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Updated: Aug 8, 2026

Y-90 Radioembolization and PD-1 Inhibitor as Neoadjuvant Treatment in Hepatocellular Carcinoma
Published on: May 24, 2024
Synergistic nanoparticle dyad improving tumor immunogenicity and reshaping tolerogenic dendritic cells in
Chang Liu1, Xiejun Zhao2, Hui Song1
1Department of Clinical Laboratory, Pudong Gongli Hospital, Shanghai University of Medicine&Health Sciences, Shanghai, PR China.
Abstract:
Hepatocellular carcinoma (HCC) remains a global health challenge with limited treatment efficacy despite advances in immune checkpoint blockade (ICB). The low immunogenicity of HCC tumors and impaired dendritic cell (DC) function contribute to suboptimal therapeutic outcomes. To address these limitations, we developed a synergistic nanoparticle dyad combining tumoricidal and immunomodulatory components. Specifically, an anti-GPC3-antibody-conjugated, emodin-loaded spiky mesoporous silica nanoparticle (E-SMSNα) selectively targets HCC cells to induce immunogenic cell death, while a matured DC-membrane-camouflaged, c-di-AMP-loaded nanoparticle (A-MSNm) reprograms dysfunctional DCs, bridging innate and adaptive immunity. This combinatorial approach synergistically promotes antitumor immunity, significantly suppressing primary tumor growth and inducing durable protection against tumor rechallenge. Moreover, it shows strong synergy with PD-1 checkpoint blockade, positioning it as a promising strategy for HCC immunotherapy.
Insights
This study introduces a novel nanoparticle therapy that enhances the immune system's attack against hepatocellular carcinoma (HCC). The dual-action nanoparticles effectively target and destroy cancer cells while reprogramming immune cells for a stronger, lasting antitumor response.
Area of Science:
- Oncology
- Immunology
- Materials Science
- Nanotechnology
Background:
- Hepatocellular carcinoma (HCC) presents a significant global health burden with limited treatment options, even with immune checkpoint blockade (ICB).
- Tumor microenvironment factors like low immunogenicity and impaired dendritic cell (DC) function hinder effective HCC immunotherapy.
- Current treatments often fail to elicit a robust and durable anti-HCC immune response.
Purpose of the Study:
- To develop a novel nanoparticle-based therapeutic strategy to overcome the limitations of current HCC immunotherapies.
- To create a synergistic combination of tumoricidal and immunomodulatory nanoparticles for enhanced HCC treatment.
- To investigate the potential of this combinatorial therapy to improve immune responses against HCC.
Main Methods:
- Development of a dual-component nanoparticle system: E-SMSNα (emodin-loaded spiky mesoporous silica nanoparticle conjugated with anti-GPC3 antibody) for targeted tumor cell killing and A-MSNm (DC-membrane-camouflaged nanoparticle loaded with c-di-AMP) for DC reprogramming.
- In vitro and in vivo studies to evaluate the efficacy of the nanoparticle dyad in targeting HCC cells, inducing immunogenic cell death, and modulating DC function.
- Assessment of the combinatorial therapy's ability to promote antitumor immunity, suppress primary tumor growth, and induce long-term protection against tumor rechallenge.
- Evaluation of the synergistic effects of the nanoparticle dyad in combination with PD-1 checkpoint blockade.
Main Results:
- The E-SMSNα nanoparticles selectively targeted and induced immunogenic cell death in HCC cells.
- The A-MSNm nanoparticles successfully reprogrammed dysfunctional DCs, bridging innate and adaptive immunity.
- The synergistic combination of E-SMSNα and A-MSNm significantly suppressed primary HCC tumor growth.
- The combinatorial therapy demonstrated durable protection against tumor rechallenge and showed strong synergy with PD-1 blockade.
Conclusions:
- The developed synergistic nanoparticle dyad represents a promising strategy for overcoming HCC treatment limitations.
- This combinatorial immunotherapy approach effectively enhances antitumor immunity by targeting both cancer cells and immune cells.
- The therapy shows significant potential for improving HCC treatment outcomes, particularly when combined with existing immunotherapies like PD-1 blockade.

