题目: | Magnesium microspheres for enhanced transarterial chemoembolization therapy of hepatocellular carcinoma: From animal models to a pilot clinical study |
作者: | Fei Gong1#, Liyun Zheng2#, Jiachen Xu3,4#, Yumin Wu1, Qiutong Jin5, Jiaqi Lu5, Zifan Pei1, Zhongwei Zhao2, Minjiang Chen2, Jianfei Tu2, Shiji Fang2, Weiqian Chen2, Kailu Wei1, Nailin Yang1, Chuntao Gong5, Fazong Wu2, Yeyu Zhang2, Caifang Ni4*, Liang Cheng1*, Zhuang Liu1,5*, Jiansong Ji2* |
单位: | 1Institute of Functional Nano & Soft Materials (FUNSOM), Jiangsu Key Laboratory for Carbon-Based Functional Materials and Devices, Soochow University, Suzhou 215123, China. 2Department of Interventional Radiology, Zhejiang University, Lishui Hospital, the Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Central Hospital, Lishui 323000, China. 3Department of Vascular Surgery and Interventional Radiology, The Fourth Affiliated Hospital of Soochow University, Du Shu Lake Hospital Affiliated to Soochow University, Suzhou 215125, China. 4Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China. 5InnoBM Pharmaceuticals Co. Ltd., Suzhou, Jiangsu 215123, China. |
摘要: | Transarterial chemoembolization (TACE) has been extensively used in clinic to treat unresectable hepatocellular carcinoma (HCC). Herein, magnesium microspheres (Mg MSs) were used as embolic devices to enhance lipiodol-mediated TACE. After being dispersed in lipiodol and injected into tumors, Mg MSs would continuously generate hydrogen and magnesium hydroxide, which could neutralize the acidic tumor microenvironment, restore exhausted CD8+ T cells, reverse immunosuppression, and trigger specific T cell–mediated antitumor responses, synergistically resulting in inhibited tumor growth. As demonstrated in a rabbit orthotopic liver cancer model, artery infusion of Mg MS–dispersed lipiodol offered greatly enhanced therapeutic outcome compared to lipiodol-based or polymeric-bead–based TACE. In a pilot clinical study, among 15 eligible patients with HCC, 11 patients achieved complete response and 3 patients achieved partial responses without unexpected treatment-related adverse events during the 1 to 3 months’ follow-up. The objective response rate of Mg-enhanced TACE was ~93.3% in this small-scale trial, much higher than that of current TACE therapies. |
影响因子: | 12.5 |
分区情况: | 一区 |
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责任编辑:郭佳