Yu Ling, Qiu Fengkai, Hu Yumin, Liao Tingting, Zhai Mengqian, Wu Ronghua, He Qianhui, Hu Huilin, Xia Shuiwei, Hui Junguo, Wang Zufei, Yang Yang, Qiu Rongfang, Chen Minjiang, Chen Weiqian, Tu Jianfei, Ji Jiansong, Lu Chenying
Zhejiang Key Laboratory of Imaging and Interventional Medicine, Zhejiang Engineering Research Center of Interventional Medicine Engineering and Biotechnology, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui 323000, China.
Department of Radiology, Lishui Central Hospital, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui 323000, China.
ACS Appl Mater Interfaces. 2025 Jul 2;17(26):37448-37464. doi: 10.1021/acsami.5c03469. Epub 2025 Jun 19.
Because of the high incidence and mortality of cancer, there is an urgent need for more effective tumor diagnostic imaging and treatment strategies. Single-molecule therapeutics have emerged as a promising strategy to address the limitations of independent imaging and therapeutic modalities, thereby significantly reducing adverse side effects for patients. For the first time, we successfully synthesized NaGd(MoO) nanoparticles via a homogeneous precipitation method in polyol media, which serve as a single-molecule agent for MRI imaging and metallic immunotherapy. With the addition of iRGD, we obtained iRGD-NaGd(MoO). The iRGD-NaGd(MoO) nanoparticles exhibit excellent tumor-targeting capability and significantly enhance T1-weighted MRI contrast with a longitudinal relaxivity of 4.95 mM s. In terms of antitumor immunotherapy, iRGD-NaGd(MoO) not only directly activates the cGAS-STING pathway but also induces ferroptosis in tumor cells, resulting in the generation of aberrant dsDNA and thereby indirectly activating the STING pathway. The dual pathway elicits a tumor-specific immune response, plays a significant role in promoting the maturation of DC cells, activates DC and T cells to secrete high levels of TNF-α, IL-6 and other cytokines, and regulates the polarization of macrophages from M2 phenotype to M1 phenotype. This mechanism significantly suppresses tumor growth. Beyond the metallic immunotherapy induced by Mn, Zn, and Co, this study provides robust validation of MoO4 as an effective cGAS-STING agonist. Moreover, this study achieved the synergy of multiple disciplines including biomaterials, tumor immunotherapy and medical imaging. This not only promotes the innovative integration in various fields, but also provides new treatment strategies and imaging tools for cancer treatment, which has important clinical application prospects.
由于癌症的高发病率和死亡率,迫切需要更有效的肿瘤诊断成像和治疗策略。单分子疗法已成为一种有前景的策略,以解决独立成像和治疗方式的局限性,从而显著减少患者的不良副作用。我们首次通过多元醇介质中的均匀沉淀法成功合成了NaGd(MoO)纳米颗粒,其作为用于MRI成像和金属免疫治疗的单分子剂。加入iRGD后,我们得到了iRGD-NaGd(MoO)。iRGD-NaGd(MoO)纳米颗粒表现出优异的肿瘤靶向能力,并以4.95 mM s的纵向弛豫率显著增强T1加权MRI对比度。在抗肿瘤免疫治疗方面,iRGD-NaGd(MoO)不仅直接激活cGAS-STING途径,还诱导肿瘤细胞发生铁死亡,导致异常双链DNA的产生,从而间接激活STING途径。双途径引发肿瘤特异性免疫反应,在促进DC细胞成熟中起重要作用,激活DC和T细胞分泌高水平的TNF-α、IL-6等细胞因子,并调节巨噬细胞从M2表型向M1表型的极化。该机制显著抑制肿瘤生长。除了由Mn、Zn和Co诱导的金属免疫治疗外,本研究为MoO4作为一种有效的cGAS-STING激动剂提供了有力验证。此外,本研究实现了生物材料、肿瘤免疫治疗和医学成像等多学科的协同作用。这不仅促进了各个领域的创新整合,还为癌症治疗提供了新的治疗策略和成像工具,具有重要的临床应用前景。