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光子热疗与免疫激活剂协同作用以增强肿瘤局部免疫治疗。

Photonic Hyperthermia Synergizes with Immune-Activators to Augment Tumor-Localized Immunotherapy.

作者信息

Li Tiankuan, Hu Zhongqian, Song Feifei, Wu Chenyao, Miao Qizeng, Wang Zhongmin, Feng Wei, Guo Jinhe, Chen Yu

机构信息

Center of Interventional Radiology and Vascular Surgery, Department of Radiology and Ultrasound, Zhongda Hospital, Medical School, Southeast University, Nanjing, 210009, P. R. China.

Department of Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, P. R. China.

出版信息

Small Methods. 2023 May;7(5):e2300116. doi: 10.1002/smtd.202300116. Epub 2023 Apr 19.

Abstract

Photothermal immunotherapy, the combination of photothermal hyperthermia and immunotherapy, is a noninvasive and desirable therapeutic strategy to address the deficiency of traditional photothermal ablation for tumor treatment. However, insufficient T-cell activation following photothermal treatment is a bottleneck to achieve satisfactory therapeutic effectiveness. In this work, a multifunctional nanoplatform is rationally designed and engineered on the basis of polypyrrole-based magnetic nanomedicine modified by T-cell activators of anti-CD3 and anti-CD28 monoclonal antibodies, which have achieved robust near infrared laser-triggered photothermal ablation and long-lasting T-cell activation, realizing diagnostic imaging-guided immunosuppressive tumor microenvironment regulation following photothermal hyperthermia by reinvigorating tumor-infiltrating lymphocytes. By virtue of high-efficient immunogenic cell death and dendritic cell maturation combined with T-cell activation, this nanosystem markedly restrains primary and abscopal tumors as well as metastatic tumors with negligible side effects in vivo, exerting the specific function for suppressing tumor recurrence and metastasis by establishing a long-term memory immune response.

摘要

光热免疫疗法,即光热高温疗法与免疫疗法的结合,是一种无创且理想的治疗策略,可弥补传统光热消融在肿瘤治疗方面的不足。然而,光热处理后T细胞激活不足是实现满意治疗效果的一个瓶颈。在这项工作中,基于由抗CD3和抗CD28单克隆抗体的T细胞激活剂修饰的聚吡咯基磁性纳米药物,合理设计并构建了一种多功能纳米平台,该平台实现了强大的近红外激光触发的光热消融和持久的T细胞激活,通过重振肿瘤浸润淋巴细胞实现了光热高温疗法后诊断成像引导的免疫抑制肿瘤微环境调节。借助高效的免疫原性细胞死亡和树突状细胞成熟并结合T细胞激活,该纳米系统在体内显著抑制原发性和远隔肿瘤以及转移性肿瘤,且副作用可忽略不计,通过建立长期记忆免疫反应发挥抑制肿瘤复发和转移的特定功能。

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