State Key Laboratory for Modification of Chemical Fibers and Polymer Materials, Shanghai Engineering Research Center of Nano-Biomaterials and Regenerative Medicine, College of Biological Science and Medical Engineering, Donghua University, Shanghai, 201620, China.
Adv Mater. 2023 Aug;35(33):e2302508. doi: 10.1002/adma.202302508. Epub 2023 Jul 2.
Inducing immunogenic cell death (ICD) by sonodynamic therapy (SDT) is promising for cancer immunotherapy, which however is inefficient due to oxygen depletion that compromises SDT effect and mediates recruitment of immunosuppressive myeloid-derived suppressor cells (MDSCs). The fabrication of sono-activatable semiconducting polymer nanopartners (SPN ) to simultaneously augment ICD and alleviate MDSCs for immunotherapy is reported. A sonodynamic semiconducting polymer, hydrophobic hypoxia-responsive tirapazamine (TPZ)-conjugate, and MDSC-targeting drug (ibrutinib) are encapsulated inside such SPN with surface shell of a singlet oxygen ( O )-cleavable amphiphilic polymer. TPZ and ibrutinib serve as drug partners to enlarge immunotherapeutic effect. Upon sono-activation, SPN generate O to break O -cleavable polymers for in situ liberations of TPZ-conjugate and ibrutinib in tumor sites, and oxygen is consumed to create severe hypoxic tumor microenvironment, in which, TPZ-conjugate is activated for augmenting ICD action, while ibrutinib alleviates MDSCs for promoting antitumor immunological effect. In a bilateral tumor mouse model, SPN -mediated sono-activatable immunotherapy results in growth restraints of primary and distant tumors and noteworthy precaution of tumor metastases. This study thus provides a sono-activatable immunotherapeutic strategy with high precision and safety for cancer via overcoming post-treatment hypoxia and targeting MDSCs.
声动力学疗法(SDT)诱导免疫原性细胞死亡(ICD)在癌症免疫治疗中很有前景,但由于耗氧量降低会影响 SDT 效果并介导免疫抑制髓系来源抑制细胞(MDSCs)的募集,其效率不高。本研究报告了声敏半导体聚合物纳米伴侣(SPN)的构建,以同时增强 ICD 和减轻 MDSCs 以用于免疫治疗。将声动力学半导体聚合物、疏水性缺氧响应替拉扎胺(TPZ)缀合物和 MDSC 靶向药物(依鲁替尼)包封在这种 SPN 中,其表面壳为单线态氧(O)可裂解的两亲聚合物。TPZ 和依鲁替尼作为药物伴侣来扩大免疫治疗效果。在声激活后,SPN 产生 O 来裂解 O 可裂解的聚合物,在肿瘤部位原位释放 TPZ 缀合物和依鲁替尼,并消耗氧气来创建严重缺氧的肿瘤微环境,其中,TPZ 缀合物被激活以增强 ICD 作用,而依鲁替尼减轻 MDSCs 以促进抗肿瘤免疫作用。在双侧肿瘤小鼠模型中,SPN 介导的声激活免疫治疗导致原发性和远处肿瘤的生长受到抑制,并显著预防了肿瘤转移。因此,这项研究通过克服治疗后缺氧和靶向 MDSCs 为癌症提供了一种高精度和安全的声激活免疫治疗策略。
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