State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Innovation Academy for Precision Measurement Science and Technology, Chinese Academy of Sciences - Wuhan National Laboratory for Optoelectronics, Wuhan, 430071, P. R. China.
University of Chinese Academy of Sciences, Beijing, 100049, P. R. China.
Angew Chem Int Ed Engl. 2024 May 27;63(22):e202403771. doi: 10.1002/anie.202403771. Epub 2024 Apr 23.
The immune checkpoint blockade strategy has improved the survival rate of late-stage lung cancer patients. However, the low immune response rate limits the immunotherapy efficiency. Here, we report a ROS-responsive FeO-based nanoparticle that undergoes charge reversal and disassembly in the tumor microenvironment, enhancing the uptake of FeO by tumor cells and triggering a more severe ferroptosis. In the tumor microenvironment, the nanoparticle rapidly disassembles and releases the loaded GOx and the immune-activating peptide Tuftsin under overexpressed HO. GOx can consume the glucose of tumor cells and generate more HO, promoting the disassembly of the nanoparticle and drug release, thereby enhancing the therapeutic effect of ferroptosis. Combined with Tuftsin, it can more effectively reverse the immune-suppressive microenvironment and promote the recruitment of effector T cells in tumor tissues. Ultimately, in combination with α-PD-L1, there is significant inhibition of the growth of lung metastases. Additionally, the hyperpolarized Xe method has been used to evaluate the FeO nanoparticle-mediated immunotherapy, where the ventilation defects in lung metastases have been significantly improved with complete lung structure and function recovered. The ferroptosis-enhanced immunotherapy combined with non-radiation evaluation methodology paves a new way for designing novel theranostic agents for cancer therapy.
免疫检查点阻断策略提高了晚期肺癌患者的生存率。然而,免疫反应率低限制了免疫疗法的效率。在这里,我们报告了一种基于 ROS 响应的 FeO 纳米颗粒,它在肿瘤微环境中经历电荷反转和组装,增强了 FeO 被肿瘤细胞摄取,并引发更严重的铁死亡。在肿瘤微环境中,纳米颗粒在过表达的 HO 下迅速解体并释放负载的 GOx 和免疫激活肽 Tuftsin。GOx 可以消耗肿瘤细胞中的葡萄糖并产生更多的 HO,促进纳米颗粒的解体和药物释放,从而增强铁死亡的治疗效果。与 Tuftsin 结合,它可以更有效地逆转免疫抑制微环境,并促进效应 T 细胞在肿瘤组织中的募集。最终,与 α-PD-L1 联合使用,对肺转移瘤的生长有显著抑制作用。此外,还使用了超极化 Xe 方法来评估 FeO 纳米颗粒介导的免疫治疗,其中肺转移瘤的通气缺陷得到了显著改善,肺结构和功能完全恢复。铁死亡增强的免疫治疗结合非辐射评估方法为设计用于癌症治疗的新型治疗药物开辟了新途径。
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