CD47 masks pro-phagocytic ligands in cis on tumor cells to suppress antitumor immunity.

Cancer cells often overexpress CD47, which triggers the inhibitory receptor SIRPα expressed on macrophages, to elude phagocytosis and antitumor immunity. Pharmacological blockade of CD47 or SIRPα is showing promise as anticancer therapy, although CD47 blockade has been associated with hematological toxicities that may reflect its broad expression pattern on normal cells. Here we found that, in addition to triggering SIRPα, CD47 suppressed phagocytosis by a SIRPα-independent mechanism. This mechanism prevented phagocytosis initiated by the pro-phagocytic ligand, SLAMF7, on tumor cells, due to a cis interaction between CD47 and SLAMF7. The CD47-SLAMF7 interaction was disrupted by CD47 blockade and by a first-in-class agonist SLAMF7 antibody, but not by SIRPα blockade, thereby promoting antitumor immunity. Hence, CD47 suppresses phagocytosis not only by engaging SIRPα, but also by masking cell-intrinsic pro-phagocytic ligands on tumor cells and knowledge of this mechanism may influence the decision between CD47 blockade or SIRPα blockade for therapeutic purposes.

Skeletal Network Enabling New-Generation Thermoplastic Vulcanizates.

Upcycling of cross-linked rubbers is pressing. The introduction of dynamic covalent bonds into the networks is a popular tactic for recycling thermosetting polymers, but it is very challenging to integrate engineering performance and continuous yet stable reprocessability. Based on traditional rubber formulations, herein, a straightforward strategy is presented for constructing a skeletal network (SN) through interfacial crosslinking and percolation of rubbery granules in a rubber matrix. Rapid exchange reactions involving dynamic interfacial sulfides realize repeated "fragmentation and healing" in the solid-state and consequent reconfiguration of the SN topology of the elastomer, thus endowing the resultant SN elastomer with continuous yet stable re-extrudability. These SN elastomers with hierarchical structures exhibit high gel contents, high resilience, low creep, and reinforcibility competitive to traditional vulcanizates. Specifically, SN elastomers exhibit better overall performance than commercial thermoplastic vulcanizates (TPVs) materials. Overall, a new concept of thermoplastic vulcanizates is proposed, which will promote the sustainable development of rubbers.

Cis interactions between CD2 and its ligands on T cells are required for T cell activation.

CD2 is largely described to promote T cell activation when engaged by its ligands, CD48 in mice and CD58 in humans, that are present on antigen-presenting cells (APCs). However, both CD48 and CD58 are also expressed on T cells. By generating new knockout mouse strains lacking CD2 or CD48 in the C57BL/6 background, we determined that whereas CD2 was necessary on T cells for T cell activation, its ligand CD48 was not required on APCs. Rather, CD48 was also needed on T cells. One exception was during cytotoxicity, which required CD48 on T cells and APCs. Fluorescence resonance energy transfer (FRET) studies in nonimmune cells provided evidence that cis interactions between CD2 and CD48 existed within individual cells. CD2-CD48 interactions on T cells enabled more robust T cell receptor (TCR) signals, including protein tyrosine phosphorylation. Using T cells from a CD2 knock-in mouse in which a tag was inserted at the carboxyl terminus of CD2, mass spectrometry analyses revealed that the role of CD2 in T cell activation correlated with its ability to interact with components of the TCR complex and the protein tyrosine kinase Lck. CD2-CD58 provided a similar function in human T cells. Thus, our data imply that T cell-intrinsic cis interactions of CD2 with its ligands are required for TCR signaling and T cell activation. Interactions with ligands on APCs contribute during cytotoxicity.

Inflammatory macrophages exploit unconventional pro-phagocytic integrins for phagocytosis and anti-tumor immunity.

Blockade of the inhibitory checkpoint SIRPα-CD47 promotes phagocytosis of cancer cells by macrophages and is a promising avenue in anti-cancer therapy. Productive phagocytosis is strictly predicated on co-engagement of pro-phagocytic receptors-namely, Fc receptors (FcRs), integrin CD11b, or SLAMF7-by their ligands on cancer cells. Here, we examine whether additional pro-phagocytic receptors could be harnessed to broaden the scope of phagocytosis. Inflammatory stimuli, including multiple cytokines and Toll-like receptor (TLR) ligands, augment phagocytosis efficiency and fully alleviate the requirement of FcRs, CD11b, and SLAMF7 for phagocytosis. These effects are mediated by the unconventional pro-phagocytic integrins CD11a and CD11c, which act with CD18 to initiate actin polarization, leading to phagocytosis. Some inflammatory stimuli enable phagocytosis even in the absence of SIRPα-CD47 blockade. Higher CD11c expression in macrophage-enriched tumors correlates with improved survival in clinical studies. Thus, inflammatory macrophages exploit unconventional pro-phagocytic integrins for improved phagocytosis and anti-tumor immunity.

