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ROS 清除纳米酶调节免疫抑制以增强致敏癌症免疫治疗。

ROS Scavenging Nanozyme Modulates Immunosuppression for Sensitized Cancer Immunotherapy.

机构信息

Department of Urology, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, 210008, China.

Department of Urology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Institute of Urology Nanjing University, 321 Zhongshan Rd, Nanjing, Jiangsu, 210008, China.

出版信息

Adv Healthc Mater. 2023 Aug;12(21):e2300191. doi: 10.1002/adhm.202300191. Epub 2023 Apr 27.

Abstract

Myeloid-derived suppressor cells (MDSCs) and tumor-associated macrophages (TAMs), two immunosuppressive myeloid components within the tumor microenvironment (TME), represent fundamental barriers in cancer immunotherapy, whereas current nanomedicines rarely exert dual modulatory roles on these cell types simultaneously. Reactive oxygen species (ROS) not only mediates MDSC-induced immunosuppression but also triggers differentiation and polarization of M2-TAMs. Herein, an ROS scavenging nanozyme, Zr-CeO, with enhanced superoxide dismutase- and catalase-like activities for renal tumor growth inhibition is reported. Mechanistically, intracellular ROS scavenging by Zr-CeO significantly attenuates MDSC immunosuppression via dampening the unfolded protein response, hinders M2-TAM polarization through the ERK and STAT3 pathways, but barely affects neoplastic cells and cancer-associated fibroblasts. Furthermore, Zr-CeO enhances the antitumor effect of PD-1 inhibition in murine renal and breast tumor models, accompanied with substantially decreased MDSC recruitment and reprogrammed phenotype of TAMs in the tumor mass. Upon cell isolation, reversed immunosuppressive phenotypes of MDSCs and TAMs are identified. In addition, Zr-CeO alone or combination therapy enhances T lymphocyte infiltration and IFN-γ production within the TME. Collectively, a promising strategy to impair the quantity and function of immunosuppressive myeloid cells and sensitize immunotherapy in both renal and breast cancers is provided.

摘要

髓源性抑制细胞(MDSCs)和肿瘤相关巨噬细胞(TAMs)是肿瘤微环境(TME)中两种具有免疫抑制作用的髓系细胞成分,它们是癌症免疫治疗的基本障碍。然而,目前的纳米医学很少能同时对这两种细胞类型发挥双重调节作用。活性氧(ROS)不仅介导 MDSC 诱导的免疫抑制,而且还触发 M2-TAM 的分化和极化。本文报道了一种 ROS 清除纳米酶 Zr-CeO,它具有增强的超氧化物歧化酶和过氧化氢酶样活性,可抑制肾肿瘤生长。在机制上,Zr-CeO 通过抑制未折叠蛋白反应来显著减轻 MDSC 的免疫抑制作用,通过 ERK 和 STAT3 途径抑制 M2-TAM 的极化,但对肿瘤细胞和癌相关成纤维细胞几乎没有影响。此外,Zr-CeO 增强了 PD-1 抑制在小鼠肾和乳腺癌模型中的抗肿瘤作用,同时显著减少了肿瘤内 MDSC 的募集和 TAMs 的重编程表型。在细胞分离后,鉴定出 MDSCs 和 TAMs 的逆转免疫抑制表型。此外,Zr-CeO 单独或联合治疗可增强 TME 内 T 淋巴细胞的浸润和 IFN-γ的产生。总之,提供了一种有前途的策略来削弱免疫抑制性髓样细胞的数量和功能,并增强肾和乳腺癌的免疫治疗敏感性。

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