一种用于化学免疫治疗的原位化疗药物联合免疫检查点抑制剂
An In Situ Chemotherapy Drug Combined with Immune Checkpoint Inhibitor for Chemoimmunotherapy.
作者信息
Yuan Xinyuan, Wang Xiupeng
机构信息
School of Materials Science and Engineering and Key Laboratory of Biomedical Materials of Ministry of Education, South China University of Technology, and National Engineering Research Center for Tissue Restoration and Reconstruction, Guangzhou 510641, China.
Health and Medical Research Institute, National Institute of Advanced Industrial Science and Technology (AIST), Central 6, 1-1-1 Higashi, Tsukuba 305-8566, Japan.
出版信息
Nanomaterials (Basel). 2023 Dec 15;13(24):3144. doi: 10.3390/nano13243144.
Clinically, cancer chemotherapy still faces unsatisfactory efficacy due to drug resistance and severe side effects, including tiredness, hair loss, feeling sick, etc. The clinical benefits of checkpoint inhibitors have revived hope for cancer immunotherapy, but the objective response rate of immune checkpoint inhibitors remains around 10-40%. Herein, two types of copper-doped mesoporous silica nanoparticles (MS-Cu-1 with a diameter of about 30 nm and MS-Cu-2 with a diameter of about 200 nm) were synthesized using a one-pot method. Both MS-Cu-1 and MS-Cu-2 nanoparticles showed excellent tumor microenvironment regulation properties with elevated extracellular and intracellular ROS generation, extracellular and intracellular oxygenation, and intracellular GSH depletion. In particular, MS-Cu-2 nanoparticles demonstrated a better microenvironment modulation effect than MS-Cu-1 nanoparticles. The DSF/MS-Cu composites with disulfiram (DSF) and copper co-delivery characteristics were prepared by a straightforward method using chloroform as the solvent. Cell survival rate and live/dead staining results showed that DSF and MS-Cu alone were not toxic to LLC cells, while a low dose of DSF/MS-Cu (1-10 μg/mL) showed a strong cell-killing effect. In addition, MS-Cu-2 nanoparticles released more Cu in a weakly acidic environment (pH = 5) than in a physiological environment (pH = 7.4), and the Cu released was 41.72 ± 0.96 mg/L in 1 h under weakly acidic conditions. UV-visible absorption spectrometry confirmed the production of tumor-killing drugs (CuETs). The intratumoral injection of DSF/MS-Cu significantly inhibited tumor growth in vivo by converting nontoxic DSF/MS-Cu into toxic CuETs. The combination of DSF/MS-Cu and anti-CTLA-4 antibody further inhibited tumor growth, showing the synergistic effect of DSF/MS-Cu and immune checkpoint inhibitors.
临床上,由于耐药性和严重的副作用(包括疲劳、脱发、恶心等),癌症化疗的疗效仍不尽人意。检查点抑制剂的临床益处为癌症免疫治疗带来了新希望,但免疫检查点抑制剂的客观缓解率仍在10%-40%左右。在此,采用一锅法合成了两种铜掺杂介孔二氧化硅纳米颗粒(直径约30nm的MS-Cu-1和直径约200nm的MS-Cu-2)。MS-Cu-1和MS-Cu-2纳米颗粒均表现出优异的肿瘤微环境调节特性,细胞外和细胞内活性氧生成增加、细胞外和细胞内氧合增加以及细胞内谷胱甘肽消耗。特别是,MS-Cu-2纳米颗粒表现出比MS-Cu-1纳米颗粒更好的微环境调节效果。通过以氯仿为溶剂的简单方法制备了具有双硫仑(DSF)和铜共递送特性的DSF/MS-Cu复合材料。细胞存活率和活/死染色结果表明,单独的DSF和MS-Cu对LLC细胞无毒,而低剂量的DSF/MS-Cu(1-10μg/mL)表现出强烈的细胞杀伤作用。此外,MS-Cu-2纳米颗粒在弱酸性环境(pH = 5)中比在生理环境(pH = 7.4)中释放更多的铜,在弱酸性条件下1小时内释放的铜为41.72±0.96mg/L。紫外可见吸收光谱证实了肿瘤杀伤药物(CuETs)的产生。瘤内注射DSF/MS-Cu通过将无毒的DSF/MS-Cu转化为有毒的CuETs在体内显著抑制肿瘤生长。DSF/MS-Cu与抗CTLA-4抗体的联合使用进一步抑制了肿瘤生长,显示出DSF/MS-Cu与免疫检查点抑制剂的协同作用。