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      DOX/IL-2/IFN-γ co-loaded thermo-sensitive polypeptide hydrogel for efficient melanoma treatment

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          Abstract

          Melanoma has been a serious threat to the human health; however, effective therapeutic methods of this cancer are still limited. Combined local therapy is a crucial approach for achieving a superior anti-tumor efficacy. In this paper, a chemo-immunotherapy system of DOX, IL-2 and IFN-γ based on poly(γ-ethyl-L-glutamate)-poly(ethylene glycol)-poly(γ-ethyl-L-glutamate) (PELG-PEG-PELG) hydrogel was developed for local treatment of melanoma xenograft. The drug release process of this system exhibited a short term of burst release (the first 3 days), followed by a long-term sustained release (the following 26 days). The hydrogel degraded completely within 3 weeks without obvious inflammatory responses in the subcutaneous layer of rats, showing a good biodegradability and biocompatibility. The DOX/IL-2/IFN-γ co-loaded hydrogel also showed enhanced anti-tumor effect against B16F10 cells in vitro, through increasing the ratio of cell apoptosis and G2/S phage cycle arrest. Moreover, the combined strategy presented improved therapy efficacy against B16F10 melanoma xenograft without obvious systemic side effects in a nude mice model, which was likely related to both the enhanced tumor cell apoptosis and the increased proliferation of the CD3 +/CD4 + T-lymphocytes and CD3 +/CD8 + T-lymphocytes. Overall, the strategy of localized co-delivery of DOX/IL-2/IFN-γ using the polypeptide hydrogel provided a promising approach for efficient melanoma therapy.

          Graphical abstract

          Schematic illustration for the mechanism of DOX/IL-2/IFN-γ co-loaded hydrogel of PELG 7-PEG 45-PELG 7 on melanoma local treatment in nude mice: the released drugs from the hydrogel could induce the cell apoptosis as well as promote the proliferation of CD3 +/CD4 + T-lymphocytes and CD3 +/CD8 + T-lymphocytes to cause enhanced anti-tumor efficacy against melanoma xenograft in mice model.

          Highlights

          • A chemo-immunotherapy combined system based on polypeptide hydrogel was developed for the local therapy of melanoma.

          • The combined strategy presented enhanced anti-tumor effect on B16F10 cells in vitro through different mechanisms.

          • The combined treatment showed improved efficacy against B16F10 melanoma xenograft with less systemic toxicity in vivo.

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          Most cited references29

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          Combined Nivolumab and Ipilimumab or Monotherapy in Untreated Melanoma.

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            Immune therapy for cancer.

            Over the past decade, immune therapy has become a standard treatment for a variety of cancers. Monoclonal antibodies, immune adjuvants, and vaccines against oncogenic viruses are now well-established cancer therapies. Immune modulation is a principal element of supportive care for many high-dose chemotherapy regimens. In addition, immune activation is now appreciated as central to the therapeutic mechanism of bone marrow transplantation for hematologic malignancies. Advances in our understanding of the molecular interactions between tumors and the immune system have led to many novel investigational therapies and continue to inform efforts for devising more potent therapeutics. Novel approaches to immune-based cancer treatment strive to augment antitumor immune responses by expanding tumor-reactive T cells, providing exogenous immune-activating stimuli, and antagonizing regulatory pathways that induce immune tolerance. The future of immune therapy for cancer is likely to combine many of these approaches to generate more effective treatments.
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              Phase I clinical trial of autologous NK cell therapy using novel expansion method in patients with advanced digestive cancer

              Background NK cells can destroy tumor cells without prior sensitization or immunization. Tumors often lose expression of MHC molecules and/or antigens. However, NK cells can lyse tumor cells in a non-MHC-restricted manner and independent of the expression of tumor-associated antigens. NK cells are therefore considered ideal for adoptive cancer immunotherapy; however the difficulty of obtaining large numbers of fully functional NK cells that are safe to administer deters its clinical use. This phase I clinical trial seeks to address this obstacle by first developing a novel system that expands large numbers of highly activated clinical grade NK cells, and second, determining if these cells are safe in a mono-treatment so they can be combined with other reagents in the next round of clinical trials. Methods Patients with unresectable, locally advanced and/or metastatic digestive cancer who did not succeed with standard therapy were enrolled. NK cells were expanded ex vivo by stimulating PBMCs with OK432, IL-2, and modified FN-CH296 induced T cells. Patients were administered autologous natural killer cell three times weekly via intravenous infusions in a dose-escalating manner (dose 0.5 × 109, 1.0 × 109, 2.0 × 109 cells/injection, three patients/one cohort). Results Total cell population had a median expansion of 586-fold (range 95–1102), with a significantly pure (90.96 %) NK cell population. Consequently, NK cells were expanded to approximately 4720-fold (range 1372–14,116) with cells being highly lytic in vitro and strongly expressing functional markers such as NKG2D and CD16. This NK cell therapy was very well tolerated with no severe adverse events. Although no clinical responses were observed, cytotoxicity of peripheral blood was elevated approximately twofolds up to 4 weeks post the last transfer. Conclusion We successfully generated large numbers of activated NK cells from small quantities of blood without prior purification of the cells. We also determined that the expanded cells were safe to administer in a monotherapy and are suitable for the next round of clinical trials where their efficacy will be tested combined with other reagents. Trial Registration: UMIN UMIN000007527 Electronic supplementary material The online version of this article (doi:10.1186/s12967-015-0632-8) contains supplementary material, which is available to authorized users.
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                Author and article information

                Contributors
                Journal
                Bioact Mater
                Bioact Mater
                Bioactive Materials
                KeAi Publishing
                2452-199X
                06 September 2017
                March 2018
                06 September 2017
                : 3
                : 1
                : 118-128
                Affiliations
                [a ]Institute of Translational Medicine, The First Hospital of Jilin University, Changchun, 130021, China
                [b ]Key Laboratory of Polymer Ecomaterials, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun, 130022, China
                Author notes
                []Corresponding author. clhe@ 123456ciac.ac.cn
                Article
                S2452-199X(17)30077-4
                10.1016/j.bioactmat.2017.08.003
                5935762
                29744449
                0e461c4e-988c-4655-9aa0-f62d19ce5f9e
                © 2017 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 28 July 2017
                : 17 August 2017
                : 25 August 2017
                Categories
                Article

                polypeptide hydrogel,sustained co-delivery,combination therapy,local cancer treatment,thermosensitive hydrogel

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