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多功能纳米颗粒通过破坏肿瘤血管来逆转不足的光热治疗,从而增强原位肿瘤疫苗。

Multifunctional nanoparticles potentiate in-situ tumor vaccines via reversing insufficient Photothermal therapy by disrupting tumor vasculature.

机构信息

Vaccine Center, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing 211198, China; Center for New Drug Safety Evaluation and Research, China Pharmaceutical University, Nanjing 211198, China.

State Key Laboratory of Pharmaceutical Biotechnology, Medical School of Nanjing University & School of Life Sciences, Nanjing University, Nanjing 210093, China.

出版信息

J Control Release. 2024 Dec;376:842-860. doi: 10.1016/j.jconrel.2024.10.017. Epub 2024 Nov 5.

Abstract

Photothermal therapy can trigger immunogenic cell death and release personalized in-situ tumor vaccine, activating immune responses to eliminate systemic tumors beyond the irradiated zone. However, the immune response of the in-situ tumor vaccines is often undermined by the residual tumor cells and their induced immunosuppressive tumor microenvironment (TME), which is attributed to insufficient photothermal effects stemming from the limited accumulation of photosensitizers. To overcome these limitations, we developed multi-functional nanoparticles (VI@Gd-NPs) that integrate a tumor vasculature-specific disrupting agent (Vadimezan, Phase III clinical drug), a photosensitizer (Indocyanine Green, ICG), and a magnetic resonance imaging contrast agent (Gadolinium, Gd) through chemical self-assembly. By selectively disrupting the tumor vasculature, these nanoparticles enhance the intratumoral delivery of photosensitizers (ICG and blood cells), and Gd. With the guidance of Gd-enhanced MRI, the improved delivery facilitates comprehensive photothermal ablation and regulates the TME, further initiating the in-situ tumor vaccine. Notably, this approach significantly enhances anti-tumor immune responses, improves survival rates, and reduces tumor recurrence and metastasis in various animal models. Moreover, depleting CD8 T cells reverses these therapeutic benefits, highlighting the critical role of adaptive T cell immunity. Therefore, the VI@Gd-NPs treatment holds great potential for reigniting the in-situ tumor vaccine of photothermal therapy.

摘要

光热疗法可以引发免疫原性细胞死亡并释放个性化原位肿瘤疫苗,激活免疫反应以消除辐射区以外的全身肿瘤。然而,原位肿瘤疫苗的免疫反应常常受到残留肿瘤细胞及其诱导的免疫抑制肿瘤微环境(TME)的破坏,这归因于光敏剂积累有限导致的光热效应不足。为了克服这些限制,我们开发了多功能纳米颗粒(VI@Gd-NPs),通过化学自组装将肿瘤血管特异性破坏剂(Vadimezan,III 期临床药物)、光敏剂(吲哚菁绿,ICG)和磁共振成像造影剂(钆,Gd)整合在一起。通过选择性地破坏肿瘤血管,这些纳米颗粒增强了光敏剂(ICG 和血细胞)和 Gd 的肿瘤内递送。在 Gd 增强 MRI 的指导下,改善的递送促进了全面的光热消融和调节 TME,进一步引发原位肿瘤疫苗。值得注意的是,这种方法显著增强了抗肿瘤免疫反应,提高了生存率,并减少了各种动物模型中的肿瘤复发和转移。此外,耗尽 CD8 T 细胞会逆转这些治疗益处,突出了适应性 T 细胞免疫的关键作用。因此,VI@Gd-NPs 治疗有潜力重新点燃光热疗法的原位肿瘤疫苗。

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