瘤内注射的氧化还原响应性免疫微环境改善放疗中的远隔效应。
Intratumoral Injectable Redox-Responsive Immune Niche Improves the Abscopal Effect in Radiotherapy.
作者信息
Au Kin Man, Swinnea J Steven, Wang Andrew Z
机构信息
Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX, 75230, USA.
Department of Chemical Engineering, University of Texas at Austin, 200 E Dean Keeton St, Austin, TX, 78712, USA.
出版信息
Adv Mater. 2025 Jan;37(1):e2411330. doi: 10.1002/adma.202411330. Epub 2024 Nov 6.
Radiotherapy (XRT) is often utilized to improve the immune checkpoint blockade response in cancer management. Such combination treatment can enhance the abscopal effect, facilitating a prolonged and durable systemic response. However, despite intense research efforts, only a minority of patients respond to this approach, and novel strategies to increase the abscopal effect are urgently needed. Here, the development of an intratumoral (i.t.) injectable nanofiber (NF)-based tumor immune niche (TIN) that converts XRT-treated tumors into an in situ cancer vaccine, eliciting robust systemic antitumor immunity, is reported. This NF-based immune niche incorporates redox-degradable anti-CTLA-4 (α-CTLA-4) nanogels (NGs) and interleukin-2 (IL-2) NGs for controlled release in hypoxic irradiated tumors, reversing the immunosuppressive tumor microenvironment into a pro-inflammatory microenvironment, and expanding the tumor-infiltrating CD8 T cell population. Additionally, it is functionalized with polyinosinic-polycytidylic acid (poly(I:C)) to promote antigen-presenting cell maturation and prime neoantigen-specific CD8 T cells. In vitro studies demonstrate TIN's ability to prime antigen-specific CD8 T cells and increase antigen-specific cell-killing efficiency under in vitro immunosuppressive conditions. In vivo studies confirm TIN's ability to elicit robust systemic anticancer activity in mouse melanoma and colorectal cancer models without inducing severe immune-related adverse events.
放射疗法(XRT)常用于改善癌症治疗中免疫检查点阻断反应。这种联合治疗可增强远隔效应,促进持久的全身反应。然而,尽管进行了大量研究,但只有少数患者对这种方法有反应,因此迫切需要新的策略来增强远隔效应。在此,报道了一种基于瘤内(i.t.)注射纳米纤维(NF)的肿瘤免疫微环境(TIN)的开发,该微环境可将接受XRT治疗的肿瘤转化为原位癌疫苗,引发强大的全身抗肿瘤免疫。这种基于NF的免疫微环境包含氧化还原可降解的抗细胞毒性T淋巴细胞相关蛋白4(α-CTLA-4)纳米凝胶(NGs)和白细胞介素-2(IL-2)NGs,用于在缺氧照射的肿瘤中控制释放,将免疫抑制性肿瘤微环境转变为促炎性微环境,并扩大肿瘤浸润性CD8 T细胞群体。此外,它还用聚肌苷酸-聚胞苷酸(poly(I:C))进行功能化,以促进抗原呈递细胞成熟并启动新抗原特异性CD8 T细胞。体外研究证明了TIN在体外免疫抑制条件下启动抗原特异性CD8 T细胞并提高抗原特异性细胞杀伤效率的能力。体内研究证实了TIN在小鼠黑色素瘤和结直肠癌模型中引发强大的全身抗癌活性而不诱导严重免疫相关不良事件的能力。