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激动型 CD40 抗体持续瘤内给药克服胰腺癌免疫抑制性肿瘤微环境。

Sustained Intratumoral Administration of Agonist CD40 Antibody Overcomes Immunosuppressive Tumor Microenvironment in Pancreatic Cancer.

机构信息

Department of Nanomedicine, Houston Methodist Research Institute, 6670 Bertner Ave, Houston, TX, 77003, USA.

Texas A&M University College of Medicine, 2121 W Holcombe Blvd, Houston, TX, 77003, USA.

出版信息

Adv Sci (Weinh). 2023 Mar;10(9):e2206873. doi: 10.1002/advs.202206873. Epub 2023 Jan 19.


DOI:10.1002/advs.202206873
PMID:36658712
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10037694/
Abstract

Agonist CD40 monoclonal antibodies (mAb) is a promising immunotherapeutic agent for cold-to-hot tumor immune microenvironment (TIME) conversion. Pancreatic ductal adenocarcinoma (PDAC) is an aggressive and lethal cancer known as an immune desert, and therefore urgently needs more effective treatment. Conventional systemic treatment fails to effectively penetrate the characteristic dense tumor stroma. Here, it is shown that sustained low-dose intratumoral delivery of CD40 mAb via the nanofluidic drug-eluting seed (NDES) can modulate the TIME to reduce tumor burden in murine models. NDES achieves tumor reduction at a fourfold lower dosage than systemic treatment while avoiding treatment-related adverse events. Further, abscopal responses are shown where intratumoral treatment yields growth inhibition in distant untreated tumors. Overall, the NDES is presented as a viable approach to penetrate the PDAC immune barrier in a minimally invasive and effective manner, for the overarching goal of transforming treatment.

摘要

激动剂 CD40 单克隆抗体(mAb)是一种很有前途的免疫治疗药物,可用于将冷肿瘤免疫微环境(TIME)转化为热肿瘤免疫微环境。胰腺导管腺癌(PDAC)是一种侵袭性和致命性癌症,被称为免疫荒漠,因此迫切需要更有效的治疗方法。传统的全身治疗方法无法有效穿透其特征性的致密肿瘤基质。本研究表明,通过纳米流控药物洗脱种子(NDES)持续低剂量瘤内递药 CD40 mAb 可调节 TIME,从而减少小鼠模型中的肿瘤负担。NDES 的肿瘤缩小效果是全身治疗的四分之一,同时避免了治疗相关的不良反应。此外,还观察到了远隔未治疗肿瘤的肿瘤抑制的免疫治疗相关的远隔效应。总之,NDES 为以微创且有效的方式穿透 PDAC 免疫屏障提供了一种可行的方法,从而实现治疗效果的全面改观。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/13a247f96689/ADVS-10-2206873-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/2b127f470576/ADVS-10-2206873-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/94d6e16a1891/ADVS-10-2206873-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/b0b307741ff0/ADVS-10-2206873-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/800fca911b34/ADVS-10-2206873-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/8d53327fc711/ADVS-10-2206873-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/147bf57d9695/ADVS-10-2206873-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/e6cdcd6c6fbe/ADVS-10-2206873-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/13a247f96689/ADVS-10-2206873-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/2b127f470576/ADVS-10-2206873-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/94d6e16a1891/ADVS-10-2206873-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/b0b307741ff0/ADVS-10-2206873-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/800fca911b34/ADVS-10-2206873-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/8d53327fc711/ADVS-10-2206873-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/147bf57d9695/ADVS-10-2206873-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/e6cdcd6c6fbe/ADVS-10-2206873-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a857/10037694/13a247f96689/ADVS-10-2206873-g006.jpg

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DDR1 Drives Collagen Remodeling and Immune Exclusion: Pan-Cancer Insights and Therapeutic Targeting in Pancreatic Ductal Adenocarcinoma.

Int J Mol Sci. 2025-8-10

[2]
Enhanced safety and efficacy profile of CD40 antibody upon encapsulation in pHe-triggered membrane-adhesive nanoliposomes.

Nanomedicine (Lond). 2025-1

[3]
In vivo perturb-seq of cancer and microenvironment cells dissects oncologic drivers and radiotherapy responses in glioblastoma.

Genome Biol. 2024-10-7

[4]
Biological Barriers for Drug Delivery and Development of Innovative Therapeutic Approaches in HIV, Pancreatic Cancer, and Hemophilia A/B.

Pharmaceutics. 2024-9-13

[5]
Current and future immunotherapeutic approaches in pancreatic cancer treatment.

J Hematol Oncol. 2024-6-4

[6]
STING agonist inflames the cervical cancer immune microenvironment and overcomes anti-PD-1 therapy resistance.

Front Immunol. 2024

[7]
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Proc Natl Acad Sci U S A. 2024-1-30

[8]
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J Allergy Clin Immunol. 2024-3

[9]
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Bioeng Transl Med. 2023-9-15

[10]
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本文引用的文献

[1]
Patients with Lung Cancer of Different Racial Backgrounds Harbor Distinct Immune Cell Profiles.

Cancer Res Commun. 2022-8

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Neoadjuvant Selicrelumab, an Agonist CD40 Antibody, Induces Changes in the Tumor Microenvironment in Patients with Resectable Pancreatic Cancer.

Clin Cancer Res. 2021-8-15

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Lancet Oncol. 2021-1

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