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调节肥胖相关肿瘤微环境以改善癌症免疫治疗

Regulating the Obesity-Related Tumor Microenvironment to Improve Cancer Immunotherapy.

作者信息

Fang Huapan, Wu Yicheng, Chen Linfu, Cao Zhiqin, Deng Zheng, Zhao Rui, Zhang Lin, Yang Yang, Liu Zhuang, Chen Qian

机构信息

Institute of Functional Nano and Soft Materials, Jiangsu Key Laboratory for Carbon-Based Functional Materials and Devices, Soochow University, Suzhou 215123, China.

College of Chemistry and Chemical Engineering, Xiamen University, Xiamen 361005, China.

出版信息

ACS Nano. 2023 Mar 14;17(5):4748-4763. doi: 10.1021/acsnano.2c11159. Epub 2023 Feb 21.


DOI:10.1021/acsnano.2c11159
PMID:36809912
Abstract

Obesity usually induces systemic metabolic disturbances, including in the tumor microenvironment (TME). This is because adaptive metabolism related to obesity in the TME with a low level of prolyl hydroxylase-3 (PHD3) depletes the major fatty acid fuels of CD8 T cells and leads to the poor infiltration and unsatisfactory function of CD8 T cells. Herein, we discovered that obesity could aggravate the immunosuppressive TME and weaken CD8 T cell-mediated tumor cell killing. We have thus developed gene therapy to relieve the obesity-related TME to promote cancer immunotherapy. An efficient gene carrier was prepared by modifying polyethylenimine with -methylbenzenesulfonyl (abbreviated as PEI-Tos) together with hyaluronic acid (HA) shielding, achieving excellent gene transfection in tumors after intravenous administration. A/EI-Tos/NA () containing the plasmid encoding PHD3 (PHD3) can effectively upregulate the expression of PHD3 in tumor tissues, revising the immunosuppressive TME and significantly increasing the infiltration of CD8 T cells, thereby improving the responsiveness of immune checkpoint antibody-mediated immunotherapy. Efficient therapeutic efficacy was achieved using together with αPD-1 in colorectal tumor and melanoma-bearing obese mice. This work provides an effective strategy to improve immunotherapy of tumors in obese mice, which may provide a useful reference for the immunotherapy of obesity-related cancer in the clinic.

摘要

肥胖通常会引发全身代谢紊乱,包括肿瘤微环境(TME)中的代谢紊乱。这是因为肿瘤微环境中与肥胖相关的适应性代谢,伴随着脯氨酰羟化酶-3(PHD3)水平降低,会耗尽CD8 T细胞的主要脂肪酸燃料,并导致CD8 T细胞浸润不良和功能欠佳。在此,我们发现肥胖会加剧免疫抑制性肿瘤微环境,并削弱CD8 T细胞介导的肿瘤细胞杀伤作用。因此,我们开发了基因疗法来缓解与肥胖相关的肿瘤微环境,以促进癌症免疫治疗。通过用对甲苯磺酰基修饰聚乙烯亚胺(简称为PEI-Tos)并结合透明质酸(HA)屏蔽来制备一种高效的基因载体,静脉给药后在肿瘤中实现了优异的基因转染。含有编码PHD3的质粒(PHD3)的A/EI-Tos/NA( )可有效上调肿瘤组织中PHD3的表达,修正免疫抑制性肿瘤微环境并显著增加CD8 T细胞的浸润,从而提高免疫检查点抗体介导的免疫治疗的反应性。在携带结直肠癌和黑色素瘤的肥胖小鼠中,联合使用 与αPD-1可实现高效的治疗效果。这项工作为改善肥胖小鼠的肿瘤免疫治疗提供了一种有效策略,可能为临床上肥胖相关癌症的免疫治疗提供有用的参考。

相似文献

[1]
Regulating the Obesity-Related Tumor Microenvironment to Improve Cancer Immunotherapy.

ACS Nano. 2023-3-14

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[2]
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Acta Pharm Sin B. 2025-5

[3]
Metabolism of cancer cells and immune cells in the initiation, progression, and metastasis of cancer.

Theranostics. 2025-1-1

[4]
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Acta Pharm Sin B. 2024-11

[5]
Nanomedicine-based cancer immunotherapy: a bibliometric analysis of research progress and prospects.

Front Immunol. 2024

[6]
Developing a machine learning-based prognosis and immunotherapeutic response signature in colorectal cancer: insights from ferroptosis, fatty acid dynamics, and the tumor microenvironment.

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[7]
Clinical variables associated with immune checkpoint inhibitor outcomes in patients with metastatic urothelial carcinoma: a multicentre retrospective cohort study.

BMJ Open. 2024-3-29

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