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透明质酸缀合物联合免疫原性细胞死亡诱导剂和 CpG 用于胶质母细胞瘤局部化疗免疫治疗可引发免疫反应并诱导长期生存。

Combination of hyaluronic acid conjugates with immunogenic cell death inducer and CpG for glioblastoma local chemo-immunotherapy elicits an immune response and induces long-term survival.

机构信息

UCLouvain, Louvain Drug Research Institute, Advanced Drug Delivery and Biomaterials, Avenue Mounier 73 B1.73.12, 1200, Brussels, Belgium.

UCLouvain, Louvain Drug Research Institute, Advanced Drug Delivery and Biomaterials, Avenue Mounier 73 B1.73.12, 1200, Brussels, Belgium.

出版信息

Biomaterials. 2023 Mar;294:122006. doi: 10.1016/j.biomaterials.2023.122006. Epub 2023 Jan 21.


DOI:10.1016/j.biomaterials.2023.122006
PMID:36701998
Abstract

The efficacy of standard glioblastoma (GBM) treatments has been limited due to the highly immunosuppressive tumor immune microenvironment, interpatient tumor heterogenicity and anatomical barriers, such as the blood brain barrier. In the present work, we hypothesized that a new local therapy based on the combination of doxorubicin (DOX) as an immunogenic cell death (ICD) inducer and CpG, a Toll-like receptor (TLR)-9 agonist, would act synergistically to eradicate GBM. DOX and CpG were first tested in an orthotopic GL261 GBM model showing enhanced survival. To improve the outcome with a reduced dose, we designed bioresponsive hyaluronic acid (HA)-drug conjugates for effective in situ chemoimmunotherapy. HA was derivatized with CpG. The new HA-CpG conjugate showed high efficacy in re-educating protumoral M2-like microglia into an antitumoral M1-like phenotype, inducing the expression of immune-stimulatory cytokines. DOX was also conjugated to HA. DOX conjugation increased ICD induction in GL261 cells. Finally, a combination of the conjugates was explored in an orthotopic GL261 GBM model. The local delivery of combined HA-DOX + HA-CpG into the tumor mass elicited antitumor CD8 T cell responses in the brain tumor microenvironment and reduced the infiltration of M2-like tumor-associated macrophages and myeloid-derived suppressor cells. Importantly, the combination of HA-DOX and HA-CpG induced long-term survival in >66% of GBM-bearing animals than other treatments (no long-term survivor observed), demonstrating the benefits of conjugating synergistic drugs to HA nanocarrier. These results emphasize that HA-drug conjugates constitute an effective drug delivery platform for local chemoimmunotherapy against GBM and open new perspectives for the treatment of other brain cancers and brain metastasis.

摘要

标准胶质母细胞瘤(GBM)治疗的疗效受到高度免疫抑制的肿瘤免疫微环境、患者间肿瘤异质性和解剖学屏障(如血脑屏障)的限制。在本工作中,我们假设一种新的局部治疗方法,该方法基于多柔比星(DOX)作为免疫原性细胞死亡(ICD)诱导剂和 CpG(Toll 样受体(TLR)-9 激动剂)的联合使用,将协同作用以根除 GBM。DOX 和 CpG 首先在原位 GL261 GBM 模型中进行了测试,结果显示生存率提高。为了降低剂量获得更好的效果,我们设计了生物响应性透明质酸(HA)-药物偶联物用于有效的原位化学免疫治疗。HA 与 CpG 衍生化。新型 HA-CpG 缀合物在重新教育促肿瘤 M2 样小胶质细胞为抗肿瘤 M1 样表型方面显示出很高的功效,诱导免疫刺激性细胞因子的表达。DOX 也与 HA 缀合。DOX 缀合增加了 GL261 细胞中的 ICD 诱导。最后,在原位 GL261 GBM 模型中探索了偶联物的组合。将联合的 HA-DOX + HA-CpG 局部递送至肿瘤块中,在脑肿瘤微环境中引发抗肿瘤 CD8 T 细胞反应,并减少 M2 样肿瘤相关巨噬细胞和髓源抑制细胞的浸润。重要的是,HA-DOX 和 HA-CpG 的组合在 >66%的 GBM 荷瘤动物中诱导长期生存,优于其他治疗方法(未观察到长期幸存者),证明了将协同药物缀合到 HA 纳米载体上的益处。这些结果强调了 HA-药物偶联物构成了针对 GBM 的局部化学免疫治疗的有效药物递送平台,并为治疗其他脑癌和脑转移瘤开辟了新的前景。

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[6]
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[7]
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