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中国临床药理学与治疗学 ›› 2024, Vol. 29 ›› Issue (7): 792-799.doi: 10.12092/j.issn.1009-2501.2024.07.009

• 基础研究 • 上一篇    下一篇

参芪扶正注射液增强免疫检查点抑制剂anti-PD-L1抗肿瘤作用及机制研究

周智华1,常静雯1,严元元1,漆亚男1,韩晶晶1,朱欣怡1,俞  晨2,吴红雁3,范方田1   

  1. 1蚌埠医学院药学院,安徽省生化药物工程技术研究中心,蚌埠  233030,安徽;2江苏省肿瘤医院,江苏省肿瘤防治研究所,南京  210000,江苏;3江苏医药职业学院,医药生物技术研究院,盐城  224005,江苏
  • 收稿日期:2023-10-17 修回日期:2024-02-20 出版日期:2024-07-26 发布日期:2024-06-24
  • 通讯作者: 范方田,男,副教授,硕士生导师,从事细胞异常代谢相关机制及中药的干预作用研究。 E-mail: fftian3912@163.com
  • 作者简介:周智华,女,硕士研究生,从事生化药理方向研究。 E-mail: 3485864649@qq.com
  • 基金资助:
    国家自然科学基金(81973658);蚌埠医学院重大科技项目孵化计划(2020byfy001);安徽省高等学校科学研究项目 (2023AH051972);蚌埠医科大学自然科学类项目(2023byfy004);江苏省心脑血管与癌症防控工程研究中心资助项目(2022);江苏省高校优秀科技创新团队资助项目(2023);江苏省卫生健康委面上项目编号(M2022109);江苏省中医药管理局课题项目(YB2020099)

Enhancement of anti-tumor effect of immune checkpoint inhibitor anti-PD-L1 by shenqifuzheng injection and the mechanism study

ZHOU Zhihua1, CHANG Jingwen1, YAN Yuanyuan1, QI Yanan1, HAN Jingjing1, ZHU Xinyi1, YU Chen2, WU Hongyan3, FAN Fangtian1   

  1. 1 School of Pharmacy, Bengbu Medical College, Anhui Biochemical Drug Engineering Technology Research Center, Bengbu 233030, Anhui, China; 2 Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Prevention and Control, Nanjing 210000, Jiangsu, China; 3 Jiangsu Pharmaceutical Vocational College, Institute of Pharmaceutical Biotechnology, Yancheng 224005, Jiangsu, China
  • Received:2023-10-17 Revised:2024-02-20 Online:2024-07-26 Published:2024-06-24

摘要:

目的:探究参芪扶正注射液(Shenqifuzheng injection,SFI)联合PD-L1抗体对肿瘤免疫微环境的影响及其疗效研究。方法:构建B16F10-LUC黑色素瘤皮下移植瘤模型,采用免疫组化技术标记抗体Ki67、CD31、CD8、CD16、CD163、FOXP3、LY6C、LY6G检测肿瘤组织中CD8+T细胞、Treg细胞、NK细胞、MDSCs细胞、中心粒细胞的表达情况,进一步应用流式细胞技术检测脾脏组织中CD11c+、IA/IE+、CD80+细胞的比值,以及肿瘤组织中CD8+T、CD4+T、Treg的比值。结果:免疫组化结果显示,相较于对照组,给药组可以显著抑制肿瘤血管生成、肿瘤细胞增殖,降低免疫抑制细胞因子CD4+T细胞、Treg细胞、MDSCs细胞、中性粒细胞的表达水平,促进CD8、NK的浸润(P<0.05,P<0.01)。流式结果显示,给药组明显提升了肿瘤组织CD8+T细胞,脾脏中DC细胞的表达水平,抑制CD4+T、Treg细胞的浸润(P<0.05,P<0.01)。肿瘤体积大小结果显示,给药组明显抑制肿瘤的生长,单用PD-L1抗体抑瘤率优于单用SFI组,联合用药优于单用PD-L1抗体组(P<0.01)。结论:参芪扶正注射液联合PD-L1抗体可以发挥协同抗肿瘤的作用,且可能与增强DC细胞浸润,促进T细胞活化有关,免疫组化结果提示对肿瘤免疫微环境也具有很好的改善。

关键词: 肿瘤免疫微环境, 参芪扶正注射液, 免疫细胞

Abstract:

AIM: To investigate of the effect of Shenqifuzheng injection (SFI) combined with PD-L1 antibody on tumor immune microenvironment and its efficacy. METHODS: A subcutaneous transplantation tumor model for B16F10-LUC melanoma was created. The expression of Ki67, CD31, CD8, CD16, CD163, FOXP3, LY6C, LY6G with labeling antibodies was used to detect CD8+T cells, Treg cells, NK cells, MDSCs cells, centrocytes, and granulocytes in the tumor tissues via immunohistochemistry. Flow cytometry was used to measure the ratios of CD11c+, IA/IE+, and CD80+ cells in splenic tissue, as well as the ratios of CD8+T, CD4+T, and Treg cells in tumor tissue. Additionally, granulocyte count and NK cell expression were analyzed. RESULTS: The immunohistochemistry results indicate that the drug administration group effectively suppressed tumor angiogenesis and cell proliferation, while decreasing the expression level of immunosuppressive cytokines CD4+T cells, Treg cells, MDSCs and centroblasts. Additionally, CD8 and NK cell infiltration was promoted compared to the control group. The results of the flow analysis demonstrated a significant increase in the expression level of CD8+T cells within tumor tissues, as well as inhibition of CD4+T, Treg, and DC cell infiltration within the spleen in the drug administration group. Additionally, the tumor volume analysis indicated that the drug administration group effectively inhibited tumor growth. The flow results illustrate that the group administering treatment exhibited significant increases in CD8+T cell expression levels in tumor tissue and DC cells in the spleen. Furthermore, the treatment effectively inhibited the infiltration of CD4+T and Treg cells. The results also indicate that the treatment significantly reduced tumor growth, with the tumor inhibition rate being better with PD-L1 antibody alone than with the SFI group. Additionally, combining drugs resulted in superior results compared to the PD-L1 antibody group alone. CONCLUSION: SFI combined with a PD-L1 antibody can have synergistic anti-tumor effects, potentially enhancing DC cell infiltration and promoting T cell activation. Immunohistochemistry results indicate a positive impact on the tumor immune microenvironment.

Key words: tumor immune microenvironment, shenqi fu zheng injection, immune cells

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