Chang Jungsoo, Shin Kwangsoo, Lewis Julia M, Suh Hee Won, Lee Joohyung, Damsky William, Xu Suzanne, Bosenberg Marcus, Saltzman W Mark, Girardi Michael
Department of Dermatology, Yale School of Medicine, New Haven, Connecticut, USA; Department of Biomedical Engineering, Yale School of Engineering & Applied Science, New Haven, Connecticut, USA.
Department of Biomedical Engineering, Yale School of Engineering & Applied Science, New Haven, Connecticut, USA.
J Invest Dermatol. 2025 Mar;145(3):593-604. doi: 10.1016/j.jid.2024.07.019. Epub 2024 Aug 8.
Immunomodulatory agents have significant potential to enhance cancer treatment but have demonstrated limited efficacy beyond the preclinical setting owing to poor pharmacokinetics and toxicity associated with systemic administration. Conversely, when locally delivered, immunomodulatory agents require repeated administration to optimize immune stimulation. To overcome these challenges, we encapsulated the toll-like receptor 4 agonist monophosphoryl lipid A (MPLA) within hyperbranched polyglycerol-coated biodegradable nanoparticles (NPs) engineered for gradual drug release from the NP core, resulting in a more persistent stimulation of antitumor immune responses while minimizing systemic side effects. In a model of malignant melanoma, we demonstrate that hyperbranched polyglycerol-NP encapsulation significantly improves the antitumor efficacy of MPLA by enhancing its ability to remodel the tumor microenvironment. Relative to free MPLA, hyperbranched polyglycerol-coated NP-encapsulated MPLA significantly increased the NK cell- and cytotoxic T-cell-mediated antitumor immune response and tuned the tumor-draining lymph nodes toward a T helper 1 response. Furthermore, when combined with local delivery of a chemotherapeutic agent, hyperbranched polyglycerol-NP-MPLA induces the conversion of an immunosuppressive tumor microenvironment to immunogenic tumor microenvironment and significantly improves survival.
免疫调节药物具有增强癌症治疗效果的巨大潜力,但由于药代动力学不佳以及与全身给药相关的毒性,在临床前环境之外的疗效有限。相反,当局部给药时,免疫调节药物需要重复给药以优化免疫刺激。为了克服这些挑战,我们将Toll样受体4激动剂单磷酰脂质A(MPLA)封装在超支化聚甘油包被的可生物降解纳米颗粒(NPs)中,该纳米颗粒经过工程设计可从NP核心逐渐释放药物,从而在最小化全身副作用的同时更持久地刺激抗肿瘤免疫反应。在恶性黑色素瘤模型中,我们证明超支化聚甘油-NP封装通过增强其重塑肿瘤微环境的能力,显著提高了MPLA的抗肿瘤疗效。相对于游离MPLA,超支化聚甘油包被的NP封装的MPLA显著增强了自然杀伤细胞和细胞毒性T细胞介导的抗肿瘤免疫反应,并使引流肿瘤的淋巴结向辅助性T细胞1型反应转变。此外,当与化疗药物局部给药联合使用时,超支化聚甘油-NP-MPLA可诱导免疫抑制性肿瘤微环境向免疫原性肿瘤微环境转变,并显著提高生存率。