An Immune‐Enhancing Injectable Hydrogel Loaded with Esketamine and DDP Promotes Painless Immunochemotherapy to Inhibit Breast Cancer Growth

Chemotherapy is the cornerstone of triple‐negative breast cancer. The poor effectiveness and severe neuropathic pain caused by it have a significant impact on the immune system. Studies confirmed that immune cells in the tumor microenvironment (TME), have critical roles in tumor immune regulation an...

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Veröffentlicht in:Advanced healthcare materials 2024-11, Vol.13 (29), p.e2401373-n/a
Hauptverfasser: Yin, Xiali, Ke, Yaohua, Liang, Ying, Zhang, Shuxian, Chen, Ziqi, Yu, Lixia, Jiang, Ming, Liu, Qin, Gu, Xiaoping
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container_issue 29
container_start_page e2401373
container_title Advanced healthcare materials
container_volume 13
creator Yin, Xiali
Ke, Yaohua
Liang, Ying
Zhang, Shuxian
Chen, Ziqi
Yu, Lixia
Jiang, Ming
Liu, Qin
Gu, Xiaoping
description Chemotherapy is the cornerstone of triple‐negative breast cancer. The poor effectiveness and severe neuropathic pain caused by it have a significant impact on the immune system. Studies confirmed that immune cells in the tumor microenvironment (TME), have critical roles in tumor immune regulation and prognosis. In this study, it is revealed that the painless administration of Esketamine, combined with Cisplatin (DDP), can exert an anti‐tumor effect, which is further boosted by the hydrogel delivery system. It is also discovered that Esketamine combined with DDP co‐loaded in Poloxamer Hydrogel (PDEH) induces local immunity by increasing mature Dendritic Cells (mDCs) and activated T cells in PDEH group while the regulatory T cells (Tregs) known as CD4+CD25+FoxP3+decreased significantly. Finally, , CD8+ and CD4+ T cells in the spleen exhibited a significant increase, suggesting a lasting immune impact of PDEH. This study proposes that Esketamine can serve as a painless immune modulator, enhancing an anti‐tumor effect while co‐loaded in poloxamer hydrogel with DDP. Along with improving immune cells in the microenvironment, it can potentially alleviate anxiety and depression. With its outstanding bio‐safety profile, it offers promising new possibilities for painless clinical therapy. The analgesics currently employed in tumor are immunosuppressive. A painless administration of Esketamine combined with Cisplatin (DDP)co‐loaded in a thermo‐sensitive injectable hydrogel (PDEH) is designed to improve the immunosuppressive tumor microenvironment (TME) by activating Dendritic Cells (DCs), interferon‐γ (IFN‐γ) cells and inhibiting regulatory T cells (Tregs) on murine breast cancer. Furthermore, the anxiety and depression of mice are also relieved.
doi_str_mv 10.1002/adhm.202401373
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The poor effectiveness and severe neuropathic pain caused by it have a significant impact on the immune system. Studies confirmed that immune cells in the tumor microenvironment (TME), have critical roles in tumor immune regulation and prognosis. In this study, it is revealed that the painless administration of Esketamine, combined with Cisplatin (DDP), can exert an anti‐tumor effect, which is further boosted by the hydrogel delivery system. It is also discovered that Esketamine combined with DDP co‐loaded in Poloxamer Hydrogel (PDEH) induces local immunity by increasing mature Dendritic Cells (mDCs) and activated T cells in PDEH group while the regulatory T cells (Tregs) known as CD4+CD25+FoxP3+decreased significantly. Finally, , CD8+ and CD4+ T cells in the spleen exhibited a significant increase, suggesting a lasting immune impact of PDEH. This study proposes that Esketamine can serve as a painless immune modulator, enhancing an anti‐tumor effect while co‐loaded in poloxamer hydrogel with DDP. Along with improving immune cells in the microenvironment, it can potentially alleviate anxiety and depression. With its outstanding bio‐safety profile, it offers promising new possibilities for painless clinical therapy. The analgesics currently employed in tumor are immunosuppressive. A painless administration of Esketamine combined with Cisplatin (DDP)co‐loaded in a thermo‐sensitive injectable hydrogel (PDEH) is designed to improve the immunosuppressive tumor microenvironment (TME) by activating Dendritic Cells (DCs), interferon‐γ (IFN‐γ) cells and inhibiting regulatory T cells (Tregs) on murine breast cancer. 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Furthermore, the anxiety and depression of mice are also relieved.</abstract><cop>Germany</cop><pub>Wiley Subscription Services, Inc</pub><pmid>39118566</pmid><doi>10.1002/adhm.202401373</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-3034-8396</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Animals
Antineoplastic Agents - administration & dosage
Antineoplastic Agents - pharmacology
Antineoplastic Agents - therapeutic use
Anxiety - complications
Anxiety - drug therapy
Breast cancer
Breast Neoplasms - drug therapy
Breast Neoplasms - immunology
Breast Neoplasms - pathology
Breast Neoplasms - psychology
CD25 antigen
CD4 antigen
CD8 antigen
Cell Growth Processes - drug effects
Cell Line, Tumor
Chemotherapy
Cisplatin
Cisplatin - administration & dosage
Cisplatin - pharmacology
Cisplatin - therapeutic use
Dendritic cells
Dendritic Cells - drug effects
Dendritic Cells - immunology
Depression - complications
Depression - drug therapy
esketamine
Female
Foxp3 protein
Human Umbilical Vein Endothelial Cells
Humans
Hydrogels
Hydrogels - administration & dosage
Hydrogels - adverse effects
Immune system
Immunity, Innate - drug effects
Immunoregulation
Immunotherapy - methods
injectable hydrogel
Ketamine - administration & dosage
Ketamine - pharmacology
Ketamine - therapeutic use
local immune
Lymph Nodes - drug effects
Lymph Nodes - immunology
Lymphocytes
Lymphocytes T
Mice
Mice, Inbred BALB C
Neuralgia
Pain - immunology
Pain - prevention & control
Pain - psychology
Poloxamer - administration & dosage
Poloxamer - adverse effects
Poloxamers
T-Lymphocytes, Regulatory - drug effects
Tumor microenvironment
Tumor Microenvironment - drug effects
Tumors
title An Immune‐Enhancing Injectable Hydrogel Loaded with Esketamine and DDP Promotes Painless Immunochemotherapy to Inhibit Breast Cancer Growth
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T13%3A25%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=An%20Immune%E2%80%90Enhancing%20Injectable%20Hydrogel%20Loaded%20with%20Esketamine%20and%20DDP%20Promotes%20Painless%20Immunochemotherapy%20to%20Inhibit%20Breast%20Cancer%20Growth&rft.jtitle=Advanced%20healthcare%20materials&rft.au=Yin,%20Xiali&rft.date=2024-11-01&rft.volume=13&rft.issue=29&rft.spage=e2401373&rft.epage=n/a&rft.pages=e2401373-n/a&rft.issn=2192-2640&rft.eissn=2192-2659&rft_id=info:doi/10.1002/adhm.202401373&rft_dat=%3Cproquest_pubme%3E3090946574%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3131712845&rft_id=info:pmid/39118566&rfr_iscdi=true