Cyclooxygenase-2/prostaglandin E2 inhibition remodulated photodynamic therapy-associated immunosuppression for enhanced cancer immunotherapy

Low immunogenicity and immunosuppressive tumor microenvironment (TME) are two pivotal factors restricting tumor immunotherapy. Photodynamic therapy (PDT) directly destroys cancer cells by producing reactive oxygen species (ROS), and enhances the immunogenicity of ''cold'' tumors...

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Main Authors: Tao Xu, Kehan Liu, Shuqi Mi, Yao Yao, Mengyao Zhang, Shujuan Xue, Feng Zhi, Sally-Ann Cryan, Dawei Ding
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Materials Today Bio
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590006425000882
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author Tao Xu
Kehan Liu
Shuqi Mi
Yao Yao
Mengyao Zhang
Shujuan Xue
Feng Zhi
Sally-Ann Cryan
Dawei Ding
author_facet Tao Xu
Kehan Liu
Shuqi Mi
Yao Yao
Mengyao Zhang
Shujuan Xue
Feng Zhi
Sally-Ann Cryan
Dawei Ding
author_sort Tao Xu
collection DOAJ
description Low immunogenicity and immunosuppressive tumor microenvironment (TME) are two pivotal factors restricting tumor immunotherapy. Photodynamic therapy (PDT) directly destroys cancer cells by producing reactive oxygen species (ROS), and enhances the immunogenicity of ''cold'' tumors by inducing immunogenic cell death (ICD), thereby promoting T cell development against tumors. However, PDT also deteriorates immunosuppression through overactivating the cyclooxygenase-2/prostaglandin E2 (COX-2/PGE2) pathway. To this end, biocompatible albumin nanoassemblies co-delivering IR780 and diclofenac are herein developed for enhanced therapy against triple-negative breast cancer. PDT-exacerbated PGE2 overexpression is effectively abolished by diclofenac-mediated COX-2 inhibition, which reprograms immunosuppressive TME via downregulating the infiltration of various immunosuppressive cells and their cytokine secretion to enhance effector T cell infiltration. Consequently, the enhanced antitumor immunity effectively inhibits tumor growth, prevents the recurrency and metastasis, and remarkably boosts the treatment efficacy of PD-L1 blockade. This study sets an intriguing example for overcoming the COX-2/PGE2 pathway-exacerbated immunosuppression alongside immune activation, thus enhancing synergistic cancer immunotherapy potentiated by various ROS-producing therapies (e.g., PDT and radiotherapy) and chemotherapy.
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spelling doaj-art-79f8dd1f64f84494b72834fec3eb7b972025-02-06T05:12:40ZengElsevierMaterials Today Bio2590-00642025-04-0131101530Cyclooxygenase-2/prostaglandin E2 inhibition remodulated photodynamic therapy-associated immunosuppression for enhanced cancer immunotherapyTao Xu0Kehan Liu1Shuqi Mi2Yao Yao3Mengyao Zhang4Shujuan Xue5Feng Zhi6Sally-Ann Cryan7Dawei Ding8College of Pharmaceutical Sciences, Soochow University, Suzhou, 215123, China; School of Pharmacy and Biomolecular Sciences, Royal College of Surgeons in Ireland (RCSI), Dublin, D02 YN77, IrelandCollege of Pharmaceutical Sciences, Soochow University, Suzhou, 215123, ChinaCollege of Pharmaceutical Sciences, Soochow University, Suzhou, 215123, ChinaDepartment of Gerontology, The Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, 223800, ChinaCollege of Pharmaceutical Sciences, Soochow University, Suzhou, 215123, ChinaCollege of Pharmaceutical Sciences, Soochow University, Suzhou, 215123, ChinaDepartment of Neurosurgery, The First People's Hospital of Changzhou, Changzhou, 213003, China; Clinical Medical Research Center, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, China; Corresponding author. Department of Neurosurgery, The First People's Hospital of Changzhou, Changzhou, 213003, China.School of