负载GLUT1抑制剂的癌症相关成纤维细胞衍生的细胞外囊泡与抗PD-L1协同作用,通过降解基质硬度和重塑肿瘤微环境来抑制肿瘤生长。
Cancer-associated fibroblast-derived extracellular vesicles loaded with GLUT1 inhibitor synergize anti-PD-L1 to suppress tumor growth via degrading matrix stiffness and remodeling tumor microenvironment.
作者信息
Wu Yali, Chen Wenjuan, Deng Jingjing, Zhou Xingyu, Chen Jiangbin, Yang Zimo, Cao Xinghui, Liu Jiatong, Tan Qi, Zhou E, Li Minglei, Guo Mengfei, Jin Yang
机构信息
Department of Respiratory and Critical Care Medicine, Hubei Province Clinical Research Center for Major Respiratory Diseases, NHC Key Laboratory of Pulmonary Diseases, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China; Hubei Province Key Laboratory of Biological Targeted Therapy, MOE Key Laboratory of Biological Targeted Therapy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, China; Hubei Province Engineering Research Center for Tumor-Targeted Biochemotherapy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, China.
Hubei Province Key Laboratory of Biological Targeted Therapy, MOE Key Laboratory of Biological Targeted Therapy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, China; Hubei Province Engineering Research Center for Tumor-Targeted Biochemotherapy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, China.
出版信息
J Control Release. 2025 Jul 1:113998. doi: 10.1016/j.jconrel.2025.113998.
Cancer immunotherapy has transformed cancer treatment, demonstrating the potential for lasting responses in multiple solid and hematologic malignancies and thus has revolutionized cancer treatment in clinic. However, the intricate tumor microenvironment (TME), characterized by a rigid extracellular matrix (ECM) and robust immunosuppressive environment, presents substantial hurdles to the effectiveness of cancer immunotherapy. Thus, cancer-associated fibroblasts (CAFs), the most abundant stromal cells that mediate ECM remodeling and participate in immune suppression, represent promising therapeutic targets for combination immunotherapy. In this study, by using and analyzing single-cell RNA-sequencing (scRNA-seq) in the public datasets, we have identified the elevated expression of glucose transporter 1 (GLUT1) in activated CAF subgroups within tumor sites compared to normal tissues. Moreover, the recent literature has also demonstrated that CAFs undergoing high metabolic levels have been identified to show a better response to immunotherapy. Furthermore, extracellular vesicles (EVs) secreted by CAFs remain unexplored, and their role in drug transport systems and targeting efficiency towards tumorous cells remains uninvestigated. Herein, we identified the elevated expression of glucose transporter 1 (GLUT1) as a prognostic indicator for cancer associated with poor prognosis and investigated the vulnerability of lung tumor cell lines and CAFs to pharmacological GLUT1 inhibition with BAY-876. Based on the possibility of targeting the intrinsic TME-associated metabolism by GLUT1 inhibition, we have firstly employed CAFs-derived extracellular vesicles (cEVs) as a carrier for targeted delivery of BAY-876 into GLUT1-high CAFs and tumor cells. The cEV-BAY-876 (cEVB6) treatment significantly resulted in glucose-rich, low-lactate TME, reversed the activated CAFs phenotype, enabled stromal reprogramming, decreased ECM stiffness and enhanced the infiltration of CD3 + CD8+ T cells in tumor core, thereby achieving an excellent anti-tumor efficiency. Moreover, cEV-B6 treatment synergized anti-programmed death ligand 1 (antiPD-L1) to reinvigorate the exhausted lymphocytes and exerted strong anticancer effects against mice lung tumors. Our study provides the first evidence that tumor stroma-specific therapies by targeting glucose metabolism present a promising strategy of remodeling the extracellular matrix to reverse CAFs into normal type and potentiate cytotoxic T lymphocytes (CTLs) infiltration thereby improving anticancer immunotherapy.
癌症免疫疗法已经改变了癌症治疗方式,在多种实体瘤和血液系统恶性肿瘤中展现出持久反应的潜力,从而在临床上彻底改变了癌症治疗。然而,复杂的肿瘤微环境(TME),其特征为坚硬的细胞外基质(ECM)和强大的免疫抑制环境,给癌症免疫疗法的有效性带来了巨大障碍。因此,癌症相关成纤维细胞(CAFs)作为介导ECM重塑并参与免疫抑制的最丰富的基质细胞,是联合免疫疗法有前景的治疗靶点。在本研究中,通过使用和分析公共数据集中的单细胞RNA测序(scRNA-seq),我们发现在肿瘤部位的活化CAF亚组中,葡萄糖转运蛋白1(GLUT1)的表达相比于正常组织有所升高。此外,最近的文献也表明,已发现代谢水平高的CAFs对免疫疗法表现出更好的反应。此外,CAFs分泌的细胞外囊泡(EVs)尚未被探索,它们在药物转运系统中的作用以及对肿瘤细胞的靶向效率仍未得到研究。在此,我们将葡萄糖转运蛋白1(GLUT1)表达升高确定为预后不良相关癌症的预后指标,并研究了肺肿瘤细胞系和CAFs对用BAY-876进行的GLUT1药理学抑制的敏感性。基于通过GLUT1抑制靶向内在TME相关代谢的可能性,我们首先采用CAFs衍生的细胞外囊泡(cEVs)作为载体,将BAY-876靶向递送至GLUT1高表达的CAFs和肿瘤细胞中。cEV-BAY-876(cEVB6)治疗显著导致富含葡萄糖、低乳酸的TME,逆转活化的CAFs表型,实现基质重编程,降低ECM硬度并增强肿瘤核心中CD3+CD8+T细胞的浸润,从而实现出色的抗肿瘤效率。此外,cEV-B6治疗与抗程序性死亡配体1(抗PD-L1)协同作用,使耗竭的淋巴细胞恢复活力,并对小鼠肺肿瘤发挥强大的抗癌作用。我们的研究提供了首个证据,即通过靶向葡萄糖代谢的肿瘤基质特异性疗法是一种有前景的策略,可重塑细胞外基质,将CAFs逆转为正常类型并增强细胞毒性T淋巴细胞(CTLs)浸润,从而改善抗癌免疫疗法。