Cancer cell-specific and pro-apoptotic SMAC peptide-doxorubicin conjugated prodrug encapsulated aposomes for synergistic cancer immunotherapy

Abstract Background Immunogenic cell death (ICD) is a crucial approach to turn immunosuppressive tumor microenvironment (ITM) into immune-responsive milieu and improve the response rate of immune checkpoint blockade (ICB) therapy. However, cancer cells show resistance to ICD-inducing chemotherapeuti...

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Main Authors: Jinseong Kim, Man Kyu Shim, Yujeong Moon, Jeongrae Kim, Hanhee Cho, Wan Su Yun, Nayeon Shim, Joon-Kyung Seong, Yonghyun Lee, Dong-Kwon Lim, Kwangmeyung Kim
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Journal of Nanobiotechnology
Subjects:
Online Access:https://doi.org/10.1186/s12951-024-02314-w
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author Jinseong Kim
Man Kyu Shim
Yujeong Moon
Jeongrae Kim
Hanhee Cho
Wan Su Yun
Nayeon Shim
Joon-Kyung Seong
Yonghyun Lee
Dong-Kwon Lim
Kwangmeyung Kim
author_facet Jinseong Kim
Man Kyu Shim
Yujeong Moon
Jeongrae Kim
Hanhee Cho
Wan Su Yun
Nayeon Shim
Joon-Kyung Seong
Yonghyun Lee
Dong-Kwon Lim
Kwangmeyung Kim
author_sort Jinseong Kim
collection DOAJ
description Abstract Background Immunogenic cell death (ICD) is a crucial approach to turn immunosuppressive tumor microenvironment (ITM) into immune-responsive milieu and improve the response rate of immune checkpoint blockade (ICB) therapy. However, cancer cells show resistance to ICD-inducing chemotherapeutic drugs, and non-specific toxicity of those drugs against immune cells reduce the immunotherapy efficiency. Methods Herein, we propose cancer cell-specific and pro-apoptotic liposomes (Aposomes) encapsulating second mitochondria-derived activator of caspases mimetic peptide (SMAC-P)-doxorubicin (DOX) conjugated prodrug to potentiate combinational ICB therapy with ICD. The SMAC-P (AVPIAQ) with cathepsin B-cleavable peptide (FRRG) was directly conjugated to DOX, and the resulting SMAC-P-FRRG-DOX prodrug was encapsulated into PEGylated liposomes. Results The SMAC-P-FRRG-DOX encapsulated PEGylated liposomes (Aposomes) form a stable nanostructure with an average diameter of 109.1 ± 5.14 nm and promote the apoptotic cell death mainly in cathepsin B-overexpressed cancer cells. Therefore, Aposomes induce a potent ICD in targeted cancer cells in synergy of SMAC-P with DOX in cultured cells. In colon tumor models, Aposomes efficiently accumulate in targeted tumor tissues via enhanced permeability and retention (EPR) effect and release the encapsulated prodrug of SMAC-P-FRRG-DOX, which is subsequently cleaved to SMAC-P and DOX in cancer cells. Importantly, the synergistic activity of inhibitors of apoptosis proteins (IAPs)-inhibitory SMAC-P sensitizing the effects of DOX induces a potent ICD in the cancer cells to promote dendritic cell (DC) maturation and stimulate T cell proliferation and activation, turning ITM into immune-responsive milieu. Conclusions Eventually, the combination of Aposomes with anti-PD-L1 antibody results in a high rate of complete tumor regression (CR: 80%) and also prevent the tumor recurrence by immunological memory established during treatments. Graphical Abstract
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spelling doaj.art-d7fec239545c4da894e316023dafcba62024-03-17T12:37:15ZengBMCJournal of Nanobiotechnology1477-31552024-03-0122111910.1186/s12951-024-02314-wCancer cell-specific and pro-apoptotic SMAC peptide-doxorubicin conjugated prodrug encapsulated aposomes for synergistic cancer immunotherapyJinseong Kim0Man Kyu Shim1Yujeong Moon2Jeongrae Kim3Hanhee Cho4Wan Su Yun5Nayeon Shim6Joon-Kyung Seong7Yonghyun Lee8Dong-Kwon Lim9Kwangmeyung Kim10College of Pharmacy, Graduate School of Pharmaceutical Sciences, Ewha Womans UniversityMedicinal Materials Research Center, Biomedical Research Division, Korea Institute of Science and Technology (KIST)Medicinal Materials Research Center, Biomedical Research Division, Korea Institute of Science and Technology (KIST)College of Pharmacy, Graduate School of Pharmaceutical Sciences, Ewha Womans UniversityCollege of Pharmacy, Graduate School of Pharmaceutical Sciences, Ewha Womans