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Photodynamic Therapy Mediated by Nontoxic Core-Shell Nanoparticles Synergizes with Immune Checkpoint Blockade To Elicit Antitumor Immunity and Antimetastatic Effect on Breast Cancer.

Abstract
An effective, nontoxic, tumor-specific immunotherapy is the ultimate goal in the battle against cancer, especially the metastatic disease. Checkpoint blockade-based immunotherapies have been shown to be extraordinarily effective but benefit only the minority of patients whose tumors have been pre-infiltrated by T cells. Here, we show that Zn-pyrophosphate (ZnP) nanoparticles loaded with the photosensitizer pyrolipid (ZnP@pyro) can kill tumor cells upon irradiation with light directly by inducing apoptosis and/or necrosis and indirectly by disrupting tumor vasculature and increasing tumor immunogenicity. Furthermore, immunogenic ZnP@pyro photodynamic therapy (PDT) treatment sensitizes tumors to checkpoint inhibition mediated by a PD-L1 antibody, not only eradicating the primary 4T1 breast tumor but also significantly preventing metastasis to the lung. The abscopal effects on both 4T1 and TUBO bilateral syngeneic mouse models further demonstrate that ZnP@pyro PDT treatment combined with anti-PD-L1 results in the eradication of light-irradiated primary tumors and the complete inhibition of untreated distant tumors by generating a systemic tumor-specific cytotoxic T cell response. These findings indicate that nanoparticle-mediated PDT can potentiate the systemic efficacy of checkpoint blockade immunotherapies by activating the innate and adaptive immune systems in tumor microenvironment.
AuthorsXiaopin Duan, Christina Chan, Nining Guo, Wenbo Han, Ralph R Weichselbaum, Wenbin Lin
JournalJournal of the American Chemical Society (J Am Chem Soc) Vol. 138 Issue 51 Pg. 16686-16695 (12 28 2016) ISSN: 1520-5126 [Electronic] United States
PMID27976881 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Diphosphates
  • Lipids
  • Photosensitizing Agents
  • Chlorophyll
  • pyropheophorbide a
  • diphosphoric acid
  • Zinc
Topics
  • Animals
  • Apoptosis (drug effects, radiation effects)
  • Breast Neoplasms (immunology, pathology, therapy)
  • Cell Line, Tumor
  • Chlorophyll (analogs & derivatives, chemistry)
  • Combined Modality Therapy
  • Diphosphates (chemistry)
  • Humans
  • Immunotherapy
  • Light
  • Lipids (chemistry)
  • Lung Neoplasms (prevention & control, secondary)
  • Mice
  • Nanoparticles (chemistry)
  • Necrosis
  • Neoplasm Metastasis
  • Photochemotherapy
  • Photosensitizing Agents (chemistry, pharmacology, therapeutic use)
  • Zinc (chemistry)

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