Generic Method to Create Segregated Structures toward Robust, Flexible, Highly Conductive Elastomer Composites.

Electrically and thermally conductive polymer composites are extensively used in our daily life. It is of great significance to fulfill the conductivity requirement while maintaining desirable mechanical performance. An efficient solution to achieve this goal is to construct segregated structures in polymer composites by confining fillers into the interstitial areas among polymer domains. Thus far, it still remains a challenge to create segregated structures in cross-linked polymeric networks. Herein, we report a facile methodology to construct segregated structures in sulfur-cured rubbers using an industrially accessible process toward robust, flexible, highly conductive elastomer composites. Specifically, natural rubber granules (NR-RGs) with reactive di- and polysulfides on the surface are fabricated and then mixed with NR gum, carbon nanotubes (CNTs), and curing additives, followed by compression molding to yield two-phase separate composites. In the composites, CNTs are selectively dispersed in the continuous NR phase due to the volume exclusion effect caused by the separate NR-RG phase, leading to overwhelming electrical conductivity compared to the counterparts with randomly dispersed CNTs. In addition, NR-RGs can serve as novel reinforcement for NR, imparting the composites with remarkably improved modulus and retained stretchability. The simultaneously improved electrical conductivity and mechanical properties are due to the strong interfacial adhesion between the NR matrix and NR-RGs, as the di- and polysulfides on the surface of NR-RGs can participate in the cross-linking reactions of NR gum and enable the establishment of covalent bonding across the interfaces. The universality of this approach in preparing segregated composites with a combination of high conductivities and robust mechanical properties is demonstrated using other diene rubbers as the matrix and boron nitride as the filler.

Engineering Segregated Structures in a Cross-Linked Elastomeric Network Enabled by Dynamic Cross-Link Reshuffling.

Construction of segregated structures in polymer composites is an efficient way to improve the electrical conductivity and reduce the percolation threshold by confining conductive fillers into the interstitial areas between polymer domains. Yet, it remains a great challenge to engineer segregated structures into thermosets as the cross-linked structure prohibits the "sintering" of polymer domains into a coherent material. Thus far, the state of art approaches to create segregated network in cross-linked polymers involve tedious procedures and are limited to latex mixing technology. Here, inspired by solid state plasticity of vitrimers, we present a simple method to create segregated structures in covalently cross-linked networks by compression molding of conductive filler-coated vitrimer granules. Specifically, dynamic boronic ester-cross-linked styrene-butadiene rubber vitrimers was ground into granules and then mechanically mixed with carbon nanotubes (CNTs) to coat CNTs onto vitrimer granules, followed by hot-press molding. During the molding process, the transesterifications of boronic esters enable cross-linked granules to adhere together through molecular bonding, and the high viscosity of granules forces CNTs to selectively localize at their boundary region. As a result, coherently segregated composites with an ultralow percolation threshold, good flexibility, and healing capability are obtained. With this example, we envisage that this work provides a conceptual method to create segregated structures in cross-linked polymers.

Activation of notch 3/c-MYC/CHOP axis regulates apoptosis and promotes sensitivity of lung cancer cells to mTOR inhibitor everolimus.

The mammalian target of rapamycin (mTOR) pathway converges diverse environmental cues to support the lung cancer growth and survival. However, the mTOR-targeted mono-therapy does not achieve expected therapeutic effect. Here, we revealed that fangchinoline (FCL), an active alkaloid that purified from the traditional Chinese medicine Stephania tetrandra S. Moore, enhanced the anti-lung cancer effect of mTOR inhibitor everolimus (EVE). The combination of EVE and FCL was effective to activate Notch 3, and subsequently evoked its downstream target c-MYC. The blockage of Notch 3 signal by the molecular inhibitor of γ-secretase or siRNA of Notch 3 reduced the c-MYC expression and attenuated the combinational efficacy of EVE and FCL on cell apoptosis and proliferation. Moreover, the c-MYC could bind to the C/EBP homologous protein (CHOP) promoter and facilitate CHOP transcription. The conditional genetic deletion of CHOP reduced the apoptosis on lung cancer cells to the same degree as blockage of Notch 3/c-MYC axis, providing further evidence for that the Notch 3/c-MYC axis regulates the transcription of CHOP and finally induces apoptosis upon co-treatment of FCL and EVE in lung cancer cells. Overall, our findings, to the best of our knowledge, firstly link CHOP to Notch 3/c-MYC axis-dependent apoptosis and provide the Notch 3/c-MYC/CHOP activation as a promising strategy for mTOR-targeted combination therapy in lung cancer treatment.

