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Gemcitabine and doxorubicin in immunostimulatory monophosphoryl lipid A liposomes for treating breast cancer

机译:吉西他滨和多柔比星在免疫刺激性单磷虾脂质治疗乳腺癌的脂质体

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Cancer therapy is increasingly shifting toward targeting the tumor immune microenvironment and influencing populations of tumor infiltrating lymphocytes. Breast cancer presents a unique challenge as tumors of the triple‐negative breast cancer subtype employ a multitude of immunosilencing mechanisms that promote immune evasion and rapid growth. Treatment of breast cancer with chemotherapeutics has been shown to induce underlying immunostimulatory responses that can be further amplified with the addition of immune‐modulating agents. Here, we investigate the effects of combining doxorubicin (DOX) and gemcitabine (GEM), two commonly used chemotherapeutics, with monophosphoryl lipid A (MPLA), a clinically used TLR4 adjuvant derived from liposaccharides. MPLA was incorporated into the lipid bilayer of liposomes loaded with a 1:1 molar ratio of DOX and GEM to create an intravenously administered treatment. In vivo studies indicated excellent efficacy of both GEM‐DOX liposomes and GEM‐DOX‐MPLA liposomes against 4T1 tumors. In vitro and in vivo results showed increased dendritic cell expression of CD86 in the presence of liposomes containing chemotherapeutics and MPLA. Despite this, a tumor rechallenge study indicated little effect on tumor growth upon rechallenge, indicating the lack of a long‐term immune response. GEM/DOX/MPLA‐L displayed remarkable control of the primary tumor growth and can be further explored for the treatment of triple‐negative breast cancer with other forms of immunotherapy.
机译:癌症治疗越来越偏转靶向肿瘤免疫微环境和影响肿瘤浸润淋巴细胞的群体。乳腺癌呈现出独特的挑战,因为三阴性乳腺癌亚型的肿瘤采用众多免疫抑制机制,可促进免疫逃避和快速生长。已经显示使用化学治疗方法治疗乳腺癌,诱导底层免疫刺激反应,其可以通过添加免疫调节剂进一步扩增。在这里,我们研究了组合多柔比星(DOX)和吉西他滨(GEM),两种常用的化学治疗剂的效果,用单磷虾脂A(MPLA),源自脂质糖的临床使用的TLR4佐剂。将MPLA掺入装载1:1摩尔比的DOX和GEM的脂质体的脂质化体中以产生静脉内施用的处理。体内研究表明,Gem-Dox脂质体和Gem-Dox-MPLA脂质体对4T1肿瘤的优异功效。体外和体内结果表明CD86在含有化学治疗剂和MPLA的脂质体存在下增加CD86的树突状细胞表达。尽管如此,肿瘤重新检查研究表明对重组后对肿瘤生长的影响很小,表明缺乏长期免疫应答。 GEM / DOX / MPLA-L显示出对原发性肿瘤生长的显着控制,可以进一步探索以其他形式的免疫疗法治疗三阴性乳腺癌。

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