Xia Peng, Qu Chengming, Xu Xiaolong, Tian Ming, Li Zhifen, Ma Jingbo, Hou Rui, Li Han, Rückert Felix, Zhong Tianyu, Zhao Liang, Yuan Yufeng, Wang Jigang, Li Zhijie
Zhongnan Hospital of Wuhan University, TaiKang Center for Life and Medical Sciences, Clinical Medicine Research Center for Minimally Invasive Procedure of Hepatobiliary & Pancreatic Diseases of Hubei Province, Wuhan University, Wuhan, Hubei, P. R. China.
Department of Critical Care Medicine, Guangdong Provincial Clinical Research Center for Geriatrics, Shenzhen Clinical Research Centre for Geriatrics, Department of Nuclear Medicine, Shenzhen People's Hospital (The First Affiliated Hospital, Southern University of Science and Technology; The Second Clinical Medical College, Jinan University), Shenzhen, Guangdong, P. R. China.
J Extracell Vesicles. 2025 Apr;14(4):e70069. doi: 10.1002/jev2.70069.
Bacterial outer membrane vesicles (OMVs) are promising as antitumour agents, but their clinical application is limited by toxicity concerns and unclear mechanisms. We engineered OMVs with cadherin 17 (CDH17) tumour-targeting nanobodies, enhancing tumour selectivity and efficacy while reducing adverse effects. These engineered OMVs function as natural stimulator of interferon genes (STING) agonists, activating the cyclic GMP-AMP synthase (cGAS)-STING pathway in cancer cells and tumour-associated macrophages (TAMs). Loading engineered OMVs with photoimmunotherapy photosensitisers further enhanced tumour inhibition and STING activation in TAMs. Combining nanobody-engineered OMV-mediated photoimmunotherapy with CD47 blockade effectively suppressed primary and metastatic tumours, establishing sustained antitumour immune memory. This study demonstrates the potential of nanobody-engineered OMVs as STING agonists and provides insights into novel OMV-based immunotherapeutic strategies harnessing the innate immune system against cancer. Our findings open new avenues for OMV applications in tumour immunotherapy, offering a promising approach to overcome current limitations in cancer treatment.
细菌外膜囊泡(OMV)有望成为抗肿瘤药物,但其临床应用受到毒性问题和作用机制不明的限制。我们用钙黏蛋白17(CDH17)肿瘤靶向纳米抗体改造OMV,在增强肿瘤选择性和疗效的同时降低不良反应。这些改造后的OMV可作为干扰素基因(STING)激动剂的天然刺激物,激活癌细胞和肿瘤相关巨噬细胞(TAM)中的环磷酸鸟苷-腺苷酸合成酶(cGAS)-STING通路。用光免疫疗法光敏剂装载改造后的OMV可进一步增强肿瘤抑制作用,并激活TAM中的STING。将纳米抗体改造的OMV介导的光免疫疗法与CD47阻断相结合,可有效抑制原发性和转移性肿瘤,建立持续的抗肿瘤免疫记忆。这项研究证明了纳米抗体改造的OMV作为STING激动剂的潜力,并为利用先天免疫系统对抗癌症的新型基于OMV的免疫治疗策略提供了见解。我们的研究结果为OMV在肿瘤免疫治疗中的应用开辟了新途径,为克服当前癌症治疗的局限性提供了一种有前景的方法。