Facile Strategy for the Biomimetic Heterogeneous Design of Elastomers with Mechanical Robustness, Malleability, and Functionality.

It remains challenging to simultaneously realize mechanical robustness, malleability, and functionality in elastomers via facile yet efficient methods. Herein, a simple strategy for the biomimetic heterogeneous design is proposed to achieve mechanically strong, malleable, and functionalized elastomers. We demonstrate the strategy by straightforward mechanical mixing of a highly cross-linked vitrimeric elastomer with a homogeneous gum and subsequent curing, resulting in heterogeneous vitrimeric elastomers (hetero-VEs). The hetero-VEs comprise two phases: a hard phase with dense cross-links and a soft matrix with few cross-links, with excellent interface between the two phases. The hard phases can be deformed upon loading, dissipating energy, which significantly improves the overall mechanical performance of the hetero-VEs. When conductive fillers are incorporated into the soft matrix, due to the volume exclusion effect of the hard phases, the resultant hetero-VEs exhibit high conductivity with a small fraction of fillers. In view of the facile and generic preparation process, this strategy should be a promising way to reinforce and functionalize many vitrimeric elastomer systems.

Catalyst-Free Metathesis of Cyclic Acetals and Spirocyclic Acetal Covalent Adaptable Networks.

Due to the exchangeability of dynamic covalent bonds in the covalent adaptable networks (CANs) at elevated temperature, they possess recyclability while still maintaining many of the superior properties of thermosets. The exploration of dynamic covalent chemistry is of great significance to the expansion of CANs library and hence the sustainable development of thermosets. In this work, we discovered that, in absence of catalyst, the direct metathesis of the cyclic acetals proceeds while the acyclic acetals cannot. The metathesis kinetics of the cyclic acetals were fully revealed with model compounds. For the CANs demonstration, a series of cross-linked spirocyclic acetal polymers with excellent reprocessability, high thermal stability, and high refractivity were prepared via thiol-ene click polymerization. We envisage that the uncovering of the catalyst-free metathesis of cyclic acetals will enrich the dynamic chemistry of acetals and greatly promote the development of acetal-based CANs and their potential applications in optical devices.

Uniaxial Stretching-Induced Alignment of Carbon Nanotubes in Cross-Linked Elastomer Enabled by Dynamic Cross-Link Reshuffling.

The fascinating properties of carbon nanotubes (CNTs) make them highly promising in fabricating polymer composites. Yet, the property enhancements of polymer/CNTs composites remain far behind the theoretical predictions. A critical issue to resolve this dilemma is to align CNTs in polymer matrices. Thus far, the state of art approaches to create CNT alignment either require complicated preparation processes and specific apparatuses, or is limited to thermoplastic polymers. Here, inspired by the network rearrangement ability of vitrimer in the solid state, we bring forth a facile methodology to align CNT in covalently cross-linked polymers by uniaxially stretching dynamic. Specifically, dynamic boronic ester bond-cross-linked epoxidized natural rubber/CNTs vitrimer composites with randomly dispersed CNTs are prepared, which are able to rearrange the network topologies and release stress at elevated temperatures through boronic ester transesterifications. The alignment of CNTs is performed by the uniaxial stretching of the composites and subsequent cross-link reshuffling at elevated temperatures, which results in anisotropic composites with remarkably enhanced mechanical properties and reduced electrical conductivity along the stretching direction. Furthermore, the mechanical properties of the composites can be readily adjusted by changing the applied strain, relaxation time and temperature due to the modulated CNT alignment degree. With this example, we envisage that this work offers a conceptual and facile approach to align anisotropic fillers in covalently cross-linked polymers.

Integrating Sacrificial Bonds into Dynamic Covalent Networks toward Mechanically Robust and Malleable Elastomers.

