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Author correction to “Identification of anthelmintic parbendazole as a therapeutic molecule for HNSCC through connectivity map-based drug repositioning” [Acta Pharm Sin B 12 (2022) 2429–2442] 作者对 "通过基于连接图的药物重新定位,将抗虫药帕苯咪唑鉴定为治疗 HNSCC 的分子"[Acta Pharm Sin B 12 (2022) 2429-2442] 的更正
IF 14.5 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-10 DOI: 10.1016/j.apsb.2024.09.006
Dong Liang, Chen Yu, Zhao Ma, Xingye Yang, Zhenzhen Li, Xuhui Dong, Xiaojun Qin, Lupei Du, Minyong Li
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引用次数: 0
DiPTAC: A degradation platform via directly targeting proteasome DiPTAC:直接靶向蛋白酶体的降解平台
IF 14.5 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-07 DOI: 10.1016/j.apsb.2024.09.003
Yutong Tu, Qian Yu, Mengna Li, Lixin Gao, Jialuo Mao, Jingkun Ma, Xiaowu Dong, Jinxin Che, Chong Zhang, Linghui Zeng, Huajian Zhu, Jiaan Shao, Jingli Hou, Liming Hu, Bingbing Wan, Jia Li, Yubo Zhou, Jiankang Zhang
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引用次数: 0
Molecular basis of enhanced GLP-1 signaling mediated by GLP-1(9–36) in conjunction with LSN3318839 GLP-1(9-36)与 LSN3318839 共同介导的 GLP-1 信号增强的分子基础
IF 14.5 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-06 DOI: 10.1016/j.apsb.2024.09.002
Jie Li, Guanyi Li, Yiting Mai, Xiao Liu, Dehua Yang, Qingtong Zhou, Ming-Wei Wang
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引用次数: 0
Simultaneous enhancement of cellular and humoral immunity by the lymph node-targeted cholesterolized TLR7 agonist liposomes 淋巴结靶向胆固醇化 TLR7 激动剂脂质体可同时增强细胞和体液免疫力
IF 14.5 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-04 DOI: 10.1016/j.apsb.2024.06.006
Dandan Wan, Ziyi Bai, Yu Zhang, Li Chen, Haiying Que, Tianxia Lan, Weiqi Hong, Jiayu Huang, Cai He, Yuquan Wei, Qiang Pu, Xiawei Wei
Toll-like receptor (TLR) agonists, as promising adjuvants and immunotherapeutic agents, have the potential to enhance immune responses and modulate antigen-dependent T-cell immune memory through activation of distinct signaling pathways. However, their clinical application is hindered by uncontrolled systemic inflammatory reactions. Therefore, it is imperative to create a vaccine adjuvant for TLR receptors that ensures both safety and efficacy. In this study, we designed lymph node-targeted cholesterolized TLR7 agonist cationic liposomes (1V209-Cho-Lip) to mitigate undesired side effects. Co-delivery of the model antigen OVA and cholesterolized TLR7 agonist facilitated DC maturation through TLR activation while ensuring optimal presentation of the antigen to CD8 T cells. The main aim of the present study is to evaluate the adjuvant effectiveness of 1V209-Cho-Lip in tumor vaccines. Following immunization with 1V209-Cho-Lip+OVA, we observed a pronounced "depot effect" and enhanced trafficking to secondary lymphoid organs. Prophylactic vaccination with 1V209-Cho-Lip+OVA significantly delays tumor development, prolongs mouse survival, and establishes durable immunity against tumor recurrence. Additionally, 1V209-Cho-Lip+OVA, while used therapeutic tumor vaccine, has demonstrated its efficacy in inhibiting tumor progression, and when combined with anti-PD-1, it further enhances antitumor effects. Therefore, the co-delivery of antigen and lymph node-targeted cholesterolized TLR7 agonist shows great promise as a cancer vaccine.
