可切割间隔物和 4 臂 PEG 的 MP9 在内的四个功能基序,获得了一种新型肽-聚合物缀合物(PEG-MP9-aPDL1),并被鉴定为具有 PD-L1 靶向特异性和良好药代动力学特性的最有前途的系统递送载体。我们证明,PEG-MP9-aPDL1 驱动的溶瘤作用诱导了一系列免疫原性细胞死亡(ICD)相关损伤相关分子模式(DAMPs),这是免疫疗法与 PD-L1 抑制剂结合的关键因素。此外,PEG-MP9-aPDL1 在结直肠癌小鼠模型中表现出显著的免疫治疗效果,其特征是肿瘤浸润 CD8+T 细胞和脾脏中诱导细胞毒性淋巴细胞(CTL)。我们的研究结果表明,PEG-MP9-aPDL1 是一种集溶瘤免疫治疗和免疫检查点阻断(ICB)于一体的平台。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bda/9065177/5d7ed7ca9278/thnov12p3456g001.jpg

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