Department of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Cancer Center, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Small. 2022 Jul;18(29):e2107787. doi: 10.1002/smll.202107787. Epub 2022 Jun 25.
Low responsiveness to anti-programmed death-1/programmed death-ligand 1 (anti-PD-1/PD-L1) for solid tumors indicates the presence of other immunosuppressive pathways. Siglec15, a newly discovered immune checkpoint, has been reported to repress immune responses in the tumor microenvironment (TME) and regulate osteoclast differentiation. However, the role of Siglec15 in the treatment for bone metastasis remains unclear. Herein, Siglec15 shows significantly higher expression in lung adenocarcinoma spinal metastasis (LUAD-SM) than in para-cancerous spinal tissues and primary LUAD. Subsequently, a TME-responsive hollow MnO nanoplatform (H-M) loaded with Siglec15 siRNA and cisplatin (H-M@siS15/Cis) is developed, and the surface is modified with an aspartic acid octapeptide (Asp ), thus allowing H-M to target spinal metastasis. High drug-loading capacity, good biocompatibility, effective tumor accumulation, and efficient Siglec15 silencing are demonstrated. Furthermore, the nanoparticles could reverse immunosuppression caused by tumor cells and tumor-associated macrophages (TAMs) and inhibit osteoclast differentiation via Siglec15 downregulation in vitro. In a LUAD-SM mouse model, H-M@siS15/Cis-Asp exhibits superior therapeutic efficacy via synergetic immunochemotherapy and osteolysis inhibition. Taken together, this single nanoplatform reveals the therapeutic potential of the new immune checkpoint Siglec15 in LUAD-SM and provides a strategy to treat this disease.
针对实体瘤的抗程序性死亡-1/程序性死亡配体 1(抗 PD-1/PD-L1)反应低下表明存在其他免疫抑制途径。Siglec15 是一种新发现的免疫检查点,据报道可抑制肿瘤微环境(TME)中的免疫反应并调节破骨细胞分化。然而,Siglec15 在治疗骨转移中的作用尚不清楚。在此,Siglec15 在肺腺癌脊柱转移(LUAD-SM)中比癌旁脊柱组织和原发性 LUAD 中表达明显更高。随后,开发了一种 TME 响应的中空 MnO 纳米平台(H-M),负载 Siglec15 siRNA 和顺铂(H-M@siS15/Cis),并用天冬氨酸八肽(Asp)进行表面修饰,从而使 H-M 能够靶向脊柱转移。结果表明,该纳米颗粒具有高载药能力、良好的生物相容性、有效的肿瘤积累和高效的 Siglec15 沉默。此外,这些纳米颗粒可以通过 Siglec15 下调在体外逆转肿瘤细胞和肿瘤相关巨噬细胞(TAMs)引起的免疫抑制并抑制破骨细胞分化。在 LUAD-SM 小鼠模型中,H-M@siS15/Cis-Asp 通过协同免疫化疗和抑制溶骨性作用表现出优异的治疗效果。总之,这种单一纳米平台揭示了新的免疫检查点 Siglec15 在 LUAD-SM 中的治疗潜力,并为治疗这种疾病提供了一种策略。