Toll 样受体(TLR)激动剂是一种很有前景的佐剂和免疫治疗剂,有可能通过激活不同的信号通路来增强免疫反应和调节抗原依赖性 T 细胞免疫记忆。然而,它们在临床上的应用却受到不受控制的全身性炎症反应的阻碍。因此,当务之急是为 TLR 受体创造一种既安全又有效的疫苗佐剂。在本研究中,我们设计了淋巴结靶向胆固醇化 TLR7 激动剂阳离子脂质体(1V209-Cho-Lip),以减轻不良副作用。模型抗原 OVA 和胆固醇化 TLR7 激动剂的联合给药有助于通过 TLR 激活促进 DC 成熟,同时确保抗原以最佳方式呈现给 CD8 T 细胞。本研究的主要目的是评估 1V209-Cho-Lip 在肿瘤疫苗中的佐剂效果。在使用 1V209-Cho-Lip+OVA 进行免疫接种后,我们观察到了明显的 "储藏效应 "和向次级淋巴器官的迁移增强。预防性接种 1V209-Cho-Lip+OVA 能显著延缓肿瘤的发展,延长小鼠的存活时间,并建立起防止肿瘤复发的持久免疫力。此外,1V209-Cho-Lip+OVA 作为治疗性肿瘤疫苗,在抑制肿瘤进展方面的疗效已得到证实,与抗-PD-1 结合使用时,可进一步增强抗肿瘤效果。因此,将抗原和淋巴结靶向胆固醇化 TLR7 激动剂联合递送作为癌症疫苗大有可为。
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引用次数: 0
Comparison of Jinzhen oral liquid and ambroxol hydrochloride and clenbuterol hydrochloride oral solution in the treatment of acute bronchitis in children: A multicenter, non-inferiority, prospective, randomized controlled trial 金振口服液与盐酸氨溴索和盐酸克伦特罗口服溶液治疗儿童急性支气管炎的比较:多中心、非劣效、前瞻性、随机对照试验
IF 14.5 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-03 DOI: 10.1016/j.apsb.2024.09.001
Qinhua Fan, Chongming Wu, Yawei Du, Boyang Wang, Yanming Xie, Zeling Zhang, Wenquan Su, Zizhuo Wang, Changchang Xu, Xueke Li, Ying Ding, Xinjiang An, Jing Chen, Yunying Xiao, Rong Yu, Nan Li, Juan Wang, Yiqun Teng, Hongfen Lv, Nian Yang, Yuling Wen, Xiaoli Huang, Wei Pan, Yufeng Liu, Xueqin Xi, Qianye Zhao, Changshan Liu, Jian Xu, Haitao Zhang, Lie Zhuo, Qiangquan Rong, Yu Xia, Qin Shen, Shao Li, Junhong Wang, Shengxian Wu
The comparison between traditional Chinese medicine Jinzhen oral liquid (JZOL) and Western medicine in treating children with acute bronchitis (AB) showed encouraging outcomes. This trial evaluated the efficacy and safety of the JZOL for improving cough and expectoration in children with AB. 480 children were randomly assigned to take JZOL or ambroxol hydrochloride and clenbuterol hydrochloride oral solution for 7 days. The primary outcome was time-to-cough resolution. The median time-to-cough resolution in both groups was 5.0 days and the antitussive onset median time was only 1 day. This randomized controlled trial showed that JZOL was not inferior to cough suppressant and phlegm resolving western medicine in treating cough and sputum and could comprehensively treat respiratory and systemic discomfort symptoms. Combined with clinical trials, the mechanism of JZOL against AB was uncovered by network target analysis, it was found that the pathways in TRP channels like IL-1/IL1R/TRPV1/TRPA1, NGF/TrkA/TRPV1/TRPA1, and PGE2/EP/PKA/TRPV1/TRPA1 might play important roles. Animal experiments further confirmed that inflammation and the immune regulatory effect of JZOL in the treatment of AB were of vital importance and TRP channels were the key mechanism of action.
