Department of Pharmacy, Personalized Drug Therapy Key Laboratory of Sichuan Province, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610072, China.
The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, Department of Oral and Maxillofacial Head Neck Oncology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China.
J Control Release. 2022 Nov;351:381-393. doi: 10.1016/j.jconrel.2022.09.010. Epub 2022 Sep 24.
Oral squamous cell carcinoma (OSCC) accounts for nearly 90% of oral cavity malignancies. However, despite significant advances in the last four decades, little improvement has been achieved in the overall survival rates for OSCC patients. While gambogic acid (GA) is a potential candidate compound for treating a variety of malignancies, its anti-cancer impact on OSCC has not to be completely investigated. The tumor immune microenvironment (TIME) has been proven to play a crucial role in the prognosis of cancer patients. Although there are few reports on the T cell activation effect of GA, the regulation of GA on the TIME of OSCC has barely been studied yet. In this study, GA was applied to treat OSCC-bearing mice through in situ controlled release. First, GA-loaded mPEG-PCL micelles (GA-MIC) were prepared by the thin-film hydration method to improve the aqueous dispersibility of GA. Second, poly(D, l-lactide)-poly(ethylene glycol)-poly(D, l-lactide) (PLEL) was synthesized for thermosensitive hydrogel preparation. Third, GA-MIC was mixed with PLEL to form an injectable therapeutic hydrogel (GA-MIC-GEL). The anti-tumor and TIME regulation effects of GA-MIC-GEL on tumor-bearing mice were further examined. The results showed that the thermosensitive GA-MIC-GEL with sensitive sol-gel transition characteristics could form hydrogel at 37 °C within 24 s, facilitating the local delivery and sustained GA release. Biochemical, hematological, and pathological analysis proved that GA-MIC-GEL has good biological safety. Moreover, GA-MIC-GEL promoted an obvious regression of both primary and distant tumors on the OSCC mouse models. Mechanically, GA-MIC-GEL down-regulated the expression of PD-1, increased the frequency of cytotoxic T cells and reduced the immunosuppressive cellular components, which boosted the anti-tumor immunity of OSCC-bearing mice. The constructed thermosensitive hydrogel for local delivery of GA has provided a safe and effective strategy with great potential for OSCC therapy.
口腔鳞状细胞癌(OSCC)占口腔恶性肿瘤的近 90%。然而,尽管在过去四十年中取得了重大进展,但 OSCC 患者的总体生存率几乎没有改善。尽管藤黄酸(GA)是治疗多种恶性肿瘤的潜在候选化合物,但它对 OSCC 的抗癌作用尚未完全研究。肿瘤免疫微环境(TIME)已被证明在癌症患者的预后中发挥关键作用。尽管关于 GA 对 T 细胞激活作用的报道很少,但 GA 对 OSCC 的 TIME 调节几乎尚未研究。在这项研究中,通过原位控制释放将 GA 应用于治疗荷瘤小鼠。首先,通过薄膜水化法制备载 GA 的 mPEG-PCL 胶束(GA-MIC),以提高 GA 的水分散性。其次,合成聚(D,L-乳酸)-聚乙二醇-聚(D,L-乳酸)(PLEL)用于热敏水凝胶的制备。第三,将 GA-MIC 与 PLEL 混合形成可注射治疗水凝胶(GA-MIC-GEL)。进一步研究了 GA-MIC-GEL 对荷瘤小鼠的抗肿瘤和 TIME 调节作用。结果表明,具有敏感溶胶-凝胶转变特性的热敏 GA-MIC-GEL 可以在 37°C 下在 24 s 内形成水凝胶,便于局部输送和持续 GA 释放。生化、血液和病理分析证明 GA-MIC-GEL 具有良好的生物安全性。此外,GA-MIC-GEL 促进了 OSCC 小鼠模型中原发性和远处肿瘤的明显消退。机械上,GA-MIC-GEL 下调了 PD-1 的表达,增加了细胞毒性 T 细胞的频率并减少了免疫抑制细胞成分,从而增强了荷瘤 OSCC 小鼠的抗肿瘤免疫力。用于 GA 局部递送的热敏水凝胶为 OSCC 治疗提供了一种安全有效的策略,具有很大的潜力。