aPD-L1-facilitated theranostic and tumor microenvironment remodeling of pancreatic cancer via docetaxel-loaded phase-transformation nanoparticles triggered by low-intensity pulsed ultrasound

Abstract Early diagnosis of pancreatic ductal adenocarcinoma (PDAC) is challenging because of its depth, which often leads to misdiagnosis during ultrasound examinations. The unique PDAC tumor microenvironment (TME) is characterized by significant fibrous tissue growth, and high interstitial pressur...

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Main Authors: Yi Tang, Qingling Shen, Peng Lin, Zhixin Chen, Denghui Fan, Minling Zhuo, Yajiao Gan, Yixi Su, Qingfu Qian, Liwu Lin, Ensheng Xue, Zhikui Chen
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Nanobiotechnology
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Online Access:https://doi.org/10.1186/s12951-025-03105-7
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author Yi Tang
Qingling Shen
Peng Lin
Zhixin Chen
Denghui Fan
Minling Zhuo
Yajiao Gan
Yixi Su
Qingfu Qian
Liwu Lin
Ensheng Xue
Zhikui Chen
author_facet Yi Tang
Qingling Shen
Peng Lin
Zhixin Chen
Denghui Fan
Minling Zhuo
Yajiao Gan
Yixi Su
Qingfu Qian
Liwu Lin
Ensheng Xue
Zhikui Chen
author_sort Yi Tang
collection DOAJ
description Abstract Early diagnosis of pancreatic ductal adenocarcinoma (PDAC) is challenging because of its depth, which often leads to misdiagnosis during ultrasound examinations. The unique PDAC tumor microenvironment (TME) is characterized by significant fibrous tissue growth, and high interstitial pressure hinders drug penetration into tumors. Additionally, hypoxia and immune suppression within the tumor contribute to poor responses to radiotherapy and chemotherapy, ultimately leading to an unfavorable prognosis. In this study, aPD-L1-modified docetaxel and perfluoropentane-loaded liquid‒vapor phase-transformation lipid nanoparticles (aPDL1-DTX/PFP@Lipid) were synthesized and had an average diameter of 61.63 nm with 84.3% antibody modification. We demonstrated that the nanoparticles (NPs) exhibited excellent PDAC-targeting capabilities both in vitro and in vivo. Upon exposure to low-intensity pulsed ultrasound (LIPUS) stimulation, the NPs underwent a phase transformation to form microbubbles with substantial molecular ultrasound diagnostic effects, and combined treatment resulted in a tumor growth inhibition rate of 88.91%. This treatment strategy also led to the infiltration of CD8+ T cells, the downregulation of Treg cells, the promotion of M1 macrophage polarization, the inhibition of fibrosis to reduce tumor stromal pressure, and the facilitation of perfluoropentane (PFP) gasification to release O2 and improve tumor hypoxia. In conclusion, aPD-L1-modified liquid‒vapor phase-transformation nanoparticles loaded with docetaxel (DTX) and PFP were successfully combined with ultrasound for the molecular diagnosis and targeted treatment of PDAC. aPDL1-DTX/PFP@Lipid could reshape the PDAC TME, offering a new approach for ultrasound-mediated diagnosis and treatment with promising clinical applications. Graphical Abstract
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spelling doaj-art-2303c4cb02054d5889321709125eace62025-02-02T12:41:18ZengBMCJournal of Nanobiotechnology1477-31552025-01-0123112310.1186/s12951-025-03105-7aPD-L1-facilitated theranostic and tumor microenvironment remodeling of pancreatic cancer via docetaxel-loaded phase-transformation nanoparticles triggered by low-intensity pulsed ultrasoundYi Tang0Qingling Shen1Peng Lin2Zhixin Chen3Denghui Fan4Minling Zhuo5Yajiao Gan6Yixi Su7Qingfu Qian8Liwu Lin9Ensheng Xue10Zhikui Chen11Department of Ultrasound, Fujian Medical University Union HospitalDepartment of Ultrasound, Fujian Medical University Union HospitalDepartment of Ultrasound, Fujian Medical University Union HospitalFujian College Association Instrumental Analysis Center, Fuzhou UniversityDepartment of General Surgery, Affiliated Zhongshan Hospital of Dalian UniversityDepartment of Ultrasound, Fujian Medical University Union HospitalDepartment of Ultrasound, Fujian Medical University Union HospitalDepartment of Ultrasound, Fujian Medical