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author:

Mao, Qianqian (Mao, Qianqian.) [1] | Min, Juan (Min, Juan.) [2] | Zeng, Rui (Zeng, Rui.) [3] | Liu, Haiqin (Liu, Haiqin.) [4] | Li, Hao (Li, Hao.) [5] | Zhang, Cao (Zhang, Cao.) [6] | Zheng, Aixian (Zheng, Aixian.) [7] | Lin, Jiumao (Lin, Jiumao.) [8] | Liu, Xiaolong (Liu, Xiaolong.) [9] | Wu, Ming (Wu, Ming.) [10]

Indexed by:

SCIE

Abstract:

Colorectal cancer (CRC), mostly categorized as a low immunogenic microsatellite-stable phenotype bearing complex immunosuppressive tumor microenvironment (TME), is highly resistant to immunotherapy. Seeking safe and efficient alternatives aimed at modulating tumor immunosuppressive TME to improve outcome of CRC is highly anticipated yet remains challenging. Methods: Enlightened from the drug complementary art in traditional Chinese medicine, we designed a self-assembled nanomedicine (termed LNT-UA) by the natural active ingredients of ursolic acid (UA) and lentinan (LNT) through a simple nano-precipitation method, without any extra carriers, for CRC immunotherapy. Results: UA induces immunogenic cell death (ICD), while LNT further promotes dendritic cell (DC) maturation and repolarizes tumor-associated macrophage (TAM) from a protumorigenic M2 to an antitumor M1 phenotype. Co-delivery of UA and LNT by LNT-UA effectively reshapes the immunosuppressive TME and mobilizes innate and adaptive immunity to inhibit tumor progression in the CT26 CRC tumor model. Following the principle of integrative theoretical system of traditional Chinese medicine (TCM) on overall regulation, the further combination of LNT-UA and anti-CD47 antibody (aCD47) would reinforce the antitumor immunity by promoting phagocytosis of dying tumor cells and tumor-associated antigens (TAAs), leading to effective suppression of both primary and distant tumor growth with 2.2-fold longer of median survival time in the bilateral tumor model. Most notably, this combination effect is also observed in the spontaneous CRC model induced by chemical carcinogens, with much less and smaller size of tumor nodules after sequential administration of LNT-UA and aCD47 through gavage and intraperitoneal injection, respectively. Conclusions: This study provides a promising self-assembled traditional Chinese nanomedicine to improve immunotherapy for CRC, which might be applicable for future clinical translation.

Keyword:

colorectal cancer immunotherapy lentinan traditional Chinese nanomedicine ursolic acid

Community:

  • [ 1 ] [Mao, Qianqian]Fujian Med Univ, Mengchao Hepatobiliary Hosp, United Innovat Mengchao Hepatobiliary Technol Key, Fuzhou 350025, Peoples R China
  • [ 2 ] [Zeng, Rui]Fujian Med Univ, Mengchao Hepatobiliary Hosp, United Innovat Mengchao Hepatobiliary Technol Key, Fuzhou 350025, Peoples R China
  • [ 3 ] [Li, Hao]Fujian Med Univ, Mengchao Hepatobiliary Hosp, United Innovat Mengchao Hepatobiliary Technol Key, Fuzhou 350025, Peoples R China
  • [ 4 ] [Zhang, Cao]Fujian Med Univ, Mengchao Hepatobiliary Hosp, United Innovat Mengchao Hepatobiliary Technol Key, Fuzhou 350025, Peoples R China
  • [ 5 ] [Zheng, Aixian]Fujian Med Univ, Mengchao Hepatobiliary Hosp, United Innovat Mengchao Hepatobiliary Technol Key, Fuzhou 350025, Peoples R China
  • [ 6 ] [Liu, Xiaolong]Fujian Med Univ, Mengchao Hepatobiliary Hosp, United Innovat Mengchao Hepatobiliary Technol Key, Fuzhou 350025, Peoples R China
  • [ 7 ] [Wu, Ming]Fujian Med Univ, Mengchao Hepatobiliary Hosp, United Innovat Mengchao Hepatobiliary Technol Key, Fuzhou 350025, Peoples R China
  • [ 8 ] [Mao, Qianqian]Fujian Univ Tradit Chinese Med, Acad Integrat Med, Fuzhou 350122, Peoples R China
  • [ 9 ] [Liu, Haiqin]Fujian Univ Tradit Chinese Med, Acad Integrat Med, Fuzhou 350122, Peoples R China
  • [ 10 ] [Lin, Jiumao]Fujian Univ Tradit Chinese Med, Acad Integrat Med, Fuzhou 350122, Peoples R China
  • [ 11 ] [Min, Juan]Chinese Acad Sci, Wuhan Inst Virol, Wuhan 430071, Peoples R China
  • [ 12 ] [Zeng, Rui]Fuzhou Univ, Mengchao Med X Ctr, Fuzhou 350116, Peoples R China
  • [ 13 ] [Li, Hao]Fuzhou Univ, Mengchao Med X Ctr, Fuzhou 350116, Peoples R China
  • [ 14 ] [Zhang, Cao]Fuzhou Univ, Mengchao Med X Ctr, Fuzhou 350116, Peoples R China
  • [ 15 ] [Zheng, Aixian]Fuzhou Univ, Mengchao Med X Ctr, Fuzhou 350116, Peoples R China
  • [ 16 ] [Liu, Xiaolong]Fuzhou Univ, Mengchao Med X Ctr, Fuzhou 350116, Peoples R China
  • [ 17 ] [Wu, Ming]Fuzhou Univ, Mengchao Med X Ctr, Fuzhou 350116, Peoples R China
  • [ 18 ] [Mao, Qianqian]Fujian Univ Tradit Chinese Med, Fujian Key Lab Integrat Med Geriatr, Fuzhou 350122, Fujian, Peoples R China
  • [ 19 ] [Lin, Jiumao]Fujian Univ Tradit Chinese Med, Fujian Key Lab Integrat Med Geriatr, Fuzhou 350122, Fujian, Peoples R China

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Source :

THERANOSTICS

ISSN: 1838-7640

Year: 2022

Issue: 14

Volume: 12

Page: 6088-6105

1 2 . 4

JCR@2022

1 2 . 4 0 0

JCR@2023

ESI Discipline: CLINICAL MEDICINE;

ESI HC Threshold:52

JCR Journal Grade:1

CAS Journal Grade:1

Cited Count:

WoS CC Cited Count: 33

SCOPUS Cited Count: 37

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 1

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