Department of Radiology, Leiden University Medical Center, Leiden, 2333 ZA, The Netherlands.
Department of Ophthalmology, Leiden University Medical Center, Leiden, 2333 ZA, The Netherlands.
Adv Healthc Mater. 2023 Dec;12(31):e2302046. doi: 10.1002/adhm.202302046. Epub 2023 Sep 21.
Immunotherapies targeting immune checkpoints have revolutionized cancer treatment by normalizing the immunosuppressive microenvironment of tumors and reducing adverse effects on the immune system. Indoleamine 2,3-dioxygenase (IDO) inhibitors have garnered attention as a promising therapeutic agent for cancer. However, their application alone has shown limited clinical benefits. Cabozantinib, a multitarget tyrosine kinase inhibitor, holds immunomodulatory potential by promoting infiltration and activation of effector cells and inhibiting suppressive immune cells. Despite its potential, cabozantinib as a monotherapy has shown limited efficacy in terms of objective response rate. In this study, IDO-IN-7 and cabozantinib are coencapsulated into liposomes to enhance tumor accumulation and minimize adverse effects. The liposomal combination exhibits potent cytotoxicity and inhibits the function of IDO enzyme. Furthermore, the dual-targeted treatment effectively inhibits tumor development and reverses the suppressive tumor microenvironment by regulating both adaptive and innate branch of immune system. This is evidenced by pronounced infiltration of T cells and B cells, a decrease of regulatory T lymphocytes, a shift to a proinflammatory phenotype of tumor-associated macrophages, and increases levels of neutrophils. This is the first developed of a liposome-delivered combination of IDO inhibitors and cabozantinib, and holds great potential for future clinical application as a promising anticancer strategy.
免疫检查点靶向免疫疗法通过使肿瘤的免疫抑制微环境正常化并减少对免疫系统的不良反应,彻底改变了癌症治疗。吲哚胺 2,3-双加氧酶(IDO)抑制剂作为癌症治疗的一种有前途的药物引起了人们的关注。然而,单独应用它们显示出有限的临床益处。卡博替尼是一种多靶点酪氨酸激酶抑制剂,通过促进效应细胞的浸润和激活以及抑制抑制性免疫细胞来发挥免疫调节作用。尽管具有潜力,但卡博替尼作为单一疗法在客观缓解率方面显示出有限的疗效。在这项研究中,IDO-IN-7 和卡博替尼被共包封到脂质体中,以增强肿瘤积累并最小化不良反应。脂质体联合具有强大的细胞毒性,并抑制 IDO 酶的功能。此外,双重靶向治疗通过调节适应性和固有免疫系统分支有效抑制肿瘤发展并逆转抑制性肿瘤微环境。这表现在 T 细胞和 B 细胞的明显浸润、调节性 T 淋巴细胞减少、肿瘤相关巨噬细胞向促炎表型转变以及中性粒细胞水平升高。这是首次开发的 IDO 抑制剂和卡博替尼的脂质体递送组合,作为一种很有前途的抗癌策略,具有很大的临床应用潜力。
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