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A copper-engineered MnO₂ nanoplatform for potentiating STING activation and antitumor immunity in colorectal cancer
Jing Sun1, Zhenxiong Zhao2, Yunze Li3
1Department of Gastroenterology, the First Hospital of China Medical University, Shenyang, Liaoning, China.
Abstract:
The stimulator of interferon genes (STING) pathway plays a central role in antitumor immunity but is frequently compromised by tumor hypoxia and metabolic immunosuppression within the tumor microenvironment. Here, we developed a multifunctional nano-STING inducer based on hollow manganese dioxide (MnO₂) nanoparticles loaded with the STING agonist DMXAA and surface-modified with a copper-polyphenol nanonetwork and hyaluronic acid. Upon accumulation in tumors, this nanoplatform undergoes acid-responsive degradation, enabling controlled DMXAA release and STING activation. Concurrently, MnO₂ catalyzes tumor-derived hydrogen peroxide to generate oxygen, alleviating hypoxia and suppressing lactate production, thereby relieving lactate-mediated inhibition of STING signaling. In addition, released copper ions promote tumor cell death with immunogenic features, further facilitating immune activation. In an orthotopic colorectal cancer model, MnO₂@Cu-HA robustly activates intratumoral STING signaling, reduces immunosuppressive myeloid and regulatory T cell populations, promotes dendritic cell maturation and macrophage reprogramming, and enhances CD8⁺ T cell infiltration. Collectively, this nano-STING inducer remodels the immunosuppressive tumor microenvironment and elicits coordinated innate and adaptive antitumor immune responses, providing an effective strategy to overcome metabolic and hypoxic barriers to STING-based cancer immunotherapy.

