Depleting tumor-associated Tregs via nanoparticle-mediated hyperthermia to enhance anti-CTLA-4 immunotherapy

Nanomedicine (Lond). 2020 Jan;15(1):77-92. doi: 10.2217/nnm-2019-0190.

Abstract

Aim: We aim to demonstrate that a local nanoparticle-mediated hyperthermia can effectively eliminate tumor-associated Tregs and thereby boost checkpoint blockade-based immunotherapy. Materials & methods: Photothermal therapy (PTT), mediated with systemically administered stealthy iron-oxide nanoparticles, was applied to treat BALB/c mice bearing 4T1 murine breast tumors. Flow cytometry was applied to evaluate both Treg and CD8+ T-cell population. Tumor growth following combination therapy of both PTT and anti-CTLA-4 was further evaluated. Results: Our data reveal that tumor-associated Tregs can be preferentially depleted via iron-oxide nanoparticles-mediated PTT. When combining PTT with anti-CTLA-4 immunotherapy, we demonstrate a significant inhibition of syngeneic 4T1 tumor growth. Conclusion: This study offers a novel strategy to overcome Treg-mediated immunosuppression and thereby to boost cancer immunotherapy.

Keywords: Tregs; anti-CTLA-4 immunotherapy; immunosuppression; photothermal therapy; tumor microenvironment.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Breast Neoplasms / immunology
  • Breast Neoplasms / pathology
  • Breast Neoplasms / therapy*
  • CD8-Positive T-Lymphocytes / drug effects
  • CTLA-4 Antigen / antagonists & inhibitors
  • CTLA-4 Antigen / immunology*
  • Combined Modality Therapy
  • Disease Models, Animal
  • Female
  • Ferric Compounds / chemistry
  • Ferric Compounds / pharmacology
  • Humans
  • Hyperthermia, Induced / methods
  • Immune Tolerance / drug effects
  • Immune Tolerance / immunology
  • Immunotherapy*
  • Mice
  • Nanoparticles / chemistry
  • Phototherapy
  • T-Lymphocytes, Regulatory / immunology*
  • Tumor Microenvironment / drug effects

Substances

  • CTLA-4 Antigen
  • Ferric Compounds
  • ferric oxide