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Modulating tumor-associated macrophages through APP-CD74 blockade with IL4R-exosomes synergizes with PD-1 inhibition in gastric cancer - PubMed

3 hours ago
  • #tumor-associated macrophages
  • #gastric cancer
  • #immunotherapy
  • Identifies APP-CD74 signaling axis as key driver of M2-like tumor-associated macrophage (TAM) polarization in gastric cancer, contributing to immunosuppressive microenvironment.
  • Engineered IL4R-targeting exosomes loaded with APP-specific siRNA [IL4R-Exo(siCD74)] effectively target M2 macrophages and repolarize them to M1 phenotype in orthotopic models.
  • Combination of IL4R-Exo(siCD74) with PD-1 inhibitor Nivolumab synergistically enhances antitumor immunity and suppresses tumor growth by reshaping immunosuppressive TME.