Department of Ultrasound, the Fifth Affiliated Hospital, Sun Yat-Sen University, Zhuhai, 519000, PR China.
Department of Minimally Invasive Interventional Radiology, and Laboratory of Interventional Radiology, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510260, PR China.
Biomaterials. 2025 Mar;314:122846. doi: 10.1016/j.biomaterials.2024.122846. Epub 2024 Sep 18.
Tertiary lymphoid structures (TLSs) are known to enhance the prognosis of patients with colorectal cancer (CRC) by fostering an immunologically active tumor microenvironment (TME). Inducing TLS formation therapeutically holds promise for treating immunologically cold CRC, though it poses technical challenges. Here, we design and fabricate a photosensitive bacterial system named E@L-P/ICG. This system is engineered bacteria internally loaded with the cytokine LIGHT and surface-modified with PLGA/ICG nanoparticles (P/ICG NPs). Once accumulated in orthotopic colonic tumors in mice, E@L-P/ICG generates a mild photothermal effect under laser irradiation due to the photosensitive P/ICG NPs. This photothermal effect triggers the self-rupture of E@L-P/ICG and the death of surrounding tumor cells to release adjuvants and antigens, respectively, which in turn synergistically activate the adaptive immune responses. Furthermore, the cytokine LIGHT released from ruptured E@L-P/ICG stimulates the generation of high endothelial vessels (HEVs), promoting lymphocyte recruitment within the TME. These mechanisms lead to the TLS formation in CRC, which further boosts adaptive immune responses through effective infiltration of T cells and B cells, resulting in effectively inhibited tumor growth and extended survival of mice. Our study shows the potential of the E@L-P/ICG system in photosensitively inducing the TLS formation to treat CRC in clinic.
三级淋巴结构 (TLSs) 已知通过促进免疫活性肿瘤微环境 (TME) 来改善结直肠癌 (CRC) 患者的预后。通过治疗性诱导 TLS 形成有望治疗免疫冷 CRC,但这存在技术挑战。在这里,我们设计并制造了一种名为 E@L-P/ICG 的光敏感细菌系统。该系统是内部装载细胞因子 LIGHT 的工程细菌,并通过 PLGA/ICG 纳米粒子 (P/ICG NPs) 进行表面修饰。一旦在小鼠的原位结肠肿瘤中积累,E@L-P/ICG 在激光照射下会因光敏感的 P/ICG NPs 产生轻微的光热效应。这种光热效应触发 E@L-P/ICG 的自破裂和周围肿瘤细胞的死亡,分别释放佐剂和抗原,从而协同激活适应性免疫反应。此外,从破裂的 E@L-P/ICG 释放的细胞因子 LIGHT 刺激高内皮血管 (HEVs) 的生成,促进 TME 内淋巴细胞的募集。这些机制导致 CRC 中 TLS 的形成,通过 T 细胞和 B 细胞的有效浸润进一步增强适应性免疫反应,从而有效抑制肿瘤生长并延长小鼠的存活。我们的研究表明,E@L-P/ICG 系统在光敏感诱导 TLS 形成以治疗 CRC 方面具有临床应用潜力。