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Photothermal Therapy in Combination with Immunotherapy to Inhibit Cancer Growth and Metastasis Jun Chen CAS Key Laboratory for Biomedical Effects of Nanomaterials and Nanosafety, Multi-disciplinary Research Division, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing, 100049, China. *Email: [email protected]. orthotopic MB49 bladder cancer in mice. Therefore, the Statement of Purpose: In this study, we report the design present study explored the feasibility and efficacy of of nanocarbon-based systems that combine photothermal CS@GO nano-delivery as a feasible system for sustained treatment with immunotherapy. We have developed delivery of the immune cytokine SA-GM-CSF by the chitosan-coated carbon nanotubes that assemble the GMintravesical route. A variety of thermosensitive CSF for photothermal immunotherapy in a orthotopic nanoparticles have been studied as vehicles for sustained mouse bladder cancer model. Post laser excitation, the drug delivery. Chitosan(CS)/graphene(GO) as SA-GMcarbon nanotubes-mediated photothermal CSF delivery has great advantanges, such as nontoxic, immunotherapy, compared with immunotherapy or degradation, storage effect and its thermal effect. To photothermal therapy alone, exhibits more potent innate validate the effectiveness of nano-delivery system for and adaptive immune responses, resulting in combined intravesical SA-GM-CSF, we explored its antitumor anticancer effects against primary tumors and metastatic effect, local and system immune therapeutic effects. First, tumors. the temperature of mice can be heated up to 42~45 ℃ or even higher, the bladder tumor cells are hyperthermia or Methods: Preparation and characterization of NPs directly killed. And our studies showed the intravesical (CS, CS@NGO): The CS@NGO NPs were prepared by CS@GO-SA-GM-CSF was better than SA-GM-CSF a nonsolvent counterion complexation method established alone in reducing the weight of tumors and prolonging the in the reference. Bioactivity assays of free and cell survival time. Moreover, the DC(CD11c+CD11b+ and membrane-bound SA-GM-CSF bifunctional fusion CD11c+CD86+), T cells subpopulation(CD4+and proteins: Flow cytometric analysis and bone marrow cell CD8+T) and natural killer cell(NK cells ) in CS@GOproliferation assays were performed to test the SA-GM-CSF group level have significantly increased. bifunctionality of SA-GM-CSF fusion protein. Therefore, mGM–CSF, DCs and T lymphocytes have a Intravesical immobilization of SA-GM-CSF/CS and close relationship with the antitumor response. MB49 SA-GM-CSF/CS@NGO fusion protein for cells can be identified and killed by CD4+and CD8+T immunotherapy of superficial bladder cancer: The lymphocytes. mouse orthotopic model of MB49 bladder cancer was used to evaluate the feasibility and efficacy of the novel immunotherapy through intravesical immobilization of SA-GM-CSF@CS and SA-GM-CSF/CS@NGO bifunctional fusion protein on the biotinylated mucosal surface of bladder wall. Cytokine detection: Serum samples were isolated from mice after various treatments and diluted for analysis. IL-1β (Dakewe biotech), tumor necrosis factor (TNF-α, Dakewe biotech), IL-12 (Dakewe biotech), and IL-6 (Dakewe biotech) were analyzed with ELISA kits according to vendors’ instructions. All measurements were carried out in triplicate. FCM analysis of immune effector cells in each treatment group tumor-bearing mice: The percentages of T lymphocytes (in blood and bladder) were investigated by FCM. The bladder were harvested from tumor-bearing mice and teased apart into single cell suspension by Figure 1. The different nano@SA-GM-CSF stimulate the pressing with plunger of a syringe. After washing by PBS recruitment and activation of innate and adaptive immune for twice, cells were stained with anti-mouse-CD4 APC, cells.(A) Flow cytometry plot of CD4+, anti-mouse-CD8aPE, anti-mouse-CD80 FITC, antiCD8+,CD11b+CD11c +,CD11c+CD86 +cells isolated mouse-CD86 PE, anti-mouse-CD11c FITC and antifrom bladder mouse-CD11b APC for 30 min at 4 ℃ according to the Conclusions: In conclusion, the immune adjuvant loaded manufacturer instructions. After washing by FACS (2% by multifunctional nanoparticles offers a new way for FBS) and filtering by a nylon membrane, cell samples bladder cancer treatment through intravesical therapy. were analyzed by FCM through FL 1, FL 2, FL 3 and FL The photothermal effect can boost the immuno-response 4 channel. and achieve better therapeutic efficacy. Results: Intravesical SA-GM-CSF delivery involves the direct administration of the SA-GM-CSF into the urinary bladder through a catheter and has been investigated for