Trivalent Gadolinium Ions Forming Injectable Hydrogels for Simultaneous In Situ Vaccination Therapy and Imaging of

Chun Wang1, Yuanhao Jing2, Wenting Yu3

  • 1The Comprehensive Cancer Centre of Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University and Clinical Cancer Institute, Nanjing University, Nanjing, China.

Insights

This study introduces a novel injectable hydrogel for soft tissue sarcoma (STS) treatment, combining Doxorubicin (DOX) with PD-1 inhibitors for enhanced antitumor effects and real-time monitoring via MRI.

Area of Science:

  • Biomedical Engineering
  • Oncology
  • Materials Science

Background:

  • Doxorubicin (DOX) is a first-line treatment for soft tissue sarcomas (STS), but its clinical use is limited by dose-dependent toxicity.
  • Doxorubicin can induce immunogenic cell death (ICD), presenting an opportunity for immunotherapy strategies like "in situ vaccination".

Purpose of the Study:

  • To develop a visualized, in situ forming hydrogel platform for sustained local delivery of DOX and PD-1 inhibitors for STS treatment.
  • To evaluate the efficacy of this "in situ vaccination" strategy in preclinical STS models.

Main Methods:

  • A hyaluronic acid-dopamine (HA-DOPA) hydrogel was synthesized and coordinated with gadolinium ions (Gd3+).
  • Gd3+ enabled magnetic resonance imaging (MRI) for in vivo tracking and hydrogel cross-linking.
  • The hydrogel platform was tested in mouse STS models for sustained drug release, tumor growth inhibition, and immune response modulation.

Main Results:

  • The HA-DOPA/Gd3+ hydrogel demonstrated sustained release and effective in vivo imaging tracking.
  • The "in situ vaccination" hydrogel significantly inhibited tumor growth in mouse STS models.
  • Treatment increased T cell infiltration, promoted M1 macrophage polarization, and counteracted DOX-induced PD-1/PD-L1 upregulation.

Conclusions:

  • The developed injectable hydrogel platform shows promise for localized STS treatment via "in situ vaccination".
  • This platform facilitates sustained drug delivery, real-time monitoring, and enhanced antitumor immune responses.
  • The findings suggest a potential universal platform for "in situ vaccination" strategies in STS therapy.

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