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仿生通用型 CAR-间充质干细胞纳米杂合体用于抗肿瘤治疗

英文原题:Biomimetic universal CAR-mesenchymal stem cell nanohybrids for anti-tumor therapy.

PubMed 2025/11/14(内容时间) Bioact Mater Q1 · IF 23.6(JCR 2025)

研究概要

值得注意的是,它实现了92.7%的高肿瘤抑制率,并有效诱导巨噬细胞向抗肿瘤的M1型极化。

中文摘要

当前的自体嵌合抗原受体(CAR)-T 细胞疗法受到显著挑战的制约,包括缺乏现货可及性、生产周期漫长以及产品质量不稳定,这些因素限制了其更广泛的应用和临床疗效。为解决这些局限,我们通过用 CAR 工程化间充质干细胞(MSC),并将其与多功能混合纳米颗粒整合,开发了一种创新的通用 CAR 纳米平台。该平台利用 MSC 固有的肿瘤归巢特性和 CAR 的特异性,实现精准的肿瘤靶向和清除。具体而言,我们靶向 C 型凝集素样分子-1(CLL-1)——一种特异性表达于急性髓系白血病(AML)原始细胞和白血病干细胞(LSC)上的标志物,构建了用于 AML 治疗的抗 CLL-1 CAR-MSC(aCLL-1 CAR-MSC)纳米平台。为进一步增强治疗效果,我们引入仿生纳米技术用于紫草素(SK)纳米杂化物的靶向递送,从而放大 SK 诱导的肿瘤免疫原性细胞死亡。这种双重策略不仅提高了抗 AML 活性,还延长了纳米药物在体内的循环时间。在 AML 原位和皮下肿瘤模型中,该伪装纳米系统均显著抑制了白血病生长并增强了免疫应答。值得注意的是,它实现了 92.7% 的高肿瘤抑制率,并有效诱导巨噬细胞向抗肿瘤的 M1 表型极化。总体而言,这是首个旨在通过靶向 CLL-1 这一独特的白血病抗原来协同化疗与免疫治疗的纳米平台,为其在 AML 及其他恶性肿瘤治疗中的潜在临床转化提供了坚实基础。

展开英文摘要原文

Current autologous chimeric antigen receptor (CAR)-T cell therapies are hindered by significant challenges, including the lack of off-the-shelf availability, prolonged manufacturing timelines, and inconsistent product quality, which limit their broader application and clinical efficacy. To address these limitations, we developed an innovative universal CAR nanoplatform by engineering mesenchymal stem cells (MSCs) with CAR and integrating them with multifunctional hybrid nanoparticles. This platform leverages the intrinsic tumor-homing properties of MSCs and the specificity of CAR to achieve precise tumor targeting and eradication. Specifically, we targeted C-type lectin-like molecule-1 (CLL-1), a marker specifically expressed on acute myeloid leukemia (AML) blast cells and leukemia stem cells (LSCs), to create an anti-CLL-1 CAR-MSC (aCLL-1 CAR-MSC) nanoplatform for AML therapy. To further enhance therapeutic efficacy, we incorporated biomimetic nanotechnology for the targeted delivery of shikonin (SK) nanohybrids, which amplify SK-induced immunogenic cell death in tumor. This dual approach not only improved anti-AML activity but also extended the in vivo circulation time of the nanodrug. In both AML orthotopic and subcutaneous tumor models, the camouflaged nano-system remarkably suppressed leukemia growth and enhanced immune responses. Notably, it achieved a high tumor inhibition rate of 92.7% and effectively induced the polarization of macrophages towards the tumor-fighting M1 phenotype. Collectively, it is the first nanoplatform designed to synergize chemotherapy and immunotherapy via targeting CLL-1, a unique leukemia antigen, offering a robust foundation for its potential clinical translation in the treatment of AML and other malignancies.

论文信息

作者
Yang LY、Huang M、Zheng XL、Liu MX、Wu QB、Fan XX
单位
Dr. Neher's Biophysics Laboratory for Innovative Drug Discovery, State Key Laboratory of Quality Research in Chinese Medicine, Faculty of Chinese Medicine, Macau University of Science and Technology, Macau, China.China
期刊
Bioactive materials2026 Mar
原文标识
PubMed 41323205 · DOI 10.1016/j.bioactmat.2025.11.004