Francesco Manfredi
Intratumoral Biodegradable Platform For Localized Multimodal Immunotherapy Delivery Enhances Tumor Eradication.
Rel. Valentina Alice Cauda, Alessandro Grattoni. Politecnico di Torino, Corso di laurea magistrale in Ingegneria Biomedica, 2024
Abstract
Background: Tumor-infiltrating lymphocytes (TILs) play a crucial role in shaping the immune landscape of the tumor microenvironment (TIME), with elevated TIL counts in triple-negative breast cancer (TNBC) linked to better outcomes. While immunotherapy shows promise, its effectiveness can be compromised as cancer cells develop resistance, particularly in single- or dual-drug treatments. Strategies involving multiple drugs that target different immune pathways could offer improved efficacy, but their systemic administration is often limited by severe toxic side effects. Methods: We created a biodegradable nanofluidic drug-eluting seed (b-NDES) platform for the localized and sustained release of multiple immunotherapies. These b-NDES implants were designed to deliver a combination of immune checkpoint inhibitors (α-CTLA4), immune adjuvants (STING agonist, resiquimod [R848]), IL-12, and agonist antibodies (α-CD40) directly into the tumor in murine 4T1 and KPC cancer models.
The effectiveness of this five-drug regimen in eliminating tumors was evaluated
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