Department of Materials Science and Engineering, Stanford University, Stanford, CA, 94305, USA.
Department of Bioengineering, Stanford University, Stanford, CA, 94305, USA.
Adv Sci (Weinh). 2022 Oct;9(28):e2103677. doi: 10.1002/advs.202103677. Epub 2022 Aug 17.
When properly deployed, the immune system can eliminate deadly pathogens, eradicate metastatic cancers, and provide long-lasting protection from diverse diseases. Unfortunately, realizing these remarkable capabilities is inherently risky as disruption to immune homeostasis can elicit dangerous complications or autoimmune disorders. While current research is continuously expanding the arsenal of potent immunotherapeutics, there is a technological gap when it comes to controlling when, where, and how long these drugs act on the body. Here, this study explored the ability of a slow-releasing injectable hydrogel depot to reduce dose-limiting toxicities of immunostimulatory CD40 agonist (CD40a) while maintaining its potent anticancer efficacy. A previously described polymer-nanoparticle (PNP) hydrogel system is leveraged that exhibits shear-thinning and yield-stress properties that are hypothesized to improve locoregional delivery of CD40a immunotherapy. Using positron emission tomography, it is demonstrated that prolonged hydrogel-based delivery redistributes CD40a exposure to the tumor and the tumor draining lymph node (TdLN), thereby reducing weight loss, hepatotoxicity, and cytokine storm associated with standard treatment. Moreover, CD40a-loaded hydrogels mediate improved local cytokine induction in the TdLN and improve treatment efficacy in the B16F10 melanoma model. PNP hydrogels, therefore, represent a facile, drug-agnostic method to ameliorate immune-related adverse effects and explore locoregional delivery of immunostimulatory drugs.
当免疫系统得到适当利用时,它可以消灭致命病原体、根除转移性癌症,并为多种疾病提供持久的保护。不幸的是,实现这些显著能力具有内在风险,因为免疫稳态的破坏可能引发危险的并发症或自身免疫性疾病。虽然目前的研究不断扩大有效的免疫疗法武器库,但在控制这些药物在体内的作用时间、作用部位和作用时长方面存在技术差距。在这项研究中,我们探索了一种可缓慢释放的注射用水凝胶库的能力,以降低免疫刺激性 CD40 激动剂 (CD40a) 的剂量限制毒性,同时保持其强大的抗癌疗效。利用了先前描述的聚合物-纳米颗粒 (PNP) 水凝胶系统,该系统具有剪切稀化和屈服应力特性,据推测可以改善 CD40a 免疫疗法的局部递药。通过正电子发射断层扫描 (PET) 证明,基于水凝胶的延长递送会将 CD40a 暴露重新分配到肿瘤和肿瘤引流淋巴结 (TdLN),从而减轻与标准治疗相关的体重减轻、肝毒性和细胞因子风暴。此外,载有 CD40a 的水凝胶介导 TdLN 中局部细胞因子的诱导改善,并提高 B16F10 黑色素瘤模型中的治疗效果。因此,PNP 水凝胶代表了一种简便、无药物特异性的方法,可以改善免疫相关的不良反应,并探索免疫刺激性药物的局部递药。