TY - JOUR AU - Huang, Liping AU - Zhang, Yiyi AU - Li, Yanan AU - Meng, Fanling AU - Li, Hongyu AU - Zhang, Huimin AU - Tu, Jiasheng AU - Sun, Chunmeng AU - Luo, Liang PY - 2021/06/12 Y2 - 2024/03/29 TI - Time-Programmed Delivery of Sorafenib and Anti-CD47 Antibody via a Double-Layer-Gel Matrix for Postsurgical Treatment of Breast Cancer JF - Nano-Micro Letters JA - Nano-Micro Lett VL - 13 IS - SE - Articles DO - 10.1007/s40820-021-00647-x UR - https://www.nmlett.org/index.php/nml/article/view/907 SP - 141 AB - <p>The highly immunosuppressive microenvironment after surgery has a crucial impact on the recurrence and metastasis in breast cancer patients. Programmable delivery of immunotherapy-involving combinations through a single drug delivery system is highly promising, yet greatly challenging, to reverse postoperative immunosuppression. Here, an injectable hierarchical gel matrix, composed of dual lipid gel (DLG) layers with different soybean phosphatidylcholine/glycerol dioleate mass ratios, was developed to achieve the time-programmed sequential delivery of combined cancer immunotherapy. The outer layer of the DLG matrix was thermally responsive and loaded with sorafenib-adsorbed graphene oxide (GO) nanoparticles. GO under manually controlled near-infrared irradiation generated mild heat and provoked the release of sorafenib first to reeducate tumor-associated macrophages (TAMs) and promote an immunogenic tumor microenvironment. The inner layer, loaded with anti-CD47 antibody (aCD47), could maintain the gel state for a much longer time, enabling the sustained release of aCD47 afterward to block the CD47-signal regulatory protein α (SIRPα) pathway for a long-term antitumor effect. In vivo studies on 4T1 tumor-bearing mouse model demonstrated that the DLG-based strategy efficiently prevented tumor recurrence and metastasis by locally reversing the immunosuppression and synergistically blocking the CD47-dependent immune escape, thereby boosting the systemic immune responses.</p><p>Highlights:</p><p>1 A novel injectable double-layer-gel matrix is developed.<br>2 The hierarchically structured dual lipid gel matrix enables time-programmed drug delivery.<br>3 Applying a modest dose of sorafenib in advance can reeducate tumor-associated macrophages and potentiate anti-CD<sub>47</sub> treatment.</p> ER -