Department of Medical Ultrasound, Department of Breast, Bone and Soft Tissue Oncology, Guangxi Medical University Cancer Hospital, Nanning, Guangxi, China.
Key Laboratory of Early Prevention and Treatment for Regional High Frequency Tumor, Guangxi Medical University, Nanning, Guangxi, China.
J Immunother Cancer. 2023 May;11(5). doi: 10.1136/jitc-2022-006516.
BACKGROUND: Immunosuppressive tumor microenvironment (ITM) remains an obstacle that jeopardizes clinical immunotherapy. METHODS: To address this concern, we have engineered an exosome inherited from M1-pheototype macrophages, which thereby retain functions and ingredients of the parent M1-phenotype macrophages. The delivered RSL3 that serves as a common ferroptosis inducer can reduce the levels of ferroptosis hallmarkers (eg, glutathione and glutathione peroxidase 4), break the redox homeostasis to magnify oxidative stress accumulation, promote the expression of ferroptosis-related proteins, and induce robust ferroptosis of tumor cells, accompanied with which systematic immune response activation can bbe realized. M1 macrophage-derived exosomes can inherit more functions and genetic substances than nanovesicles since nanovesicles inevitably suffer from substance and function loss caused by extrusion-arised structural damage. RESULTS: Inspired by it, spontaneous homing to tumor and M2-like macrophage polarization into M1-like ones are attained, which not only significantly magnify oxidative stress but also mitigate ITM including M2-like macrophage polarization and regulatory T cell decrease, and regulate death pathways. CONCLUSIONS: All these actions accomplish a synergistic antitumor enhancement against tumor progression, thus paving a general route to mitigate ITM, activate immune responses, and magnify ferroptosis.
背景:免疫抑制性肿瘤微环境(ITM)仍然是威胁临床免疫治疗的一个障碍。
方法:为了解决这个问题,我们设计了一种源自 M1 表型巨噬细胞的外泌体,它保留了亲本 M1 表型巨噬细胞的功能和成分。所递送的 RSL3 作为一种常见的铁死亡诱导剂,可以降低铁死亡标志物的水平(例如,谷胱甘肽和谷胱甘肽过氧化物酶 4),打破氧化还原平衡以放大氧化应激积累,促进铁死亡相关蛋白的表达,并诱导肿瘤细胞发生强烈的铁死亡,同时实现系统免疫反应的激活。与纳米囊泡相比,M1 巨噬细胞衍生的外泌体可以继承更多的功能和遗传物质,因为纳米囊泡不可避免地会因挤压引起的结构损伤而导致物质和功能丧失。
结果:受此启发,自发归巢到肿瘤并将 M2 样巨噬细胞极化为 M1 样巨噬细胞,这不仅显著放大了氧化应激,而且减轻了 ITM,包括 M2 样巨噬细胞极化和调节性 T 细胞减少,并调节死亡途径。
结论:所有这些作用协同增强了抗肿瘤作用,从而抑制了肿瘤的进展,为减轻 ITM、激活免疫反应和放大铁死亡铺平了一条通用的途径。
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