王如东, 彭祎玮, 仰浈臻, 杜祎甜, 林萌, 孙琪, 齐宪荣. 肿瘤微环境响应脂质体阻断CXCL12/CXCR4通路协同增加抗PD-L1的免疫疗效J. 药学学报, 2022,57(1): 178-187. doi: 10.16438/j.0513-4870.2021-0967
引用本文: 王如东, 彭祎玮, 仰浈臻, 杜祎甜, 林萌, 孙琪, 齐宪荣. 肿瘤微环境响应脂质体阻断CXCL12/CXCR4通路协同增加抗PD-L1的免疫疗效J. 药学学报, 2022,57(1): 178-187. doi: 10.16438/j.0513-4870.2021-0967
WANG Ru-dong, PENG Yi-wei, YANG Zhen-zhen, DU Yi-tian, LIN Meng, SUN Qi, QI Xian-rong. Tumor microenvironment responsive liposomes blocking CXCL12/CXCR4 pathway and synergistically enhancing immune efficacy of anti-PD-L1J. Acta Pharmaceutica Sinica, 2022,57(1): 178-187. doi: 10.16438/j.0513-4870.2021-0967
Citation: WANG Ru-dong, PENG Yi-wei, YANG Zhen-zhen, DU Yi-tian, LIN Meng, SUN Qi, QI Xian-rong. Tumor microenvironment responsive liposomes blocking CXCL12/CXCR4 pathway and synergistically enhancing immune efficacy of anti-PD-L1J. Acta Pharmaceutica Sinica, 2022,57(1): 178-187. doi: 10.16438/j.0513-4870.2021-0967

肿瘤微环境响应脂质体阻断CXCL12/CXCR4通路协同增加抗PD-L1的免疫疗效

Tumor microenvironment responsive liposomes blocking CXCL12/CXCR4 pathway and synergistically enhancing immune efficacy of anti-PD-L1

  • 摘要: 阻断免疫检查点程序性细胞死亡受体-1(PD-1)或程序性死亡受体配体-1(PD-L1)可以增强效应T细胞的抗肿瘤活性。然而,许多患者对PD-1/PD-L1疗法缺乏反应。通过改善免疫抑制性肿瘤微环境(TME)以增强免疫检查点抑制剂的疗效已成为一种有前景的癌症治疗策略。本研究构建了具有基质金属蛋白酶(MMPs)响应能力的C-X-C趋化因子配体12(CXCL12)siRNA与抗PD-L1肽的共给药脂质体(PD-L1/siCXCL12-Lp),联合siCXCL12的TME调控与抗PD-L1肽的免疫调节作用,以协同增强抗肿瘤免疫反应。动物实验方案经由北京大学生物医学伦理委员会审查通过。作者发现PD-L1/siCXCL12-Lp在体外(33.8%)和体内(15.5%)直接下调了CXCL12的表达,并有效提高了CD8+/Treg的比例(20.0%),这有利于抗PD-L1肽更好地发挥其免疫作用。联合治疗显著抑制了肿瘤生长(52.08%),并且具有良好的安全性,为癌症免疫治疗探索了新的思路。

     

    Abstract: Blocking immune checkpoint programmed cell death receptor 1 (PD-1) or programmed death receptor-ligand 1 (PD-L1) can enhance anti-tumor activity of effector T cells. However, the lack of response in many patients to PD-1/PD-L1 therapy remains a question. Improving the immunosuppressive tumor microenvironment (TME) to enhance the efficacy of immune checkpoint inhibitors has become a promising cancer treatment strategy. We constructed a liposome system (PD-L1/siCXCL12-Lp) of CXCL12 siRNA and anti-PD-L1 peptide with matrix metalloproteinases (MMPs) responsiveness, which combined the TME regulation of siCXCL12 and the immune regulation of anti-PD-L1 peptide. All animal experiments were approved by the Biomedical Ethics Committee of Peking University. The authors found that PD-L1/siCXCL12-Lp directly down-regulated the expression of CXCL12 in vitro (33.8%) and in vivo (15.5%). It also effectively increased the ratio of CD8+/Treg by 20.0%, which helped the anti-PD-L1 peptide to better exert its immune effect. The combination therapy significantly inhibited tumor growth (52.08%) with great safety, which explored a new idea for cancer immunotherapy.

     

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