Targeted delivery of Fc-fused PD-L1 for effective management of acute and chronic colitis

Xudong Tang1, Yangyang Shang1,2, Hong Yang1

  • 1Institute of Gastroenterology of PLA, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing, 400038, China.

Nature Communications
|February 23, 2024
PubMed

Insights

Reactive oxygen species (ROS)-responsive nanoparticles improve the safety and efficacy of programmed cell death protein 1 ligand 1 (PD-L1) therapy for inflammatory bowel disease (IBD). This targeted approach reduces side effects and enhances treatment outcomes in a mouse model.

Area of Science:

  • Immunology
  • Nanotechnology
  • Gastroenterology

Background:

  • The programmed cell death protein 1 (PD-1)/PD-1 ligand 1 (PD-L1) pathway is crucial in mucosal immunity and a potential target for inflammatory bowel disease (IBD).
  • Systemic administration of PD-L1 can lead to unpredictable adverse effects due to generalized immunosuppression.

Purpose of the Study:

  • To develop and evaluate ROS-responsive nanoparticles for targeted delivery of PD-L1-Fc to inflammatory sites in IBD.
  • To assess the enhanced efficacy and safety profile of nanoparticle-formulated PD-L1-Fc compared to systemic administration in a mouse colitis model.

Main Methods:

  • Development of reactive oxygen species (ROS)-responsive nanoparticles encapsulating PD-L1 fused to Fc (PD-L1-Fc).
  • Administration of nanotherapeutics to a mouse model of colitis.
  • Evaluation of inflammatory markers, immune cell infiltration, cytokine profiles, Treg/Th1/Tfh cell frequencies, gut microbiota composition, and short-chain fatty acid production.

Main Results:

  • Nanoparticle-formulated PD-L1-Fc demonstrated superior efficacy in alleviating inflammatory symptoms compared to systemic PD-L1-Fc.
  • The nanotherapeutic approach significantly mitigated the adverse effects associated with systemic PD-L1-Fc administration.
  • PD-L1-Fc-loaded nanoparticles modulated cytokine production, reduced inflammatory cell infiltration, increased beneficial immune cell populations (Treg, Th1, Tfh), and positively altered gut microbiota and short-chain fatty acid levels.

Conclusions:

  • ROS-responsive nanoparticles offer a promising strategy for targeted delivery of PD-L1-Fc in IBD treatment.
  • This nanomedicine approach enhances therapeutic efficacy while improving the safety profile by minimizing systemic immunosuppression.
  • PD-L1-Fc-decorated nanoparticles represent a novel and safe therapeutic option for managing inflammatory bowel disease.

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