Reprogramming of radiation-deteriorated TME by liposomal nanomedicine to potentiate radio-immunotherapy.

Reprogramming of radiation-deteriorated TME by liposomal nanomedicine to potentiate radio-immunotherapy.

Liu, Yue; Zhang, Yanxiang; Yang, Xulu; Lang, Shanshan; Zhu, Yansheng; Song, Jiawei; Zhu, Yi; Xu, Haiyi; Pei, Pei; Zhu, Hong; Yang, Kai; Liu, Teng
Journal of controlled release : official journal of the Controlled Release Society 2025 pp. 113792
20
liu2025reprogramming

Abstract

Radiotherapy, although widely used for cancer therapy, always triggers changes in tumor microenvironment (TME) that lead to radioresistance and immunosuppression. In particular, during X-ray irradiation, hypoxia exacerbation would reduce radiosensitivity of tumor cells, while programmed cell death ligand 1 (PD-L1) upregulation impairs antitumor immune responses and exacerbates DNA damage repair, collectively resulting in severe T cell exhaustion and unsatisfactory therapeutic effect. Herein, we developed a liposomal nanodrug, C/J-Lipo, to simultaneously encapsulate a biological enzyme and a bromodomain containing 4 (BRD4) inhibitor for tumor-targeting delivery and TME modulation. Among C/J-Lipo, catalase could catalyze the decomposition of the excess HO in tumors and improve TME oxygenation. Meanwhile, JQ1 as a BRD4 inhibitor after being taken by cancer cells could downregulate PD-L1 expression in both cellular membrane and cytosol, inhibiting PD-1/PD-L1 interaction and DNA damage repair. By alleviating hypoxia and downregulating PD-L1 expression, C/J-Lipo reverses T cell exhaustion in TME. Altogether, C/J-Lipo-based radiotherapy significantly inhibited tumor growth and meanwhile triggered immunogenic cell death (ICD) of cancer cells to activate T cell-mediated anti-tumor immunity. After the combination with αPD-1, C/J-Lipo-based radio-immunotherapy achieved complete tumor eradication and metastases elimination in 80 % mice with survival over 80 days. This multifunctional nanodrug represents a promising strategy to overcome therapy resistance and optimize radio-immunotherapy outcomes.

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ID: 281589
Ref Key: liu2025reprogramming
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