A hybrid bacterium with tumor-associated macrophage polarization for enhanced photothermal-immunotherapy

Acta Pharm Sin B. 2022 Jun;12(6):2683-2694. doi: 10.1016/j.apsb.2021.10.019. Epub 2021 Oct 26.

Abstract

Remodeling the tumor microenvironment through reprogramming tumor-associated macrophages (TAMs) and increasing the immunogenicity of tumors via immunogenic cell death (ICD) have been emerging as promising anticancer immunotherapy strategies. However, the heterogeneous distribution of TAMs in tumor tissues and the heterogeneity of the tumor cells make the immune activation challenging. To overcome these dilemmas, a hybrid bacterium with tumor targeting and penetration, TAM polarization, and photothermal conversion capabilities is developed for improving antitumor immunotherapy in vivo. The hybrid bacteria (B.b@QDs) are prepared by loading Ag2S quantum dots (QDs) on the Bifidobacterium bifidum (B.b) through electrostatic interactions. The hybrid bacteria with hypoxia targeting ability can effectively accumulate and penetrate the tumor tissues, enabling the B.b to fully contact with the TAMs and mediate their polarization toward M1 phenotype to reverse the immunosuppressive tumor microenvironment. It also enables to overcome the intratumoral heterogeneity and obtain abundant tumor-associated antigens by coupling tumor penetration of the B.b with photothermal effect of the QDs, resulting in an enhanced immune effect. This strategy that combines B.b-triggered TAM polarization and QD-induced ICD achieved a remarkable inhibition of tumor growth in orthotopic breast cancer.

Keywords: 4T1 cells, mouse mammary 4T1 tumor cells; AgNO3, silver nitrate; B.b, Bifidobacterium bifidum; B.b@QDs, hybrid bacteria; Bifidobacterium; CRT, calreticulin; CTLs, cytotoxic T lymphocytes; DLS, dynamic light scattering; EC cells, endothelial cells; GC, glycol chitosan; GSH, reduced glutathione; H&E, hematoxylin‒eosin; ICD, immunogenic cell death; Immunogenic cell death; Immunotherapy; Na2S, sodium sulfide; QDs, quantum dots; Quantum dot; TAMs, tumor-associated macrophages; TEM, transmission electron microscopy; TUNEL, transferase-mediated UTP end labeling; Tumor-associated macrophage; XRD, X-ray diffraction.