中药金振口服液(JZOL)与西药在治疗急性支气管炎(AB)患儿方面的比较结果令人鼓舞。这项试验评估了金樱子口服液改善急性支气管炎患儿咳嗽和排痰的疗效和安全性。480名儿童被随机分配服用JZOL或盐酸氨溴索和盐酸克仑特罗口服溶液7天。主要结果是咳嗽缓解时间。两组咳嗽缓解时间的中位数均为 5.0 天,而止咳药起效时间的中位数仅为 1 天。这项随机对照试验表明,在治疗咳嗽、咳痰方面,JZOL的疗效并不亚于止咳化痰的西药,而且可以综合治疗呼吸道和全身不适症状。结合临床试验,通过网络靶点分析揭示了JZOL抗AB的机制,发现IL-1/IL1R/TRPV1/TRPA1、NGF/TrkA/TRPV1/TRPA1、PGE2/EP/PKA/TRPV1/TRPA1等TRP通道中的通路可能发挥了重要作用。动物实验进一步证实,JZOL治疗AB的炎症和免疫调节作用至关重要,而TRP通道是其关键的作用机制。
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引用次数: 0
A rationally designed CD19 monoclonal antibody-triptolide conjugate for the treatment of systemic lupus erythematosus 用于治疗系统性红斑狼疮的合理设计的 CD19 单克隆抗体-曲托列肽共轭物
IF 14.5 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-03 DOI: 10.1016/j.apsb.2024.06.024
Lai Wang, Haoyuan Yin, Jiao Jiang, Qilin Li, Changxing Gao, Wenrui Li, Bo Zhang, Yue Xin, Hongyang Li, Ming Zhao, Qianjin Lu
Hook F (TWHF) is a traditional Chinese medicine widely used in the treatment of systemic lupus erythematosus (SLE), with triptolide (TP) as its main active ingredient. However, its side effects also induced by TP, especially hepatotoxicity and reproductive toxicity, largely limit its application in a subset of patients. Monoclonal antibodies (mAbs) developed for the treatment of SLE that deplete B cells by targeting B cell-expressing antigens, such as CD19, have failed in clinical trials, partly due to their poor efficacy in consuming B cells. Here, we report the development of a rationally designed antibody‒drug conjugate (ADC), CD19 mAb-TP conjugate, to alleviate the side effects of TWHF and simultaneously improve the therapeutic efficacy of CD19 mAb. The CD19 mAb-TP conjugate, which was named ADC-TP, selectively depleted B cell subsets both and and effectively alleviated disease symptoms in mouse lupus models with enhanced therapeutic efficacy than CD19 mAb and fewer side effects than TP. Our present study proposes a CD19 mAb‒TP conjugate strategy to mitigate the toxicity of TWHF while also enhancing the therapeutical efficacy of CD19 mAbs for the treatment of SLE, providing a feasible method for improving the current agents used for treating SLE.
钩藤(TWHF)是一种广泛用于治疗系统性红斑狼疮(SLE)的传统中药,其主要活性成分是三苯氧胺(TP)。然而,TP 也会引起副作用,尤其是肝毒性和生殖毒性,这在很大程度上限制了它在部分患者中的应用。为治疗系统性红斑狼疮而开发的单克隆抗体(mAbs)通过靶向 B 细胞表达的抗原(如 CD19)来消耗 B 细胞,但在临床试验中失败了,部分原因是它们消耗 B 细胞的效果不佳。在此,我们报告了一种合理设计的抗体-药物共轭物(ADC)--CD19 mAb-TP共轭物的开发情况,以减轻TWHF的副作用,同时提高CD19 mAb的疗效。CD19 mAb-TP共轭物被命名为ADC-TP,它既能选择性清除B细胞亚群,又能有效缓解小鼠狼疮模型的疾病症状,疗效优于CD19 mAb,而副作用则少于TP。我们的研究提出了一种 CD19 mAb-TP 结合物策略,既能减轻 TWHF 的毒性,又能提高 CD19 mAb 治疗系统性红斑狼疮的疗效,为改进目前治疗系统性红斑狼疮的药物提供了一种可行的方法。
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引用次数: 0
Activation of pregnane X receptor sensitizes alcoholic steatohepatitis by transactivating fatty acid binding protein 4 通过转录激活脂肪酸结合蛋白 4,激活孕烷 X 受体使酒精性脂肪性肝炎变得敏感
IF 14.5 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-02 DOI: 10.1016/j.apsb.2024.08.029
Yiwen Zhang, Bingfang Hu, Shaoxing Guan, Pan Li, Yingjie Guo, Pengfei Xu, Yongdong Niu, Yujin Li, Ye Feng, Jiewen Du, Jun Xu, Xiuchen Guan, Jingkai Gu, Haiyan Sun, Min Huang
Alcoholic steatohepatitis (ASH) is a liver disease characterized by steatosis, inflammation, and necrosis of the liver tissue as a result of excessive alcohol consumption. Pregnane X receptor (PXR) is a xenobiotic nuclear receptor best known for its function in the transcriptional regulation of drug metabolism and disposition. Clinical reports suggested that the antibiotic rifampicin, a potent human PXR activator, is a contraindication in alcoholics, but the mechanism was unclear. In this study, we showed that the hepatic expression of fatty acid binding protein 4 (FABP4) was uniquely elevated in ASH patients and a mouse model of ASH. Pharmacological inhibiting FABP4 attenuated ASH in mice. Furthermore, treatment of mice with the mouse PXR agonist pregnenolon-16-carbonitrile (PCN) induced the hepatic and circulating levels of FABP4 and exacerbated ASH in a PXR-dependent manner. Our mechanism study established FABP4 as a transcriptional target of PXR. Treatment with andrographolide, a natural compound and dual inhibitor of PXR and FABP4, alleviated mice from ASH. In summary, our results showed that the PXR–FABP4 gene regulatory axis plays an important role in the progression of ASH, which may have accounted for the contraindication of Rifampicin in patients of alcoholic liver disease. Pharmacological inhibition of PXR and/or FABP4 may have its promise in the clinical management of ASH.
