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ROS-responsive Dual Targeted Smart Nano system Boosted Cellular Immunity Combining Immune Cell









                                                                                                                   Infiltration and Immunogenic Cell Death Against Breast Cancer









                                                                                                                                                                                             Asmita Banstola , Simmyung Yook                                                                                                       1 *
                                                                                                                                                                                                                                                           1






                                                                                                                1  College of Pharmacy, Keimyung University, Daegu, 42601, Republic of Korea










                                                                                       Introduction                                                                                                                                                                                                                                                               Aims












                 High PD-L1 expression (47%) and poor localization of chemotherapeutic agents and                                                                                                                                             ➢ Study on the tumor specificity of PD-L1 targeted and ROS-responsive nanoparticles.




                 immunoadjuvants (R848) in tumor microenvironment results in the poor prognosis of                                                                                                                                            ➢ Investigation on the immunogenic cell death phenomenon of immunomodulatory nanocarrier





                 breast cancer. Furthermore, cellular immunity is restricted due to the absence of                                                                                                                                            ➢ Study on the in vivo therapeutic efficacy of engineered nanosystem for cancer immunotherapy against




                 chemokines (MIP-3α) that drives the migration of immature dendritic cells (DCs) to                                                                                                                                                  breast cancer.




                 draining lymph nodes (LNs). Owing to the advantage of high ROS and PD-L1 in                                                                                                                                                                                                                                                           Methods




                 breast cancer, we have developed PD-L1-targeted and ROS-responsive thioketal





                 nanoparticles (anti-PD-L1-TKNPs) that provides ROS-responsive release of
                                                                                                                                                                                                                                                     1. Synthetic scheme of immunomodulatory nanoparticles


                 doxorubicin (DOX), R848, and MIP-3α in the tumor microenvironment for boosting




                 cellular immunity against breast cancer.


                                                                                                                                                                                                                                                                                                            OH

                                                                                                                                                                                                                                                                                                       HO



                                                                                                                                                                                                                                                                                     R848
                                                                                                                                                                                                                                                      Thioketal polymer

                                                                                                                                                                                                                                                                                               +       O   NH  OH  O

                                                                                                                                                                                                                                                                            +



                                                                                                                                                                                                                                                                                                                     n
                                                                                                                                                                                                                                                          Doxorubicin             MIP-3α             D-PEMA (1%)
                                                                                                                                                                                                                                                                                                                                                                                         anti-PD-L1-DOX-R848-MIP-3α/TKNP
                                                                                                                                                                                                                                                                                                                                                                                                                                                                     ROS-responsive release behavior





                                                                                                                                                                                                                                                     2. Chemokine to cause migration of immune cells                                                                                              3. R848 to enhance dendritic cell activation









                                                                                                                                                                                                                                                             Chemokine
                                                                                                                                                                                                                                                               receptor                        MIP-3α







                                                                                                                                                                                                                                                                                                Migration

                                                                                                                                                                                                                                                              Immature
                                                                                                                                                                                                                                                            dendritic cells
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Antigen presentation
                                                                                                                                                                                                                                                                                                                                                      Draining
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      towards T cells
                                                                                                                                                                                                                                                                                                                                                   lymph node

                                                                                                                                                                                                                                                                              Avoid the limitation of insufficient tumor

                                                                                                                                                                                                                                                                                      infiltration of cytotoxic T cells








                                                                                                                                                                                                                                              Results













                            A. Physicochemical characterization of nanosystem                                                                                              B. Cellular internalization of nanocarrier and DOX                                                                                                                                  C. In vitro study on immunogenic cell death




                   (1)                                                                                 (3)                                                                                                                                                                                                    (1)
                                                                                                                                                                                                                                                                                                                                                                                                        (2)
                                                                                                                                                                                                                                                                                                                                                                                                                                                             (3)
















                 (2)










































