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