通过超声微泡灌注缓解肿瘤缺氧和免疫抑制:增强实体瘤抗PD-L1阻断作用的新助力

Alleviating Tumor Hypoxia and Immunosuppression via Sononeoperfusion: A New Ally for potentiating anti-PD-L1 blockade of solid Tumor.

作者信息

Yang Guoliang, Li Hui, Yin Jiabei, Yao Lei, Yang Jun, Tang Jiawei, Wu You, Zhou Meng, Luo TingTing, Zhang Yi, Zhang Jing, Yang Xuezhi, Dong XiaoXiao, Liu Zheng, Li Ningshan

机构信息

Department of Ultrasound, The Second Affiliated Hospital of Army Medical University, Chongqing 400037, China.

Institute of Cancer, The Second Affiliated Hospital of Army Medical University, Chongqing 400037, China.

出版信息

Ultrason Sonochem. 2025 Jan;112:107115. doi: 10.1016/j.ultsonch.2024.107115. Epub 2024 Oct 22.

Abstract

The hypoxic and immunosuppressive tumor microenvironment (TME) remains a major obstacle to impede cancer immunotherapy. Here, we found that sononeoperfusion-a new effect of tumor perfusion enhancement induced by low mechanical index ultrasound stimulated microbubble cavitation (USMC)-ameliorated tumor tissue oxygenation and induced tumor vascular normalization (TVN). This TVN might be associated with the down-regulation of hypoxia-inducible factor 1-alpha (HIF-1α) and vascular endothelial growth factor (VEGF) within tumors. Moreover, the sononeoperfusion effect reduced the accumulation of immunosuppressive cells, such as regulatory T cells (Tregs), myeloid-derived suppressor cells (MDSCs) and M2-like tumor-associated macrophages (M2-TAMs), and decreased the production of immune inhibitory factors like transforming growth factor-β1 (TGF-β1), interleukin 10 (IL-10), chemoattractant chemokines CC-chemokine ligand 22 (CCL22), CCL28, adenosine and lactate within tumors. Notably, flow cytometry analysis revealed that sononeoperfusion not only increased the percentage of tumor infiltrating-CD8 T cells, but also promoted the generation of interferon-γ (IFN-γ) and tumor necrosis factor-α (TNF-α) by these cells. Furthermore, the improved immune TME by sononeoperfusion effect sensitized anti-PD-L1 treatment both in MC38 colon cancer and Lewis lung carcinoma mice, resulting in tumor regression and prolonged survival. Mechanically, the enhanced efficacy of combination therapy was mainly based on promoting the infiltration and function of CD8 T cells within tumors. Together, sononeoperfusion could ameliorate hypoxia and immunosuppression in the TME, thereby potentiating anti-PD-L1 therapy for solid tumors. This novel method of USMC generating sononeoperfusion effect may provide a new therapeutic modality for facilitating cancer immunotherapy.

摘要

缺氧和免疫抑制性肿瘤微环境(TME)仍然是阻碍癌症免疫治疗的主要障碍。在此,我们发现超声微泡空化诱导的肿瘤灌注增强新效应——声动力灌注(sononeoperfusion)改善了肿瘤组织氧合并诱导了肿瘤血管正常化(TVN)。这种TVN可能与肿瘤内缺氧诱导因子1α(HIF-1α)和血管内皮生长因子(VEGF)的下调有关。此外,声动力灌注效应减少了免疫抑制细胞的积聚,如调节性T细胞(Tregs)、骨髓来源的抑制细胞(MDSCs)和M2样肿瘤相关巨噬细胞(M2-TAMs),并降低了肿瘤内免疫抑制因子的产生,如转化生长因子-β1(TGF-β1)、白细胞介素10(IL-10)、趋化因子CC-趋化因子配体22(CCL22)、CCL28、腺苷和乳酸。值得注意的是,流式细胞术分析显示,声动力灌注不仅增加了肿瘤浸润性CD8 T细胞的百分比,还促进了这些细胞产生干扰素-γ(IFN-γ)和肿瘤坏死因子-α(TNF-α)。此外,声动力灌注效应改善的免疫TME使MC38结肠癌和Lewis肺癌小鼠对抗PD-L1治疗敏感,导致肿瘤消退和生存期延长。从机制上讲,联合治疗疗效增强主要基于促进肿瘤内CD8 T细胞的浸润和功能。总之,声动力灌注可改善TME中的缺氧和免疫抑制,从而增强实体瘤的抗PD-L1治疗效果。这种产生声动力灌注效应的超声微泡空化新方法可能为促进癌症免疫治疗提供一种新的治疗方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7945/11635779/e3cf8c1b73f8/gr1.jpg

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