                    (1) TEM image and DLS characterization of TKNPs showing spherical                                                                                 Confocal image showing the efficient internalization of nanoparticle and                                                                    (1) CLSM image showing the maximum exposure of calreticulin and HMGB1 release following treatment with anti-

                    morphology with the particle size of 80.16 ±                                           4.4 nm. ROS-responsive                                                                                                                                                                                 PD-L1-DOX-TKNP in MDA-MB-231 and 4T1 cell line compared to BT-20 cell line. (2) Elevated extracellular secretion
                                                                                                                                                                      DOX in MDA-MB-231 cell line after the treatment with anti-PD-L1-DOX-
                    degradation (2) and release (3) of R848 and DOX from TKNP.                                                                                                                                                                                                                                    of ATP following treatment with anti-PD-L1-DOX-TKNP in MDA-MB-231 and 4T1 cell line compared to BT-20 cell line.
                                                                                                                                                                      TKNP in both 2D and 3D model.
                                                                                                                                                                                                                                                                                                                  (3) Maximum cell cytotoxic effect with anti-PD-L1-DOX-R848-MIP-3α/TKNP.



                                                                 D. Chemokine mediated migration of macrophage                                                                                                                                                                                                   E. Investigation on tumor retention and antitumor effect




                                                                                                                                                                                                                                              (1)                                                                   (2)                                                  (3)











                                                                                                                                                                                                                                                                                                                                                                                                                               (1) In vivo and Ex vivo (2) biodistribution study

                                                                                                                                                                                                                                                                                                                                                                                                                               showing high penetration and accumulation of

                                                                                                                                                                                                                                                                                                                                                                                                                               anti-PD-L1-TKNP in tumor tissue. (3) Maximum

                                                                                                                                                                                                                                                                                                                                                                                                                               reduction in tumor size (4) with anti-PD-L1-DOX-

                                                                                                                                                                                                                                                                                                                                                                                                                               R848-MIP-3α/TKNP.

                            Transwell assay used to determine chemokine effect suggested that anti-PD-L1-MIP-3α/TKNP caused migration of

                            RAW 264.7 macrophage suggesting chemokine mediated migratory effect of the immune cells.



                                                                                                                                                 F. Detection of intratumoral infiltration of immune cells and cytokines secretion in the tumor tissue



                      (1)                                                                                                                                                                                        (3)                                                                                                                       (4)

                                                                                                      (2)





































                                                                                                                                                                                                                                                                                                                                         (1) Immunofluorescence staining of tumor sections for the determination of calreticulin exposure and

                                                                                                                                                                                                                                                                                                                                                                                                      +
                                                                                                                                                                                                                                                                                                                                                                                     +
                                                                                                                                                                                                                                                                                                                                         for the elucidation of CD4 and CD8 T cells (2) expression. FACS analysis (3) demonstrating intra-
                                                                                                                                                                                                                                                                                                                                                                                                       +
                                                                                                                                                                                                                                                                                                                                                                                      +
                                                                                                                                                                                                                                                                                                                                         tumoral infiltration of CD4 and CD8 T cells, granzyme B and perforin in 4T1 tumor bearing balb/c
                                                                                                                                                                                                                                                                                                                                         mice. (4) ELISA analysis for the determination of serum cytokines including IL-6 and TNF-α at day 15

                                                                                                                                                                                                                                                                                                                                         and day 20 following different formulation treatment



                                                                                                                                                                                                                                Conclusions










                  Concluding, we reported novel synthesis of PD-L1 targeted ROS-responsive thioketal nanoparticles for combination chemoimmunotherapy. The anti-PD-L1-DOX-R848-MIP-3α/TKNP provided




                  better tumor specificity due to construction of tumor (PD-L1) and tumor-microenvironment (ROS)-responsive nanosystem. The nanosystem effectively cause enhances the intratumoral infiltration





                  of the immune cells. Together the combination of chemotherapy and immunoadjuvant, anti-PD-L1-DOX-R848-MIP-3α/TKNP robust immunogenic cell death and caused maximal maturation of




                  DCs. Furthermore, mice treated with anti-PD-L1-DOX-R848-MIP-3α/TKNP increases the intratumoral infiltration of CD4 and CD8 T cells as well as enhance the level of circulating and tumor
                                                                                                                                                                                                                                                                                                                                                        +
                                                                                                                                                                                                                                                                                                                              +


                  infiltrated cytokine for better antitumor effect.




                                                                                                                                                                                                               Acknowledgement











                  This research was supported by the BK21 fourth program through the National Research Foundation (NRF) funded by the Ministry of Education of Korea.
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