Abstract
Diffuse large B-cell lymphoma (DLBCL), accounting for 31% of non-Hodgkin lymphomas, remains recalcitrant to conventional therapies due to chemoresistance, metastatic progression, and immunosuppressive microenvironments. We report a novel injectable FeO@DMSA@Pt@PLGA-PEG-PLGA hydrogel system integrating magnetothermal therapy (MHT), chemodynamic therapy (CDT), and immunomodulation. Under alternating magnetic fields (AMF), the system achieves rapid therapeutic hyperthermia (50 °C within 7 min) while activating pH/temperature-dual responsive peroxidase (POD) -like activity in FeO@DMSA@Pt nanoparticles. Catalytic efficiency under tumor-mimetic conditions was significantly higher than FeO@DMSA controls, generating elevated reactive oxygen species (ROS). Flow cytometry revealed 75.9% apoptotic cell death in A20 lymphoma cells at 50 °C, significantly surpassing CDT alone (24.5%). Importantly, this dual mechanism induced immunogenic cell death (ICD) characterized by 4.1-fold CRT externalization, 68% HMGB1 nuclear depletion, and 40.74 nM ATP secretion. This triggered robust dendritic cell maturation (92% CD86/CD80DCs comparable to LPS controls) and T cell activation (16.9% CD25/CD69ratio, 130-fold baseline). Our findings validate the therapeutic potential of magnetothermal-chemodynamic synergy for DLBCL treatment, paving the way for innovative multi-mechanism therapeutic strategies against DLBCL with potential clinical translation prospects.
Overview
- The study reports a novel injectable hydrogel system for treating diffuse large B-cell lymphoma (DLBCL) which combines magnetothermal therapy (MHT), chemodynamic therapy (CDT), and immunomodulation.
- The system uses FeO@DMSA@Pt nanoparticles which react with peroxides to produce reactive oxygen species (ROS) upon exposure to alternating magnetic fields (AMF) and elevated temperatures.
- The primary objective of the study is to investigate the potential of this novel system for treating DLBCL, a recalcitrant cancer due to chemoresistance, metastatic progression, and immunosuppressive microenvironments.
Comparative Analysis & Findings
- The system achieved rapid therapeutic hyperthermia (50 °C within 7 min) and activated the POD-like activity in FeO@DMSA@Pt nanoparticles, resulting in significantly higher catalytic efficiency under tumor-mimetic conditions.
- Compared to CDT alone, the dual-mechanism therapy induced more apoptotic cell death (75.9% vs 24.5%) and immunogenic cell death (characterized by CRT externalization, HMGB1 nuclear depletion, and ATP secretion) in A20 lymphoma cells.
- The therapy also led to robust dendritic cell maturation and T cell activation, highlighting its potential for inducing an immune response against cancer cells.
Implications and Future Directions
- The findings of this study validate the potential of magnetothermal-chemodynamic synergy for DLBCL treatment, offering a promising multi-mechanism therapeutic strategy.
- The limitations of the study, including the use of a single cell line and the need for further investigation of the hydrogel's biocompatibility and toxicity, should be addressed in future research.
- Future studies could explore the combination of this therapy with other immunomodulatory agents or radiotherapy to enhance its efficacy and investigate its potential for clinical translation.