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通过白蛋白纳米反应器靶向递送STING激动剂可增强对侵袭性癌症的免疫治疗效果。

Targeted Delivery of STING Agonist via Albumin Nanoreactor Boosts Immunotherapeutic Efficacy against Aggressive Cancers.

作者信息

Miao Zhijun, Song Xue, Xu Anan, Yao Chang, Li Peng, Li Yanan, Yang Tao, Shen Gang

机构信息

Department of Urology, The Fourth Affiliated Hospital of Soochow University, Suzhou 215000, China.

Jiangsu Key Laboratory of Neuropsychiatric Diseases, College of Pharmaceutical Sciences, Soochow University, Suzhou 215123, China.

出版信息

Pharmaceutics. 2024 Sep 17;16(9):1216. doi: 10.3390/pharmaceutics16091216.

Abstract

Activating the cytosolic innate immune sensor, the cGAS-STING pathway, holds great promise for enhancing antitumor immunity, particularly in combination with immune checkpoint inhibitors (ICIs). However, the clinical application of STING agonists is often hindered by poor tumor accumulation, limited cellular uptake, and rapid clearance. To address these challenges, we developed a human serum albumin (HSA)-based nanoreactor system for the efficient delivery of the STING agonist SR-717, aiming to improve its antitumor efficacy. Using a biomineralization technique, we encapsulated SR-717 within HSA nanocages to form SH-NPs. These nanoparticles were characterized in terms of size, stability, and cellular uptake, and their ability to activate the STING pathway was assessed in both in vitro and in vivo models, including freshly isolated human renal tumor tissues. In vivo antitumor efficacy was evaluated in a murine renal tumor model, and immune responses were measured. SH-NPs exhibited enhanced stability, efficient cellular uptake, and superior tumor accumulation compared to free SR-717. They robustly activated the STING pathway, as evidenced by increased phosphorylation of TBK1 and IRF3, along with elevated IFN-β production. Additionally, SH-NPs reshaped the immunosuppressive tumor microenvironment, promoting T-cell-mediated immunity and improving the therapeutic efficacy of checkpoint blockade in murine models. The validation in human renal tumor tissues further highlighted their potential for clinical translation. Importantly, SH-NPs were well tolerated with minimal systemic toxicity. This study underscores the potential of HSA-based nanoparticles for the targeted delivery of STING agonists, effectively enhancing antitumor immunity and improving cancer immunotherapy outcomes. SH-NPs offer a promising solution to the limitations of current STING agonists in clinical settings.

摘要

激活胞质内先天性免疫传感器cGAS-STING通路,对于增强抗肿瘤免疫力具有巨大潜力,尤其是与免疫检查点抑制剂(ICI)联合使用时。然而,STING激动剂的临床应用常常受到肿瘤蓄积不良、细胞摄取受限和快速清除的阻碍。为应对这些挑战,我们开发了一种基于人血清白蛋白(HSA)的纳米反应器系统,用于高效递送STING激动剂SR-717,旨在提高其抗肿瘤疗效。利用生物矿化技术,我们将SR-717封装在HSA纳米笼中形成SH-NPs。对这些纳米颗粒的大小、稳定性和细胞摄取进行了表征,并在体外和体内模型(包括新鲜分离的人肾肿瘤组织)中评估了它们激活STING通路的能力。在小鼠肾肿瘤模型中评估了体内抗肿瘤疗效,并测量了免疫反应。与游离SR-717相比,SH-NPs表现出更高的稳定性、有效的细胞摄取和更好的肿瘤蓄积。它们强烈激活STING通路,TBK1和IRF3磷酸化增加以及IFN-β产生升高证明了这一点。此外,SH-NPs重塑了免疫抑制性肿瘤微环境,促进了T细胞介导的免疫,并提高了小鼠模型中检查点阻断的治疗效果。在人肾肿瘤组织中的验证进一步突出了它们临床转化的潜力。重要的是,SH-NPs耐受性良好,全身毒性最小。这项研究强调了基于HSA的纳米颗粒用于靶向递送STING激动剂的潜力,有效增强了抗肿瘤免疫力并改善了癌症免疫治疗效果。SH-NPs为当前STING激动剂在临床环境中的局限性提供了一个有前景的解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2df4/11434985/8e87f96c4aff/pharmaceutics-16-01216-sch001.jpg

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