Guo Changyong, Gao Fei, Wu Guoyuan, Li Jinqiu, Sheng Chunquan, He Shipeng, Hu Honggang
School of Medicine or Institute of Translational Medicine, Shanghai Engineering Research Center of Organ Repair, Shanghai University, 99 Shangda Road, Shanghai, 200444, P. R. China.
The Center for Basic Research and Innovation of Medicine and Pharmacy (MOE), School of Pharmacy, Second Military Medical University (Naval Medical University), 325 Guohe Road, Shanghai, 200433, P. R. China.
Adv Sci (Weinh). 2025 Jan;12(2):e2410778. doi: 10.1002/advs.202410778. Epub 2024 Nov 18.
Breast cancer, the most prevalent malignancy among women, frequently exhibits high HER2 expression, making HER2 a critical therapeutic target. Traditional treatments combining the anti-HER2 antibody trastuzumab with immunotherapy face limitations due to toxicity and tumor microenvironment immunosuppression. This study introduces an innovative strategy combining HER2-targeting peptides with the photosensitizer (PSs) pyropheophorbide-a (Pha) via a gelatinase-cleavable linker, forming self-assembling nanoparticles. These nanoparticles actively target breast cancer cells and generate reactive oxygen species (ROS) under near-infrared light, effectively degrading HER2 proteins. Upon internalization, the linker is cleaved, releasing Pha-PLG and enhancing intracellular photodynamic therapy (PDT). The Pha-PLG molecules self-assemble into nanofibers, prolonging circulation, boosting immune induction, and activating CD8 T cells, thus promoting a robust anti-tumor immune response. In vivo, studies confirm superior biosafety, tumor targeting, and HER2 degradation, with increased cytotoxic T cell activity and improved antitumor immunity. This integrated strategy offers a promising new avenue for breast cancer treatment.
乳腺癌是女性中最常见的恶性肿瘤,常常表现出高HER2表达,这使得HER2成为一个关键的治疗靶点。传统的将抗HER2抗体曲妥珠单抗与免疫疗法相结合的治疗方法由于毒性和肿瘤微环境免疫抑制而面临局限性。本研究引入了一种创新策略,即通过明胶酶可裂解的连接子将靶向HER2的肽与光敏剂(PSs)焦脱镁叶绿酸-a(Pha)相结合,形成自组装纳米颗粒。这些纳米颗粒主动靶向乳腺癌细胞,并在近红外光下产生活性氧(ROS),有效降解HER2蛋白。内化后,连接子被裂解,释放出Pha-PLG并增强细胞内光动力疗法(PDT)。Pha-PLG分子自组装成纳米纤维,延长循环时间,增强免疫诱导,并激活CD8 T细胞,从而促进强大的抗肿瘤免疫反应。在体内,研究证实了其卓越的生物安全性、肿瘤靶向性和HER2降解能力,同时增加了细胞毒性T细胞活性并改善了抗肿瘤免疫力。这种综合策略为乳腺癌治疗提供了一条有前景的新途径。