Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, 210028, China.
Multi-component of Traditional Chinese Medicine and Microecology Research Center, Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing, 210028, China.
Adv Sci (Weinh). 2024 Oct;11(38):e2405886. doi: 10.1002/advs.202405886. Epub 2024 Aug 5.
Microsatellite-stable colorectal cancer (MSS-CRC) exhibits resistance to programmed cell death protein-1 (PD-1) therapy. Improving the infiltration and tumor recognition of cytotoxic T-lymphocytes (CTLs) is a promising strategy, but it encounters huge challenges from drug delivery and mechanisms aspects. Here, a zeolitic imidazolate framework (ZIF) coated with apoptotic body membranes derived from MSS-CRC cells is engineered for the co-delivery of ginsenoside Rg1 (Rg1) and atractylenolide-I (Att) to MSS-CRC, named as Ab@Rg1/Att-ZIF. This system is selectively engulfed by Ly-6C monocytes during blood circulation and utilizes a "hitchhiking" mechanism to migrate toward the core of MSS-CRC. Ab@Rg1/Att-ZIF undergoes rapid disassembly in the tumor, released Rg1 promotes the processing and transportation of tumor antigens in dendritic cells (DCs), enhancing their maturation. Meanwhile, Att enhances the activity of the 26S proteasome complex in tumor cells, leading to increased expression of major histocompatibility complex class-I (MHC-I). These coordinated actions enhance the infiltration and recognition of CTLs in the center of MSS-CRC, significantly improving the tumor inhibition of PD-1 treatment from ≈5% to ≈69%. This innovative design, involving inflammation-guided precise drug co-delivery and a rational combination, achieves synergistic engineering of the tumor microenvironment, providing a novel strategy for successful PD-1 treatment of MSS-CRC.
微卫星稳定型结直肠癌 (MSS-CRC) 对程序性死亡蛋白-1 (PD-1) 治疗具有耐药性。提高细胞毒性 T 淋巴细胞 (CTL) 的浸润和肿瘤识别能力是一种很有前途的策略,但在药物输送和机制方面面临巨大挑战。在这里,工程设计了一种由微卫星稳定型结直肠癌细胞来源的凋亡体膜包被的沸石咪唑酯骨架 (ZIF),用于共递送人参皂苷 Rg1 (Rg1) 和白术内酯-I (Att) 至 MSS-CRC,命名为 Ab@Rg1/Att-ZIF。该系统在血液循环中被 Ly-6C 单核细胞选择性吞噬,并利用“搭便车”机制向 MSS-CRC 的核心迁移。Ab@Rg1/Att-ZIF 在肿瘤中迅速解体,释放的 Rg1 促进树突状细胞 (DC) 中肿瘤抗原的加工和转运,增强其成熟。同时,Att 增强了肿瘤细胞中 26S 蛋白酶体复合物的活性,导致主要组织相容性复合体 I 类 (MHC-I) 的表达增加。这些协调作用增强了 CTL 在 MSS-CRC 中心的浸润和识别,使 PD-1 治疗的肿瘤抑制率从 ≈5%提高到 ≈69%。这种创新设计涉及炎症引导的精确药物共递药和合理的组合,实现了肿瘤微环境的协同工程,为成功治疗 MSS-CRC 提供了一种新的 PD-1 治疗策略。
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