School of Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, Henan, 450001, China.
The center of Infection and Immunity, Academy of Medical Sciences, Zhengzhou University, Zhengzhou, Henan, 450001, China.
Adv Healthc Mater. 2024 Jun;13(16):e2303568. doi: 10.1002/adhm.202303568. Epub 2024 Feb 13.
High reactive oxygen species (ROS) levels in tumor microenvironment (TME) impair both immunogenic cell death (ICD) efficacy and T cell activity. Furthermore, tumor escapes immunosurveillance via programmed death-1/programmed death ligand-1 (PD-L1) signal, and the insufficient intracellular hydrogen peroxide weakens ferroptosis efficacy. To tackle the above issues, a glutathione (GSH)/ROS/pH triple-responsive prodrug nanomedicine that encapsulates FeO nanoparticle via electrostatic interaction is constructed for magnetic resonance imaging (MRI)-guided multi-mode theranostics with chemotherapy/ferroptosis/immunotherapy. The diselenide bond consumes ROS in TME to increase T cells and ICD efficacy, the cleavage of which facilitates PD-L1 antagonist D peptide release to block immune checkpoint. After intracellular internalization, FeO nanoparticle is released in the acidic endosome for MRI simultaneously with lipid peroxides generation for tumor ferroptosis. Doxorubicin is cleaved from polymers in the condition of high intracellular GSH level accompanied by tumor ICD, which simultaneously potentiates ferroptosis by NADPH oxidase mediated HO self-generation. In vivo results indicate that the nanoplatform strengthens tumor ICD, induces cytotoxic T lymphocytes proliferation, inhibits 4T1 tumor regression and metastasis, and prolongs survival median. In all, a new strategy is proposed in strengthening ICD and T cells activity cascade with ferroptosis as well as immune checkpoint blockade for effective tumor immunotherapy.
高水平的活性氧(ROS)在肿瘤微环境(TME)中会损害免疫原性细胞死亡(ICD)的功效和 T 细胞的活性。此外,肿瘤通过程序性死亡受体 1/程序性死亡配体 1(PD-L1)信号逃避免疫监视,而细胞内过氧化氢的不足会削弱铁死亡的功效。为了解决上述问题,构建了一种通过静电相互作用将 FeO 纳米颗粒包封在内的谷胱甘肽(GSH)/ROS/pH 三重响应前药纳米药物,用于化疗/铁死亡/免疫治疗的磁共振成像(MRI)引导多模式治疗。二硒键在 TME 中消耗 ROS,以增加 T 细胞和 ICD 的功效,其裂解有利于 PD-L1 拮抗剂 D 肽的释放,以阻断免疫检查点。在细胞内内化后,FeO 纳米颗粒在酸性内涵体中释放,同时产生磁共振成像用的脂质过氧化物,用于肿瘤铁死亡。阿霉素在高细胞内 GSH 水平下从聚合物中裂解,伴随着肿瘤 ICD,同时通过 NADPH 氧化酶介导的 HO 自生成增强铁死亡。体内结果表明,该纳米平台增强了肿瘤 ICD,诱导了细胞毒性 T 淋巴细胞的增殖,抑制了 4T1 肿瘤的复发和转移,并延长了中位生存期。总之,提出了一种新的策略,通过铁死亡和免疫检查点阻断来增强 ICD 和 T 细胞活性级联,从而实现有效的肿瘤免疫治疗。
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