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肿瘤靶向纳米酶重塑肿瘤微环境增强 CAR-T 细胞的免疫激活以实现联合治疗

英文原题:Remodeling of Tumor Microenvironment by Tumor-Targeting Nanozymes Enhances Immune Activation of CAR T Cells for Combination Therapy.

查看英文原题

Remodeling of Tumor Microenvironment by Tumor-Targeting Nanozymes Enhances Immune Activation of CAR T Cells for Combination Therapy.

PubMed 2021/08/10(内容时间) Small Q1 · IF 11.8(JCR 2025)

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中文摘要

靶向B7-H3的嵌合抗原受体(CAR)T细胞在临床前研究中显示出治疗非小细胞肺癌(NSCLC)的抗肿瘤潜力。然而,由于实体瘤肿瘤微环境(TME)存在异质性和免疫抑制,CAR-T 细胞治疗实体瘤仍面临巨大挑战。纳米酶具有调节肿瘤局部免疫抑制的优势。本文提出在实体瘤中联合使用纳米酶和CAR-T 细胞的协同策略。这种兼具光热和纳米催化特性的纳米酶可破坏TME致密结构,从而重塑肿瘤微环境。研究发现,在移植了NSCLC细胞的小鼠中,纳米酶消融肿瘤后输注B7-H3 CAR-T 细胞,抗肿瘤活性更强。更重要的是,肿瘤环境发生改变,免疫抑制减轻,使B7-H3 CAR-T 细胞活化增强、浸润增加。本文首次证明,纳米酶联合治疗可有效提高CAR-T 细胞的治疗指数。因此,免疫调节型纳米酶有望成为克服CAR-T 细胞治疗实体瘤障碍的工具。

展开英文摘要原文

Targeting B7-H3 chimeric antigen receptor (CAR) T cells has antitumor potential for therapy of non-small cell lung cancer (NSCLC) in preclinical studies.

However, CAR T cell therapy remains a formidable challenge for the treatment of solid tumors due to the heterogeneous and immunosuppressive tumor microenvironment (TME). Nanozymes exhibit merits modulating the immunosuppression of the tumor milieu.

Here, a synergetic strategy by combination of nanozymes and CAR T cells in solid tumors is described. This nanozyme with dual photothermal-nanocatalytic properties is endowed to remodel TME by destroying its compact structure. It is found that the B7-H3 CAR T cells infused in mice engrafted with the NSCLC cells have superior antitumor activity after nanozyme ablation of the tumor.

Importantly, it is found that the changes altered immune-hostile cancer environment, resulting in enhanced activation and infiltration of B7-H3 CAR T cells. The first evidence that the process of combination nanozyme therapy effectively improves the therapeutic index of CAR T cells is presented.

Thus, this study clearly supports that the TME-immunomodulated nanozyme is a promising tool to improve the therapeutic obstacles of CAR T cells against solid tumors.

论文信息

作者
Zhu L、Liu J、Zhou G、Liu TM、Dai Y、Nie G、Zhao Q
单位
Cancer Centre, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macau SAR, 999078, China.China
文献类型
非美国政府资助研究
期刊
Small (Weinheim an der Bergstrasse, Germany)2021 Oct
原文标识
PubMed 34378338 · DOI 10.1002/smll.202102624