University Union HospitalDepartment of Ultrasound, Fujian Medical University Union HospitalDepartment of Ultrasound, Fujian Medical University Union HospitalDepartment of Ultrasound, Fujian Medical University Union HospitalDepartment of Ultrasound, Fujian Medical University Union HospitalAbstract Early diagnosis of pancreatic ductal adenocarcinoma (PDAC) is challenging because of its depth, which often leads to misdiagnosis during ultrasound examinations. The unique PDAC tumor microenvironment (TME) is characterized by significant fibrous tissue growth, and high interstitial pressure hinders drug penetration into tumors. Additionally, hypoxia and immune suppression within the tumor contribute to poor responses to radiotherapy and chemotherapy, ultimately leading to an unfavorable prognosis. In this study, aPD-L1-modified docetaxel and perfluoropentane-loaded liquid‒vapor phase-transformation lipid nanoparticles (aPDL1-DTX/PFP@Lipid) were synthesized and had an average diameter of 61.63 nm with 84.3% antibody modification. We demonstrated that the nanoparticles (NPs) exhibited excellent PDAC-targeting capabilities both in vitro and in vivo. Upon exposure to low-intensity pulsed ultrasound (LIPUS) stimulation, the NPs underwent a phase transformation to form microbubbles with substantial molecular ultrasound diagnostic effects, and combined treatment resulted in a tumor growth inhibition rate of 88.91%. This treatment strategy also led to the infiltration of CD8+ T cells, the downregulation of Treg cells, the promotion of M1 macrophage polarization, the inhibition of fibrosis to reduce tumor stromal pressure, and the facilitation of perfluoropentane (PFP) gasification to release O2 and improve tumor hypoxia. In conclusion, aPD-L1-modified liquid‒vapor phase-transformation nanoparticles loaded with docetaxel (DTX) and PFP were successfully combined with ultrasound for the molecular diagnosis and targeted treatment of PDAC. aPDL1-DTX/PFP@Lipid could reshape the PDAC TME, offering a new approach for ultrasound-mediated diagnosis and treatment with promising clinical applications. Graphical Abstracthttps://doi.org/10.1186/s12951-025-03105-7Contrast-enhanced ultrasoundMolecular diagnosisTargeted therapyTumor microenvironmentPancreatic cancer
spellingShingle Yi Tang
Qingling Shen
Peng Lin
Zhixin Chen
Denghui Fan
Minling Zhuo
Yajiao Gan
Yixi Su
Qingfu Qian
Liwu Lin
Ensheng Xue
Zhikui Chen
aPD-L1-facilitated theranostic and tumor microenvironment remodeling of pancreatic cancer via docetaxel-loaded phase-transformation nanoparticles triggered by low-intensity pulsed ultrasound
Journal of Nanobiotechnology
Contrast-enhanced ultrasound
Molecular diagnosis
Targeted therapy
Tumor microenvironment
Pancreatic cancer
title aPD-L1-facilitated theranostic and tumor microenvironment remodeling of pancreatic cancer via docetaxel-loaded phase-transformation nanoparticles triggered by low-intensity pulsed ultrasound
title_full aPD-L1-facilitated theranostic and tumor microenvironment remodeling of pancreatic cancer via docetaxel-loaded phase-transformation nanoparticles triggered by low-intensity pulsed ultrasound
title_fullStr aPD-L1-facilitated theranostic and tumor microenvironment remodeling of pancreatic cancer via docetaxel-loaded phase-transformation nanoparticles triggered by low-intensity pulsed ultrasound
title_full_unstemmed aPD-L1-facilitated theranostic and tumor microenvironment remodeling of pancreatic cancer via docetaxel-loaded phase-transformation nanoparticles triggered by low-intensity pulsed ultrasound
title_short aPD-L1-facilitated theranostic and tumor microenvironment remodeling of pancreatic cancer via docetaxel-loaded phase-transformation nanoparticles triggered by low-intensity pulsed ultrasound
title_sort apd l1 facilitated theranostic and tumor microenvironment remodeling of pancreatic cancer via docetaxel loaded phase transformation nanoparticles triggered by low intensity pulsed ultrasound
topic Contrast-enhanced ultrasound
Molecular diagnosis
Targeted therapy
Tumor microenvironment
Pancreatic cancer
url https://doi.org/10.1186/s12951-025-03105-7
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