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ROS 敏感纳米载体用于三阴性乳腺癌及其转移的协同 X-PDT/化疗/免疫治疗

英文原题:ROS-sensitive nanocarriers for synergistic X-PDT/chemo/immunotherapy of triple-negative breast cancer and metastasis.

查看英文原题

ROS-sensitive nanocarriers for synergistic X-PDT/chemo/immunotherapy of triple-negative breast cancer and metastasis.

PubMed 2025/12/16(内容时间) Acta Biomater Q1 · IF 10.4(JCR 2025)

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中文摘要

X 射线诱导的光动力疗法(X-PDT)因其不受限的组织穿透深度而在肿瘤治疗中展现出巨大前景,但需要将增敏剂递送至肿瘤。在此,我们设计了一种包裹光敏剂维替泊芬(VP)和 T 淋巴细胞活化杀伤细胞来源蛋白激酶(TOPK)抑制剂 OTS964 的聚合物纳米载体(VP/OTS964@NPs),用于有效的肿瘤 X-PDT、分子靶向治疗,并在与 PD-L1 阻断联合时诱导强效抗肿瘤免疫,以实现低免疫原性乳腺肿瘤及其肺转移的协同免疫治疗。VP/OTS964@NPs 呈单分散状态,可响应肿瘤微环境中高水平的活性氧(ROS)或 X-PDT 过程中产生的 ROS 而解组装释放药物。它能高效地将药物递送至 TOPK 高表达乳腺癌细胞,产生 ROS 并诱导 ICD 效应。通过 i.v. 注射,VP/OTS964@NPs 可高效蓄积于乳腺肿瘤中,并在 X-PDT 作用下有效根除肿瘤。

此外,VP/OTS964@NPs 可激活全身性抗肿瘤免疫应答,显著抑制远端乳腺肿瘤及乳腺肿瘤肺转移,并在与 PD-L1 阻断联合时提高生存率。

本研究提出了一种用于协同分子治疗、肿瘤 XDT 和免疫治疗的纳米载体工程化策略。意义声明:X-PDT 是一种有前景的癌症治疗手段。

然而,其临床应用受到合适增敏剂有限及其肿瘤靶向能力不足的制约。本研究旨在构建共载光敏剂维替泊芬和TOPK抑制剂OTS964的ROS敏感纳米载体,以实现对三阴性乳腺癌的协同X-PDT。通过进一步激活抗肿瘤免疫应答,该策略旨在抑制远端及转移性乳腺肿瘤。

总体而言,本研究为低免疫原性实体瘤的治疗提供了纳米药物平台和治疗策略。

展开英文摘要原文

X-ray-induced photodynamic therapy (X-PDT) shows significant promise in tumor treatments due to its unlimited tissue penetration but requires delivering sensitizers to tumors.

Here, we engineered photosensitizer verteporfin (VP) and T-lymphokine-activated killer cell-originated protein kinase (TOPK) inhibitor OTS964-encapsulated polymeric nanocarriers (VP/OTS964@NPs) for effective tumor X-PDT, molecule-targeted therapy and inducing robust antitumor immunity for synergistic immunotherapy of low immunogenic breast tumors and their lung metastases when combined with PD-L1 blockade.

The VP/OTS964@NPs are monodisperse and can be disassembled to release drugs in response to high reactive oxygen species (ROS) levels in the tumor microenvironment or generated during X-PDT. It can efficiently deliver drugs into the TOPK-high expression breast cancer cells, generate ROS and induce ICD effects. By i. v. injection, VP/OTS964@NPs efficiently accumulated in the breast tumors and effectively eradicated tumors upon X-PDT.

Additionally, the VP/OTS964@NPs activated the systemic antitumor immune responses, significantly inhibited the distant breast tumors and the lung metastasis of breast tumors, and enhanced the survival rates in combination with PD-L1 blockade.

This study presented a strategy for engineering nanocarriers for synergistic molecular therapy, tumor XDT and immunotherapy. STATEMENT OF SIGNIFICANCE: X-PDT is a promising therapeutic modality for cancer treatment.

However, its clinical application is hindered by the limited availability of suitable sensitizers and their insufficient tumor-targeting capability. This work aims to construct ROS-sensitive nanocarriers co-loaded with the photosensitizer verteporfin and the TOPK inhibitor OTS964 to achieve synergistic X-PDT for triple-negative breast cancer. By further activating antitumor immune responses, this strategy is designed to suppress the distant and metastatic breast tumors.

Overall, this work provides both a nanodrug platform and a therapeutic strategy for the treatment of poorly immunogenic solid tumors.

论文信息

作者
Wei C、Feng L、Liu J、Xu M、Cui Y、Lin F、Yu H、Feng Z
第一作者单位
Department of Radiology, Huaxi MR Research Center (HMRRC), State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, No.17 South Renmin Road, Chengdu, Sichuan, 610041, China.China
通讯作者单位
Department of Radiology, Huaxi MR Research Center (HMRRC), State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, No.17 South Renmin Road, Chengdu, Sichuan, 610041, China; College of Polymer Science and Engineering, Sichuan University, Chengdu, Sichuan 610041, China. Electronic address: mi@scu.edu.cn.China
期刊
Acta biomaterialia2026 Jan
原文标识
PubMed 41412288 · DOI 10.1016/j.actbio.2025.12.035