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通过双锁铂(IV)前药引发同时铁死亡和凋亡用于协同化学免疫治疗

Evoking Simultaneous Ferroptosis and Apoptosis by a Dual-Locked Platinum (IV) Prodrug for Synergistic Chemo-immunotherapy.

作者信息

Meng He, Wang Jinhui, Wen Hongyu, Xu Zilong, Luo Liuruiqi, Lin Wenkai, Lu Kai, Lu Yuxiang, Wang Jing, Xiong Yufang, Xu Jianqiao, Mao Zong-Wan, Xia Wei

机构信息

MOE Key Laboratory of Bioinorganic and Synthetic Chemistry, IGCME, School of Chemistry, Sun Yat-Sen University, Guangzhou, 510006, China.

出版信息

Angew Chem Int Ed Engl. 2025 Jul 7;64(28):e202505930. doi: 10.1002/anie.202505930. Epub 2025 May 15.

DOI:10.1002/anie.202505930
PMID:40325993
Abstract

While platinum-based chemotherapeutics have revolutionized cancer treatment, their clinical potential is limited by off-target toxicity and restricted antitumor mechanisms. Herein, we introduce a dual-locked Pt(IV) prodrug designed for tumor-specific activation, combining platinum-based chemotherapy with TLR7/8-mediated immunotherapy. The prodrug features a γ-glutamyl-caged TLR7/8 agonist as an axial ligand, enabling sequential activation by elevated glutathione (GSH) and γ-glutamyltranspeptidase (GGT) in the tumor microenvironment. Reduction of the Pt(IV) core releases cisplatin and depletes intracellular reductants, amplifying reactive oxygen species to trigger synergistic ferroptosis and apoptosis. Concurrently, GGT-cleaved axial ligand activates tumor-associated macrophages and dendritic cells, repolarizing immunosuppressive M2-like macrophages to pro-inflammatory M1-like phenotypes while recruiting effector and memory T cells. In murine models, the Pt(IV) prodrug demonstrated potent antitumor efficacy by confining immune activation to malignant tissues, eradicating primary tumors, and establishing durable protective immunity against recurrence. This spatiotemporally controlled dual-release strategy minimizes systemic toxicity while synergizing chemotherapy and immunotherapy, offering a transformative approach for targeted cancer therapy.

摘要

虽然铂类化疗药物彻底改变了癌症治疗方式,但其临床应用潜力受到脱靶毒性和有限的抗肿瘤机制的限制。在此,我们介绍一种为肿瘤特异性激活而设计的双锁铂(IV)前药,它将铂类化疗与TLR7/8介导的免疫疗法相结合。该前药的特点是γ-谷氨酰笼蔽的TLR7/8激动剂作为轴向配体,能够在肿瘤微环境中被升高的谷胱甘肽(GSH)和γ-谷氨酰转肽酶(GGT)顺序激活。铂(IV)核心的还原释放顺铂并消耗细胞内还原剂,放大活性氧以触发协同铁死亡和凋亡。同时,GGT切割的轴向配体激活肿瘤相关巨噬细胞和树突状细胞,将免疫抑制性M2样巨噬细胞重极化到促炎性M1样表型,同时募集效应T细胞和记忆T细胞。在小鼠模型中,铂(IV)前药通过将免疫激活限制在恶性组织中,根除原发性肿瘤,并建立持久的抗复发保护性免疫,显示出强大的抗肿瘤功效。这种时空控制的双释放策略在使全身毒性最小化的同时,协同化疗和免疫疗法,为靶向癌症治疗提供了一种变革性方法。

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