Department of Nuclear Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; Hubei Province Key Laboratory of Molecular Imaging, Wuhan 430022, China; Key Laboratory of Biological Targeted Therapy, the Ministry of Education, Wuhan, 430022, China.
Department of Nuclear Medicine, Zigong First People's Hospital, Zigong Academy of Medical Sciences, Zigong, 643000, China.
Acta Biomater. 2023 Sep 1;167:519-533. doi: 10.1016/j.actbio.2023.06.009. Epub 2023 Jun 15.
Cerenkov radiation-induced photodynamic therapy (CR-PDT) gets rid of the limited tissue penetration depth of the external light source and provides a feasible scheme for the PDT excited by the internal light. However, due to the low luminescence intensity of Cerenkov radiation, CR-PDT alone cannot effectively inhibit tumor growth, curbing the potential clinical translation of CR-PDT. Herein, we reported an AIE-PS/bacteria biohybrid (EcN@TTVP) composed of Escherichia coli Nissle 1917 (EcN) loaded with aggregation-induced emission photosensitizer (AIE-PS) termed TTVP, which enhanced CR-PDT by activating anti-tumor immunity for synergistic tumor treatment. The preferential tumor-colonized EcN@TTVP and radiopharmaceutical F-fluorodeoxyglucose (F-FDG) were administered sequentially to enable them to co-enrich in the tumor site, thereby triggering CR-PDT and promoting immunogenic tumor cell death. Most importantly, EcN acting as immunoadjuvants enhanced the maturation of dendritic cells (DCs) and priming of cytotoxic T cells (CTLs). Therefore, under the synergistic treatment of CR-PDT and immunotherapy, AIE-PS/bacteria biohybrids resulted in either efficient tumor remission or a survival prolongation in tumor-bearing mice, which presented significant advantages over single CR-PDT. Remarkably, no obvious toxic effects were observed during the treatment. In this study, we proposed a synergistic therapeutic strategy based on EcN@TTVP for combined CR-PDT and immunotherapy against tumors. Moreover, this strategy may have great potential in clinical translation and provide references for deep-seated tumor treatment. STATEMENT OF SIGNIFICANCE: PDT is restricted due to the shallow penetration depth of light into tumor tissues. Using CR as the excitation light source for PDT can overcome the aforementioned issue and greatly expand the application of PDT. However, the low efficacy of single CR-PDT limits further its applications. Therefore, the design and development of feasible strategies to improve the efficacy of CR-PDT are of immediate importance. Introducing probiotics to our study can be used not only as tumor-targeting carriers of photosensitizers but also as immunoadjuvants. Under co-stimulation by immunogenic tumor cell death triggered by CR-PDT and probiotics acting as immunoadjuvants, anti-tumor immune responses were effectively activated, thus remarkably enhancing the efficacy of CR-PDT.
切伦科夫辐射诱导光动力疗法(CR-PDT)消除了外源性光源的组织穿透深度限制,为内源性光激发的光动力疗法提供了一种可行的方案。然而,由于切伦科夫辐射的发光强度较低,单独的 CR-PDT 无法有效抑制肿瘤生长,限制了 CR-PDT 的潜在临床转化。在此,我们报道了一种由负载聚集诱导发光光敏剂(AIE-PS)的大肠杆菌 Nissle 1917(EcN)组成的 AIE-PS/细菌杂合体(EcN@TTVP),通过激活抗肿瘤免疫来增强 CR-PDT,从而实现协同肿瘤治疗。优先定植于肿瘤的 EcN@TTVP 和放射性药物 F-氟脱氧葡萄糖(F-FDG)依次给药,使它们共同富集在肿瘤部位,从而触发 CR-PDT 并促进免疫原性肿瘤细胞死亡。最重要的是,作为免疫佐剂的 EcN 增强了树突状细胞(DCs)的成熟和细胞毒性 T 细胞(CTLs)的激活。因此,在 CR-PDT 和免疫治疗的协同作用下,AIE-PS/细菌杂合体导致荷瘤小鼠的肿瘤有效消退或生存时间延长,与单独的 CR-PDT 相比具有明显优势。值得注意的是,在治疗过程中没有观察到明显的毒性作用。在这项研究中,我们提出了一种基于 EcN@TTVP 的协同治疗策略,用于联合 CR-PDT 和免疫治疗肿瘤。此外,该策略在临床转化方面具有很大的潜力,并为深部肿瘤治疗提供了参考。
意义声明:PDT 受到光进入肿瘤组织的浅层深度的限制。使用 CR 作为 PDT 的激发光源可以克服上述问题,并大大扩展 PDT 的应用。然而,单一 CR-PDT 的疗效有限,限制了其进一步应用。因此,设计和开发可行的策略来提高 CR-PDT 的疗效至关重要。在我们的研究中引入益生菌不仅可以作为光敏剂的肿瘤靶向载体,还可以作为免疫佐剂。在 CR-PDT 触发的免疫原性肿瘤细胞死亡和作为免疫佐剂的益生菌的共同刺激下,有效地激活了抗肿瘤免疫反应,从而显著增强了 CR-PDT 的疗效。
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