Vitrimers are a class of covalently cross-linked polymers that have drawn great attention due to their fascinating properties such as malleability and reprocessability. The state of art approach to improve their mechanical properties is the addition of fillers, which, however, greatly restricts the chain mobility and impedes network topology rearrangement, thereby deteriorating the dynamic properties of vitrimer composites. Here, we demonstrate that the integration of sacrificial bonds into a vitrimeric network can remarkably enhance the overall mechanical properties while facilitating network rearrangement. Specifically, commercially available epoxidized natural rubber is covalently cross-linked with sebacic acid and simultaneously grafted with N-acetylglycine (NAg) through the chemical reaction between epoxy and carboxyl groups, generating exchangeable ß-hydroxyl esters and introducing amide functionalities into the networks. The hydrogen bonds arising from amide functionalities act in a sacrificial and reversible manner, that is, preferentially break prior to the covalent framework and undergo reversible breaking and reforming to dissipate mechanical energy under external load, which leads to a rarely achieved combination of high strength, modulus, and toughness. The topology rearrangement of the cross-linked networks can be accomplished through transesterification reactions at high temperatures, which is accelerated with the increase of grafting NAg amount due to the dissociation of transient hydrogen bonds and increase of the ester concentration in the system.

Elastomer Reinforced with Innate Sulfur-Based Cross-Links as Ligands.

Although the incorporation of sacrificial bonds into an elastomer is an effective way to provide a combination of high strength and high fracture toughness, this method normally involves complicated chemical processes. The coordination between metal ions and polysulfides has been documented. However, the potential of polysulfide structures in vulcanizates as ligands has long been neglected. Using innate sulfur-based cross-links, we show how weak and nonpolar elastomers achieve significant reinforcement without modification of the backbone. By simply soaking vulcanizates into solutions containing metal ions, dual ions are simultaneously introduced into the vulcanizate to generate coordinations with different bond strengths, resulting in an unprecedented high modulus. Overall, this work presents a universal yet high-efficiency reinforcing strategy to prepare high-performance elastomers without additional chemical modifications, which should promote comprehensive research and industrial application of sacrificial bond strategies for elastomers.

MLKL mediates apoptosis via a mutual regulation with PERK/eIF2α pathway in response to reactive oxygen species generation.

The pseudokinase mixed lineage kinase domain-like protein (MLKL) is a core effector of necroptosis, and its function in necroptosis is widely studied. However, the function of MLKL in apoptosis remains unclear. In the present study, the role of MLKL in chelerythrine (CHE)-promoted apoptosis was studied. A special band of MLKL (i.e., *MLKL) was observed after treatment with CHE. MLKL and *MLKL were accumulated in the nucleus upon treatment with CHE and MLKL silencing reversed the CHE-induced apoptosis. Blockade of CHE-triggered reactive oxygen species (ROS) generation or inhibition of CHE-activated protein kinase-like endoplasmic reticulum kinase (PERK)-eukaryotic initiation factor 2 α subunit (eIF2α) pathway reversed the apoptosis. A decreased ROS level inhibited CHE-mediated nuclear translocation of MLKL and *MLKL and the activation of eIF2α, whereas MLKL or eIF2α silencing did not affect the CHE-triggered ROS generation. Furthermore, MLKL silencing prevented the CHE-activated eIF2α signal, and eIF2α silencing blocked the CHE-induced nuclear translocation of MLKL and *MLKL. Our studies suggested that CHE possibly induces apoptosis through the nuclear translocation of MLKL and *MLKL, which is promoted by a mutual regulation between MLKL and PERK-eIF2α pathway in response to ROS formation. The present study clarified the new function of MLKL in apoptosis.

Toughening Elastomers Using a Mussel-Inspired Multiphase Design.

It is a challenge to simultaneously achieve high stretchability, high modulus, and recoverability of polymers. Inspired by the multiphase structure of mussel byssus cuticles, we circumvent this dilemma by introducing a deformable microphase-separated granule with rich coordination into a ductile rubber network. The granule can serve as an additional cross-link to improve the modulus, while the sacrificial, reversible coordination can dissociate and reconstruct continuously during stretching to dissipate energy. The elastomer with such a bioinspired multiphase structure exhibits over a 10-fold increase in toughness compared to the original sample. We envision that this work offers a novel yet facile biomimetic route toward high-performance elastomers.

Covalently Cross-Linked Elastomers with Self-Healing and Malleable Abilities Enabled by Boronic Ester Bonds.

