Zhang Jingjing, Wan Shuangshuang, Zhou Hao, Du Jiaxin, Li Yaocheng, Zhu Houjuan, Weng Lixing, Ding Xianguang, Wang Lianhui
State Key Laboratory of Organic Electronics and Information Displays & Jiangsu Key Laboratory for Biosensors, Institute of Advanced Materials (IAM), Nanjing University of Posts and Telecommunications, Nanjing 210023, China.
Department of General Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215006, China.
ACS Nano. 2024 Apr 2;18(13):9613-9626. doi: 10.1021/acsnano.3c13194. Epub 2024 Mar 19.
Recent discoveries in commensal microbiota demonstrate the great promise of intratumoral bacteria as attractive molecular targets of tumors in improving cancer treatment. However, direct leveraging of antibacterial strategies such as antibiotics to potentiate cancer therapy often leads to uncertain effectiveness, mainly due to poor selectivity and potential adverse effects. Here, building from the clinical discovery that patients with breast cancer featured rich commensal bacteria, we developed an activatable biointerface by encapsulating commensal bacteria-derived extracellular vesicles (BEV) with a responsive nanocloak to potentiate immunoreactivity against intratumoral bacteria and breast cancer. We show that the interfacially cloaked BEV (cBEV) not only overcame serious systemic side responses but also demonstrated heightened immunogenicity by intercellular responsive immunogenicity, facilitating dendritic cell maturation through activating the cGAS-STING pathway. As a preventive measure, vaccination with nanocloaked cBEVs achieved strong protection against bacterial infection, largely providing prophylactic efficiency against tumor challenges. When treated in conjunction with immune checkpoint inhibitor anti-PD-L1 antibodies, the combined approach elicited a potent tumor-specific immune response, synergistically inhibiting tumor progression and mitigating lung metastases.
共生微生物群的最新发现表明,肿瘤内细菌作为肿瘤有吸引力的分子靶点,在改善癌症治疗方面具有巨大潜力。然而,直接利用抗生素等抗菌策略来增强癌症治疗效果往往导致效果不确定,主要原因是选择性差和潜在的不良反应。在此,基于乳腺癌患者具有丰富共生细菌这一临床发现,我们通过用响应性纳米衣包裹共生细菌衍生的细胞外囊泡(BEV),开发了一种可激活的生物界面,以增强针对肿瘤内细菌和乳腺癌的免疫反应。我们表明,界面包裹的BEV(cBEV)不仅克服了严重的全身副作用,还通过细胞间响应性免疫原性表现出增强的免疫原性,通过激活cGAS-STING途径促进树突状细胞成熟。作为一种预防措施,用纳米衣包裹的cBEV进行疫苗接种可有效预防细菌感染,在很大程度上提供针对肿瘤挑战的预防效果。当与免疫检查点抑制剂抗PD-L1抗体联合治疗时,联合方法引发了强大的肿瘤特异性免疫反应,协同抑制肿瘤进展并减轻肺转移。