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Employing epigenetic protein degradation techniques to block CCL5-mediated photodynamic therapy via a programmed
Tingting Yang1, Yuzhu Hu1, Anjie Guo1
1Department of Neurosurgery and Institute of Neurosurgery, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, West China Medical School, Sichuan University and Collaborative Innovation Center for Biotherapy, Chengdu, China.
Abstract:
Despite the significant potential of photodynamic therapy (PDT) in cancer treatment, further refinement is needed to address challenges such as poor tumor-specific accumulation of photosensitizers and the development of therapeutic resistance, which may be regulated by epigenetics. Here, a novel tumor microenvironment-responsive delivery platform was developed to co-deliver epigenetic protein degraders and photosensitizers, aiming to block the relevant regulatory mechanisms and enhance the effectiveness of combination therapy. Benefiting from the targeting ability, pH-triggered charge reversal, and intracellular glutathione (GSH)-responsive release, the delivery platform exhibited enhanced tumor accumulation and therapeutic effects. The mechanism of action revealed that the precise accumulation and release of drugs via the tumor-orchestrated delivery system not only regulated cell growth and immune activation, but also inhibited the expression of tumor immune escape molecules (PDL1 and CD47) and M2 macrophage polarization, significantly increasing the anti-breast cancer and anti-melanoma effects of PDT in the presence of an epigenetic modifier. More importantly, we found for the first time that photodynamic therapy can generate therapeutic resistance through the upregulation of CCL5, and confirmed that this resistance can be reduced by the epigenetic degradation of bromodomain-containing protein 4 (BRD4). These findings underscore the potential of integrating PDT with epigenetic protein degraders through a programmed delivery platform, offering a promising strategy for improving cancer treatment outcomes.
Insights
This study introduces a novel delivery platform that combines photodynamic therapy (PDT) with epigenetic protein degraders. This approach enhances anti-cancer effects by improving drug delivery and overcoming PDT resistance mechanisms.
Area of Science:
- Oncology
- Nanotechnology
- Epigenetics
Background:
- Photodynamic therapy (PDT) shows promise for cancer treatment but faces challenges like poor photosensitizer accumulation and epigenetic-regulated resistance.
- Epigenetic modifications play a role in cancer progression and therapeutic resistance, necessitating targeted interventions.
Purpose of the Study:
- To develop a novel tumor microenvironment-responsive delivery platform for co-delivering epigenetic protein degraders and photosensitizers.
- To enhance the efficacy of combination therapy by overcoming PDT resistance and improving tumor targeting.
Main Methods:
- Development of a pH-triggered, glutathione (GSH)-responsive nanodelivery platform.
- Co-delivery of epigenetic protein degraders and photosensitizers.
- Evaluation of tumor accumulation, therapeutic effects, and immune modulation in preclinical cancer models (breast cancer, melanoma).
Main Results:
- The delivery platform demonstrated enhanced tumor accumulation and therapeutic efficacy due to its targeting, pH-triggered charge reversal, and GSH-responsive release.
- The combination therapy inhibited tumor immune escape molecules (PD-L1, CD47) and M2 macrophage polarization.
- Photodynamic therapy-induced resistance via CCL5 upregulation was identified and shown to be reducible by BRD4 degradation.
Conclusions:
- Integrating PDT with epigenetic protein degraders via a programmed delivery platform offers a promising strategy to improve cancer treatment outcomes.
- The developed platform effectively targets tumors, enhances combination therapy, and overcomes resistance mechanisms in preclinical models.
- This study highlights a novel approach to cancer therapy by addressing both direct tumor cell killing and immune evasion pathways.
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