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使用独特生物相容性金纳米棒的靶向瘤内热疗在两种免疫原性“冷”肿瘤模型中诱导强烈的免疫原性细胞死亡

英文原题:Targeted intra-tumoral hyperthermia using uniquely biocompatible gold nanorods induces strong immunogenic cell death in two immunogenically 'cold' tumor models.

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Targeted intra-tumoral hyperthermia using uniquely biocompatible gold nanorods induces strong immunogenic cell death in two immunogenically 'cold' tumor models.

PubMed 2025/01/13(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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研究概要

这些联合治疗显示出协同效应,促进了持久的抗肿瘤反应和免疫记忆。总体而言,GNR 介导的 THT 有效降低了肿瘤负荷并重塑了 TME,增强了全身免疫并提升了辅助免疫疗法的效果。

研究思路结论见上方概要

热疗是多模式癌症治疗中一种成熟的辅助手段,其机制包括细胞死亡、免疫调节和血管改变。传统热疗应用资源密集,且常伴随患者发病率,限制了其临床可及性。金纳米棒(GNRs)通过利用近红外(NIR)光提供精准、微创的替代方案,以实现靶向热疗(THT)。THT诱导可控的肿瘤加热,促进免疫原性细胞死亡(ICD)并调节肿瘤微环境(TME),以增强免疫参与。本研究探讨GNR介导的THT与免疫疗法在免疫原性“冷”肿瘤中的协同潜力,以实现持久的抗肿瘤免疫。

来自Sona Nanotech Inc.™的GNRs被瘤内注射,并使用NIR光激活以诱导温和热疗(42-48°C)5分钟。分析肿瘤反应以评估细胞死亡途径和免疫调节。单独评估THT的免疫原性效应,以及与瘤内白细胞介素-2(i.t. IL-2)或系统性PD-1免疫检查点阻断联合使用时的效果。评估了免疫细胞浸润、基因表达变化和肿瘤生长动力学。

THT通过细胞死亡机制减轻肿瘤负荷,包括在48小时内上调以钙网蛋白暴露为标志的ICD。至48小时,CD45+免疫细胞水平升高,包括免疫抑制性M2巨噬细胞水平增加。虽然THT引起先天免疫细胞刺激,突出表现为STING cGAS通路基因表达上调以及M1和树突状细胞水平增强,但在治疗后六天内观察到肿瘤再生长。为增强THT的免疫原性效应,该疗法与瘤内白细胞介素-2(i.t. IL-2)或全身性PD-1免疫检查点阻断联合使用。THT后序贯给予i.t. IL-2诱导了强烈的CD8+ T细胞浸润,并在治疗侧和远端肿瘤中导致持续性肿瘤消退,伴随记忆T细胞的出现。然而,IL-2诱导的免疫抑制性T-reg群体也持续至肿瘤终点,提示该疗法可进一步增强。此外,THT上调CD8+ T细胞中的PD-1表达,通过全身性PD-1抑制靶向该通路,进一步增强了TME内的免疫参与。

展开英文摘要原文

GNRs from Sona Nanotech Inc.™ were intratumorally injected and activated using NIR light to induce mild hyperthermia (42-48°C) for 5 minutes. Tumor responses were analyzed for cell death pathways and immune modulation. The immunogenic effects of THT were assessed alone and in combination with intratumoral interleukin-2 (i.t. IL-2) or systemic PD-1 immune checkpoint blockade. Immune cell infiltration, gene expression changes, and tumor growth kinetics were evaluated.

THT reduced tumor burden through cell death mechanisms, including upregulated ICD marked by calreticulin exposure within 48 hours. By 48 hours, CD45+ immune cell levels were increased, including increased levels of immunosuppressive M2 macrophages. While THT led to innate immune cell stimulations highlighted by gene expression upregulation in the STING cGAS pathway and enhanced M1 and dendritic cell levels, tumor regrowth was observed within six days post-treatment. To enhance THT's immunogenic effects, the therapy was combined with intratumoral interleukin-2 (i.t. IL-2) or systemic PD-1 immune checkpoint blockade. Sequential administration of i.t. IL-2 post-THT induced robust CD8+ T-cell infiltration and led to sustained tumor regression in both treated and distant tumors, accompanied by the emergence of memory T cells. However, IL-2-induced immunosuppressive T-reg populations were also sustained to tumor endpoint suggesting that therapy could be further enhanced. Additionally, PD-1 expression, which was upregulated in CD8+ T cells by THT, was targeted with systemic PD-1 inhibition, further augmenting immune engagement within the TME. DISCUSSION: These combinatory treatments demonstrated synergistic effects, promoting durable anti-tumor responses and immune memory. Collectively, GNR-mediated THT effectively reduces tumor burden and remodels the TME, potentiating systemic immunity and enhancing the impact of complementary immunotherapies.

论文信息

作者
Kennedy BE、Noftall EB、Dean C、Roth A、Clark KN、Rowles D、Singh K、Pagliaro L
单位
Department of Pathology, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.Canada
文献类型
非美国政府资助研究
期刊
Frontiers in immunology2024
原文标识
PubMed 39872527 · DOI 10.3389/fimmu.2024.1512543