Zhang Ruotian, Ye Yicheng, Wu Jianing, Gao Junbin, Huang Weichang, Qin Hanfeng, Tian Hao, Han Mingyang, Zhao Boyan, Sun Zhenying, Chen Xin, Dong Xingli, Liu Kun, Liu Chang, Tu Yingfeng, Zhao Shiguang
Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin 150000, China.
Guangdong Provincial Key Laboratory of New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou 510515, China.
ACS Appl Mater Interfaces. 2023 Apr 12;15(14):17627-17640. doi: 10.1021/acsami.3c00468. Epub 2023 Mar 31.
Tumor recurrence remains the leading cause of treatment failure following surgical resection of glioblastoma (GBM). M2-like tumor-associated macrophages (TAMs) infiltrating the tumor tissue promote tumor progression and seriously impair the efficacy of chemotherapy and immunotherapy. In addition, designing drugs capable of crossing the blood-brain barrier and eliciting the applicable organic response is an ambitious challenge. Here, we propose an injectable nanoparticle-hydrogel system that uses doxorubicin (DOX)-loaded mesoporous polydopamine (MPDA) nanoparticles encapsulated in M1 macrophage-derived nanovesicles (M1NVs) as effectors and fibrin hydrogels as in situ delivery vehicles. In vivo fluorescence imaging shows that the hydrogel system triggers photo-chemo-immunotherapy to destroy remaining tumor cells when delivered to the tumor cavity of a model of subtotal GBM resection. Concomitantly, the result of flow cytometry indicated that M1NVs comprehensively improved the immune microenvironment by reprogramming M2-like TAMs to M1-like TAMs. This hydrogel system combined with a near-infrared laser effectively promoted the continuous infiltration of T cells, restored T cell effector function, inhibited the infiltration of myeloid-derived suppressor cells and regulatory T cells, and thereby exhibited a strong antitumor immune response and significantly inhibited tumor growth. Hence, MPDA-DOX-NVs@Gel (MD-NVs@Gel) presents a unique clinical strategy for the treatment of GBM recurrence.
肿瘤复发仍然是胶质母细胞瘤(GBM)手术切除后治疗失败的主要原因。浸润肿瘤组织的M2样肿瘤相关巨噬细胞(TAM)促进肿瘤进展,并严重损害化疗和免疫治疗的疗效。此外,设计能够穿越血脑屏障并引发适用机体反应的药物是一项艰巨的挑战。在此,我们提出一种可注射的纳米颗粒-水凝胶系统,该系统使用包裹在M1巨噬细胞衍生纳米囊泡(M1NV)中的载有多柔比星(DOX)的介孔聚多巴胺(MPDA)纳米颗粒作为效应物,以及纤维蛋白水凝胶作为原位递送载体。体内荧光成像显示,当该水凝胶系统递送至GBM次全切除模型的肿瘤腔时,可触发光化学免疫疗法以破坏残留的肿瘤细胞。同时,流式细胞术结果表明,M1NV通过将M2样TAM重编程为M1样TAM全面改善了免疫微环境。这种水凝胶系统与近红外激光相结合,有效促进了T细胞的持续浸润,恢复了T细胞效应功能,抑制了髓源性抑制细胞和调节性T细胞的浸润,从而表现出强烈的抗肿瘤免疫反应并显著抑制肿瘤生长。因此,MPDA-DOX-NVs@Gel(MD-NVs@Gel)为治疗GBM复发提供了一种独特的临床策略。
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