Department of Immunology, School of Medicine, Konkuk University, 268 Chungwon-daero, Chungju-si, Chungcheongbuk-do, 27478, South Korea.
Department of Immunology, School of Medicine, Konkuk University, 268 Chungwon-daero, Chungju-si, Chungcheongbuk-do, 27478, South Korea.
Biomaterials. 2022 Sep;288:121677. doi: 10.1016/j.biomaterials.2022.121677. Epub 2022 Jul 21.
Chemotherapy promotes phosphatidylserine (PS) externalization in tumors undergoing apoptosis, forms an immunosuppressive tumor microenvironment (TME), and inhibits dendritic cell (DC) maturation and antigen presentation by binding PS receptors expressed in DCs, thereby limiting naive T cell education and activation. In this study, we demonstrate a selective nanocarrier system composed of annexin A5-labeled poly (lactide-co-glycolide) nanoparticles (PLGA_NPs) encapsulating tumor specific antigen or neoantigen, to target apoptotic tumor cells expressing PS as an innate immune checkpoint inhibitor (ICI) that induces active cancer immunotherapy. Moreover, PLGA_NPs enhanced tumor-specific antigen-based cytotoxic T cell immunity via the original function of DCs by converting the tumor antigen-rich environment. Therefore, chemotherapy combined with an immunomodulatory nanocarrier system demonstrated an enhanced anticancer immune response by increasing survival rates, immune-activating cells, and pro-inflammatory cytokines in the spleen and TME. In contrast, the tumor mass, immune-suppressive cells, and anti-inflammatory cytokines were decreased. Furthermore, the combination of a nanocarrier system with other ICIs against large tumors showed therapeutic efficacy by immunosuppression in the TME and further amplified the anticancer immunity of interferon gamma (IFN-γ) CD8 (cluster of differentiation 8) T cells. Taken together, our Annexin A5-labeled PLGA-NPs can be applied in various combination therapeutic techniques for cancer immunotherapy.
化疗促进肿瘤细胞凋亡时的磷脂酰丝氨酸(PS)外化,形成免疫抑制性肿瘤微环境(TME),并通过与 DC 中表达的 PS 受体结合抑制树突状细胞(DC)成熟和抗原呈递,从而限制幼稚 T 细胞的教育和激活。在这项研究中,我们展示了一种由膜联蛋白 A5 标记的聚(乳酸-共-乙醇酸)纳米粒子(PLGA_NPs)组成的选择性纳米载体系统,该系统包裹肿瘤特异性抗原或新抗原,以靶向表达 PS 的凋亡肿瘤细胞作为先天免疫检查点抑制剂(ICI),诱导主动癌症免疫治疗。此外,PLGA_NPs 通过将富含肿瘤抗原的环境转化为 DC 的原始功能,增强了基于肿瘤特异性抗原的细胞毒性 T 细胞免疫。因此,化疗联合免疫调节纳米载体系统通过增加脾脏和 TME 中的存活率、免疫激活细胞和促炎细胞因子,增强了抗癌免疫反应。相比之下,肿瘤质量、免疫抑制细胞和抗炎细胞因子减少。此外,纳米载体系统与其他针对大肿瘤的 ICI 联合使用,通过抑制 TME 中的免疫抑制作用,并进一步放大干扰素γ(IFN-γ)CD8(分化群 8)T 细胞的抗癌免疫作用,显示出治疗效果。总之,我们的膜联蛋白 A5 标记的 PLGA-NPs 可应用于癌症免疫治疗的各种联合治疗技术。