Repurposing of cyclophosphamide as a chemo‑immunotherapy agent in glioma using D8/RI‑VAP modified-chitosan nanoparticles - 19/07/26

Abstract |
Brain tumors possess little immune-cell activity with a cold tumor microenvironment (TME), and do not respond effectively to therapeutic regimens because of the blood-brain barrier (BBB) and the blood-brain tumor barrier (BBTB). Here, we developed cyclophosphamide (CP)-loaded D8/RI-VAP modified chitosan (CS) nanoparticles (NPs) (D8/RI@CP‑CSNPs) as an efficient platform for chemo-immunotherapy of glioma. Physicochemical results confirmed that dual-targeted CP-loaded CSNPs exhibit efficient in vitro and in vivo targeting, cell uptake, and drug release profiles. Biodistribution studies demonstrated substantial accumulation of D8/RI@CP‑CSNPs with a high brain-to-vital organs ratio. Furthermore, the damage-associated molecular pattern (DAMP) molecules such as HMGB1 (2.66-fold), dendritic cell (DC) maturation markers CD80 (1.42-fold) and CD86 (2.69-fold), and TNF‑α (3.92-fold) were increased in tumor parenchyma, indicating strong immunogenic cell death (ICD) induction in tumor-bearing rats. Interestingly, the recruitment of CD8 + and CD4 + T cells to the tumor site proved successful ICD-DC-T cells activation axis following D8/RI@CP‑CSNPs administration via IP injection (4 times at 3-day intervals). In addition to lower weight loss in D8/RI@CP‑CSNPs administered glioma-bearing animals, Kaplan-Meier analysis demonstrated an enhanced more than a two-fold increase in median survival, compared to free drug and untreated groups (60, 31, and 26 days, respectively). Therefore, our dual-targeted CSNPs offer an optimized approach to transform the glioblastoma multiforme suppressive TME "cold" to an immunologically active "hot" state.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | Dual D8/RI-modified chitosan NPs efficiently deliver Cyclophosphamide to glioma while reducing off-target accumulation. |
• | D8/RI@CP-CSNPs shift the glioma microenvironment from “cold” to “hot” by increasing intratumoral CD4⁺, CD8⁺ T cells and CD11c⁺ DCs. |
• | D8/RI@CP-CSNPs double median overall survival in glioma-bearing rats vs free Cyclophosphamide and untreated controls. |
• | Cyclophosphamide, with limited brain tumor utility, becomes an effective GBM agent via this nano-formulation. |
Keywords : Chitosan nanoparticles, Blood-Brain Barrier, Blood-Brain Tumor Barrier, Nano-chemoimmunotherapy, Cyclophosphamide, Dual Targeting, Immunogenic Cell Death
Plan
Vol 201
Article 119698- août 2026 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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