Selenium nanoparticle-delivered MDM2 inhibitor reactivates p53 and reprograms tumor immune microenvironment in

Weiming You1,2, Jun Feng1,2, Litao Guo3

  • 1Department of Hepatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.

Frontiers in Immunology
|November 17, 2025
PubMed
Abstract

Insights

Selenium nanoparticles loaded with an MDM2 inhibitor (Se@MI) effectively target colorectal cancer by reactivating the p53 pathway and enhancing anti-tumor immunity. This novel nanomedicine shows promise for overcoming immunotherapy resistance.

Area of Science:

  • Nanomedicine
  • Oncology
  • Immunotherapy

Background:

  • Colorectal cancer (CRC) poses a significant global health burden.
  • Immunotherapy efficacy is limited in microsatellite stable (MSS) CRC, which accounts for ~85% of cases.
  • Inactivating mutations in the p53 pathway, often due to MDM2 overexpression, present a therapeutic target.

Purpose of the Study:

  • To develop and evaluate selenium nanoparticles loaded with an MDM2 inhibitor (Se@MI) for colorectal cancer treatment.
  • To investigate the mechanisms of action, including p53 pathway reactivation and immune modulation.
  • To assess the antitumor efficacy and safety profile of Se@MI in preclinical models.

Main Methods:

  • Se@MI nanoparticles were synthesized and characterized.
  • In vitro studies assessed cytotoxicity, cellular uptake, and p53 pathway activation.
  • In vivo studies in CT26 colorectal cancer models evaluated antitumor efficacy, tumor microenvironment modulation, and safety.

Main Results:

  • Se@MI nanoparticles exhibited favorable physicochemical properties and enhanced cellular uptake and cytotoxicity.
  • Treatment with Se@MI significantly inhibited tumor growth by 72.23% through p53 pathway reactivation, apoptosis, and cell cycle arrest.
  • Se@MI reprogrammed the tumor immune microenvironment, increasing CD8+ T cell infiltration and function while decreasing regulatory T cells.
  • Comprehensive safety evaluations indicated excellent biocompatibility with no observed adverse effects.

Conclusions:

  • Se@MI is a novel nanomedicine that combines direct p53 pathway reactivation with immune microenvironment modulation.
  • This dual mechanism offers a potential strategy to improve immunotherapy outcomes in colorectal cancer.
  • Se@MI may help overcome resistance to immune checkpoint blockade in CRC.