Abstract
Objectives
This study investigated the potential of combining PTT with dendritic cell (DC)-based immunotherapy and anti-PD-L1 immune checkpoint blockade (ICB) therapy against colorectal cancer and elucidated the underlying mechanisms.
Methods
The CT26 tumour-bearing mice were divided into seven treatment groups: control, atezolizumab (A), dendritic cells (DC), pAuNSs-mediated PTT (PTT), PTT combined with atezolizumab (PTT + A), PTT combined with dendritic cells (PTT + DC), and PTT combined with dendritic cells and atezolizumab (PTT + DC + A). Therapeutic efficacy was monitored.
Results
PTT upregulated most immune cell membrane receptor genes, including PD-L1, and downregulated genes associated with antigen presentation and T cell activation. Although the PTT + A and PTT + DC treatments showed partial tumour growth retardation, the combination of PTT with DCs and atezolizumab (PTT + DC + A) exhibited the most significant antitumour effect, with a complete remission rate of 50% and prolonged survival. On day 14, tumour samples from non-responsive mice revealed insufficient recruitment of T cells as the reason for uncured tumours. Notably, mice cured with PTT + DC and PTT + DC + A treatments showed no detectable lung nodules.
Conclusion
This study demonstrated that the combination of PTT with DC-based immunotherapy and atezolizumab effectively overcomes the non-sensitive nature of CT26 tumours. These findings highlight the potential of this combination approach for colorectal cancer treatment.
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Data availability
All data generated and analysed during the current study are available from the corresponding author on reasonable request.
References
Hoydahl O, Edna TH, Xanthoulis A, Lydersen S, Endreseth BH. Long-term trends in colorectal cancer: incidence, localization, and presentation. BMC Cancer. 2020;20:1077. https://doi.org/10.1186/s12885-020-07582-x
Malietzis G, Lee GH, Jenkins JT, Bernardo D, Moorghen M, Knight SC, et al. Prognostic value of the tumour-infiltrating dendritic cells in colorectal cancer: a systematic review. Cell Commun Adhes. 2015;22:9–14. https://doi.org/10.3109/15419061.2015.1036859
Schroder K, Hertzog PJ, Ravasi T, Hume DA. Interferon-gamma: an overview of signals, mechanisms and functions. J Leukoc Biol. 2004;75:163–89. https://doi.org/10.1189/jlb.0603252
Garg AD, Vara Perez M, Schaaf M, Agostinis P, Zitvogel L, Kroemer G, et al. Trial watch: dendritic cell-based anticancer immunotherapy. Oncoimmunology. 2017;6:e1328341. https://doi.org/10.1080/2162402X.2017.1328341
Gessani S, Belardelli F. Immune dysfunctions and immunotherapy in colorectal cancer: the role of dendritic cells. Cancers. 2019;11:1491. https://doi.org/10.3390/cancers11101491
Palucka K, Banchereau J. Cancer immunotherapy via dendritic cells. Nat Rev Cancer. 2012;12:265–77. https://doi.org/10.1038/nrc3258
Gabrilovich D. Mechanisms and functional significance of tumour-induced dendritic-cell defects. Nat Rev Immunol. 2004;4:941–52. https://doi.org/10.1038/nri1498
Vaddepally RK, Kharel P, Pandey R, Garje R, Chandra AB. Review of indications of FDA-approved immune checkpoint inhibitors per NCCN guidelines with the level of evidence. Cancers. 2020;12:738. https://doi.org/10.3390/cancers12030738
Yaghoubi N, Soltani A, Ghazvini K, Hassanian SM, Hashemy SI. PD-1/ PD-L1 blockade as a novel treatment for colorectal cancer. Biomed Pharmacother. 2019;110:312–8. https://doi.org/10.1016/j.biopha.2018.11.105
Tintelnot J, Stein A. Immunotherapy in colorectal cancer: available clinical evidence, challenges and novel approaches. World J Gastroenterol. 2019;25:3920–8. https://doi.org/10.3748/wjg.v25.i29.3920
Cohen R, Rousseau B, Vidal J, Colle R, Diaz LA Jr, Andre T. Immune checkpoint inhibition in colorectal cancer: microsatellite instability and beyond. Target Oncol. 2020;15:11–24. https://doi.org/10.1007/s11523-019-00690-0
