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Boosting anti-PD-1 therapy with metformin-loaded macrophage-derived microparticles.

Zhaohan WeiXiaoqiong ZhangTuying YongNana BieGuiting ZhanXin LiQingle LiangJianye LiJingjing YuGang HuangYuchen YanZelong ZhangBixiang ZhangLu GanBo HuangXiangliang Yang
Published in: Nature communications (2021)
The main challenges for programmed cell death 1(PD-1)/PD-1 ligand (PD-L1) checkpoint blockade lie in a lack of sufficient T cell infiltration, tumor immunosuppressive microenvironment, and the inadequate tumor accumulation and penetration of anti-PD-1/PD-L1 antibody. Resetting tumor-associated macrophages (TAMs) is a promising strategy to enhance T-cell antitumor immunity and ameliorate tumor immunosuppression. Here, mannose-modified macrophage-derived microparticles (Man-MPs) loading metformin (Met@Man-MPs) are developed to efficiently target to M2-like TAMs to repolarize into M1-like phenotype. Met@Man-MPs-reset TAMs remodel the tumor immune microenvironment by increasing the recruitment of CD8+ T cells into tumor tissues and decreasing immunosuppressive infiltration of myeloid-derived suppressor cells and regulatory T cells. More importantly, the collagen-degrading capacity of Man-MPs contributes to the infiltration of CD8+ T cells into tumor interiors and enhances tumor accumulation and penetration of anti-PD-1 antibody. These unique features of Met@Man-MPs contribute to boost anti-PD-1 antibody therapy, improving anticancer efficacy and long-term memory immunity after combination treatment. Our results support Met@Man-MPs as a potential drug to improve tumor resistance to anti-PD-1 therapy.
Keyphrases
  • regulatory t cells
  • stem cells
  • tyrosine kinase
  • gene expression
  • working memory
  • induced apoptosis
  • cell proliferation
  • risk assessment