Tailoring Vascular-Immune Homeostasis via Manganese-DNA Complex-Armed Immunogenic Extracellular Vesicles for

Xue Jiang1,2, Lihuan Shang1,2, Xiaochun Chen1,2

  • 1Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Guangdong-Hong Kong Joint Laboratory for RNA medicine, Sun Yat-sen Memorial Hospital, State Key Laboratory of Oncology in South China, Sun Yat-sen University, Guangzhou, 510120, China.

Insights

Engineered extracellular vesicles loaded with manganese-DNA complexes activate dendritic cells, enhancing anti-tumor immunity in pancreatic cancer models by reprogramming the tumor microenvironment.

Area of Science:

  • Immunology
  • Cancer Biology
  • Nanotechnology

Background:

  • Pancreatic tumors create an immunosuppressive environment, hindering anti-tumor immunity.
  • The cGAS-STING DNA sensing pathway in dendritic cells (DCs) is crucial for immunity but challenging to activate in pancreatic cancer.
  • Manganese (Mn2+) can enhance cGAS sensitivity, but its precise role with DNA complexes needs clarification.

Purpose of the Study:

  • To develop a novel strategy using manganese-DNA complexes encapsulated in DC-derived extracellular vesicles (EVs) to activate the cGAS-STING pathway and enhance anti-tumor immunity.
  • To investigate the mechanisms by which Mn2+ and DNA complexes activate cGAS in DCs.
  • To evaluate the therapeutic potential of these engineered EVs (EVDC@Mn-DNA) in preclinical pancreatic cancer models.

Main Methods:

  • Development of EVDC@Mn-DNA using the Raft-Ultra method, loading Mn-DNA complexes into EVs derived from tumor lysate-pulsed DCs.
  • In vitro and in vivo assessment of cGAS-STING pathway activation in DCs upon EVDC@Mn-DNA treatment.
  • Evaluation of tumor vascular function, immune cell infiltration, and tumor growth suppression in orthotopic pancreatic cancer models.

Main Results:

  • Mn2+ induces Z-DNA formation, enhancing cGAS binding and activation.
  • EVDC@Mn-DNA efficiently delivers Mn-DNA complexes to DCs, activating the cGAS-STING pathway.
  • Treatment with EVDC@Mn-DNA improved vascular function (increased blood flow, perfusion; reduced hypoxia), enhanced anti-PD-L1 delivery, and promoted T cell adhesion.
  • Increased intratumoral DCs and T cells, larger tertiary lymphoid structures, and suppressed tumor growth were observed.

Conclusions:

  • EVDC@Mn-DNA is a promising strategy for reprogramming intratumoral DCs and restoring vascular-immune homeostasis.
  • This approach potentiates anti-tumor immunity and suppresses pancreatic tumor growth.
  • The findings highlight the therapeutic potential of engineered EVs for cancer immunotherapy.

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