酒精性脂肪性肝炎(ASH)是一种肝脏疾病,其特征是由于过量饮酒导致的肝组织脂肪变性、发炎和坏死。孕烷 X 受体(PXR)是一种异种生物核受体,因其对药物代谢和处置的转录调控功能而最为人熟知。临床报告显示,抗生素利福平(一种强效的人类 PXR 激活剂)是酗酒者的禁忌药物,但其机制尚不清楚。在这项研究中,我们发现在 ASH 患者和 ASH 小鼠模型中,脂肪酸结合蛋白 4(FABP4)的肝脏表达独特地升高。药物抑制 FABP4 可减轻小鼠的 ASH。此外,用小鼠 PXR 激动剂孕烯诺龙-16-甲腈(PCN)处理小鼠会诱导肝脏和循环中的 FABP4 水平,并以 PXR 依赖性方式加剧 ASH。我们的机制研究确定了 FABP4 是 PXR 的转录靶标。穿心莲内酯是一种天然化合物,也是 PXR 和 FABP4 的双重抑制剂。总之,我们的研究结果表明,PXR-FABP4基因调控轴在ASH的进展中起着重要作用,这可能是酒精性肝病患者禁用利福平的原因。药物抑制PXR和/或FABP4可能有望用于ASH的临床治疗。
{"title":"Activation of pregnane X receptor sensitizes alcoholic steatohepatitis by transactivating fatty acid binding protein 4","authors":"Yiwen Zhang, Bingfang Hu, Shaoxing Guan, Pan Li, Yingjie Guo, Pengfei Xu, Yongdong Niu, Yujin Li, Ye Feng, Jiewen Du, Jun Xu, Xiuchen Guan, Jingkai Gu, Haiyan Sun, Min Huang","doi":"10.1016/j.apsb.2024.08.029","DOIUrl":"https://doi.org/10.1016/j.apsb.2024.08.029","url":null,"abstract":"Alcoholic steatohepatitis (ASH) is a liver disease characterized by steatosis, inflammation, and necrosis of the liver tissue as a result of excessive alcohol consumption. Pregnane X receptor (PXR) is a xenobiotic nuclear receptor best known for its function in the transcriptional regulation of drug metabolism and disposition. Clinical reports suggested that the antibiotic rifampicin, a potent human PXR activator, is a contraindication in alcoholics, but the mechanism was unclear. In this study, we showed that the hepatic expression of fatty acid binding protein 4 (FABP4) was uniquely elevated in ASH patients and a mouse model of ASH. Pharmacological inhibiting FABP4 attenuated ASH in mice. Furthermore, treatment of mice with the mouse PXR agonist pregnenolon-16-carbonitrile (PCN) induced the hepatic and circulating levels of FABP4 and exacerbated ASH in a PXR-dependent manner. Our mechanism study established FABP4 as a transcriptional target of PXR. Treatment with andrographolide, a natural compound and dual inhibitor of PXR and FABP4, alleviated mice from ASH. In summary, our results showed that the PXR–FABP4 gene regulatory axis plays an important role in the progression of ASH, which may have accounted for the contraindication of Rifampicin in patients of alcoholic liver disease. Pharmacological inhibition of PXR and/or FABP4 may have its promise in the clinical management of ASH.","PeriodicalId":6906,"journal":{"name":"Acta Pharmaceutica Sinica. B","volume":null,"pages":null},"PeriodicalIF":14.5,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142187069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AKR1C1 interacts with STAT3 to increase intracellular glutathione and confers resistance to oxaliplatin in colorectal cancer AKR1C1 与 STAT3 相互作用,增加细胞内谷胱甘肽含量,使结肠直肠癌患者对奥沙利铂产生抗药性
IF 14.5 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-02 DOI: 10.1016/j.apsb.2024.08.031
Zhiwen Fu, Tingting Wu, Chen Gao, Lulu Wang, Yu Zhang, Chen Shi
