This invention belongs to the field of
biomedical technology and discloses exosomes derived from induced pluripotent stem cells (iPSCs) with anti-tumor activity and their application in enhancing CAR-
T cell therapy. This invention is the first to discover that iPSC-derived exosomes possess inherent anti-tumor activity by directly inhibiting tumor
cell proliferation, inducing
apoptosis, and inhibiting migration, with a yield hundreds of times higher than that of traditional
cell-derived exosomes. Through
genetic engineering, the surface of the exosomes is made to display a bispecific single-chain variable fragment against PD-1 / MSLN and loaded with indole-3-propionic acid, constructing a multifunctional therapeutic platform. This platform, administered via nebulized
inhalation, achieved a 66.7%
complete remission rate, a 100% 80-day
survival rate, and an 83.3% resistance to tumor re-challenge in an orthotopic
lung cancer model when combined with CAR-T therapy, significantly outperforming
existing treatment strategies. This invention provides an innovative enhancement strategy for CAR-
T cell therapy in
solid tumors and has significant clinical translational value.