Covalently cross-linked rubbers are renowned for their high elasticity that play an indispensable role in various applications including tires, seals, and medical implants. Development of self-healing and malleable rubbers is highly desirable as it allows for damage repair and reprocessability to extend the lifetime and alleviate environmental pollution. Herein, we propose a facile approach to prepare permanently cross-linked yet self-healing and recyclable diene-rubber by programming dynamic boronic ester linkages into the network. The network is synthesized through one-pot thermally initiated thiol-ene "click" reaction between a novel dithiol-containing boronic ester cross-linker and commonly used styrene-butadiene rubber without modifying the macromolecular structure. The resulted samples are covalently cross-linked and possess relatively high mechanical strength which can be readily tailored by varying boronic ester content. Owing to the transesterification of boronic ester bonds, the samples can alter network topologies, endowing the materials with self-healing ability and malleability.

Osimertinib resistance in non-small cell lung cancer: Mechanisms and therapeutic strategies.

Given the successful identification of epidermal growth factor receptor EGFR T790M, the third-generation EGFR tyrosine kinase inhibitor (TKI), osimertinib (OSI, AZD9291), was developed to target EGFR T790M mutation. OSI was approved for the treatment of patients with non-small cell lung cancer (NSCLC) harboring EGFR T790M mutation. However, the disease would progress after the patient received OSI treatment for approximately 10 months. Resistance mechanisms to OSI, such as additional mutation of EGFR and alternative kinase activation, were recently identified, and some novel therapeutic strategies were proposed to overcome OSI resistance. In this review, the resistance mechanisms and therapeutic strategies for OSI-resistant NSCLC were summarized to direct further use of OSI and aid in the development of novel drugs or strategies for OSI-resistant NSCLC.

Identification of a novel autophagic inhibitor cepharanthine to enhance the anti-cancer property of dacomitinib in non-small cell lung cancer.

Inhibition of autophagy is a promising strategy for non-small cell lung cancer (NSCLC) treatment, which is in the clinical trials. However, only chloroquine is used in clinic as an autophagic inhibitor and the inhibitory effect of chloroquine on autophagy is finite. Therefore, the development of an alternative autophagic inhibitor for NSCLC therapy becomes necessary. In the present study, cepharanthine (CEP), an alkaloid extracted from Stephania cepharantha Hayata, was identified as a novel autophagic inhibitor in NSCLC cells. The potential mechanism of the CEP-inhibited autophagy was by blockage of autophagosome-lysosome fusion and inhibition of lysosomal cathepsin B and cathepsin D maturation. Furthermore, we found for the first time that dacomitinib (DAC), a second-generation epidermal growth factor receptor inhibitor that in the phase III clinical trials for NSCLC treatment, induced a protective autophagy to decrease its anti-cancer effect. Combined treatment with CEP increased the anti-proliferative and apoptotic effects of DAC in vitro and enhanced the anti-cancer effect of DAC in NCI-H1975 xenograft mice. Collectively, CEP might be further developed as an autophagic inhibitor, and combined treatment of CEP and DAC could offer an effective strategy for NSCLC treatment.

Increased Expression of IRE1α Associates with the Resistant Mechanism of Osimertinib (AZD9291)-resistant non-small Cell Lung Cancer HCC827/OSIR Cells.

BACKGROUND: Osimertinib (OSI), also known as AZD9291, is a third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) that has been approved for the treatment of non-small cell lung cancer (NSCLC) patients. OBJECTIVE: Establishment of the OSI-resistant HCC827/OSIR cell line and study of its resistant mechanism. METHOD: The anti-proliferative effect was studied through MTT and colony formation assays. The protein expression was detected by Western blot assay. The gene was silenced by small interfering RNA. The cellular morphology was observed by using an optical microscope. The viable cell numbers were counted by trypan blue staining assay. RESULTS: The OSI-resistant HCC827/OSIR cells were established on HCC827 cells with naive EGFR-sensitive mutation, and the resistant effects of HCC827/OSIR cells were confirmed through MTT and colony formation assays. The IC50s of HCC827/OSIR cells to other EGFR TKIs, such as gefitinib, erlotinib, afatinib, and rociletinib was higher than that of the HCC827 cells. The anti-proliferative effects of paclitaxel, pemetrexed, doxorubicin, and fluorouracil in HCC827 and HCC827/OSIR cells were similar. The expression of inositolrequiring enzyme 1α (IRE1α) was increased after the cells developed resistance to OSI. The number of viable cells in both cell lines, particularly in HCC827/OSIR cells, was decreased through knockdown of IRE1α or pretreatment with STF-083010, an IRE1α inhibitor. CONCLUSION: An increased expression of IRE1α may be one of the resistant mechanisms for OSI-resistant NSCLC.