Lu Yao, Pan Qingqing, Luo Kui, He Bin, Pu Yuji
National Engineering Research Center for Biomaterials, College of Biomedical Engineering, Sichuan University, Chengdu, 610064, China.
School of Preclinical Medicine, Chengdu University, Chengdu, 610106, China.
Biomaterials. 2026 Feb;325:123568. doi: 10.1016/j.biomaterials.2025.123568. Epub 2025 Jul 19.
Triple-negative breast cancer (TNBC) poses significant therapeutic challenges due to its metabolic plasticity and immunosuppressive microenvironment. In this study, we present a sequential drug release hydrogel system (SeqGel) that reprograms tumor metabolism and modulates the immune landscape to suppress TNBC growth and metastasis. The poly(ethylene glycol)-based injectable hydrogel system could enable tunable biodegradation within 48 h to ensure repeated peritumoral administration and localized controlled drug release. Specifically, water-soluble small molecular dichloroacetate is rapidly released to redirect tumor cell metabolism from glycolysis to oxidative phosphorylation, thereby reducing lactic acid accumulation, restricting glucose uptake, and enhancing the susceptibility of cancer cells to mitochondrial damage. This is followed by the sustained release of pH-sensitive, copper complex-loaded polymeric nanoparticles PED@tCu, which facilitates efficient intracellular delivery and targeted mitochondrial localization, specifically impairing the function of complex II. Mechanistically, the ordered metabolic intervention enhances antitumor immunity by activating the AMPK pathway, promoting PD-L1 degradation, and upregulating MHC I to improve antigen presentation. In 4T1 subcutaneous tumor models, SeqGel effectively suppressed tumor growth and markedly reduced lung and lymph node metastases by promoting CD8 T cell infiltration and depleting regulatory T cells. This study establishes a paradigm for metabolic-immune synergy, offering a promising strategy for targeting aggressive cancers through chrono-metabolic immunotherapy.
三阴性乳腺癌(TNBC)因其代谢可塑性和免疫抑制微环境而带来重大治疗挑战。在本研究中,我们提出了一种序贯药物释放水凝胶系统(SeqGel),该系统可重新编程肿瘤代谢并调节免疫格局,以抑制TNBC的生长和转移。基于聚乙二醇的可注射水凝胶系统能够在48小时内实现可控的生物降解,以确保瘤周重复给药和局部可控药物释放。具体而言,水溶性小分子二氯乙酸迅速释放,将肿瘤细胞代谢从糖酵解重定向为氧化磷酸化,从而减少乳酸积累,限制葡萄糖摄取,并增强癌细胞对线粒体损伤的敏感性。随后,pH敏感的、负载铜络合物的聚合物纳米颗粒PED@tCu持续释放,这有助于高效的细胞内递送和靶向线粒体定位,特别是损害复合物II的功能。从机制上讲,有序的代谢干预通过激活AMPK途径、促进PD-L1降解和上调MHC I以改善抗原呈递来增强抗肿瘤免疫力。在4T1皮下肿瘤模型中,SeqGel通过促进CD8 T细胞浸润和消耗调节性T细胞,有效抑制肿瘤生长并显著减少肺和淋巴结转移。本研究建立了一种代谢-免疫协同的模式,为通过时间代谢免疫疗法靶向侵袭性癌症提供了一种有前景的策略。