Oxaliplatin (OXA), a platinum-based chemotherapeutic agent, remains a mainstay in first-line treatments for advanced colorectal cancer (CRC). However, the eventual development of OXA resistance represents a significant clinical challenge. In the present study, we demonstrate that the aldo-keto reductase 1C1 (AKR1C1) is overexpressed in CRC cells upon acquisition of OXA resistance, evident in OXA-resistant CRC cell lines. We employed genetic silencing and pharmacological inhibition strategies to establish that suppression of AKR1C1 restores OXA sensitivity. Mechanistically, AKR1C1 interacts with and activates the transcription factor STAT3, which upregulates the glutamate transporter EAAT3, thereby elevating intracellular glutathione levels and conferring OXA resistance. Alantolactone, a potent natural product inhibitor of AKR1C1, effectively reverses this chemoresistance, restricting the growth of OXA-resistant CRC cells both and . Our findings uncover a critical AKR1C1-dependent mechanism behind OXA resistance and propose a promising combinatorial therapeutic strategy to overcome this resistance in CRC.
奥沙利铂(OXA)是一种铂类化疗药,目前仍是晚期结直肠癌(CRC)一线治疗的主要药物。然而,OXA 最终产生耐药性是一项重大的临床挑战。在本研究中,我们证明了醛酮还原酶 1C1 (AKR1C1) 在获得 OXA 耐药性后会在 CRC 细胞中过表达,这在 OXA 耐药性 CRC 细胞系中非常明显。我们采用基因沉默和药物抑制策略,证实抑制 AKR1C1 可恢复对 OXA 的敏感性。从机理上讲,AKR1C1 与转录因子 STAT3 相互作用并激活其上调谷氨酸转运体 EAAT3,从而提高细胞内谷胱甘肽水平并赋予 OXA 抗性。金刚烷内酯是一种强效的 AKR1C1 天然产物抑制剂,它能有效逆转这种化疗耐药性,同时限制对 OXA 具有耐药性的 CRC 细胞的生长。我们的研究结果揭示了 OXA 耐药性背后一个关键的 AKR1C1 依赖性机制,并提出了一种很有前景的组合治疗策略来克服 CRC 中的这种耐药性。
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引用次数: 0
Solubilization techniques used for poorly water-soluble drugs 用于水溶性差药物的增溶技术
IF 14.5 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-02 DOI: 10.1016/j.apsb.2024.08.027
Bing Xie, Yaping Liu, Xiaotong Li, Pei Yang, Wei He
Currently, about 40% of approved drugs and nearly 90% of drug candidates are poorly water-soluble drugs. Low solubility reduces the likelihood that these drugs can be effectively used clinically. Effectively improving the solubility and bioavailability of poorly water-soluble drugs is a critical issue that needs to be urgently addressed in drug development and application. This review briefly introduces the conventional solubilization techniques such as solubilizers, hydrotropes, cosolvents, prodrugs, salt modification, micronization, cyclodextrin inclusion, solid dispersions, and details the crystallization strategies, ionic liquids, and polymer-based, lipid-based, and inorganic-based carriers in improving solubility and bioavailability. Some of the most commonly used approved carrier materials for solubilization techniques are presented, and some approved poorly water-soluble drugs using solubilization techniques are summarized. Furthermore, this review describes in detail the solubilization mechanism of each solubilization technique, reviews the latest research advances and challenges, and evaluates the potential for clinical translation. This review could guide the selection of a solubilization approach, dosage form, and administration route for poorly water-soluble drugs. Moreover, we discuss several promising solubilization techniques attracting increasing attention worldwide.