Peng Q, Qiu X, Zhang Z, Zhang S, Zhang Y, Liang Y, et al. PD-L1 on dendritic cells attenuates T cell activation and regulates response to immune checkpoint blockade. Nat Commun. 2020;11:4835. https://doi.org/10.1038/s41467-020-18570-x
Huang L, Li Y, Du Y, Zhang Y, Wang X, Ding Y, et al. Mild photothermal therapy potentiates anti-PD-L1 treatment for immunologically cold tumors via an all-in-one and all-in-control strategy. Nat Commun. 2019;10:4871. https://doi.org/10.1038/s41467-019-12771-9
Huang TY, Huang GL, Zhang CY, Zhuang BW, Liu BX, Su LY, et al. Supramolecular photothermal nanomedicine mediated distant tumor inhibition via PD-1 and TIM-3 blockage. Front Chem. 2020;8:1. https://doi.org/10.3389/fchem.2020.00001
Chen CC, Chang DY, Li JJ, Chan HW, Chen JT, Chang CH, et al. Investigation of biodistribution and tissue penetration of PEGylated gold nanostars and their application for photothermal cancer treatment in tumor-bearing mice. J Mater Chem B. 2020;8:65–77. https://doi.org/10.1039/c9tb02194a
Aboeleneen SB, Scully MA, Harris JC, Sterin EH, Day ES. Membrane-wrapped nanoparticles for photothermal cancer therapy. Nano Converg. 2022;9:37. https://doi.org/10.1186/s40580-022-00328-4
Kuo WY, Lin JJ, Hsu HJ, Chen HS, Yang AS, Wu CY. Noninvasive assessment of characteristics of novel anti-HER2 antibodies by molecular imaging in a human gastric cancer xenograft-bearing mouse model. Sci Rep. 2018;8:13735. https://doi.org/10.1038/s41598-018-32094-x
Lin YY, Chang CH, Li JJ, Stabin MG, Chang YJ, Chen LC, et al. Pharmacokinetics and dosimetry of (111)In/(188)Re-labeled PEGylated liposomal drugs in two colon carcinoma-bearing mouse models. Cancer Biother Radiopharm. 2011;26:373–80. https://doi.org/10.1089/cbr.2010.0906
Chen CC, Li JJ, Guo NH, Chang DY, Wang CY, Chen JT, et al. Evaluation of the biological behavior of a gold nanocore-encapsulated human serum albumin nanoparticle (Au@HSANP) in a CT-26 tumor/ascites mouse model after intravenous/intraperitoneal administration. Int J Mol Sci. 2019;20:217. https://doi.org/10.3390/ijms20010217
Tsang Y-W, Huang C-C, Yang K-L, Chi M-S, Chiang H-C, Wang Y-S, et al. Improving immunological tumor microenvironment using electro-hyperthermia followed by dendritic cell immunotherapy. BMC Cancer. 2015;15:708. https://doi.org/10.1186/s12885-015-1690-2
Guo R, Wang S, Zhao L, Zong Q, Li T, Ling G, et al. Engineered nanomaterials for synergistic photo-immunotherapy. Biomaterials. 2022;282:121425. https://doi.org/10.1016/j.biomaterials.2022.121425
Chatterjee H, Rahman DS, Sengupta M, Ghosh SK. Gold nanostars in plasmonic photothermal therapy: the role of tip heads in the thermoplasmonic landscape. J Phys Chem C. 2018;122:13082–94. https://doi.org/10.1021/acs.jpcc.8b00388
Fabris L. Gold nanostars in biology and medicine: understanding physicochemical properties to broaden applicability. J Phys Chem C. 2020;124:26540–53. https://doi.org/10.1021/acs.jpcc.0c08460
Lin MY, Hsieh HH, Chen JC, Chen CL, Sheu NC, Huang WS, et al. Brachytherapy approach using (177)Lu conjugated gold nanostars and evaluation of biodistribution, tumor retention, dosimetry and therapeutic efficacy in head and neck tumor model. Pharmaceutics. 2021;13:1903. https://doi.org/10.3390/pharmaceutics13111903
Mukhopadhaya A, Mendecki J, Dong X, Liu L, Kalnicki S, Garg M, et al. Localized hyperthermia combined with intratumoral dendritic cells induces systemic antitumor immunity. Cancer Res. 2007;67:7798–806. https://doi.org/10.1158/0008-5472.CAN-07-0203
Kugelberg E. Infection: Interferons suppress antibody responses. Nat Rev Immunol. 2016;16:720–1. https://doi.org/10.1038/nri.2016.128
