Disrupting KAT8 Liquid-Liquid Phase Separation with Hybrid Vesicle-Liposome Platform for Enhanced PD-L1 Blockade

Xinyao Hu1,2, Hua Zhu3, Qian-Fang Meng2

  • 1Cancer Center, Renmin Hospital of Wuhan University, Wuhan, China.

Insights

A novel therapy combines PD-1 blockade with KAT8 inhibition to disrupt immune-evading condensates. This approach enhances cancer immunotherapy by reducing PD-L1 expression and boosting anti-tumor immunity.

Area of Science:

  • Biomedical Engineering
  • Cancer Research
  • Immunology

Background:

  • Programmed cell death protein 1/its ligand 1 (PD-1/PD-L1) blockade is a cornerstone of cancer immunotherapy but faces limitations due to incomplete checkpoint inhibition and sustained PD-L1 transcription.
  • Lysine acetyltransferase 8 (KAT8) has been identified as a key factor in promoting immune resistance by nucleating liquid-liquid phase separation (LLPS)-mediated condensates that sustain PD-L1 transcription.

Purpose of the Study:

  • To develop a novel therapeutic platform that integrates PD-1 blockade with disruption of LLPS-dependent transcription for enhanced cancer immunotherapy.
  • To investigate the efficacy of a PD-1-functionalized hybrid vesicle-liposome platform delivering siRNA targeting KAT8 (PD-1-HVL-siKAT8) in modulating LLPS and overcoming immune resistance.

Main Methods:

  • Development of a PD-1-functionalized hybrid vesicle-liposome platform (PD-1-HVL-siKAT8) for co-delivery of PD-1 blockade and KAT8-targeting siRNA.
  • Utilizing the platform to achieve tumor-specific accumulation, PD-L1 blockade, efficient siRNA delivery, KAT8 silencing, and LLPS condensate dissolution.
  • Assessing the impact on the tumor immune microenvironment, including type I interferon signaling, dendritic cell maturation, cytotoxic T-cell activation, and macrophage polarization.

Main Results:

  • The PD-1-HVL-siKAT8 platform effectively suppressed PD-L1 expression and remodeled the tumor immune microenvironment.
  • Significant augmentation of type I interferon signaling, dendritic cell maturation, cytotoxic T-cell activation, and M1-like macrophage polarization was observed.
  • In hepatocellular carcinoma models, PD-1-HVL-siKAT8 demonstrated significant tumor growth inhibition, prevention of recurrence, and extended survival with minimal toxicity.

Conclusions:

  • The developed LLPS modulator platform effectively integrates PD-1 blockade with disruption of LLPS-dependent transcription, leading to durable immunotherapy.
  • This novel approach offers a promising strategy to overcome limitations in current cancer immunotherapy by targeting persistent PD-L1 expression and enhancing anti-tumor immune responses.

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