目前,约 40% 的已批准药物和近 90% 的候选药物都是水溶性较差的药物。低溶解度降低了这些药物在临床上有效使用的可能性。有效提高水溶性差药物的溶解度和生物利用度是药物开发和应用中急需解决的关键问题。本综述简要介绍了常规增溶技术,如增溶剂、水合助剂、助溶剂、原药、盐改性、微粉化、环糊精包合物、固体分散体,并详细介绍了结晶策略、离子液体、聚合物基、脂质基和无机基载体在提高溶解度和生物利用度方面的作用。文中介绍了一些最常用的已获批准的增溶技术载体材料,并总结了一些已获批准使用增溶技术的水溶性较差的药物。此外,本综述还详细介绍了每种增溶技术的增溶机制,回顾了最新的研究进展和挑战,并评估了临床转化的潜力。本综述可为水溶性差的药物选择增溶方法、剂型和给药途径提供指导。此外,我们还讨论了几种前景广阔的增溶技术,这些技术正吸引着全世界越来越多的关注。
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引用次数: 0
In situ tumor cell engineering reverses immune escape to enhance immunotherapy effect 原位肿瘤细胞工程逆转免疫逃逸,增强免疫疗法效果
IF 14.5 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-02 DOI: 10.1016/j.apsb.2024.08.028
Shujun Liu, Shijun Yuan, Meichen Liu, Jinhu Liu, Shunli Fu, Tong Gao, Shuang Liang, Xinyan Huang, Xinke Zhang, Yongjun Liu, Zipeng Zhang, Na Zhang
The underlying cause of low response rates to existing immunotherapies is that tumor cells dominate tumor immune escape through surface antigen deficiency and inducing tumor immunosuppressive microenvironment (TIME). Here, we proposed an tumor cell engineering strategy to disrupt tumor immune escape at the root by restoring tumor cell MHC-I/tumor-specific antigen complex (MHC-I/TSA) expression to promote T-cell recognition and by silencing tumor cell CD55 to increase the ICOSL B-cell proportion and reverse the TIME. A doxorubicin (DOX) and dual-gene plasmid (MAC pDNA, encoding both MHC-I/ASMTNMELM and CD55-shRNA) coloaded drug delivery system (LCPN@ACD) with tumor targeting and charge/size dual–conversion properties was prepared. LCPN@ACD-induced ICD promoted DC maturation and enhanced T-cell activation and infiltration. LCPN@ACD enabled effective expression of MHC-I/TSA on tumor cells, increasing the ability of tumor cell recognition and killing. LCPN@ACD downregulated tumor cell CD55 expression, increased the proportion of ICOSL B cells and CTLs, and reversed the TIME, thus greatly improving the efficacy of PD-1 and CAR-T therapies. The application of this tumor cell engineering strategy eliminated the source of tumor immune escape, providing new ideas for solving the challenges of clinical immunotherapy.
现有免疫疗法反应率低的根本原因是肿瘤细胞通过表面抗原缺乏和诱导肿瘤免疫抑制微环境(TIME)主导了肿瘤免疫逃逸。在此,我们提出了一种肿瘤细胞工程策略,通过恢复肿瘤细胞MHC-I/肿瘤特异性抗原复合物(MHC-I/TSA)表达以促进T细胞识别,以及沉默肿瘤细胞CD55以增加ICOSL B细胞比例并逆转TIME,从根本上破坏肿瘤免疫逃逸。研究人员制备了具有肿瘤靶向和电荷/大小双转换特性的多柔比星(DOX)和双基因质粒(MAC pDNA,同时编码MHC-I/ASMTNMELM和CD55-shRNA)共载给药系统(LCPN@ACD)。LCPN@ACD诱导的ICD促进了DC的成熟,增强了T细胞的活化和浸润。LCPN@ACD能使肿瘤细胞上的MHC-I/TSA有效表达,从而提高识别和杀伤肿瘤细胞的能力。LCPN@ACD 下调了肿瘤细胞 CD55 的表达,增加了 ICOSL B 细胞和 CTL 的比例,逆转了 TIME,从而大大提高了 PD-1 和 CAR-T 疗法的疗效。这种肿瘤细胞工程策略的应用消除了肿瘤免疫逃逸的源头,为解决临床免疫治疗难题提供了新思路。
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引用次数: 0
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