Wiernicki B, Maschalidi S, Pinney J, Adjemian S, Vanden Berghe T, Ravichandran KS, et al. Cancer cells dying from ferroptosis impede dendritic cell-mediated anti-tumor immunity. Nat Commun. 2022;13:3676. https://doi.org/10.1038/s41467-022-31218-2
Xu C, Jiang Y, Han Y, Pu K, Zhang R. A polymer multicellular nanoengager for synergistic NIR-II photothermal immunotherapy. Adv Mater. 2021;33:e2008061. https://doi.org/10.1002/adma.202008061
Overman MJ, Lonardi S, Wong KYM, Lenz HJ, Gelsomino F, Aglietta M, et al. Durable clinical benefit with nivolumab plus ipilimumab in DNA mismatch repair-deficient/microsatellite instability-high metastatic colorectal cancer. J Clin Oncol. 2018;36:773–9. https://doi.org/10.1200/JCO.2017.76.9901
Ho WW, Gomes-Santos IL, Aoki S, Datta M, Kawaguchi K, Talele NP, et al. Dendritic cell paucity in mismatch repair-proficient colorectal cancer liver metastases limits immune checkpoint blockade efficacy. Proc Natl Acad Sci USA. 2021;118:e2105323118. https://doi.org/10.1073/pnas.2105323118
Castle JC, Loewer M, Boegel S, de Graaf J, Bender C, Tadmor AD, et al. Immunomic, genomic and transcriptomic characterization of CT26 colorectal carcinoma. BMC Genomics. 2014;15:190. https://doi.org/10.1186/1471-2164-15-190
Zhou Z, Jiang N, Chen J, Zheng C, Guo Y, Ye R, et al. Selectively down-regulated PD-L1 by albumin-phenformin nanoparticles mediated mitochondrial dysfunction to stimulate tumor-specific immunological response for enhanced mild-temperature photothermal efficacy. J Nanobiotechnol. 2021;19:375. https://doi.org/10.1186/s12951-021-01124-8
Binnewies M, Roberts EW, Kersten K, Chan V, Fearon DF, Merad M, et al. Understanding the tumor immune microenvironment (TIME) for effective therapy. Nat Med. 2018;24:541–50. https://doi.org/10.1038/s41591-018-0014-x
Masugi Y, Nishihara R, Yang J, Mima K, da Silva A, Shi Y, et al. Tumour CD274 (PD-L1) expression and T cells in colorectal cancer. Gut. 2017;66:1463–73. https://doi.org/10.1136/gutjnl-2016-311421
Liu Y, Maccarini P, Palmer GM, Etienne W, Zhao Y, Lee CT, et al. Synergistic immuno photothermal nanotherapy (SYMPHONY) for the treatment of unresectable and metastatic cancers. Sci Rep. 2017;7:8606. https://doi.org/10.1038/s41598-017-09116-1
Oh SA, Wu DC, Cheung J, Navarro A, Xiong H, Cubas R, et al. PD-L1 expression by dendritic cells is a key regulator of T-cell immunity in cancer. Nat Cancer. 2020;1:681–91. https://doi.org/10.1038/s43018-020-0075-x
Acknowledgements
The authors acknowledge the technical supports provided by Imaging and Flow cytometry Core Facility of National Yang Ming Chiao Tung University (Taipei, Taiwan) and Laboratory Animal Center, Chang Gung Memorial Hospital (Linkou, Taiwan).
Funding
The authors thank the financial support from National Sciences and Technology Council, Taiwan (MOST 109-2314-B-010-066, MOST 111-2623-E-A49-004-NU, and NSTC 112-2623-E-A49-006-NU).
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H-HH: writing—original draft, investigation, methodology, software, formal analysis, data curation, visualisation; C-LC: resources, funding acquisition, project administration; H-WC: investigation, methodology; K-HC: supervision; C-YW: writing—review and editing, funding acquisition, supervision, validation, conceptualisation.
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Animal studies were approved by the Institutional Animal Care and Use Committee, National Yang Ming Chiao Tung University, Taipei, Taiwan (Nos. 1100429 and 1101009).
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Hsieh, HH., Chen, CL., Chan, HW. et al. Enhanced antitumour response of gold nanostar-mediated photothermal therapy in combination with immunotherapy in a mouse model of colon carcinoma. Br J Cancer 130, 406–416 (2024). https://doi.org/10.1038/s41416-023-02537-y
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DOI: https://doi.org/10.1038/s41416-023-02537-y