非常规 T 细胞在泌尿系统肿瘤中:能抓住就抓住
Unconventional T cells in urological cancers: catch them if you can.
这些非常规T细胞亚群为新的诊断和治疗策略提供了基础。
英文原题:Engineered T cell membrane coated nanoparticles reverse thermo-resistance and reprogram tumor microenvironment to synergistically potentiate bladder cancer photothermal immunotherapy.
免疫治疗在晚期膀胱癌治疗中取得了突破,但免疫抑制性肿瘤微环境(TME)导致临床结局不理想。
免疫治疗在晚期膀胱癌治疗中取得了突破,但免疫抑制性肿瘤微环境(TME)导致临床结局不理想。光热治疗(PTT)是一种新兴的协同增强肿瘤免疫治疗的方法,但其治疗效果受到光热剂分布不足和肿瘤耐热性的限制。在此,我们开发了工程化T细胞膜包被的雷公藤甲素负载聚多巴胺纳米颗粒(ETM@PT),其表现出优异的生物相容性和肿瘤靶向特性。ETM@PT降低了热休克蛋白表达,抑制了癌症相关成纤维细胞活化并下调了MMP9水平,在多种小鼠膀胱癌模型中展现出优越的肿瘤抑制效果,并有效协同增强了抗PD1免疫治疗。RNA测序进一步揭示了ETM@PT激活免疫相关通路并放大抗肿瘤免疫的分子机制。该策略有效逆转了耐热性并重编程了免疫抑制性TME,代表了一种有前景的临床晚期膀胱癌治疗方法。
Immunotherapy has made a breakthrough in the treatment of advanced bladder cancer, but the immunosuppressive tumor microenvironment (TME) leads to unsatisfactory clinical outcome. Photothermal therapy (PTT) is an emerging approach to synergistically enhance tumor immunotherapy, but its therapeutic efficacy suffers from insufficient distribution of photothermal agents and tumor thermo-resistance. Here, we have developed engineered T cell membrane coated triptolide-loaded polydopamine nanoparticles (ETM@PT), which exhibited excellent biocompatibility and tumor targeting properties. ETM@PT decreased heat shock proteins expression, inhibited cancer associated fibroblasts activation and downregulated MMP9 levels, demonstrating superior tumor suppression effects in multiple mouse bladder cancer models and synergistically enhancing anti-PD1 immunotherapy effectively. RNA sequencing further revealed the molecular mechanism of ETM@PT activating immune-related pathways and amplifying antitumor immunity. This strategy effectively reversed thermo-resistance and reprogrammed the immunosuppressive TME, representing a promising approach to clinical advanced bladder cancer therapy.
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