2023
DOI: 10.1016/j.bioactmat.2022.05.022
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Oxygen microcapsules improve immune checkpoint blockade by ameliorating hypoxia condition in pancreatic ductal adenocarcinoma

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Cited by 12 publications
(17 citation statements)
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“…Additional oxygen not only alleviates hypoxia, but can also induce inflammation; therefore, the right dosage reaching the target is difficult to obtain. Moreover, respiratory oxygen application efforts are made to enclose oxygen in microcapsules, which was shown to improve immune checkpoint blockades in pre-clinical studies [ 50 ]. This might also be an issue, especially in the context of anti-cancer drugs such as doxorubicin and angiogenesis inhibitors, where inflammation and endotheliotoxicity are significant risks [ 51 ].…”
Section: Discussionmentioning
confidence: 99%
“…Additional oxygen not only alleviates hypoxia, but can also induce inflammation; therefore, the right dosage reaching the target is difficult to obtain. Moreover, respiratory oxygen application efforts are made to enclose oxygen in microcapsules, which was shown to improve immune checkpoint blockades in pre-clinical studies [ 50 ]. This might also be an issue, especially in the context of anti-cancer drugs such as doxorubicin and angiogenesis inhibitors, where inflammation and endotheliotoxicity are significant risks [ 51 ].…”
Section: Discussionmentioning
confidence: 99%
“…394 To overcome this challenge, nano-and bio-based technologies have been used to carry oxygen generators to generate enough oxygen in the target cancer such as pancreatic ductal adenocarcinoma, colorectal cancer, fibrosarcoma, melanoma, etc., which aids in drug delivery and significantly improves the effectiveness of chemotherapy, radiotherapy as well as immunotherapy. 281,[395][396][397][398] Moreover, the reoxygenation process generates large amounts of ROS, which results in DNA damage, contributing to cancer cell death. 65,399 However, the damage this brings to the surrounding normal cells is a matter of concern.…”
Section: Hypoxia-mediated Therapymentioning
confidence: 99%
“…235,281 Pro-oxidants can also be used to increase oxygen levels in the TME. Wu et al 396 developed nanoparticle-stabilized oxygen microcapsules that could be precisely targeted to pancreatic ductal adenocarcinoma (PDAC), improving hypoxia and significantly increasing the efficacy of anti-PD-1 antibodies against PDAC. Treatment with oxygen microcapsules combined with anti-PD-1 antibodies alleviates TAM infiltration, polarizes macrophages from the pro-cancer M2 phenotype to the anticancer M1 phenotype, and increases the proportion of TME Th1 cells and CTLs to enhance anti-cancer immune effects.…”
Section: Hypoxia and Immunotherapymentioning
confidence: 99%
“…Hypoxia can induce and maintain an immunosuppressive TME and activate PSCs to mediate fibrosis [ 60 ]. Therapeutic strategies targeting optimized hypoxia have shown synergistic improvements in immunotherapy in the preclinical studies for pancreatic cancer [ 61 , 62 ]. In a phase I clinical trial, evofosfamide (prodrug that alleviates hypoxia) combined with ipilimumab was tested in advanced solid malignancies.…”
Section: Status and Dilemma Of Immunotherapy For Pdacmentioning
confidence: 99%
“…Recently, microcapsules for oxygen delivery were proposed. Here, the oxygen microcapsules provided a stable oxygen delivery deep into the tumor, reversed hypoxia in the TME, and improved the performance of ICB in PDAC [ 62 ].…”
Section: Nanoparticle-based Therapeutic Strategies For Enhanced Pdac ...mentioning
confidence: 99%