Nano-enabled spatially selective protein degradation modulates lactate metabolism to potentiate antitumor immunity in

Jinhong Du1, Shu Han1, Rui Song1

  • 1Department of Radiation Medicine, School of Basic Medical Sciences, Peking University and Department of Nuclear Medicine, Peking University Cancer Hospital and Institute, Beijing, China.

Nature Nanotechnology
|June 15, 2026
PubMed

Insights

New polymer-based therapies degrade CD147, a protein linked to cancer metabolism. This approach reduces lactate export, reprogramming the tumor microenvironment to enhance anti-tumor immunity and improve cancer treatment efficacy.

Area of Science:

  • Oncology
  • Biotechnology
  • Cancer Metabolism

Background:

  • Dysregulated cancer metabolism, particularly excessive lactate export via monocarboxylate transporters 1 (MCT1) and 4 (MCT4), creates an acidic tumor microenvironment.
  • This acidic environment suppresses anti-tumor immunity and reduces the effectiveness of cancer therapies.
  • Existing small-molecule inhibitors for MCT1/MCT4 face challenges in clinical translation due to systemic toxicity.

Purpose of the Study:

  • To develop novel polymer-based therapeutics targeting CD147, a chaperone protein co-expressed with MCT1 and MCT4.
  • To investigate the efficacy of these therapeutics in reducing lactate efflux and reprogramming tumor lactate metabolism.
  • To engineer acid-responsive drug release for controlled intra-tumoral delivery.

Main Methods:

  • Development of polymer-based lysosome-targeting chimeras designed to selectively degrade CD147 in liver cancer cells.
  • Engineering of acid-responsive chimeras for controlled release in the acidic tumor microenvironment.
  • Evaluation of systemic administration in orthotopic liver cancer models, assessing tumor progression and combination therapy efficacy.

Main Results:

  • Systemic administration of acid-responsive CD147-targeting chimeras significantly suppressed tumor progression in preclinical liver cancer models.
  • The developed chimeras effectively reduced lactate efflux and reprogrammed lactate metabolism within the tumor microenvironment.
  • Combination therapy with multi-kinase inhibitors, immunotherapy, and radiotherapy showed potentiated efficacy with a favorable safety profile.

Conclusions:

  • Nano-enabled, spatially selective degradation of CD147 offers a promising strategy to modulate tumor lactate metabolism in vivo.
  • This approach enhances anti-tumor immunity and improves the efficacy of standard cancer therapies.
  • The developed acid-responsive chimeras represent a potential advancement in liver cancer treatment with improved safety and efficacy.