识别BRCA1突变的四面体框架核酸纳米平台在卵巢癌中协同抑制PARP/WEE1并激活STING相关抗肿瘤免疫
BRCA1 Mutation-Recognizing Tetrahedral Framework Nucleic Acid Nanoplatform Enables Coordinated PARP/WEE1 Inhibition and STING-Associated Antitumor Immunity in Ovarian Cancer
摘要
研究构建了BRCA1突变导向的四面体框架核酸纳米系统FBOA-tFNA,共载PARP抑制剂奥拉帕利与WEE1抑制剂adavosertib。该系统经叶酸受体介导进入细胞后,通过立足点介导的链置换反应识别BRCA1突变RNA并激活信标,药物释放则由还原响应性二硫键断裂独立调控。在BRCA1突变卵巢癌模型中,协同抑制PARP/WEE1放大DNA损伤、削弱G2/M检查点保护并促进肿瘤细胞死亡;由此产生的胞内双链DNA信号激活STING通路、I型干扰素应答、免疫原性细胞死亡、树突状细胞成熟及CD8+T细胞活化。携带BRCA1 2594delC转录本的患者来源类器官验证了突变选择性识别与疗效;体内实验显示肿瘤部位荧光富集、信标激活、抑瘤增强及初步重复给药耐受性,并改善抗PD-1治疗反应。
原文摘要
Improving therapeutic efficacy and antitumor immune responsiveness in BRCA1-mutant ovarian cancer remains challenging. Here, we developed a BRCA1 mutation-guided tetrahedral framework nucleic acid nanosystem, FBOA-tFNA, for coordinated intracellular delivery of the PARP inhibitor olaparib and the WEE1 inhibitor adavosertib. After folate receptor-mediated uptake, FBOA-tFNA recognizes BRCA1 mutant RNA through toehold-mediated strand displacement, enabling mutation-selective beacon activation, while drug release is independently regulated by reduction-responsive disulfide cleavage. Coordinated PARP/WEE1 inhibition amplified DNA damage, impaired G2/M checkpoint protection, and promoted tumor-cell killing in BRCA1-mutant ovarian cancer models. Resulting DNA damage-associated intracellular dsDNA signals activated STING-associated signaling, type I interferon responses, immunogenic cell death (ICD)-associated stress, dendritic-cell maturation, and CD8+ T-cell activation. Engineered patient-derived ovarian cancer organoids expressing a BRCA12594delC-containing transcript further supported the mutation-selective recognition and therapeutic potential of FBOA-tFNA ex vivo. In vivo, FBOA-tFNA showed tumor-associated fluorescence accumulation, BRCA1 mutant-transcript recognition-associated beacon activation, enhanced antitumor efficacy, and preliminary repeated-dose tolerability. Moreover, FBOA-tFNA enhanced antitumor immune responses and improved the response to anti-PD-1 therapy, accompanied by increased effector and memory-like T-cell populations. This programmable DNA nanoplatform provides a personalized combination strategy for coordinated DNA-damage therapy and immunomodulation in BRCA1-mutant ovarian cancer.
推荐理由:作为DNA纳米技术与合成致死联合免疫治疗的创新平台研究,方法学设计精巧、验证链条较完整(类器官+体内+免疫微环境);但研究对象为卵巢癌治疗,与生殖医学、辅助生殖及胚胎多组学核心议题距离较远,仅BRCA1遗传背景与肿瘤免疫学层面对生殖遗传咨询有间接参考价值。
文献解读
尚未生成。