Song Sukyung, Shim Man Kyu, Yang Suah, Lee Jaewan, Yun Wan Su, Cho Hanhee, Moon Yujeong, Min Jin Young, Han Eun Hee, Yoon Hong Yeol, Kim Kwangmeyung
College of Pharmacy, Graduate School of Pharmaceutical Sciences, Ewha Womans University, Seoul, 03760, Republic of Korea.
Medicinal Materials Research Center, Biomedical Research Division, Korea Institute of Science and Technology (KIST), Seoul, 02792, Republic of Korea.
Bioact Mater. 2023 Jun 10;28:358-375. doi: 10.1016/j.bioactmat.2023.05.016. eCollection 2023 Oct.
Synergistic immunotherapy of immune checkpoint blockade (ICB) and immunogenic cell death (ICD) has shown remarkable therapeutic efficacy in various cancers. However, patients show low response rates and undesirable outcomes to these combination therapies owing to the recycling mechanism of programmed death-ligand 1 (PD-L1) and the systemic toxicity of ICD-inducing chemotherapeutic drugs. Herein, we propose all-in-one glycol chitosan nanoparticles (CNPs) that can deliver anti-PD-L1 peptide (PP) and doxorubicin (DOX) to targeted tumor tissues for a safe and more effective synergistic immunotherapy. The PP-CNPs, which are prepared by conjugating ᴅ-form PP (NYSKPTDRQYHF) to CNPs, form stable nanoparticles that promote multivalent binding with PD-L1 proteins on the targeted tumor cell surface, resulting in effective lysosomal PD-L1 degradation in contrast with anti-PD-L1 antibody, which induces recycling of endocytosed PD-L1. Consequently, PP-CNPs prevent subcellular PD-L1 recycling and eventually destruct immune escape mechanism in CT26 colon tumor-bearing mice. Moreover, the ICD inducer, DOX is loaded into PP-CNPs (DOX-PP-CNPs) for synergistic ICD and ICB therapy, inducing a large number of damage-associated molecular patterns (DAMPs) in targeted tumor tissues with minimal toxicity in normal tissues. When the DOX-PP-CNPs are intravenously injected into CT26 colon tumor-bearing mice, PP and DOX are efficiently delivered to the tumor tissues nanoparticle-derived passive and active targeting, which eventually induce both lysosomal PD-L1 degradation and substantial ICD, resulting in a high rate of complete tumor regression (CR: 60%) by a strong antitumor immune response. Collectively, this study demonstrates the superior efficacy of synergistic immunotherapy using all-in-one nanoparticles to deliver PP and DOX to targeted tumor tissues.
免疫检查点阻断(ICB)和免疫原性细胞死亡(ICD)的协同免疫疗法在各种癌症中已显示出显著的治疗效果。然而,由于程序性死亡配体1(PD-L1)的循环机制以及诱导ICD的化疗药物的全身毒性,患者对这些联合疗法的反应率较低且预后不理想。在此,我们提出了一种一体化的壳聚糖纳米颗粒(CNPs),它可以将抗PD-L1肽(PP)和阿霉素(DOX)递送至靶向肿瘤组织,以实现安全且更有效的协同免疫疗法。通过将ᴅ型PP(NYSKPTDRQYHF)与CNPs偶联制备的PP-CNPs形成稳定的纳米颗粒,促进与靶向肿瘤细胞表面的PD-L1蛋白的多价结合,与诱导内吞的PD-L1循环的抗PD-L1抗体相比,导致有效的溶酶体PD-L1降解。因此,PP-CNPs可防止亚细胞PD-L1循环,并最终破坏CT26荷瘤小鼠的免疫逃逸机制。此外,将ICD诱导剂DOX负载到PP-CNPs(DOX-PP-CNPs)中用于协同ICD和ICB治疗,在靶向肿瘤组织中诱导大量损伤相关分子模式(DAMPs),而对正常组织的毒性最小。当将DOX-PP-CNPs静脉注射到CT26荷瘤小鼠中时,PP和DOX通过纳米颗粒衍生的被动和主动靶向有效地递送至肿瘤组织,最终诱导溶酶体PD-L1降解和大量ICD,通过强烈的抗肿瘤免疫反应导致高比例的肿瘤完全消退(CR:60%)。总的来说,这项研究证明了使用一体化纳米颗粒将PP和DOX递送至靶向肿瘤组织的协同免疫疗法的卓越疗效。