Affiliated Hospital of Xiangnan University, Chenzhou, Hunan Province, 423000, China.
Xiangnan University, Chenzhou, Hunan Province, 423000, China.
Adv Sci (Weinh). 2023 Feb;10(4):e2205241. doi: 10.1002/advs.202205241. Epub 2022 Dec 11.
Tumor immunotherapy has emerged as one of the most promising therapeutic methods to treat cancer. Despite its clinical application, the immunosuppressive tumor microenvironment compromises the therapeutic efficiency of this technique. To overcome this limitation, many research efforts have been devoted to the development of agents that reprogram the immunosuppressive tumor microenvironment through novel mechanisms. Over the last decade, compounds that intervene through the immunogenic stimulator of interferon genes (STING) pathway have emerged with potential for clinical development. Herein, the encapsulation of chemotherapeutic platinum complexes with a polymer with a cyclic seven-membered ring (PC7A)-based polymer into pH-responsive nanoparticles for multimodal therapeutically enhanced chemotherapy and immunotherapy is presented. This study represents the first nanomaterial with a dual activation mechanism of the STING pathway through DNA fragmentation as well as PC7A binding. The combination of these nanoparticles with immune checkpoint inhibitors demonstrates to nearly fully eradicate a colorectal tumor inside the mouse model by chemotherapy and immunotherapy using the STING pathway.
肿瘤免疫疗法已成为治疗癌症最有前途的治疗方法之一。尽管已经在临床上应用,但免疫抑制性肿瘤微环境会影响该技术的治疗效果。为了克服这一限制,许多研究工作致力于开发通过新机制重新编程免疫抑制性肿瘤微环境的药物。在过去的十年中,通过干扰素基因(STING)途径的免疫刺激物进行干预的化合物已经具有临床开发的潜力。本文将具有环状七元环(PC7A)的聚合物的化疗铂配合物封装到 pH 响应性纳米颗粒中,用于多模式治疗增强的化学疗法和免疫疗法。该研究代表了第一种具有通过 DNA 片段化以及 PC7A 结合双重激活 STING 途径的纳米材料。通过使用 STING 途径的免疫检查点抑制剂将这些纳米粒子与免疫疗法相结合,可通过化学疗法几乎完全消除小鼠模型中的结直肠肿瘤。