He Yang, Fang Yuefei, Zhang Meng, Zhao Yuge, Tu Bin, Shi Mingjie, Muhitdinov Bahtiyor, Asrorov Akmal, Xu Qin, Huang Yongzhuo
State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China.
University of Chinese Academy of Sciences, Beijing 100049, China.
Acta Pharm Sin B. 2022 Apr;12(4):2057-2073. doi: 10.1016/j.apsb.2021.09.022. Epub 2021 Sep 30.
There is a close connection between epigenetic regulation, cancer metabolism, and immunology. The combination of epigenetic therapy and immunotherapy provides a promising avenue for cancer management. As an epigenetic regulator of histone acetylation, panobinostat can induce histone acetylation and inhibit tumor cell proliferation, as well as regulate aerobic glycolysis and reprogram intratumoral immune cells. JQ1 is a BRD4 inhibitor that can suppress PD-L1 expression. Herein, we proposed a chemo-free, epigenetic-based combination therapy of panobinostat/JQ1 for metastatic colorectal cancer. A novel targeted binary-drug liposome was developed based on lactoferrin-mediated binding with the LRP-1 receptor. It was found that the tumor-targeted delivery was further enhanced by formation of albumin corona. The lactoferrin modification and endogenous albumin adsorption contribute a dual-targeting effect on the receptors of both LRP-1 and SPARC that were overexpressed in tumor cells and immune cells (, tumor-associated macrophages). The targeted liposomal therapy was effective to suppress the crosstalk between tumor metabolism and immune evasion glycolysis inhibition and immune normalization. Consequently, lactic acid production was reduced and angiogenesis inhibited; TAM switched to an anti-tumor phenotype, and the anti-tumor function of the effector CD8 T cells was reinforced. The strategy provides a potential method for remodeling the tumor immune microenvironment (TIME).
表观遗传调控、癌症代谢和免疫学之间存在着密切的联系。表观遗传疗法与免疫疗法的联合应用为癌症治疗提供了一条有前景的途径。作为一种组蛋白乙酰化的表观遗传调节剂,帕比司他可诱导组蛋白乙酰化并抑制肿瘤细胞增殖,还可调节有氧糖酵解并重编程肿瘤内免疫细胞。JQ1是一种BRD4抑制剂,可抑制PD-L1的表达。在此,我们提出了一种用于转移性结直肠癌的基于表观遗传的无化疗联合疗法——帕比司他/JQ1。基于乳铁蛋白介导的与LRP-1受体的结合,开发了一种新型靶向双药脂质体。研究发现,白蛋白冠的形成进一步增强了肿瘤靶向递送。乳铁蛋白修饰和内源性白蛋白吸附对在肿瘤细胞和免疫细胞(即肿瘤相关巨噬细胞)中过表达的LRP-1和SPARC受体具有双靶向作用。靶向脂质体疗法可有效抑制肿瘤代谢与免疫逃逸之间的相互作用——抑制糖酵解并使免疫正常化。因此,乳酸生成减少,血管生成受到抑制;肿瘤相关巨噬细胞转变为抗肿瘤表型,效应性CD8 T细胞的抗肿瘤功能得到增强。该策略为重塑肿瘤免疫微环境(TIME)提供了一种潜在方法。
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