Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, 210023 Nanjing, China; Jiangsu Province Academy of Traditional Chinese Medicine, 210028 Nanjing, China.
Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, 210023 Nanjing, China; Department of Oncology, Nanjing Lishui District Hospital of Traditional Chinese Medicine, 211200 Nanjing, China; Jiangsu Province Academy of Traditional Chinese Medicine, 210028 Nanjing, China.
Int J Biol Macromol. 2024 Nov;281(Pt 1):136390. doi: 10.1016/j.ijbiomac.2024.136390. Epub 2024 Oct 9.
Polygalacturonic acid (PGA) restored the alpha-diversity of gut microbiota and promoted T cells infiltration in tumors. Here, we investigated whether oral administration of PGA could improve the anti-cancer effect of lipopolysaccharide-encapsulated PLGA-PEG-PLGA (LPS/PPP) in mice bearing CT26 tumors. Hydrogels with rapid thermogelling properties can achieve localized and controlled release of LPS, thus retaining the anti-cancer effect of LPS and avoiding a robust inflammatory storm. LPS/PPP promoted M1 macrophage polarization, TLR4 expression, and phagocytosis in tumors. The combination of PGA and LPS/PPP (PGA_LPS) notably repressed CT26 tumor growth and the inhibition rate reached 67.6 %. PGA_LPS triggered the recruitment of helper and cytotoxic T cells, IFN-γ level, decreased the proportion of immunosuppressive regulatory T cells. PGA_LPS also restored the beta-diversity of gut microbiota and increased short chain fatty acids abundance (butyric acid, 608.93 % vs. model group, P < 0.01). PGA_LPS followed by αPD-L1 resulted in obvious inhibition of both CT26 and 4T1 tumor growth, promoted cleaved-caspase 3 and Bax expression, T cell responses and the rescue of T cells exhaustion. These results confirmed that PGA_LPS reinforced the anticancer effect of αPD-L1, probably by reshaping the tumor microenvironment and intestinal flora, which sheds light on the combination approach to intensify the effect of immune checkpoint inhibitors.
聚半乳糖醛酸(PGA)恢复了肠道微生物群的α多样性,并促进了肿瘤中 T 细胞的浸润。在这里,我们研究了口服 PGA 是否可以提高载 LPS 的 PLGA-PEG-PLGA(LPS/PPP)在 CT26 肿瘤荷瘤小鼠中的抗癌作用。具有快速热凝胶特性的水凝胶可以实现 LPS 的局部和控制释放,从而保留 LPS 的抗癌作用并避免强烈的炎症风暴。LPS/PPP 促进了肿瘤中 M1 巨噬细胞的极化、TLR4 表达和吞噬作用。PGA 和 LPS/PPP 的组合(PGA_LPS)显著抑制 CT26 肿瘤生长,抑制率达到 67.6%。PGA_LPS 触发辅助和细胞毒性 T 细胞的募集、IFN-γ 水平的降低、抑制性调节性 T 细胞比例的降低。PGA_LPS 还恢复了肠道微生物群的β多样性,并增加了短链脂肪酸的丰度(丁酸,608.93%比模型组,P<0.01)。PGA_LPS 随后用 αPD-L1 导致 CT26 和 4T1 肿瘤生长明显抑制,促进了 cleaved-caspase 3 和 Bax 的表达、T 细胞反应和 T 细胞耗竭的恢复。这些结果证实了 PGA_LPS 增强了 αPD-L1 的抗癌作用,可能是通过重塑肿瘤微环境和肠道菌群,为强化免疫检查点抑制剂的效果提供了新的思路。