胰腺癌空间构型与新辅助治疗和根治性切除术后疾病复发相关
Spatial Configuration of Pancreatic Cancer Is Associated with Disease Recurrence after Neoadjuvant Therapy and Curative-Intent Resection.
从标准H&E切片量化的残留癌-间质拓扑结构在PDAC新辅助治疗后产生独立预后信号,为空间风险提供细胞免疫相关性依据,并推动前瞻性验证及空间信息指导的辅助治疗策略。
英文原题:In situ macrophage reprogramming via micropatch engineering for safe and effective antitumor adoptive cell therapy.
采用巨噬细胞的过继性细胞疗法在治疗实体瘤方面具有巨大潜力,但其临床效果一直有限。
利用巨噬细胞的过继性细胞疗法在治疗实体瘤方面具有巨大前景,但其临床影响一直有限。问题有两方面:免疫抑制性肿瘤微环境会迅速沉默转移细胞的反肿瘤活性,而全身性激活策略往往会引发脱靶毒性。在此,我们描述了一种简单而有效的方法来克服这些障碍。我们用抗CD11b功能化的锌铝层状双氢氧化物微贴片(LDHMP)工程化改造原代巨噬细胞——这是一种表面锚定策略,除此之外不改变细胞的其他特性。一旦工程化细胞(Mip@MΦ)到达酸性肿瘤微环境,微贴片便会降解,释放Zn 2+,其与肿瘤来源的DNA协同激活STING通路,并驱动向M1抗肿瘤表型的复极化。同时,LDHMP消耗过量的H +,中和通常抑制免疫功能的酸性环境。这种双重作用——原位重编程加微环境重塑——在不产生全身毒性的情况下引发强健的局部抗肿瘤免疫。在原位乳腺癌和胰腺癌模型中,Mip@MΦ治疗显著抑制了肿瘤生长,减少了转移,并建立了持久的免疫记忆。通过将一种直接的微贴片工程化策略与单细胞测序的见解相结合,我们的方法为基于巨噬细胞的过继性细胞疗法提供了一个可扩展、安全且高效的平台。
Adoptive cell therapy with macrophages holds great promise for treating solid tumors, but its clinical impact has been limited. The problem is twofold: the immunosuppressive tumor microenvironment quickly silences the anti-tumor activity of transferred cells, and systemic activation strategies often provoke off-target toxicity. Here, we describe a simple yet effective approach to overcome these barriers. We engineered primary macrophages with anti-CD11b-functionalized zinc-aluminum layered double hydroxide micropatches (LDHMP)-a surface-anchoring strategy that leaves the cells otherwise unaltered. Once the engineered cells (Mip@MΦ) reach the acidic tumor microenvironment, the micropatches degrade, releasing Zn 2+ that synergizes with tumor-derived DNA to activate the STING pathway and drive repolarization toward an M1 anti-tumor phenotype. At the same time, LDHMP consumes excess H + , neutralizing the acidic milieu that normally suppresses immune function. This dual action-in situ reprogramming plus microenvironment remodeling-elicits robust, localized anti-tumor immunity without systemic toxicity. In orthotopic breast and pancreatic tumor models, Mip@MΦ treatment significantly inhibited tumor growth, reduced metastasis, and established durable immune memory. By combining a straightforward micropatch engineering strategy with insights from single-cell sequencing, our approach offers a scalable, safe, and highly effective platform for macrophage-based adoptive cell therapy.
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