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嵌合外泌体衍生的免疫调节剂可恢复淋巴结微环境以增强三阴性乳腺癌免疫治疗效果。

Chimeric exosomes-derived immunomodulator restoring lymph nodes microenvironment for sensitizing TNBC immunotherapy.

作者信息

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

机构信息

Department of Pharmacy, The First Hospital of China Medical University, Shenyang, Liaoning, China.

School of Pharmacy, Shenyang Pharmaceutical University, Shenyang, Liaoning, China.

出版信息

Nat Commun. 2025 Aug 2;16(1):7116. doi: 10.1038/s41467-025-62543-x.


DOI:10.1038/s41467-025-62543-x
PMID:40753075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12318024/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dbb/12318024/bcd996f075f4/41467_2025_62543_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dbb/12318024/bf6d340fee83/41467_2025_62543_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dbb/12318024/0d52e66c3a06/41467_2025_62543_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dbb/12318024/9865630fa317/41467_2025_62543_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dbb/12318024/12f10506f043/41467_2025_62543_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dbb/12318024/130bc7fe52c8/41467_2025_62543_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dbb/12318024/bcd996f075f4/41467_2025_62543_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dbb/12318024/bf6d340fee83/41467_2025_62543_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dbb/12318024/0d52e66c3a06/41467_2025_62543_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dbb/12318024/9865630fa317/41467_2025_62543_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dbb/12318024/12f10506f043/41467_2025_62543_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dbb/12318024/130bc7fe52c8/41467_2025_62543_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dbb/12318024/bcd996f075f4/41467_2025_62543_Fig6_HTML.jpg

相似文献

[1]
Chimeric exosomes-derived immunomodulator restoring lymph nodes microenvironment for sensitizing TNBC immunotherapy.

Nat Commun. 2025-8-2

[2]
Locoregional Immune Checkpoint Blockade and Remodeling of Lymph Nodes by Engineered Dendritic Cell-Derived Exosomes for Suppressing Tumor Progression and Metastasis.

Adv Sci (Weinh). 2025-6

[3]
Planar conjugate donor engineering enhanced photodynamic immunogenic cell death stimulator for efficient Triple-Negative breast cancer immunotherapy.

J Colloid Interface Sci. 2025-11-15

[4]
Remodelling hypoxic TNBC microenvironment restores antitumor efficacy of Vγ9Vδ2 T cell therapy.

Br J Cancer. 2025-5-28

[5]
Controlled Delivery of C-C Motif Chemokine Ligand 25 by a Hydrogel for Tumor Microenvironment Remodeling in Triple Negative Breast Cancer.

Acta Biomater. 2025-7-23

[6]
Why combine and why neoadjuvant? Tumor immunological perspectives on chemoimmunotherapy in triple-negative breast cancer.

Breast Cancer. 2025-5-6

[7]
Interplay between tumor mutation burden and the tumor microenvironment predicts the prognosis of pan-cancer anti-PD-1/PD-L1 therapy.

Front Immunol. 2025-7-24

[8]
An update on cancer stem cell survival pathways involved in chemoresistance in triple-negative breast cancer.

Future Oncol. 2025-3

[9]
Genetically engineered macrophages reverse the immunosuppressive tumor microenvironment and improve immunotherapeutic efficacy in TNBC.

Mol Ther. 2025-7-2

[10]
Single-cell ligand-receptor profiling reveals an immunotherapy-responsive subtype and prognostic signature in triple-negative breast cancer.

Front Immunol. 2025-6-10

本文引用的文献

[1]
The tumor-draining lymph node as a reservoir for systemic immune surveillance.

Trends Cancer. 2024-1

[2]
Neoadjuvant immune checkpoint blockade: A window of opportunity to advance cancer immunotherapy.

Cancer Cell. 2023-9-11

[3]
Advances in systemic therapies for triple negative breast cancer.

BMJ. 2023-5-30

[4]
The role of lipid metabolic reprogramming in tumor microenvironment.

Theranostics. 2023

[5]
Dendritic cell-derived exosomes: A new horizon in personalized cancer immunotherapy?

Cancer Lett. 2023-5-28

[6]
Dynamic CD8 T cell responses to cancer immunotherapy in human regional lymph nodes are disrupted in metastatic lymph nodes.

Cell. 2023-3-16

[7]
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Cancer Cell. 2023-3-13

[8]
Tumor microenvironment targeting system for glioma treatment via fusion cell membrane coating nanotechnology.

Biomaterials. 2023-4

[9]
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Ann Transl Med. 2022-12

[10]
Dendritic cell derived exosomes loaded neoantigens for personalized cancer immunotherapies.

J Control Release. 2023-1

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