Department of Pharmaceutics, School of Pharmacy, Ningxia Medical University, Yinchuan, 750004, China.
NHC Key Laboratory of Metabolic Cardiovascular Diseases Research, Ningxia Medical University, Yinchuan, 750004, China.
J Nanobiotechnology. 2024 Jun 8;22(1):319. doi: 10.1186/s12951-024-02598-y.
Myeloid-derived suppressor cells (MDSCs) have played a significant role in facilitating tumor immune escape and inducing an immunosuppressive tumor microenvironment. Eliminating MDSCs and tumor cells remains a major challenge in cancer immunotherapy. A novel approach has been developed using gemcitabine-celecoxib twin drug-based nano-assembled carrier-free nanoparticles (GEM-CXB NPs) for dual depletion of MDSCs and tumor cells in breast cancer chemoimmunotherapy. The GEM-CXB NPs exhibit prolonged blood circulation, leading to the preferential accumulation and co-release of GEM and CXB in tumors. This promotes synergistic chemotherapeutic activity by the proliferation inhibition and apoptosis induction against 4T1 tumor cells. In addition, it enhances tumor immunogenicity by immunogenic cell death induction and MDSC-induced immunosuppression alleviation through the depletion of MDSCs. These mechanisms synergistically activate the antitumor immune function of cytotoxic T cells and natural killer cells, inhibit the proliferation of regulatory T cells, and promote the M2 to M1 phenotype repolarization of tumor-associated macrophages, considerably enhancing the overall antitumor and anti-metastasis efficacy in BALB/c mice bearing 4T1 tumors. The simplified engineering of GEM-CXB NPs, with their dual depletion strategy targeting immunosuppressive cells and tumor cells, represents an advanced concept in cancer chemoimmunotherapy.
髓系来源抑制细胞(MDSCs)在促进肿瘤免疫逃逸和诱导免疫抑制肿瘤微环境方面发挥了重要作用。消除 MDSCs 和肿瘤细胞仍然是癌症免疫治疗的主要挑战。一种新的方法已经开发出来,使用吉西他滨-塞来昔布双药物纳米组装无载体纳米颗粒(GEM-CXB NPs)用于乳腺癌化疗免疫治疗中双重耗尽 MDSCs 和肿瘤细胞。GEM-CXB NPs 表现出延长的血液循环,导致 GEM 和 CXB 在肿瘤中的优先积累和共释放。这通过抑制 4T1 肿瘤细胞的增殖和诱导细胞凋亡来促进协同化疗活性。此外,它通过耗尽 MDSCs 诱导免疫原性细胞死亡和减轻 MDSC 诱导的免疫抑制作用,增强肿瘤免疫原性。这些机制协同激活细胞毒性 T 细胞和自然杀伤细胞的抗肿瘤免疫功能,抑制调节性 T 细胞的增殖,并促进肿瘤相关巨噬细胞的 M2 向 M1 表型重极化,极大地增强了携带 4T1 肿瘤的 BALB/c 小鼠的整体抗肿瘤和抗转移疗效。GEM-CXB NPs 的简化工程,具有针对免疫抑制细胞和肿瘤细胞的双重耗竭策略,代表了癌症化疗免疫治疗的一个先进概念。