An immunosuppressive tumor microenvironment (TME) with
inadequate
and exhausted tumor-infiltrating cytotoxic lymphocytes and abundant
cellular immunosuppressors is the major obstacle responsible for the
poor efficacy of PD-1/PD-L1 (programmed cell death 1 and its ligand
1) immune checkpoint blockade (ICB) therapy. Herein, a Janus silica
nanoparticle (JSNP)-based immunomodulator is explored to reshape the
TME for boosting the therapeutic outcomes of αPD-L1 therapy.
The designed JSNP has two distinct domains, namely, an ultra pH-responsive
side (UPS), which could encapsulate PI3Kγ inhibitor IPI549 in
the pore structure, and a polycation-grafted intra-glutathione (GSH)-sensitive
side (IGS), which could absorb CXCL9 cDNA on the surface. The final
IPI549@UPS-IGS-PDMAEMA@CXCL9 cDNA (IUIPC) could release IPI549 in
weak acid TME to target myeloid-derived suppressor cells (MDSCs) to
reverse negative immunoregulation and then release CXCL9 cDNA in tumor
cells with abundant GSH for sustained CXCL9 chemokine expression and
secretion to improve cytotoxic lymphocyte recruitment signals, thereby
jointly restoring tumor sensitivity to PD-1/PD-L1 ICB therapy. As
expected, the IUIPC-mediated TME remodeling during αPD-L1 therapy
significantly ameliorated TME immunosuppression, as well as induced
potent systemic antitumor immune responses, which ultimately achieved
a robustly boosted antitumor efficacy proven by remarkable suppression
of primary tumor growth, obvious prevention of tumor recurrence, and
significant regression of abscopal tumors. Hence, the IUIPC-mediated
TME-regulating strategy provides an enormous perspective for the improvement
of PD-1/PD-L1 ICB therapy.