State Key Laboratory of Oral Disease, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, P.R. China.
School of Medicine, First Affiliated Hospital, Zhejiang University, Hangzhou 310000, P.R. China.
ACS Appl Mater Interfaces. 2022 Aug 31;14(34):38506-38514. doi: 10.1021/acsami.2c09462. Epub 2022 Aug 16.
Some chemotherapeutic agents, such as anthracyclines and oxaliplatin, can induce immunogenic cell death (ICD) with additional immune responses against cancer. However, ICD-based immunotherapy is limited by the nonspecific distribution of drugs and various side effects. Here, an immunostimulatory self-assembled tetrahedral framework nucleic acid (tFNA) vehicle was constructed to potentiate the chemo-immunotherapy, in which doxorubicin (DOX) acted as a chemotherapeutic agent and an ICD-inducer. Meanwhile, the immunostimulatory CpG-tFNA was employed as a nanocarrier to deliver DOX and an adjuvant to enhance the immunotherapy. Damage-associated molecular patterns (DAMPs) generated by DOX from dying tumor cells, such as calreticulin (CRT), high mobility group protein 1(HMGB1), and adenosine triphosphate (ATP), can activate dendritic cells (DCs) and trigger an immunological response. Afterward, CpG-tFNA with immunostimulatory properties works to boost the DOX-induced immunotherapy. Consequently, CpG-tFNA/DOX showed excellent antitumor effects and immunological activation, including CD8 T cell proliferation and antitumor cytokine TNF-α and IFN-γ secretion. Moreover, chemo-immunotherapy can also be enhanced synergistically when coadministered with PD-L1. In conclusion, CpG-tFNA/DOX promotes the ICD-associated chemo-immunotherapy and strengthens the connection between traditional chemotherapy and immunotherapy, representing a novel strategy for clinical application. Moreover, the concept of ICD-related immunotherapy can also be extended to other treatments such as radiotherapy which can induce immunogenic cell death as well.
一些化疗药物,如蒽环类药物和奥沙利铂,可以诱导免疫原性细胞死亡(ICD),并引发针对癌症的额外免疫反应。然而,基于 ICD 的免疫疗法受到药物非特异性分布和各种副作用的限制。在这里,构建了一种免疫刺激自组装四面体框架核酸(tFNA)载体,以增强化疗-免疫治疗,其中多柔比星(DOX)作为化疗药物和 ICD 诱导剂。同时,免疫刺激 CpG-tFNA 被用作纳米载体来递送 DOX 和佐剂,以增强免疫治疗。来自死亡肿瘤细胞的 DOX 产生的损伤相关分子模式(DAMPs),如钙网蛋白(CRT)、高迁移率族蛋白 1(HMGB1)和三磷酸腺苷(ATP),可以激活树突状细胞(DCs)并引发免疫反应。随后,具有免疫刺激特性的 CpG-tFNA 增强 DOX 诱导的免疫治疗。因此,CpG-tFNA/DOX 表现出优异的抗肿瘤效果和免疫激活作用,包括 CD8 T 细胞增殖以及抗肿瘤细胞因子 TNF-α和 IFN-γ的分泌。此外,当与 PD-L1 联合给药时,化疗-免疫治疗也可以协同增强。总之,CpG-tFNA/DOX 促进了 ICD 相关的化疗-免疫治疗,并加强了传统化疗和免疫治疗之间的联系,为临床应用提供了一种新策略。此外,ICD 相关免疫治疗的概念也可以扩展到其他治疗方法,如放疗,放疗也可以诱导免疫原性细胞死亡。
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