肿瘤特异性过氧亚硝酸盐过度产生破坏代谢稳态以增强黑色素瘤免疫治疗。
Tumor-Specific Peroxynitrite Overproduction Disrupts Metabolic Homeostasis for Sensitizing Melanoma Immunotherapy.
机构信息
Key Laboratory of Radiopharmacokinetics for Innovative Drugs Chinese Academy of Medical Sciences Tianjin Key Laboratory of Radiation Medicine and Molecular Nuclear Medicine Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, 300192, P. R. China.
出版信息
Adv Mater. 2023 Jul;35(29):e2301455. doi: 10.1002/adma.202301455. Epub 2023 Jun 4.
Tumor cells elicit metabolic reprogramming to establish an immunosuppressive tumor microenvironment (TME) for escaping from immunosurveillance. Therefore, interrupting the metabolic adaptation of tumor cells may be a promising strategy for TME immunomodulation, favoring immunotherapy. In this work, a tumor-specific peroxynitrite nanogenerator APAP-P-NO is constructed that can selectively disrupt metabolic homeostasis in melanoma cells. Stimulated by melanoma-characteristic acid, glutathione, and tyrosinase, APAP-P-NO can efficiently generate peroxynitrite through the in situ coupling of the produced superoxide anion and released nitric oxide. Metabolomics profiling reveals that the accumulated peroxynitrite induces a great decrease in metabolites in the tricarboxylic acid cycle. Meanwhile, the glycolysis-produced lactate drops sharply both intracellularly and extracellularly under peroxynitrite stress. Mechanistically, peroxynitrite impairs the activity of glyceraldehyde-3-phosphate dehydrogenase in glucose metabolism through S-nitrosylation. The metabolic alterations effectively reverse the immunosuppressive TME to evoke potent antitumor immune responses, including polarization of M2-like macrophages to M1phenotype, reduction of myeloid-derived suppressor cells and regulatory T cells, and restoration of CD8 T cell infiltration. Combining APAP-P-NO with anti-PD-L1 achieves a significant inhibition against both primary and metastatic melanomas without systemic toxicities. Collectively, a tumor-specific peroxynitrite overproduction approach is developed and the possible mechanism of peroxynitrite-mediated TME immunomodulation is explored, providing a new strategy for facilitating immunotherapy sensitivity.
肿瘤细胞会引发代谢重编程,从而建立一个免疫抑制的肿瘤微环境(TME),以逃避免疫监视。因此,中断肿瘤细胞的代谢适应可能是一种有前途的 TME 免疫调节策略,有利于免疫治疗。在这项工作中,构建了一种肿瘤特异性过氧亚硝酸盐纳米发生器 APAP-P-NO,它可以选择性地破坏黑色素瘤细胞的代谢稳态。在黑色素瘤特征性酸、谷胱甘肽和酪氨酸酶的刺激下,APAP-P-NO 可以通过原位偶联产生的超氧阴离子和释放的一氧化氮来有效地生成过氧亚硝酸盐。代谢组学分析显示,积累的过氧亚硝酸盐会导致三羧酸循环中的代谢物大量减少。同时,过氧亚硝酸盐应激下,细胞内和细胞外的糖酵解产生的乳酸急剧下降。在机制上,过氧亚硝酸盐通过 S-亚硝化作用损害了葡萄糖代谢中甘油醛-3-磷酸脱氢酶的活性。代谢改变有效地逆转了免疫抑制的 TME,引发了强烈的抗肿瘤免疫反应,包括 M2 样巨噬细胞向 M1 表型的极化、髓系来源的抑制细胞和调节性 T 细胞的减少,以及 CD8 T 细胞的浸润恢复。APAP-P-NO 与抗 PD-L1 联合使用,在没有全身毒性的情况下,对原发性和转移性黑色素瘤均有显著抑制作用。总之,开发了一种肿瘤特异性过氧亚硝酸盐过度产生的方法,并探索了过氧亚硝酸盐介导的 TME 免疫调节的可能机制,为促进免疫治疗敏感性提供了一种新策略。