自燃烧纳米佐剂用于结直肠癌原位疫苗免疫治疗。

Self-Immolated Nanoadjuvant for In Situ Vaccination Immunotherapy of Colorectal Cancer.

机构信息

School of Pharmacy, Nantong University, Nantong, Jiangsu Province, 226001, China.

Center of Pharmaceutics, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, 201203, China.

出版信息

Adv Healthc Mater. 2023 Sep;12(23):e2300524. doi: 10.1002/adhm.202300524. Epub 2023 Jun 13.

Abstract

Vaccination immunotherapy has revolutionized cancer treatment modalities. Although the immunomodulatory adjuvant generally employs for potentiating vaccine response, systemic administration may drive immune-related side effects, even immune tolerance. Therefore, tunable immunoadjuvants are highly desirable to simultaneously stimulate the immune response and mitigate systemic toxicity. Self-immolated nanoadjuvants are herein reported to potentiate vaccination immunotherapy of cancer. The nanoadjuvants are engineered by co-assembling an intracellular acidity-ionizable polymeric agonist of toll-like receptor 7/8 resiquimod (R848) and polymeric photosensitizer pyropheophorbide a (PPa). The resultant nanoadjuvants specifically accumulate at the tumor site via passive targeting and are dissociated in the acidic endosome versicles to activate PPa via protonation of the polymer backbone. Upon 671 nm laser irradiation, PPa performed photodynamic therapy to induce immunogenic cell death of tumor cells and subsequently releases R848 in a customized manner, which synergistically activates dendritic cells (DCs), promotes antigen cross-presentation, and eventually recruits cytotoxic T lymphocytes for tumor regression. Furthermore, the synergistic in situ vaccination immunotherapy with immune checkpoint blockade induce sustained immunological memory to suppress tumor recurrence in the rechallenged colorectal tumor model.

摘要

疫苗免疫疗法已经彻底改变了癌症治疗模式。虽然免疫调节剂通常用于增强疫苗的反应,但全身给药可能会导致免疫相关的副作用,甚至免疫耐受。因此,可调免疫佐剂是非常需要的,以同时刺激免疫反应和减轻全身毒性。本文报道了自焚纳米佐剂增强癌症的疫苗免疫治疗。纳米佐剂是通过共组装细胞内酸度可电离的 Toll 样受体 7/8 激动剂瑞喹莫德(R848)和聚合物光增敏剂原卟啉 IX(PPa)来设计的。所得的纳米佐剂通过被动靶向特异性地在肿瘤部位积累,并在酸性内涵体小泡中解离,通过聚合物主链的质子化激活 PPa。在 671nm 激光照射下,PPa 进行光动力治疗以诱导肿瘤细胞的免疫原性细胞死亡,随后以定制的方式释放 R848,这协同激活树突状细胞(DC),促进抗原交叉呈递,最终招募细胞毒性 T 淋巴细胞以促进肿瘤消退。此外,与免疫检查点阻断的协同原位疫苗免疫治疗诱导持续的免疫记忆,以抑制再挑战结直肠肿瘤模型中的肿瘤复发。

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