Sustained Release of HIF-2α Inhibitors Using Biodegradable Porous Silicon Carriers for Enhanced Immunogenic Cell

Juyoung Seong1,2, Minju Kim1, Jounghyun Yoo1

  • 1Department of Biomedical Engineering, Ulsan National Institute of Science and Technology (UNIST), Ulsan 44919, Republic of Korea.

PubMed

Insights

Porous silicon carriers enhance belzutifan delivery for Merkel cell carcinoma (MCC), improving drug efficacy and stimulating anti-tumor immune responses. This novel approach offers sustained drug release and better treatment outcomes for this rare skin cancer.

Area of Science:

  • Biomaterials Science
  • Cancer Biology
  • Immunology

Background:

  • Merkel cell carcinoma (MCC) is an aggressive skin cancer with limited treatment options.
  • Hypoxic tumor microenvironments in MCC contribute to therapeutic resistance.
  • Belzutifan, a hypoxia-inducible factor-2α (HIF-2α) inhibitor, shows anti-tumor potential but faces bioavailability challenges.

Purpose of the Study:

  • To develop a sustained drug delivery system for belzutifan using porous silicon (pSi) carriers for MCC treatment.
  • To evaluate the efficacy of pSi-encapsulated belzutifan in enhancing HIF-2α inhibition and promoting immunogenic cell death (ICD) in MCC.
  • To assess the impact of pSi carriers on immune activation within the tumor microenvironment.

Main Methods:

  • Engineered porous silicon (pSi) microparticles and nanoparticles to encapsulate and control the release of belzutifan.
  • Conducted in vitro studies to assess drug release kinetics, intracellular delivery, and HIF-2α inhibition.
  • Evaluated MCC cell response, including immunogenic cell death markers (HMGB1, cytokines) and Toll-like receptor 9 (TLR9) expression.

Main Results:

  • pSi carriers enabled sustained release of belzutifan over 10 days in vitro, contrasting with rapid deactivation of free belzutifan within 1 day.
  • Nanoparticle carriers facilitated efficient intracellular drug delivery, enhancing HIF-2α inhibition.
  • Treatment induced significant immunogenic cell death in MCC cells, characterized by increased pro-inflammatory cytokines and robust TLR9 upregulation, indicating enhanced immune activation.

Conclusions:

  • Belzutifan-loaded pSi carriers provide a stable and effective drug delivery platform for MCC, overcoming limitations of free drug administration.
  • This strategy enhances belzutifan's therapeutic potential by improving its pharmacokinetic profile and amplifying anti-tumor immune responses.
  • Porous silicon-based delivery systems represent a promising therapeutic strategy for MCC, with potential applications in broader cancer immunotherapy by combining targeted drug delivery with immune stimulation.