A powerful agonist for metal ion interference therapy: Multiple programs of cell death to amplify tumor

Yechen Huang1, Li Wang1, Jie Wu1

  • 1Institute of Functional Nano & Soft Materials (FUNSOM), Jiangsu Key Laboratory for Carbon-Based Functional Materials & Devices, Soochow University, Suzhou, 215123, China.

Biomaterials
|December 9, 2025
PubMed

Insights

A novel layered double hydroxide composite, ZCA-LDH@DSF, efficiently delivers zinc and copper ions, triggering multiple cell death pathways like cuproptosis and pyroptosis for enhanced cancer therapy.

Area of Science:

  • Biomedical Engineering
  • Materials Science
  • Oncology

Background:

  • Metal ion interference therapy (MIIT) shows promise for cancer treatment by inducing cell death.
  • Challenges include efficient delivery of multiple metal ions and cellular resistance.
  • Developing novel delivery systems is crucial for advancing MIIT.

Purpose of the Study:

  • To construct a novel MIIT initiator for efficient co-delivery of multiple metal ions.
  • To enhance intracellular retention of metal ions and overcome cellular resistance.
  • To investigate the synergistic effects of co-delivered ions and drugs on cancer cell death.

Main Methods:

  • Fabrication of a disulfiram (DSF)-loaded ZnCuAl-layered double hydroxide (ZCA-LDH@DSF) composite.
  • Evaluation of pH-responsive release of Zn2+, Cu2+, and DSF in acidic environments.
  • Assessment of combined effects of Cu2+/DSF (CuET), Cu2+ overload (cuproptosis), and Zn2+ (pyroptosis) on cancer cells.
  • Analysis of metal ion transport protein inhibition and immunogenic cell death (ICD) induction.

Main Results:

  • ZCA-LDH@DSF enabled pH-responsive release of Zn2+/Cu2+ and DSF.
  • Cu2+ and DSF formed toxic CuET, inducing DNA damage and apoptosis.
  • Intracellular Cu2+ overload triggered cuproptosis by disrupting the TCA cycle.
  • Zn2+ inhibited copper transport proteins, enhancing cuproptosis and inducing pyroptosis.
  • Synergistic cell death pathways significantly enhanced ICD, inhibiting tumor growth and metastasis.

Conclusions:

  • ZCA-LDH@DSF is an effective MIIT initiator for co-delivering multiple metal ions and drugs.
  • The composite triggers multiple cell death programs, including apoptosis, cuproptosis, and pyroptosis.
  • This approach enhances ICD and demonstrates significant potential for cancer treatment with good biological safety.

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