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调节肿瘤微环境可增强抗PD-L1单克隆抗体在乳腺癌中的抗肿瘤作用。

Modulating the tumor microenvironment improves antitumor effect of anti-PD-L1 mAb in breast cancer.

作者信息

Li Xiuying, Luo Xianqin, Hu Shunqin

机构信息

Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming, China.

College of Traditional Chinese Medicine, Chongqing Medical University; Chongqing, China.

出版信息

Bioimpacts. 2023;13(2):89-96. doi: 10.34172/bi.2023.24166. Epub 2023 Feb 6.

Abstract

Immune checkpoint inhibitors (ICIs) have provided noteworthy benefits in multiple cancer patients. However, the efficacy of monotherapy of ICIs was very limited. In this study, we endeavored to explore whether losartan can modulate the solid tumor microenvironment (TME) and improve the therapeutic efficacy of anti-PD-L1 mAb in 4T1 mouse breast tumor model and the underlying mechanism. The tumor-bearing mice were treated with control agents, losartan, anti-PD-L1 mAb or the dual agents. The blood and tumor tissues were respectively used for ELISA and immunohistochemical analysis. CD8-depletion and lung metastatic experiments were performed. Compared to control group, losartan inhibited the expression of alpha-smooth muscle actin (α-SMA), deposition of collagen I in the tumor tissues. The concentration of transforming growth factor-β1 (TGF-β1) in the serum was low in the losartan treated group. Although losartan alone was ineffective, the combination of losartan and anti-PD-L1 mAb elicited dramatic antitumor effect. Immunohistochemical analysis revealed that there were more intra-tumoral infiltration of CD8 T cells and increased granzyme B production in the combination therapy group. In addition, the size of spleen was smaller in the combination therapy group, compared to monotherapy. The CD8-depleting Abs abrogated the antitumor efficacy of losartan and anti-PD-L1 mAb . The combination of losartan and anti-PD-L1 mAb significantly inhibited 4T1 tumor cells lung metastatic . Our results indicated that losartan can modulate the tumor microenvironment, and improve the efficacy of anti-PD-L1 mAb.

摘要

免疫检查点抑制剂(ICIs)已在多种癌症患者中带来了显著益处。然而,ICIs单药治疗的疗效非常有限。在本研究中,我们致力于探究氯沙坦是否能调节实体瘤微环境(TME),并提高抗PD-L1单克隆抗体在4T1小鼠乳腺肿瘤模型中的治疗效果及其潜在机制。给荷瘤小鼠分别用对照剂、氯沙坦、抗PD-L1单克隆抗体或联合药物进行治疗。血液和肿瘤组织分别用于酶联免疫吸附测定(ELISA)和免疫组织化学分析。进行了CD8耗竭和肺转移实验。与对照组相比,氯沙坦抑制了肿瘤组织中α平滑肌肌动蛋白(α-SMA)的表达和I型胶原蛋白的沉积。氯沙坦治疗组血清中转化生长因子-β1(TGF-β1)的浓度较低。虽然单独使用氯沙坦无效,但氯沙坦与抗PD-L1单克隆抗体联合使用产生了显著的抗肿瘤效果。免疫组织化学分析显示,联合治疗组肿瘤内浸润的CD8 T细胞更多,颗粒酶B的产生增加。此外,与单药治疗相比,联合治疗组脾脏体积更小。CD8耗竭抗体消除了氯沙坦和抗PD-L1单克隆抗体的抗肿瘤疗效。氯沙坦与抗PD-L1单克隆抗体联合使用显著抑制了4T1肿瘤细胞的肺转移。我们的结果表明,氯沙坦可以调节肿瘤微环境,并提高抗PD-L1单克隆抗体的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c671/10182444/fa6741154a6b/bi-13-89-g001.jpg

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