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纳米载体共给药 TLR7 激动剂和免疫原性细胞死亡刺激物引发有效的胰腺癌化疗免疫治疗。

Nanocarrier Co-formulation for Delivery of a TLR7 Agonist plus an Immunogenic Cell Death Stimulus Triggers Effective Pancreatic Cancer Chemo-immunotherapy.

机构信息

Division of Nanomedicine, Department of Medicine, University of California, Los Angeles, California 90095, United States.

California NanoSystems Institute, University of California, Los Angeles, California 90095, United States.

出版信息

ACS Nano. 2022 Aug 23;16(8):13168-13182. doi: 10.1021/acsnano.2c06300. Epub 2022 Aug 3.

Abstract

Although toll-like receptor (TLR) agonists hold great promise as immune modulators for reprogramming the suppressive immune landscape in pancreatic ductal adenocarcinoma (PDAC), their use is limited by poor pharmacokinetics (PK) and off-target systemic inflammatory effects. To overcome these challenges as well as to attain drug synergy, we developed a lipid bilayer (LB)-coated mesoporous silica nanoparticle (silicasome) platform for co-delivery of the TLR7/8 agonist 3M-052 with the immunogenic chemotherapeutic agent irinotecan. This was accomplished by incorporating the C18 lipid tail of 3M-052 in the coated LB, also useful for irinotecan remote loading in the porous interior. Not only did the co-formulated carrier improve PK, but it strengthened the irinotecan-induced immunogenic cell death response by 3M-052-mediated dendritic cell activation at the tumor site as well as participating lymph nodes. The accompanying increase in CD8 T-cell infiltration along with a reduced number of regulatory T-cells was associated with tumor shrinkage and metastasis disappearance in subcutaneous and orthotopic KRAS-mediated pancreatic carcinoma tumor models. Moreover, this therapeutic outcome was accomplished without drug or nanocarrier toxicity. All considered, dual-delivery strategies that combine chemo-immunotherapy with co-formulated TLR agonists or other lipid-soluble immune modulators predict successful intervention in heterogeneous PDAC immune landscapes.

摘要

尽管 Toll 样受体 (TLR) 激动剂作为免疫调节剂在重编程胰腺导管腺癌 (PDAC) 中的抑制性免疫景观方面具有巨大的潜力,但由于其较差的药代动力学 (PK) 和非靶向的全身炎症作用,其应用受到限制。为了克服这些挑战并实现药物协同作用,我们开发了一种脂质双层 (LB) 涂层介孔硅纳米颗粒 (silicasome) 平台,用于共同递送 TLR7/8 激动剂 3M-052 和免疫原性化疗药物伊立替康。这是通过将 3M-052 的 C18 脂质尾巴纳入涂层 LB 来实现的,这对于伊立替康在多孔内部的远程加载也很有用。联合制剂载体不仅改善了 PK,而且通过 3M-052 介导的树突状细胞激活增强了伊立替康诱导的免疫原性细胞死亡反应,以及参与的淋巴结。CD8 T 细胞浸润的增加以及调节性 T 细胞数量的减少与皮下和原位 KRAS 介导的胰腺癌肿瘤模型中的肿瘤缩小和转移消失相关。此外,这种治疗效果是在没有药物或纳米载体毒性的情况下实现的。综上所述,将化学免疫疗法与联合制剂 TLR 激动剂或其他脂溶性免疫调节剂相结合的双重递药策略有望成功干预异质性 PDAC 免疫景观。

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