UniversityCollege of Pharmacy, Graduate School of Pharmaceutical Sciences, Ewha Womans UniversityCollege of Pharmacy, Graduate School of Pharmaceutical Sciences, Ewha Womans UniversityDepartment of Bioengineering, Korea UniversityCollege of Pharmacy, Graduate School of Pharmaceutical Sciences, Ewha Womans UniversityKU-KIST Graduate School of Converging Science and Technology, Korea UniversityCollege of Pharmacy, Graduate School of Pharmaceutical Sciences, Ewha Womans UniversityAbstract Background Immunogenic cell death (ICD) is a crucial approach to turn immunosuppressive tumor microenvironment (ITM) into immune-responsive milieu and improve the response rate of immune checkpoint blockade (ICB) therapy. However, cancer cells show resistance to ICD-inducing chemotherapeutic drugs, and non-specific toxicity of those drugs against immune cells reduce the immunotherapy efficiency. Methods Herein, we propose cancer cell-specific and pro-apoptotic liposomes (Aposomes) encapsulating second mitochondria-derived activator of caspases mimetic peptide (SMAC-P)-doxorubicin (DOX) conjugated prodrug to potentiate combinational ICB therapy with ICD. The SMAC-P (AVPIAQ) with cathepsin B-cleavable peptide (FRRG) was directly conjugated to DOX, and the resulting SMAC-P-FRRG-DOX prodrug was encapsulated into PEGylated liposomes. Results The SMAC-P-FRRG-DOX encapsulated PEGylated liposomes (Aposomes) form a stable nanostructure with an average diameter of 109.1 ± 5.14 nm and promote the apoptotic cell death mainly in cathepsin B-overexpressed cancer cells. Therefore, Aposomes induce a potent ICD in targeted cancer cells in synergy of SMAC-P with DOX in cultured cells. In colon tumor models, Aposomes efficiently accumulate in targeted tumor tissues via enhanced permeability and retention (EPR) effect and release the encapsulated prodrug of SMAC-P-FRRG-DOX, which is subsequently cleaved to SMAC-P and DOX in cancer cells. Importantly, the synergistic activity of inhibitors of apoptosis proteins (IAPs)-inhibitory SMAC-P sensitizing the effects of DOX induces a potent ICD in the cancer cells to promote dendritic cell (DC) maturation and stimulate T cell proliferation and activation, turning ITM into immune-responsive milieu. Conclusions Eventually, the combination of Aposomes with anti-PD-L1 antibody results in a high rate of complete tumor regression (CR: 80%) and also prevent the tumor recurrence by immunological memory established during treatments. Graphical Abstracthttps://doi.org/10.1186/s12951-024-02314-wAposomesCancer immunotherapyImmune checkpoint blockadePEGylated liposomeImmunogenic cell deathDrug resistance
spellingShingle Jinseong Kim
Man Kyu Shim
Yujeong Moon
Jeongrae Kim
Hanhee Cho
Wan Su Yun
Nayeon Shim
Joon-Kyung Seong
Yonghyun Lee
Dong-Kwon Lim
Kwangmeyung Kim
Cancer cell-specific and pro-apoptotic SMAC peptide-doxorubicin conjugated prodrug encapsulated aposomes for synergistic cancer immunotherapy
Journal of Nanobiotechnology
Aposomes
Cancer immunotherapy
Immune checkpoint blockade
PEGylated liposome
Immunogenic cell death
Drug resistance
title Cancer cell-specific and pro-apoptotic SMAC peptide-doxorubicin conjugated prodrug encapsulated aposomes for synergistic cancer immunotherapy
title_full Cancer cell-specific and pro-apoptotic SMAC peptide-doxorubicin conjugated prodrug encapsulated aposomes for synergistic cancer immunotherapy
title_fullStr Cancer cell-specific and pro-apoptotic SMAC peptide-doxorubicin conjugated prodrug encapsulated aposomes for synergistic cancer immunotherapy
title_full_unstemmed Cancer cell-specific and pro-apoptotic SMAC peptide-doxorubicin conjugated prodrug encapsulated aposomes for synergistic cancer immunotherapy
title_short Cancer cell-specific and pro-apoptotic SMAC peptide-doxorubicin conjugated prodrug encapsulated aposomes for synergistic cancer immunotherapy
title_sort cancer cell specific and pro apoptotic smac peptide doxorubicin conjugated prodrug encapsulated aposomes for synergistic cancer immunotherapy
topic Aposomes
Cancer immunotherapy
Immune checkpoint blockade
PEGylated liposome
Immunogenic cell death
Drug resistance
url https://doi.org/10.1186/s12951-024-02314-w
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