1. Radiation-primed TGF-β trapping by engineered extracellular vesicles for targeted glioblastoma therapy.
- Author
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Liang, Ruyu, Lu, Hongyu, Zhu, Haifeng, Liang, Gaofeng, Zhang, Junxia, Gao, Jun, and Tian, Tian
- Subjects
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EXTRACELLULAR vesicles , *CYTOTOXIC T cells , *GLIOBLASTOMA multiforme , *TUMOR growth , *BLOOD-brain barrier - Abstract
The poor outcome of glioblastoma multiforme (GBM) treated with immunotherapy is attributed to the profound immunosuppressive tumor microenvironment (TME) and the lack of effective delivery across the blood-brain barrier. Radiation therapy (RT) induces an immunogenic antitumor response that is counteracted by evasive mechanisms, among which transforming growth factor-β (TGF-β) activation is the most prominent factor. We report an extracellular vesicle (EV)-based nanotherapeutic that traps TGF-β by expressing the extracellular domain of the TGF-β type II receptor and targets GBM by decorating the EV surface with RGD peptide. We show that short-burst radiation dramatically enhanced the targeting efficiency of RGD peptide-conjugated EVs to GBM, while the displayed TGF-β trap reversed radiation-stimulated TGF-β activation in the TME, offering a synergistic effect in the murine GBM model. The combined therapy significantly increased CD8+ cytotoxic T cells infiltration and M1/M2 macrophage ratio, resulting in the regression of tumor growth and prolongation of overall survival. These results provide an EV-based therapeutic strategy for immune remodeling of the GBM TME and eradication of therapy-resistant tumors, further supporting its clinical translation. [Display omitted] • Extracellular vesicles are engineered for targeted TGF-β trapping in glioblastoma. • Radiation improves targeting efficiency of extracellular vesicles to glioblastoma. • Engineered extracellular vesicles synergize with radiation to enhance immunotherapy. • Providing extracellular vesicle-based combined strategy for immune remodeling. • Providing strategy for large-scale production of functionalized extracellular vesicles. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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