通过用巨噬细胞膜伪装的纳米囊泡共递送细胞因子和免疫检查点抗体,将 T 细胞募集到大脑中,以增强胶质母细胞瘤的免疫治疗效果。

Recruiting T-Cells toward the Brain for Enhanced Glioblastoma Immunotherapeutic Efficacy by Co-Delivery of Cytokines and Immune Checkpoint Antibodies with Macrophage-Membrane-Camouflaged Nanovesicles.

机构信息

Jiangsu Key Laboratory of Molecular and Functional Imaging, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, 87 DingJiaQiao Road, Nanjing, 210009, P. R. China.

Center for BioDelivery Sciences, School of Pharmacy, Shanghai Jiao Tong University, Shanghai, 200240, China.

出版信息

Adv Mater. 2023 Jun;35(25):e2209785. doi: 10.1002/adma.202209785. Epub 2023 May 4.

Abstract

Immunotherapy with immune checkpoint inhibitors (CPIs) shows promising prospects for glioblastoma multiforme (GBM) but with restricted results, mainly attributed to the immunosuppressive tumor microenvironment (TME) and the limited antibody permeability of the blood-tumor barrier (BTB) in GBM. Here, nanovesicles with a macrophage-mimicking membrane are described, that co-deliver chemotactic CXC chemokine ligand 10 (CXCL10), to pre-activate the immune microenvironment, and anti-programmed death ligand 1 antibody (aPD-L1), to interrupt the immune checkpoint, aiming to enhance the effect of GBM immunotherapy. Consequently, the tumor tropism of the macrophage membrane and the receptor-mediated transcytosis of the angiopep-2 peptide allow the nanovesicle to effectively cross the BTB and target the GBM region, with 19.75-fold higher accumulation of antibodies compared to the free aPD-L1 group. The CPI therapeutic efficacy is greatly enhanced by CXCL10-induced T-cells recruitment with significant expansion of CD8 T-cells and effector memory T-cells, leading to the elimination of tumor, prolonged survival time, and long-term immune memory in orthotopic GBM mice. The nanovesicles, that relieve the tumor immunosuppressive microenvironment by CXCL10 to enhance aPD-L1 efficacy, may present a promising strategy for brain-tumor immunotherapy.

摘要

免疫检查点抑制剂(ICPI)的免疫疗法为胶质母细胞瘤(GBM)带来了广阔的前景,但疗效有限,主要归因于 GBM 中免疫抑制的肿瘤微环境(TME)和血脑屏障(BTB)的抗体通透性有限。在此,我们描述了一种具有巨噬细胞样膜的纳米囊泡,该囊泡共递送趋化因子 CXC 配体 10(CXCL10)以预先激活免疫微环境,并递送抗程序性死亡配体 1 抗体(aPD-L1)以阻断免疫检查点,旨在增强 GBM 免疫疗法的效果。因此,巨噬细胞膜的肿瘤趋向性和血管生成肽 angiopep-2 的受体介导的转胞吞作用允许纳米囊泡有效地穿过 BTB 并靶向 GBM 区域,与游离 aPD-L1 组相比,抗体的积累增加了 19.75 倍。通过 CXCL10 诱导的 T 细胞募集极大地增强了 CPI 的治疗效果,导致肿瘤消除、生存时间延长和荷瘤小鼠的长期免疫记忆,CD8 T 细胞和效应记忆 T 细胞显著扩增。通过 CXCL10 缓解肿瘤免疫抑制微环境来增强 aPD-L1 疗效的纳米囊泡,可能为脑肿瘤免疫疗法提供一种有前景的策略。

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