基于智能空心碳球的三阴性乳腺癌新型联合疗法
Novel Combination Therapy for Triple-Negative Breast Cancer based on an Intelligent Hollow Carbon Sphere.
作者信息
Yin Yue, Yan Yaping, Fan Biao, Huang Wenping, Zhang Jie, Hu Hai-Yan, Li Xiaoqiong, Xiong Dongbin, Chou Shu-Lei, Xiao Yao, Wang Hai
机构信息
School of Medical Technology, Beijing Institute of Technology, Beijing 100081, China.
CAS Key Laboratory for Biomedical Effects of Nanomaterials and Nanosafety, CAS Center for Excellence in Nanoscience, National Center for Nanoscience and Technology, Beijing 100190, China.
出版信息
Research (Wash D C). 2023 Apr 11;6:0098. doi: 10.34133/research.0098. eCollection 2023.
Triple-negative breast cancer (TNBC) is a subtype of breast cancer with high mortality, and the efficacy of monotherapy for TNBC is still disappointing. Here, we developed a novel combination therapy for TNBC based on a multifunctional nanohollow carbon sphere. This intelligent material contains a superadsorbed silicon dioxide sphere, sufficient loading space, a nanoscale hole on its surface, a robust shell, and an outer bilayer, and it could load both programmed cell death protein 1/programmed cell death ligand 1 (PD-1/PD-L1) small-molecule immune checkpoints and small-molecule photosensitizers with excellent loading contents, protect these small molecules during the systemic circulation, and achieve accumulation of them in tumor sites after systemic administration followed by the application of laser irradiation, thereby realizing dual attack of photodynamic therapy and immunotherapy on tumors. Importantly, we integrated the fasting-mimicking diet condition that can further enhance the cellular uptake efficiency of nanoparticles in tumor cells and amplify the immune responses, further enhancing the therapeutic effect. Thus, a novel combination therapy "PD-1/PD-L1 immune checkpoint blockade + photodynamic therapy + fasting-mimicking diet"was developed with the aid of our materials, which eventually achieved a marked therapeutic effect in 4T1-tumor-bearing mice. The concept can also be applied to the clinical treatment of human TNBC with guiding significance in the future.
三阴性乳腺癌(TNBC)是一种死亡率很高的乳腺癌亚型,TNBC单药治疗的疗效仍然令人失望。在此,我们基于多功能纳米空心碳球开发了一种用于TNBC的新型联合疗法。这种智能材料包含一个超吸附二氧化硅球、足够的负载空间、其表面的纳米级孔洞、坚固的外壳和外层双层结构,它可以负载程序性细胞死亡蛋白1/程序性细胞死亡配体1(PD-1/PD-L1)小分子免疫检查点和具有优异负载量的小分子光敏剂,在体循环过程中保护这些小分子,并在全身给药后通过激光照射实现它们在肿瘤部位的蓄积,从而实现光动力疗法和免疫疗法对肿瘤的双重攻击。重要的是,我们整合了模拟禁食饮食条件,其可以进一步提高纳米颗粒在肿瘤细胞中的细胞摄取效率并放大免疫反应,进一步增强治疗效果。因此,借助我们的材料开发了一种新型联合疗法“PD-1/PD-L1免疫检查点阻断+光动力疗法+模拟禁食饮食”,最终在荷4T1肿瘤小鼠中取得了显著的治疗效果。这一概念未来也可应用于人类TNBC的临床治疗,具有指导意义。