Sun Mengchi, Wu Yuxia, Chen Zhichao, Zhang Boyan, Liu Xiaoyang, Ouyang Peipei, Chen Ping, Chen Lujun, He Zhonggui, Han Tao, Li Heran, Sun Jin, Cai Shuang, Luo Qiuhua
Department of Pharmacy, The First Hospital of China Medical University, Shenyang, Liaoning, China.
School of Pharmacy, Shenyang Pharmaceutical University, Shenyang, Liaoning, China.
Nat Commun. 2025 Aug 2;16(1):7116. doi: 10.1038/s41467-025-62543-x.
Immunotherapy is a breakthrough in the treatment of triple-negative breast cancer (TNBC), although it is only effective in a portion of patients. Our clinical studies find that pathological elevated level of reactive oxygen species (ROS) and lipid homeostasis imbalance are closely associated with dysfunction of dendritic cells (DCs) in the immunosuppressive lymph nodes (LNs) microenvironment of TNBC patients following immunotherapy, which greatly affect the immunotherapeutic efficacy. Building on this, we introduce a chimeric exosomes-derived immunomodulator involving the polysulfide bond-bridged mesoporous silica as both the ROS scavenger and responsive carrier nucleus, loading with the lipid modulator toyocamycin and being coated with chimeric exosomes comprising DCs-derived exosomes and Salmonella outer membrane vesicles. This multifaceted immunomodulator can significantly enhance LNs' homing through homologous targeting and chemokine-guided navigation, enabling ROS-responsive drug release, thereby restoring functions of DCs and LNs immuno-microenvironment. As expected, the immunomodulator significantly improves the responsiveness of TNBC to immunotherapy, exerting potent inhibition on both the primary tumor and metastases, while promoting a substantial increase in central memory T cells within LNs for sustained antitumor immunity. Our study provides a potent strategy for translational immunotherapy through optimizing the LNs microenvironment in TNBC.
免疫疗法是三阴性乳腺癌(TNBC)治疗领域的一项突破,尽管它仅对部分患者有效。我们的临床研究发现,免疫疗法后,三阴性乳腺癌患者免疫抑制性淋巴结(LN)微环境中,活性氧(ROS)的病理性升高水平和脂质稳态失衡与树突状细胞(DC)功能障碍密切相关,这极大地影响了免疫治疗效果。基于此,我们引入了一种嵌合外泌体衍生的免疫调节剂,它以多硫键桥连的介孔二氧化硅作为ROS清除剂和响应载体核心,负载脂质调节剂丰加霉素,并包裹有包含DC衍生外泌体和沙门氏菌外膜囊泡的嵌合外泌体。这种多面免疫调节剂可通过同源靶向和趋化因子引导导航显著增强淋巴结归巢,实现ROS响应性药物释放,从而恢复DC和LN免疫微环境的功能。正如预期的那样,该免疫调节剂显著提高了TNBC对免疫疗法的反应性,对原发性肿瘤和转移灶均有强大的抑制作用,同时促进了LN内中央记忆T细胞的大量增加,以实现持续的抗肿瘤免疫。我们的研究通过优化TNBC中的LN微环境,为转化免疫疗法提供了一种有效的策略。
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