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Alpha radionuclide-chelated radioimmunotherapy promoters enable local radiotherapy/chemodynamic therapy to discourage cancer progression

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机构: [1]Department of Nuclear Medicine, Shanghai Tenth People’s Hospital, TongjiUniversity School of Medicine, No. 301 Yan‑chang‑zhong Road, Shanghai200072, People’s Republic of China [2]Institute of Nuclear Medicine, TongjiUniversity School of Medicine, No. 301 Yan‑chang‑zhong Road, Shanghai200072, People’s Republic of China [3]Department of Medical Ultrasoundand Central Laboratory, Ultrasound Research and Education Institute,Shanghai Tenth People’s Hospital, Tongji University School of Medicine, No.301 Yan‑chang‑zhong Road, Shanghai 200072, People’s Republic of China [4]Key Laboratory of Radiation Physics and Technology of the Ministry of Education,Institute of Nuclear Science and Technology, Sichuan University,Chengdu 610064, People’s Republic of China.
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Astatine-211 is an α-emitter with high-energy α-ray and high cytotoxicity for cancer cells. However, the targeted alpha therapy (TAT) also suffers from insufficient systematic immune activation, resulting in tumor metastasis and relapse. Combined immune checkpoint blockade (ICB) with chemodynamic therapy (CDT) could boost antitumor immunity, which may magnify the immune responses of TAT. This study aims to discourage tumor metastasis and relapse by tri-model TAT-CDT-ICB strategy.We successfully designed Mn-based radioimmunotherapy promoters (211At-ATE-MnO2-BSA), which are consisting of 211At, MnO2 and bovine serum albumin (BSA). The efficacy of 211At-ATE-MnO2-BSA was studied as monotherapy or in combination with anti-PD-L1 in both metastatic and relapse models. The immune effects of radioimmunotherapy promoters on cytotoxic T lymphocytes and dendritic cells (DCs) were analyzed by flow cytometry. Enzyme-linked immunosorbent assay and immunofluorescence were used to explore the underlying mechanism.Such radioimmunotherapy promoters could not only enhance the therapeutic outcomes of TAT and CDT, but also induce robust anti-cancer immune activity by activating dendritic cells. More intriguingly, 211At-ATE-MnO2-BSA could effectively suppress the growths of primary tumors and distant tumors when combined with immune checkpoint inhibitors.The tri-model TAT-CDT-ICB strategy provides a long-term immunological memory, which can protect against tumor rechallenge after eliminating original tumors. Therefore, this work presents a novel approach for TAT-CDT-ICB tri-modal cancer therapy with repressed metastasis and relapse in clinics.© 2022. The Author(s).

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出版当年[2022]版:
大类 | 2 区 工程技术
小类 | 2 区 材料科学:生物材料 2 区 工程:生物医学
最新[2023]版:
大类 | 1 区 医学
小类 | 2 区 工程:生物医学 2 区 材料科学:生物材料
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第一作者机构: [1]Department of Nuclear Medicine, Shanghai Tenth People’s Hospital, TongjiUniversity School of Medicine, No. 301 Yan‑chang‑zhong Road, Shanghai200072, People’s Republic of China [2]Institute of Nuclear Medicine, TongjiUniversity School of Medicine, No. 301 Yan‑chang‑zhong Road, Shanghai200072, People’s Republic of China [3]Department of Medical Ultrasoundand Central Laboratory, Ultrasound Research and Education Institute,Shanghai Tenth People’s Hospital, Tongji University School of Medicine, No.301 Yan‑chang‑zhong Road, Shanghai 200072, People’s Republic of China
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通讯机构: [1]Department of Nuclear Medicine, Shanghai Tenth People’s Hospital, TongjiUniversity School of Medicine, No. 301 Yan‑chang‑zhong Road, Shanghai200072, People’s Republic of China [2]Institute of Nuclear Medicine, TongjiUniversity School of Medicine, No. 301 Yan‑chang‑zhong Road, Shanghai200072, People’s Republic of China [3]Department of Medical Ultrasoundand Central Laboratory, Ultrasound Research and Education Institute,Shanghai Tenth People’s Hospital, Tongji University School of Medicine, No.301 Yan‑chang‑zhong Road, Shanghai 200072, People’s Republic of China
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