Department of Gastrointestinal Colorectal and Anal Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin, People's Republic of China.
Department of Anesthesiology, China-Japan Union Hospital of Jilin University, Changchun, Jilin, People's Republic of China.
Int J Nanomedicine. 2022 May 2;17:1971-1985. doi: 10.2147/IJN.S353330. eCollection 2022.
Photodynamic therapy (PDT) is an effective therapeutic modality that has been extensively studied in treatment of various cancers. However, issues with inadequate oxygen (O) concentration in tumor tissue and inadequate immune response generation have hindered its successful application in tumor therapy.
Firstly, the self-assembly nanocomplex (CAT-Ce6), which is composed of hydrophilic catalase and hydrophobic photosensitizer Chlorin e6 (Ce6), was fabricated to support oxygenated PDT. Secondly, for supplying PDT with enhanced antitumoral immunity, CAT-Ce6 was coated with PD-L1 antibody modified-attenuated outer membrane vesicles (OMV-aPDL1). Finally, the catalytic activity, tumor targeting, hypoxia ameliorating, immune effect initiating and anti-tumor capacities of the integral nanosystem CAT-Ce6@OMV-aPDL1 were evaluated systematically.
The self-assembly nanocomplex (CAT-Ce6) generated sufficient O and promoted the solubility of Ce6 simultaneously, which enhanced PDT significantly. OMV-aPDL1 inherited most of the immunogenic membrane-associated components from the parent bacteria, possessing immunomodulation ability for immunosuppressive tumor microenvironment reprogramming and reducing immune escape. The obtained nanosystem CAT-Ce6@OMV-aPDL1 durably relieved hypoxia, resulting in amplifying PDT-mediated cytotoxicity to generate a pool of tumor-associated antigens, stimulating anti-tumor immune responses and even inducing an immune memory effect, which inhibited tumor development efficiently.
The resultant CAT-Ce6@OMV-aPDL1 displays excellent efficacy of PDT and immunotherapy to achieve antitumor effects, which provides a new avenue for combinatorial therapy against various cancers.
光动力疗法(PDT)是一种有效的治疗方法,已在治疗各种癌症方面得到广泛研究。然而,肿瘤组织中氧(O)浓度不足和免疫反应生成不足等问题阻碍了其在肿瘤治疗中的成功应用。
首先,制备了由亲水性过氧化氢酶和疏水性光敏剂氯乙酮(Ce6)组成的自组装纳米复合物(CAT-Ce6),以支持含氧 PDT。其次,为了增强 PDT 的抗肿瘤免疫,将 CAT-Ce6 包覆于 PD-L1 抗体修饰的减毒外膜囊泡(OMV-aPDL1)上。最后,系统评估了完整纳米系统 CAT-Ce6@OMV-aPDL1 的催化活性、肿瘤靶向性、缓解缺氧、引发免疫效应和抗肿瘤能力。
自组装纳米复合物(CAT-Ce6)产生了足够的 O 并同时提高了 Ce6 的溶解度,从而显著增强了 PDT。OMV-aPDL1 从母体细菌中继承了大部分免疫原性膜相关成分,具有免疫调节能力,可重新编程免疫抑制性肿瘤微环境,减少免疫逃逸。所得纳米系统 CAT-Ce6@OMV-aPDL1 持久缓解缺氧,放大 PDT 介导的细胞毒性以产生肿瘤相关抗原池,刺激抗肿瘤免疫反应,甚至诱导免疫记忆效应,从而有效抑制肿瘤发展。
所得的 CAT-Ce6@OMV-aPDL1 表现出优异的 PDT 和免疫疗法疗效,实现抗肿瘤作用,为联合治疗各种癌症提供了新途径。