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重极化肿瘤相关巨噬细胞并诱导免疫原性细胞死亡:一种靶向脂质体策略,以增强癌症免疫治疗。

Repolarizing Tumor-Associated Macrophages and inducing immunogenic cell Death: A targeted liposomal strategy to boost cancer immunotherapy.

机构信息

School of Pharmaceutical Science, Liaoning University, Shenyang 110036, China.

School of Pharmaceutical Science, Liaoning University, Shenyang 110036, China.

出版信息

Int J Pharm. 2024 Feb 15;651:123729. doi: 10.1016/j.ijpharm.2023.123729. Epub 2023 Dec 22.


DOI:10.1016/j.ijpharm.2023.123729
PMID:38142016
Abstract

Cancer immunotherapy has shown promise in treating various malignancies. However, the presence of an immunosuppressive tumor microenvironment (TME) triggered by M2 tumor-associated macrophages (TAMs) and the limited tumor cell antigenicity have hindered its broader application. To address these challenges, we developed DOX/R837@ManL, a liposome loaded with imiquimod (R837) and doxorubicin (DOX), modified with mannose-polyethylene glycol (Man-PEG). DOX/R837@ManL employed a mannose receptor (MRC1)-mediated targeting strategy, allowing it to accumulate selectively at M2 Tumor associated macrophages (TAMs) and tumor sites. R837, an immune adjuvant, promoted the conversion of immunosuppressive M2 TAMs into immunostimulatory M1 TAMs, and reshaped the immunosuppressive TME. Simultaneously, DOX release induced immunogenic cell death (ICD) in tumor cells and enhanced tumor cell antigenicity by promoting dendritic cells (DCs) maturation. Through targeted delivery, the synergistic action of R837 and DOX activated innate immunity and coordinated adaptive immunity, enhancing immunotherapy efficacy. In vivo experiments have demonstrated that DOX/R837@ManL effectively eliminated primary tumors and lung metastases, while also preventing tumor recurrence post-surgery. These findings highlighted the potential of DOX/R837@ManL as a promising strategy for cancer immunotherapy.

摘要

癌症免疫疗法在治疗各种恶性肿瘤方面显示出了潜力。然而,肿瘤相关巨噬细胞(TAMs)引发的免疫抑制肿瘤微环境(TME)的存在以及肿瘤细胞抗原性有限,阻碍了其更广泛的应用。为了解决这些挑战,我们开发了载有咪喹莫特(R837)和阿霉素(DOX)的脂质体 DOX/R837@ManL,并用甘露糖-聚乙二醇(Man-PEG)进行了修饰。DOX/R837@ManL 采用了甘露糖受体(MRC1)介导的靶向策略,使其能够选择性地在 M2 肿瘤相关巨噬细胞(TAMs)和肿瘤部位聚集。免疫佐剂 R837 促进了免疫抑制性 M2 TAMs 向免疫刺激性 M1 TAMs 的转化,并重塑了免疫抑制性 TME。同时,DOX 的释放诱导了肿瘤细胞的免疫原性细胞死亡(ICD),并通过促进树突状细胞(DCs)成熟来增强肿瘤细胞的抗原性。通过靶向递送,R837 和 DOX 的协同作用激活了固有免疫,并协调了适应性免疫,增强了免疫治疗的效果。体内实验表明,DOX/R837@ManL 能够有效消除原发肿瘤和肺转移,并且在手术后还能预防肿瘤复发。这些发现强调了 DOX/R837@ManL 作为癌症免疫治疗有前途的策略的潜力。

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