Wang Chunling, Xu Junchao, Cheng Xiaoyu, Sun Ge, Li Fenfen, Nie Guangjun, Zhang Yinlong
CAS Key Laboratory for Biomedical Effects of Nanomaterials & Nanosafety, CAS Center for Excellence in Nanoscience, National Center for Nanoscience and Technology, Beijing, 100190, China.
Sino-Danish College, University of Chinese Academy of Sciences, Beijing, 100190, China.
Signal Transduct Target Ther. 2024 Apr 15;9(1):89. doi: 10.1038/s41392-024-01794-4.
The inadequate tumor accumulation of anti-cancer agents is a major shortcoming of current therapeutic drugs and remains an even more significant concern in the clinical prospects for nanomedicines. Various strategies aiming at regulating the intratumoral permeability of therapeutic drugs have been explored in preclinical studies, with a primary focus on vascular regulation and stromal reduction. However, these methods may trigger or facilitate tumor metastasis as a tradeoff. Therefore, there is an urgent need for innovative strategies that boost intratumoral drug accumulation without compromising treatment outcomes. As another important factor affecting drug tumor accumulation besides vasculature and stroma, the impact of tumor-associated lymphatic vessels (LVs) has not been widely considered. In the current research, we verified that anlotinib, a tyrosine kinase inhibitor with anti-lymphangiogenesis activity, and SAR131675, a selective VEGFR-3 inhibitor, effectively decreased the density of tumor lymphatic vessels in mouse cancer models, further enhancing drug accumulation in tumor tissue. By combining anlotinib with therapeutic drugs, including doxorubicin (Dox), liposomal doxorubicin (Lip-Dox), and anti-PD-L1 antibody, we observed improved anti-tumor efficacy in comparison with monotherapy regimens. Meanwhile, this strategy significantly reduced tumor metastasis and elicited stronger anti-tumor immune responses. Our work describes a new, clinically transferrable approach to augmenting intratumoral drug accumulation, which shows great potential to address the current, unsatisfactory efficacies of therapeutic drugs without introducing metastatic risk.
抗癌药物在肿瘤内的蓄积不足是当前治疗药物的一个主要缺点,在纳米药物的临床前景中仍然是一个更值得关注的问题。临床前研究探索了各种旨在调节治疗药物肿瘤内通透性的策略,主要集中在血管调节和基质减少方面。然而,这些方法可能会引发或促进肿瘤转移,这是一种权衡。因此,迫切需要创新策略,在不影响治疗效果的情况下提高肿瘤内药物蓄积。作为除血管和基质外影响药物肿瘤蓄积的另一个重要因素,肿瘤相关淋巴管(LVs)的影响尚未得到广泛考虑。在当前的研究中,我们证实了具有抗淋巴管生成活性的酪氨酸激酶抑制剂安罗替尼和选择性VEGFR-3抑制剂SAR131675在小鼠癌症模型中有效降低了肿瘤淋巴管密度,进一步增强了肿瘤组织中的药物蓄积。通过将安罗替尼与包括阿霉素(Dox)、脂质体阿霉素(Lip-Dox)和抗PD-L1抗体在内的治疗药物联合使用,我们观察到与单一疗法相比,抗肿瘤疗效有所提高。同时,该策略显著减少了肿瘤转移并引发了更强的抗肿瘤免疫反应。我们的工作描述了一种新的、可临床转化的增强肿瘤内药物蓄积的方法,该方法在不引入转移风险的情况下,显示出解决当前治疗药物疗效不尽人意问题的巨大潜力。
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