Shanghai Frontiers Science Center of Drug Target Identification and Delivery, School of Pharmaceutical Sciences, Shanghai Jiao Tong University, 800 Dongchuan Road, Shanghai 200240, China.
Shanghai Frontiers Science Center of Drug Target Identification and Delivery, School of Pharmaceutical Sciences, Shanghai Jiao Tong University, 800 Dongchuan Road, Shanghai 200240, China..
J Control Release. 2024 Aug;372:446-466. doi: 10.1016/j.jconrel.2024.06.059. Epub 2024 Jun 26.
Cancer immunotherapy remains a significant challenge due to insufficient proliferation of immune cells and the sturdy immunosuppressive tumor microenvironment. Herein, we proposed the hypothesis of cuproptosis-lactate regulation to provoke cuproptosis and enhance anti-tumor immunity. For this purpose, copper-human serum albumin nanocomplex loaded gold nanocages with bacterial membrane coating (BAu-CuNCs) were developed. The targeted delivery and disassembly of BAu-CuNCs in tumor cells initiated a cascade of reactions. Under near infrared (NIR) laser irradiation, the release of copper-human serum albumin (Cu-HSA) was enhanced that reacted with intratumoral glutathione (GSH) via a disulfide exchange reaction to liberate Cu ions and exert cuproptosis. Subsequently, the cuproptosis effect triggered immunogenic cell death (ICD) in tumor by the release of damage associated molecular patterns (DAMPs) to realize anti-tumor immunity via robust production of cytotoxic T cells (CD8) and helper T cells (CD4). Meanwhile, under NIR irradiation, gold nanocages (AuNCs) promoted excessive reactive oxygen species (ROS) generation that played a primary role in inhibiting glycolysis, reducing the lactate and ATP level. The combine action of lower lactate level, ATP reduction and GSH depletion further sensitized the tumor cells to cuproptosis. Also, the lower lactate production led to the significant blockage of immunosuppressive T regulatory cells (Tregs) and boosted the anti-tumor immunity. Additionally, the effective inhibition of breast cancer metastasis to the lungs enhanced the anti-tumor therapeutic impact of BAu-CuNCs + NIR treatment. Hence, BAu-CuNCs + NIR concurrently induced cuproptosis, ICD and hindered lactate production, leading to the inhibition of tumor growth, remodeling of the immunosuppressive tumor microenvironment and suppression of lung metastasis. Therefore, leveraging cuproptosis-lactate regulation, this approach presents a novel strategy for enhanced tumor immunotherapy.
由于免疫细胞增殖不足和坚固的免疫抑制肿瘤微环境,癌症免疫疗法仍然是一个重大挑战。在这里,我们提出了铜死亡-乳酸调节的假设,以引发铜死亡并增强抗肿瘤免疫。为此,开发了负载金纳米笼的铜-人血清白蛋白纳米复合物(BAu-CuNCs)。BAu-CuNCs 在肿瘤细胞中的靶向递释和组装破坏引发了一系列反应。在近红外(NIR)激光照射下,铜-人血清白蛋白(Cu-HSA)的释放增强,通过二硫键交换反应与肿瘤内谷胱甘肽(GSH)反应,释放 Cu 离子并发挥铜死亡作用。随后,铜死亡效应通过释放损伤相关分子模式(DAMPs)在肿瘤中引发免疫原性细胞死亡(ICD),通过强大的细胞毒性 T 细胞(CD8)和辅助 T 细胞(CD4)的产生来实现抗肿瘤免疫。同时,在 NIR 照射下,金纳米笼(AuNCs)促进了过量活性氧(ROS)的产生,这在抑制糖酵解、降低乳酸和 ATP 水平方面发挥了主要作用。较低的乳酸水平、ATP 减少和 GSH 耗竭的联合作用进一步使肿瘤细胞对铜死亡敏感。此外,较低的乳酸产生导致免疫抑制性调节性 T 细胞(Tregs)的显著阻断,并增强了抗肿瘤免疫。此外,对乳腺癌向肺部转移的有效抑制增强了 BAu-CuNCs+NIR 治疗的抗肿瘤治疗效果。因此,BAu-CuNCs+NIR 同时诱导铜死亡、ICD 和抑制乳酸生成,从而抑制肿瘤生长、重塑免疫抑制性肿瘤微环境和抑制肺转移。因此,利用铜死亡-乳酸调节,这种方法为增强肿瘤免疫治疗提供了一种新策略。
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