Gemcitabine-Loaded Injectable Hydrogel for Localized Breast Cancer Immunotherapy

Injectable hydrogels for cancer immunotherapy are effective for both active and passive approaches. Tumor-infiltrating lymphocyte (TIL) immunoshaping can change the tumor microenvironment to favor tumor cell elimination. The primary objective of immunoshaping is to reduce regulatory T-cells (Tregs), which can enhance the effectiveness of ex vivo immune cell therapy in solid tumors. A shear-thinning injectable hydrogel that consists of gelatin and Laponite (Gel-Lap) is used in this study. By optimizing the formulation, their immunotherapeutic and anti-tumor properties are examined. Gemcitabine (GEM), an anti-metabolite cancer chemotherapy agent, is loaded into a Gel-Lap hydrogel (immunogel). The study compares the effects of immunogel on 4T1 inoculated breast cancer animal models. Results show that immunogel increases survival rates and significantly inhibits metastasis. The Treg cell population reduction is observed up to 70% in TILs and splenocyte population in line with CD8+ T-cells population increment in inguinal lymph nodes near the tumor region; the CD8+ T-cells function may be mediated through overexpression of eomesodermin (EOMES) as cytotoxic T lymphocyte (CTL) activation transcription factor. The human 3D cell culture model confirmed results in animal data demonstrating T-cell migration through the hydrogel and anticancer efficacy. Local delivery of GEM using our silicate-based hydrogel holds promise for editing tumor microenvironment in favor of systemic immune responses. Injectable hydrogels, combine with immunotherapy and chemotherapy, show promise in cancer treatment. In this study, Shokrollahi et al show that using gelatin-Laponite hydrogel loaded with gemcitabine increased survival rates, metastasis inhibition, and modulation of the tumor microenvironment, enhancing T-cell responses in breast cancer models. image