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Branched glycopolymer prodrug-derived nanoassembly combined with a STING agonist activates an immuno-supportive status to boost anti-PD-L1 antibody therapy
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作者 Zhilin Li Qianfeng Zhang +6 位作者 Zhiqian Li Long Ren Dayi Pan Qiyong Gong Zhongwei Gu Hao Cai Kui Luo 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2024年第5期2194-2209,共16页
Despite the great potential of anti-PD-L1 antibodies for immunotherapy,their low response rate due to an immunosuppressive tumor microenvironment has hampered their application.To address this issue,we constructed a c... Despite the great potential of anti-PD-L1 antibodies for immunotherapy,their low response rate due to an immunosuppressive tumor microenvironment has hampered their application.To address this issue,we constructed a cell membrane-coated nanosystem(mB4S)to reverse an immunosuppressive microenvironment to an immuno-supportive one for strengthening the anti-tumor effect.In this system,Epirubicin(EPI)as an immunogenic cell death(ICD)inducer was coupled to a branched glycopolymer via hydrazone bonds and diABZI as a stimulator of interferon genes(STING)agonist was encapsulated into mB4S.After internalization of mB4S,EPI was acidic-responsively released to induce ICD,which was characterized by an increased level of calreticulin(CRT)exposure and enhanced ATP secretion.Meanwhile,diABZI effectively activated the STING pathway.Treatment with mB4S in combination with an anti-PD-L1 antibody elicited potent immune responses by increasing the ratio of matured dendritic cells(DCs)and CD8+T cells,promoting cytokines secretion,up-regulating M1-like tumor-associated macrophages(TAMs)and down-regulating immunosuppressive myeloid-derived suppressor cells(MDSCs).Therefore,this nanosystem for co-delivery of an ICD inducer and a STING agonist achieved promotion of DCs maturation and CD8+T cells infiltration,creating an immuno-supportive microenvironment,thus potentiating the therapy effect of the anti-PD-L1 antibody in both 4T1 breast and CT26 colon tumor mice. 展开更多
关键词 GLYCOPOLYMER Polymer prodrug immunogenic cell death Nanoassembly EPIRUBICIN STING pathway immuno-supportive microenvironment immunotherapy
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肠内免疫营养支持联合CBP对老年重症急性胰腺炎患者症状改善及血清DAO、AMY、LPS水平变化的影响 被引量:30
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作者 刘伟伟 丁士芳 《中国免疫学杂志》 CAS CSCD 北大核心 2019年第22期2774-2779,共6页
目的:探讨肠内免疫营养支持联合连续血液净化(CBP)对老年重症急性胰腺炎(SAP)患者症状改善及血清二胺氧化酶(DAO)、淀粉酶(AMY)、脂肪酶(LPS)水平变化的影响。方法:选取我院2015年2月~2017年11月82例老年SAP患者,随机数字表法分组进行... 目的:探讨肠内免疫营养支持联合连续血液净化(CBP)对老年重症急性胰腺炎(SAP)患者症状改善及血清二胺氧化酶(DAO)、淀粉酶(AMY)、脂肪酶(LPS)水平变化的影响。方法:选取我院2015年2月~2017年11月82例老年SAP患者,随机数字表法分组进行对照研究,各41例,两组均给予基础治疗,对照组采用CBP+肠外营养治疗,观察组采用CBP+肠内免疫营养支持。观察统计两组症状改善情况、急性生理与慢性健康评分量表(APACHEⅡ)评分、Ranson评分及预后不良发生率,并对比治疗前后两组血清炎性因子[肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)、白细胞介素-6(IL-6)]、肠道屏障功能[血清二胺氧化酶(DAO)、淀粉酶(AMY)、脂肪酶(LPS)]、营养状况[血清白蛋白(ALB)、前白蛋白(PA)、转铁蛋白(TRF)]、细胞免疫功能(CD3+、CD4+、CD8+、CD4+/CD8+)。结果:①观察组住院时间、血清AMS恢复时间短于对照组(P<0.05);治疗2周后观察组APACHEⅡ评分、Ranson评分较治疗前降低,且低于对照组(P<0.05);②治疗2周后观察组血清ALB、PA、TRF水平高于对照组,血清AMY、LPS、DAO水平低于对照组(P<0.05);治疗2周后观察组血清TNF-α、CRP、IL-6低于对照组(P<0.05);③治疗2周后观察组CD3+、CD4+、CD4+/CD8+较治疗前升高,CD8+较治疗前降低,且观察组优于对照组,差异有统计学意义(P<0.05);④观察组感染、MODS(多器官功能综合征)等预后不良总发生率低于对照组(P<0.05)。结论:肠内免疫营养支持联合CBP治疗老年SAP能显著缓解患者症状,改善机体免疫功能及营养状况,促进肠道屏障功能恢复,减轻机体炎性反应,降低预后不良发生率,疗效显著。 展开更多
关键词 CBP 肠内免疫营养支持 重症急性胰腺炎 DAO AMY 营养状况 肠道屏障功能
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