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放射疗法加一种包裹tRF5-GlyGCC抑制剂的自凝胶化粉末可增强自然杀伤细胞免疫,以预防肝细胞癌复发。

Radiotherapy plus a self-gelation powder encapsulating tRF5-GlyGCC inhibitor potentiates natural kill cell immunity to prevent hepatocellular carcinoma recurrence.

作者信息

Gong Yihang, Zeng Fanxin, Zhang Feng, Liu Xiaoquan, Li Zhongheng, Chen Wenjie, Liu Haipeng, Li Xin, Cheng Yusheng, Zhang Jian, Feng Yeqian, Wu Tiangen, Zhou Wence, Zhang Tong

机构信息

Department of Hepatic Surgery and Liver Transplantation Center, The Third Affiliated Hospital of Sun Yat-Sen University, Organ Transplantation Institute, Organ Transplantation Research Center of Guangdong Province, Guangdong Province Engineering Laboratory for Transplantation Medicine, Sun Yat-Sen University, Guangzhou, 510630, China.

Biotherapy Centre & Cell-Gene Therapy Translational Medicine Research Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, China.

出版信息

J Nanobiotechnology. 2025 Feb 10;23(1):100. doi: 10.1186/s12951-025-03133-3.

Abstract

Hepatocellular carcinoma (HCC) recurrence postresection represents a thorny problem in clinical practice, of which impaired natural killer (NK) cell cytotoxicity represents one of crucial causes. Apart from recurrence, hepatectomy-induced abdominal adhesion also poses huge clinical challenges such as abdominal pain, intestinal obstruction, and perforation. Evidence demonstrates that radiotherapy can upregulate NK group 2D ligand expression on tumor cells to enhance NK cell cytotoxicity, indicating its great potential of curbing HCC recurrence. Nevertheless, radiotherapy has also been disclosed to incur suppression on NK antitumor cell immunity. Herein, we reveal that glycocholic acid (GCA)/tRNA-derived fragment 5 (tRF5)-GlyGCC signaling axis is activated in mouse HCC model after radiotherapy, which dampens NK cell antitumor immunity to limit therapeutic efficacy. Mechanistically, tRF5-GlyGCC can interact with KDM6B to epigenetically upregulate Runx2 and then transcriptionally activate ITGBL1 and S100A9 expression in HCC cells, which further reduces NK cell cytotoxicity directly and attracts myeloid-derived suppressor cell (MDSC) to inhibit NK cell function indirectly, respectively. Therefore, radiotherapy plus targeting tRF5-GlyGCC may be an optimized postoperative adjuvant therapy against HCC recurrence. Then, a nanocomposite powder is designed for liver-localized delivery of tRF5-GlyGCC inhibitor. After sprayed to liver resection margin of mouse HCC model, this powder can rapidly form an in-situ Janus-adhesive hydrogel, which allows for sustained delivery of tRF5-GlyGCC inhibitor. Importantly, it can synergize with radiotherapy to potentiate NK cell antitumor immunity and prevent HCC recurrence postresection. Moreover, its application to surgical bed also effectively mitigates abdominal adhesion in a rat hepatectomy model. Altogether, our work develops a tRF5-GlyGCC-targeting nanocomposite power for sensitizing radiotherapy to thwart HCC recurrence and preventing abdominal adhesion.

摘要

肝细胞癌(HCC)切除术后复发是临床实践中的一个棘手问题,其中自然杀伤(NK)细胞细胞毒性受损是关键原因之一。除了复发,肝切除引起的腹部粘连也带来了巨大的临床挑战,如腹痛、肠梗阻和穿孔。有证据表明,放疗可上调肿瘤细胞上的NK组2D配体表达,以增强NK细胞的细胞毒性,表明其在抑制HCC复发方面具有巨大潜力。然而,也有研究表明放疗会抑制NK抗肿瘤细胞免疫。在此,我们发现,放疗后的小鼠HCC模型中,甘氨胆酸(GCA)/tRNA衍生片段5(tRF5)-GlyGCC信号轴被激活,这会抑制NK细胞抗肿瘤免疫,从而限制治疗效果。机制上,tRF5-GlyGCC可与KDM6B相互作用,通过表观遗传上调Runx2,进而转录激活HCC细胞中ITGBL1和S100A9的表达,这分别直接降低NK细胞的细胞毒性,并间接吸引髓源性抑制细胞(MDSC)抑制NK细胞功能。因此,放疗联合靶向tRF5-GlyGCC可能是一种优化的抗HCC复发术后辅助治疗方法。然后,设计了一种纳米复合粉末用于肝局部递送tRF5-GlyGCC抑制剂。将这种粉末喷洒到小鼠HCC模型的肝切除边缘后,它可以迅速形成原位双面粘附水凝胶,从而实现tRF5-GlyGCC抑制剂的持续递送。重要的是,它可以与放疗协同增强NK细胞抗肿瘤免疫,预防HCC切除术后复发。此外,将其应用于手术床也能有效减轻大鼠肝切除模型中的腹部粘连。总之,我们的工作开发了一种靶向tRF5-GlyGCC的纳米复合粉末,以增强放疗敏感性,防止HCC复发和腹部粘连。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a5/11809039/fee8ebce85ea/12951_2025_3133_Fig1_HTML.jpg

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