Pharmacy and Biomolecular Sciences, Royal College of Surgeons in Ireland (RCSI), Dublin, D02 YN77, Ireland; Corresponding author.College of Pharmaceutical Sciences, Soochow University, Suzhou, 215123, China; Wisdom Lake Academy of Pharmacy, Xi'an Jiaotong-Liverpool University, Suzhou, 215123, China; Jiangsu Province Higher Education Key Laboratory of Cell Therapy Nanoformulation (Construction), Xi'an Jiaotong-Liverpool University, Suzhou, 215123, China; Corresponding author. Wisdom Lake Academy of Pharmacy, Xi'an Jiaotong-Liverpool University, Suzhou, 215123, China.Low immunogenicity and immunosuppressive tumor microenvironment (TME) are two pivotal factors restricting tumor immunotherapy. Photodynamic therapy (PDT) directly destroys cancer cells by producing reactive oxygen species (ROS), and enhances the immunogenicity of ''cold'' tumors by inducing immunogenic cell death (ICD), thereby promoting T cell development against tumors. However, PDT also deteriorates immunosuppression through overactivating the cyclooxygenase-2/prostaglandin E2 (COX-2/PGE2) pathway. To this end, biocompatible albumin nanoassemblies co-delivering IR780 and diclofenac are herein developed for enhanced therapy against triple-negative breast cancer. PDT-exacerbated PGE2 overexpression is effectively abolished by diclofenac-mediated COX-2 inhibition, which reprograms immunosuppressive TME via downregulating the infiltration of various immunosuppressive cells and their cytokine secretion to enhance effector T cell infiltration. Consequently, the enhanced antitumor immunity effectively inhibits tumor growth, prevents the recurrency and metastasis, and remarkably boosts the treatment efficacy of PD-L1 blockade. This study sets an intriguing example for overcoming the COX-2/PGE2 pathway-exacerbated immunosuppression alongside immune activation, thus enhancing synergistic cancer immunotherapy potentiated by various ROS-producing therapies (e.g., PDT and radiotherapy) and chemotherapy.http://www.sciencedirect.com/science/article/pii/S2590006425000882Albumin nanoparticlesPhotodynamic therapyImmunogenic cell deathCOX-2/PGE2 inhibitionImmunosuppressive tumor microenvironmentPD-L1 blockade
spellingShingle Tao Xu
Kehan Liu
Shuqi Mi
Yao Yao
Mengyao Zhang
Shujuan Xue
Feng Zhi
Sally-Ann Cryan
Dawei Ding
Cyclooxygenase-2/prostaglandin E2 inhibition remodulated photodynamic therapy-associated immunosuppression for enhanced cancer immunotherapy
Materials Today Bio
Albumin nanoparticles
Photodynamic therapy
Immunogenic cell death
COX-2/PGE2 inhibition
Immunosuppressive tumor microenvironment
PD-L1 blockade
title Cyclooxygenase-2/prostaglandin E2 inhibition remodulated photodynamic therapy-associated immunosuppression for enhanced cancer immunotherapy
title_full Cyclooxygenase-2/prostaglandin E2 inhibition remodulated photodynamic therapy-associated immunosuppression for enhanced cancer immunotherapy
title_fullStr Cyclooxygenase-2/prostaglandin E2 inhibition remodulated photodynamic therapy-associated immunosuppression for enhanced cancer immunotherapy
title_full_unstemmed Cyclooxygenase-2/prostaglandin E2 inhibition remodulated photodynamic therapy-associated immunosuppression for enhanced cancer immunotherapy
title_short Cyclooxygenase-2/prostaglandin E2 inhibition remodulated photodynamic therapy-associated immunosuppression for enhanced cancer immunotherapy
title_sort cyclooxygenase 2 prostaglandin e2 inhibition remodulated photodynamic therapy associated immunosuppression for enhanced cancer immunotherapy
topic Albumin nanoparticles
Photodynamic therapy
Immunogenic cell death
COX-2/PGE2 inhibition
Immunosuppressive tumor microenvironment
PD-L1 blockade
url http://www.sciencedirect.com/science/article/pii/S2590006425000882
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