Mitochondria-targeted carbon monoxide delivery nanoplatform for enhanced cancer immunotherapy through

Chengbin Wang1, Xuan Cheng2, Jian Fang1

  • 1Key Laboratory for Advanced Materials, School of Chemistry & Molecular Engineering, East China University of Science and Technology, Shanghai 200237, China.

Insights

This study introduces a novel carbon monoxide-releasing nanoplatform that targets mitochondria to downregulate PD-L1 expression, enhancing antitumor immunity and overcoming resistance to cancer immunotherapy.

Area of Science:

  • Biomedical Engineering
  • Cancer Research
  • Immunotherapy

Background:

  • Programmed death 1/programmed death ligand 1 (PD-1/PD-L1) blockade therapy shows clinical efficacy but faces challenges with patient response rates and resistance.
  • Current immunotherapies require novel strategies to overcome tumor microenvironment-mediated immune suppression.

Purpose of the Study:

  • To develop a mitochondria-targeted, carbon monoxide (CO)-delivering nanoplatform (CMIH) to disrupt the PD-L1/PD-1 axis.
  • To enhance antitumor immunity and overcome resistance in cancer immunotherapy.

Main Methods:

  • Engineered a nanoplatform (CMIH) by co-encapsulating a CO donor (MnCOTPP) and indocyanine green within copper-based metal-organic frameworks, with hyaluronic acid surface modification.
  • Utilized near-infrared irradiation to trigger mitochondria-localized CO release, inhibiting cytochrome c oxidase, alleviating tumor hypoxia, and generating singlet oxygen.
  • Investigated CMIH's mechanism involving HIF-1α downregulation, AMPK-mediated PD-L1 degradation, and PD-L1/PD-1 axis blockade.

Main Results:

  • CMIH effectively inhibited cytochrome c oxidase, reduced tumor hypoxia, and induced oxidative stress and immunogenic cell death.
  • In vivo studies showed CMIH activated AMPK, suppressed HIF-1α and PD-L1 expression, and inhibited tumor growth and metastasis.
  • The nanoplatform demonstrated potent antitumor immunity by reprogramming the immunosuppressive tumor microenvironment.

Conclusions:

  • The developed CO-based nanotherapeutic strategy synergistically targets metabolic reprogramming and immune checkpoint blockade.
  • CMIH offers a promising approach to address limitations in current cancer immunotherapy, improving patient response rates and overcoming resistance mechanisms.

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