Exploiting eNOS activation to achieve tumor vascular normalization via endothelial transcytosis of lipid

Huisong Hao1, Yunfei Yi1,2, Yanan Fu1

  • 1School of Pharmaceutical Sciences (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, China.

Insights

This study introduces a novel lipid nanodelivery system (MC@L) that restores nitric oxide (NO) levels in tumor vasculature. This approach enhances tumor vascular normalization and boosts the efficacy of immunotherapy in preclinical models.

Area of Science:

  • Biomedical Engineering
  • Cancer Research
  • Nanotechnology

Background:

  • Abnormal tumor vasculature accelerates cancer progression and hinders treatment efficacy.
  • Restoring perivascular nitric oxide (NO) gradients is crucial for tumor vascular normalization.
  • Current NO delivery methods lack durability and precise localization.

Purpose of the Study:

  • To develop a lipid nanodelivery system (MC@L) for co-delivering metformin and calcium peroxide (CaO2) to normalize tumor vasculature.
  • To enhance anti-tumor immunotherapies by improving tumor microenvironment and immune cell function.

Main Methods:

  • MC@L system designed for endothelial transcytosis to deliver metformin and CaO2 into endothelial cells and tumor cells.
  • Investigated CaO2-induced immunogenic cell death (ICD) and its effects on tumor microenvironment (hypoxia, acidity).
  • Assessed metformin's role in restoring NO gradients and inhibiting tryptophan uptake.

Main Results:

  • MC@L restored perivascular NO localization by activating endothelial nitric oxide synthase (eNOS).
  • CaO2 induced ICD in tumor cells, relieved hypoxia, and neutralized acidity.
  • Metformin enhanced immunogenic cell death and inhibited tryptophan uptake, improving immune effector cell function.
  • The nanodelivery system significantly sensitized 4T1 tumor-bearing mice to PD-L1 blockade therapy.

Conclusions:

  • The MC@L system effectively normalizes tumor vasculature and enhances anti-tumor immunity.
  • This nanodelivery strategy represents a promising approach for combination cancer therapy.
  • MC@L boosts immunotherapy efficacy by modulating the tumor microenvironment and cellular metabolism.