Guo Xiaoju, Chen Xiaoxiao, Ding Jiayi, Zhang Feng, Chen Shunyang, Hu Xin, Fang Shiji, Shen Lin, Lu Chenying, Zhao Zhongwei, Tu Jianfei, Shu Gaofeng, Chen Minjiang, Ji Jiansong
Lishui Central Hospital, Shaoxing University, Shaoxing 312000, China.
Zhejiang Key Laboratory of Imaging and Interventional Medicine, Imaging Diagnosis and Interventional Minimally Invasive Institute, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui 323000, China.
Asian J Pharm Sci. 2024 Apr;19(2):100905. doi: 10.1016/j.ajps.2024.100905. Epub 2024 Mar 16.
Chemotherapy plays a crucial role in triple-negative breast cancer (TNBC) treatment as it not only directly kills cancer cells but also induces immunogenic cell death. However, the chemotherapeutic efficacy was strongly restricted by the acidic and hypoxic tumor environment. Herein, we have successfully formulated PLGA-based nanoparticles concurrently loaded with doxorubicin (DOX), hemoglobin (Hb) and CaCO by a CaCO-assisted emulsion method, aiming at the effective treatment of TNBC. We found that the obtained nanomedicine (DHCaNPs) exhibited effective drug encapsulation and pH-responsive drug release behavior. Moreover, DHCaNPs demonstrated robust capabilities in neutralizing protons and oxygen transport. Consequently, DHCaNPs could not only serve as oxygen nanoshuttles to attenuate tumor hypoxia but also neutralize the acidic tumor microenvironment (TME) by depleting lactic acid, thereby effectively overcoming the resistance to chemotherapy. Furthermore, DHCaNPs demonstrated a notable ability to enhance antitumor immune responses by increasing the frequency of tumor-infiltrating effector lymphocytes and reducing the frequency of various immune-suppressive cells, therefore exhibiting a superior efficacy in suppressing tumor growth and metastasis when combined with anti-PD-L1 (αPD-L1) immunotherapy. In summary, this study highlights that DHCaNPs could effectively attenuate the acidic and hypoxic TME, offering a promising strategy to figure out an enhanced chemo-immunotherapy to benefit TNBC patients.
化疗在三阴性乳腺癌(TNBC)治疗中起着关键作用,因为它不仅能直接杀死癌细胞,还能诱导免疫原性细胞死亡。然而,化疗疗效受到酸性和缺氧肿瘤环境的强烈限制。在此,我们通过碳酸钙辅助乳化法成功制备了同时负载阿霉素(DOX)、血红蛋白(Hb)和碳酸钙的聚乳酸-羟基乙酸共聚物(PLGA)纳米颗粒,旨在有效治疗TNBC。我们发现,所获得的纳米药物(DHCaNPs)表现出有效的药物包封和pH响应性药物释放行为。此外,DHCaNPs在中和质子和氧气运输方面表现出强大的能力。因此,DHCaNPs不仅可以作为氧纳米穿梭体来减轻肿瘤缺氧,还可以通过消耗乳酸来中和酸性肿瘤微环境(TME),从而有效克服化疗耐药性。此外,DHCaNPs通过增加肿瘤浸润效应淋巴细胞的频率和降低各种免疫抑制细胞的频率,表现出显著的增强抗肿瘤免疫反应的能力,因此在与抗PD-L1(αPD-L1)免疫疗法联合使用时,在抑制肿瘤生长和转移方面表现出卓越的疗效。总之,本研究强调DHCaNPs可以有效减轻酸性和缺氧的TME,为探索增强的化学免疫疗法以造福TNBC患者提供了一种有前景的策略。
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