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超分子免疫调节水凝胶剂以持久内源性免疫增强 CAR-T 疗法实现实体瘤清除

英文原题:Supramolecular immunomodulatory hydrogelator potentiates CAR-T therapy with long-lasting endogenous immunity toward solid tumor eradication.

PubMed 2026/09/04(内容时间) Sci Adv Q1 · IF 13.9(JCR 2025)

研究概要

嵌合抗原受体(CAR)-T 细胞疗法在血液系统恶性肿瘤中的成功尚未转化至实体瘤,主要原因是 T 细胞浸润不足以及驱动 T 细胞耗竭的免疫抑制性肿瘤微环境。

中文摘要

嵌合抗原受体(CAR)-T细胞疗法在血液系统恶性肿瘤中的成功尚未延伸至实体瘤,主要原因是T细胞浸润不足,以及免疫抑制性肿瘤微环境促使T细胞耗竭。为解决这些问题,研究人员开发了一种定制的免疫调节药物-药物偶联物水凝胶形成剂,用于在局部递送靶向实体瘤的CAR-T细胞。该水凝胶可在原位形成支架,作为缓释储库,持续共同递送CAR-T细胞及免疫调节剂NLG919(IDO-1抑制剂)和D PPA-1(PD-L1拮抗肽),以协同重塑免疫抑制性肿瘤微环境,并促进肿瘤识别与清除。这一方法显著增强CAR-T细胞的浸润和持久性,激发强效的内源性肿瘤特异性免疫应答,同时建立持久的免疫记忆。在侵袭性黑色素瘤、转移性乳腺癌及术后胶质瘤小鼠模型中,单次局部给予该水凝胶即可显著抑制肿瘤生长、再挑战后的肿瘤形成、转移和复发。通过结合局部CAR-T细胞递送与原位免疫重编程,该系统构成一种多用途且具有临床转化潜力的平台,可显著提升CAR-T细胞疗法治疗实体瘤的效果。

展开英文摘要原文

The success of chimeric antigen receptor (CAR)-T cell therapy in hematologic malignancies has not been translated to solid tumors, primarily due to inadequate T cell infiltration and an immunosuppressive tumor microenvironment that drives T cell exhaustion. To address these challenges, we developed a tailored immunomodulatory drug-drug conjugate-based hydrogelator for the localized delivery of CAR-T cells targeting solid tumors. This hydrogel forms an in situ scaffold that serves as a sustained-release reservoir, enabling continuous co-delivery of CAR-T cells along with immunomodulatory agents-NLG919 (an IDO-1 inhibitor) and D PPA-1 (a PD-L1 antagonistic peptide)-to synergistically remodel the immunosuppressive tumor microenvironment and promote robust tumor recognition and elimination. Notably, this approach significantly enhances CAR-T cell infiltration and persistence, stimulates a potent endogenous tumor-specific immune response, while also establishing long-lasting immunological memory. In murine models of aggressive melanoma, metastatic breast cancer, and postoperative glioma, a single local administration of the hydrogel resulted in significant suppression of tumor growth, rechallenge, metastasis and recurrence. By integrating localized CAR-T cell delivery with in situ immune reprogramming, this system represents a versatile and clinically translatable platform that substantially improves the efficacy of CAR-T cell therapy against solid tumors.

论文信息

作者
Jiang C、Tang M、Guo M、Shang Q、Chen Q、An X、Xie J、Zheng K
单位
School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai 200240, China.China
期刊
Science advances2026 Sep 4
原文标识
PubMed 42696583 · DOI 10.1126/sciadv.aee2120