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肿瘤酸性激活大分子自噬抑制剂和免疫检查点阻断联合治疗前列腺癌的研究进展

Tumor acidity-activatable macromolecule autophagy inhibitor and immune checkpoint blockade for robust treatment of prostate cancer.

机构信息

Department of Urology, Kidney and Urology Center, Pelvic Floor Disorders Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen 518000, PR China.

Nanomedicine Research Center, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, PR China.

出版信息

Acta Biomater. 2023 Sep 15;168:593-605. doi: 10.1016/j.actbio.2023.07.018. Epub 2023 Jul 18.


DOI:10.1016/j.actbio.2023.07.018
PMID:37474083
Abstract

Immune checkpoint blockade (ICB) antibody such as anti-PD-L1 (aPD-L1) activates cytotoxic T cells (CTLs) to combat cancer, but they showed poor efficacy in prostate cancer (PCa). Lysosome-dependent autophagy is utilized by cancer cells to degrade their MHC-I and to lower their vulnerability to TNF-α and CTLs. Lysosomal pH-sensitive polymeric nanoparticle as a drug delivery carrier may also be a novel autophagy inhibitor to boost immunotherapy, but such an important effect has not been investigated. Herein, we developed a unique tumor acidity-activatable macromolecular nanodrug (called P-PDL1-CP) with the poly(2-diisopropylaminoethyl methacrylate) (PDPA) core and the conjugations of both aPD-L1 and long-chain polyethylene glycol (PEG) coating. The PDPA core was demonstrated to disturb lysosome to block the autophagic flux, thus elevating the cancer cell's MHC-I expression and vulnerability to the TNF-α and CTLs. Long-chain PEG facilitated a good tumor accumulation of P-PDL1-CP nanodrug. Furthermore, P-PDL1-CP nanodrug inhibited tumor autophagy, which synergized with aPD-L1 to promote the tumor-infiltrating CTLs and DCs maturation, to elevate intratumoral TNF-α and IFN-γ levels, and to elicit an anti-tumor immune memory effect in mice for PCa growth inhibition with low side effects. This study verified the synergistic anti-PCa treatment between autophagy inhibition and PD-L1 blockade and meantime broadened the application of pH-sensitive macromolecular nanodrug. STATEMENT OF SIGNIFICANCE: A macromolecular nanodrug, comprising the PDPA core and the surface conjugation of both aPD-L1 antibodies and long-chain PEG coating via a tumor acidity-labile α-carboxy-dimethylmaleic anhydride amine bond, was developed. Tumoral acidity triggered the release of aPD-L1 for immunotherapy. Meantime, the charge switch of the remanent nanodrug enhanced the cancer cell uptake of PDPA, which disturbed the lysosomes to inhibit autophagy. This advanced nanodrug promoted the tumor-infiltrating CTLs and DCs maturation, elevated the intratumoral TNF-α and IFN-γ levels, and elicited the robust anti-tumor immune memory effect. This study demonstrated that the pH-sensitive PDPA macromolecule could serve as a carrier for the aPD-L1 delivery and as an efficient autophagy inhibitor to boost the immunotherapy of prostate cancer.

摘要

免疫检查点阻断(ICB)抗体,如抗 PD-L1(aPD-L1),可激活细胞毒性 T 细胞(CTL)来对抗癌症,但在前列腺癌(PCa)中疗效不佳。溶酶体依赖性自噬被癌细胞用来降解 MHC-I,降低其对 TNF-α 和 CTL 的易感性。溶酶体 pH 敏感的聚合物纳米颗粒作为药物递送载体,也可能是一种新的自噬抑制剂,以增强免疫治疗,但这种重要的作用尚未被研究。在此,我们开发了一种独特的肿瘤酸度激活的大分子纳米药物(称为 P-PDL1-CP),它具有聚(2-二异丙基氨基乙基甲基丙烯酸酯)(PDPA)核心和 aPD-L1 和长链聚乙二醇(PEG)的缀合。PDPA 核心被证明可以扰乱溶酶体以阻断自噬流,从而提高癌细胞的 MHC-I 表达和对 TNF-α 和 CTL 的易感性。长链 PEG 促进了 P-PDL1-CP 纳米药物在肿瘤中的良好积累。此外,P-PDL1-CP 纳米药物抑制肿瘤自噬,与 aPD-L1 协同促进肿瘤浸润 CTL 和 DC 成熟,提高肿瘤内 TNF-α 和 IFN-γ 水平,并在小鼠中引发抗肿瘤免疫记忆效应,抑制前列腺癌生长,副作用低。这项研究验证了自噬抑制与 PD-L1 阻断之间的协同抗前列腺癌治疗,同时拓宽了 pH 敏感的大分子纳米药物的应用。

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World J Urol. 2025-7-2

[2]
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Small Sci. 2025-4-11

[3]
Ultrasound Visualization of Spatiotemporal Autophagy-Regulated Nanodroplets for Amplifying ICB in Melanoma via Remodeling Tumor Inflammatory Microenvironment.

ACS Appl Mater Interfaces. 2025-5-21

[4]
Autophagy: The convergence point of aging and cancer.

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[5]
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Discov Oncol. 2025-3-15

[6]
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[7]
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[8]
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J Mol Cell Biol. 2025-6-12

[9]
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[10]
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