High expression of programmed death ligand 1 (PD-L1)
and strong
immune evasion ability of the tumor microenvironment (TME) are maintained
through mutual regulation between different immune and stromal cells,
which causes obstructions for cancer immunotherapy, especially immunosuppressive
M2-like phenotype tumor-associated macrophages (TAMs). Repolarization
of TAMs to the M1-like phenotype could secrete proinflammatory cytokines
and reverse the immunosuppressive state of the TME. However, we found
that reactive oxygen species (ROS) generated by repolarized TAMs could
be a double-edged sword: ROS cause a stronger suppressive effect on
CD8 T cells through an increased proportion of apoptotic regulatory
T (Treg) cells. Thus, simply repolarizing TAMs while ignoring the
suppressed function of T cells is insufficient for generating adequate
antitumor immunity. Accordingly, we engineered multifunctional redox-responsive
nanoplatform NPs (M+C+siPD-L1) with Toll-like receptor agonist (M),
catalase (C), and siPD-L1 encased for coregulation of both TAMs and
T cells to maximize cancer immunotherapy. Our results demonstrated
that NPs (M+C+siPD-L1) showed superior biocompatibility and intratumor
accumulation. For in vitro experiments, NPs (M+C+siPD-L1)
simultaneously repolarized TAMs to the M1-like phenotype, hydrolyzed
extra ROS, knocked down the expression of PD-L1 on tumor cells, and
rescued the function of CD8 T cells suppressed by Treg cells. In both
orthotopic Hepa1-6 and 4T1 tumor-bearing mouse models, NPs (M+C+siPD-L1)
could effectively evoke active systemic antitumor immunity and inhibit
tumor growth. The combination of repolarizing TAMs, hydrolyzing extra
ROS, and knocking down the expression of PD-L1 proves to be a synergistic
approach in cancer immunotherapy.