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多壳结构上转换纳米载体将 IDO 抑制剂诱导的免疫疗法与 NIR 触发的光动力疗法相结合,用于深部肿瘤。

Multi-shell structured upconversion nanocarriers that combine IDO inhibitor-induced immunotherapy with NIR-triggered photodynamic therapy for deep tumors.

机构信息

Graduate School of Energy Science and Technology, Chungnam National University, Daejeon 34134, Korea.

Department of Chemical Engineering Education, College of Education, Chungnam National University, Daejeon 34134, Korea.

出版信息

Biomater Sci. 2023 Jun 27;11(13):4684-4699. doi: 10.1039/d3bm00248a.

Abstract

Combination therapies for cancer have attracted substantial research interest as an emerging treatment strategy that can reduce the chance of cancer resistance to chemotherapy and deal effectively with cancer cell heterogeneity. In this study, we designed novel nanocarriers that combine immunotherapy, which attacks tumors by stimulating the immune system, with photodynamic therapy (PDT), a non-invasive phototherapy that can selectively destroy only cancer cells. Multi-shell structured upconversion nanoparticles (MSUCNs) with good photoluminescence (PL) strength were synthesized for a combination therapy of near-infrared (NIR) light-induced PDT and immunotherapy using a specific immune checkpoint inhibitor. By optimizing the doping content of ytterbium ions (Yb) and forming a multi-shell structure, MSUCNs able to emit light at multiple wavelengths with the PL efficiency improved by 260-380 times compared to core particles were synthesized. Then, the surfaces of the MSUCNs were modified with folic acid (FA) as a tumor-targeting ligand, Ce6 as a photosensitizer (PS), and 1-methyl-tryptophan (1MT) as an indoleamine 2,3-dioxygenase (IDO) inhibitor. The FA-, Ce6-, and 1MT-conjugated MSUCNs (F-MSUCN3-Ce6/1MT) exhibited targeted cellular uptake by active targeting against HeLa cells, which are FA receptor-positive cancer cells. Upon irradiation with NIR at 808 nm, the F-MSUCN3-Ce6/1MT nanocarriers produced reactive oxygen species, which caused apoptosis of the cancer cells, and activated CD8 T cells, which enhanced the immune response by binding with immune checkpoint inhibitory proteins and blocking the IDO pathway. Therefore, these F-MSUCN3-Ce6/1MT nanocarriers could be potential candidate materials for synergistic anticancer therapy that combines IDO inhibitor-based immunotherapy with enhanced NIR-triggered PDT.

摘要

联合疗法在癌症治疗中引起了广泛的研究兴趣,成为一种新兴的治疗策略,可以降低癌症对化疗的耐药性,并有效地应对癌细胞异质性。在这项研究中,我们设计了新型纳米载体,将免疫疗法与光动力疗法(PDT)相结合,免疫疗法通过刺激免疫系统攻击肿瘤,PDT 是一种非侵入性的光疗,可以选择性地仅破坏癌细胞。我们合成了具有良好光致发光(PL)强度的多壳结构上转换纳米粒子(MSUCNs),用于近红外(NIR)光诱导 PDT 和免疫治疗的联合治疗,使用特定的免疫检查点抑制剂。通过优化掺铒离子(Yb)的掺杂含量并形成多壳结构,合成了能够在多个波长发射光的 MSUCNs,与核粒子相比,PL 效率提高了 260-380 倍。然后,MSUCNs 的表面用叶酸(FA)作为肿瘤靶向配体、Ce6 作为光敏剂(PS)和 1-甲基色氨酸(1MT)作为吲哚胺 2,3-双加氧酶(IDO)抑制剂进行修饰。FA、Ce6 和 1MT 修饰的 MSUCNs(F-MSUCN3-Ce6/1MT)通过对 HeLa 细胞(FA 受体阳性癌细胞)的主动靶向表现出靶向细胞摄取。在 808nm 的 NIR 照射下,F-MSUCN3-Ce6/1MT 纳米载体产生了活性氧,导致癌细胞凋亡,并激活了 CD8 T 细胞,通过与免疫检查点抑制蛋白结合并阻断 IDO 途径,增强了免疫反应。因此,这些 F-MSUCN3-Ce6/1MT 纳米载体可能是一种有前途的候选材料,用于结合 IDO 抑制剂免疫疗法和增强的 NIR 触发 PDT 的协同抗癌治疗。

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