研究概要
这些数据为有效治疗HCC及可能其他类型的癌症开辟了一条新的治疗途径。
中文摘要
射频消融(RFA)仍然是治疗肝细胞癌(HCC)的有效治疗手段之一。然而,不完全射频消融(iRFA)常常在肿瘤中形成免疫抑制微环境(ISME),这严重损害了治疗效果。为了克服这一治疗障碍,我们设计了一种全新的基于ZIF-8-NH2的纳米平台(NP),其中包含CpG寡脱氧核苷酸、可乐定(CLD)和α2-肾上腺素能受体激动剂。基于ZIF-8-NH2的NP表现出高载药能力、缓释和瘤内滞留。将基于ZIF-8-NH2的NP瘤内递送至HCC肿瘤后,导致M2-肿瘤相关巨噬细胞(M2-TAMs)极化为M1-TAMs,从而显著增加了C-X-C基序趋化因子10(CXCL10)的产生。M1-TAM来源的CXCL10增强了CD8+ T细胞和NK细胞的肿瘤募集,这些细胞共同发挥抗肿瘤作用。通过这一机制,我们表明基于ZIF-8-NH2的NP使抗PD-L1阻断对HCC治疗的效果增敏。基于这些发现,我们提出了一种新的治疗范式:基于ZIF-8-NH2的NP联合免疫检查点抑制剂(ICIs)联合iRFA的三联疗法。在临床相关的小鼠HCC模型中,我们验证了这一新治疗概念作为治疗HCC的有效方法。总之,这些数据为有效治疗HCC以及可能其他类型的癌症开辟了新的治疗途径。
展开英文摘要原文
Radiofrequency ablation (RFA) remains one of the effective therapeutic modalities for treatment of hepatocellular carcinoma (HCC). However, incomplete RFA (iRFA) frequently creates an immunosuppressive microenvironment (ISME) in tumors, which markedly jeopardizes therapeutic benefits. To overcome this therapeutic hurdle, we designed a completely new ZIF-8-NH 2 -based nanoplatform (NP) that contained a CpG oligodeoxynucleotide, clonidine (CLD), and an α 2 -adrenergic receptor agonist. The ZIF-8-NH 2 -based NP exhibited high drug-loading capacity, sustained release and intratumoral retention. Intratumoral delivery of ZIF-8-NH 2 -based NP into HCC tumors resulted in polarization of M2-tumor-associated macrophages (M2-TAMs) to become M1-TAMs that markedly increased C-X-C motif chemokine 10 (CXCL10) production. M1-TAM-derived CXCL10 enhanced tumor recruitment of CD8 + T cells and NK cells, which collectively executed antitumor effects. Through this mechanism, we showed that ZIF-8-NH 2 -based NP sensitized the therapeutic effect of an anti-PD-L1 blockade for HCC treatment. Based on these findings, we propose a new therapeutic paradigm of a triple combination of ZIF-8-NH 2 -based NP plus immune checkpoint inhibitors (ICIs) plus iRFA. In a clinically relevant mouse HCC model, we validated this new therapeutic concept as an effective approach for treatment of HCC. Together, these data pave a new therapeutic avenue for effective treatment of HCC and likely other types of cancer.
论文信息
- 作者
- Fang S、Chen J、Zheng L、Guo X、Han M、Ding Y、Qin P、Hou D
- 第一作者单位
- Zhejiang Key Laboratory of Imaging and Interventional Medicine, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui, 323000, China; Institute of Functional Nano & Soft Materials (FUNSOM), Jiangsu Key Laboratory for Carbon-Based Functional Materials & Devices, Soochow University, Suzhou, 215123, China.China
- 通讯作者单位
- Zhejiang Key Laboratory of Imaging and Interventional Medicine, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui, 323000, China; Cancer Center, Lishui Central Hospital, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui, 323000, China; Department of Radiology, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui, 323000, China. Electronic address: jjstcty@wmu.edu.cn.China
- 期刊
- Biomaterials2026 Aug 19