纳米药物诱导自噬抑制和线粒体功能障碍增强肿瘤光免疫治疗。

Nanodrug Inducing Autophagy Inhibition and Mitochondria Dysfunction for Potentiating Tumor Photo-Immunotherapy.

机构信息

Department of Medical Ultrasonic, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China.

Nanomedicine Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China.

出版信息

Small. 2023 Jul;19(30):e2300280. doi: 10.1002/smll.202300280. Epub 2023 Apr 14.

Abstract

Anticancer immunotherapy is hampered by the poor tumor immunogenicity and immunosuppressive tumor microenvironment (TME). Herein, a liposome nanodrug co-encapsulating doxycycline hydrochloride (Doxy) and chlorin e6 (Ce6) to simultaneously induce autophagy inhibition and mitochondria dysfunction for potentiating tumor photo-immunotherapy is developed. Under near infrared laser irradiation, Ce6 generates cytotoxic reactive oxygen species (ROS) and elicits robust photodynamic therapy (PDT)-induced immunogenic cell death (ICD) for immunosuppressive TME remodeling. In addition, Doxy induced mitochondria dysfunction, which increases ROS generation and enhances PDT to exert more potent killing effect and more powerful ICD. Meanwhile, Doxy increases MHC-I expression on tumor cells surface by efficient autophagy inhibition, leading to more efficient antigen presentation and CTLs recognition to increase tumor immunogenicity. The nanodrugs elicit remarkable antitumor therapy by combining Ce6-mediated PDT and Doxy-induced autophagy inhibition and mitochondria dysfunction. The developed nanodrugs represent a highly efficient strategy for improving cancer immunotherapy.

摘要

抗癌免疫疗法受到肿瘤免疫原性差和免疫抑制性肿瘤微环境(TME)的阻碍。本文构建了一种同时包载盐酸多西环素(Doxy)和氯代叶绿素 e6(Ce6)的脂质体纳米药物,用于协同抑制自噬和破坏线粒体功能,以增强肿瘤光免疫治疗效果。近红外激光照射下,Ce6 产生细胞毒性活性氧(ROS),引发强烈的光动力治疗(PDT)诱导的免疫原性细胞死亡(ICD),重塑免疫抑制性 TME。此外,Doxy 诱导的线粒体功能障碍增加了 ROS 的产生,增强了 PDT 的杀伤效果和 ICD 效应。同时,Doxy 通过高效抑制自噬增加肿瘤细胞表面 MHC-I 的表达,从而更有效地呈递抗原,增强 CTLs 的识别,提高肿瘤的免疫原性。该纳米药物通过 Ce6 介导的 PDT 和 Doxy 诱导的自噬抑制和线粒体功能障碍协同发挥显著的抗肿瘤治疗作用。该纳米药物的开发为提高癌症免疫治疗提供了一种高效策略。

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