Cancer Immunotherapy Based on the Bidirectional Reprogramming of the Tumor Microenvironment by a "Brakes Off/ Step on the Accelerator" Core-Shell Manganese Phosphate/siPD-L1 Modulator

基于“刹车/加速”核壳锰磷酸盐/siPD-L1调节剂对肿瘤微环境双向重编程的癌症免疫疗法

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Abstract

The insufficient infiltration and functional inhibition of CD8(+) T cells due to tumor microenvironment (TME) are considered enormous obstacles to anti-tumor immunotherapy. Herein, a pH-responsive core-shell manganese phosphate nanomodulator co-loading siPD-L1 and Mn(2+) into nanoparticles coated with hyaluronic acid was prepared, which was aimed at the bidirectional reprogramming the tumor microenvironment: (1) "Brakes off," restoring CD8(+) T cells function by siPD-L1 knockdowning PD-L1 expression of tumor cells; (2) "Step on the accelerator," promoting CD8(+) T cells infiltration in tumors tissue based on the multidimensional immune effects of Mn(2+) (immunogenic cell death induced the enhancing cGAS-STING pathway, the proliferation and maturation of relative immune cells). Additionally, this strategy could induce macrophage polarization and inhibit the regulatory T cells in tumor site. This work provided a manganese phosphate nanomodulator to reprogram the immune TME for an enhanced comprehensive anti-tumor effect of triple negative breast cancer, which offers a robust method for tumor immunotherapy in future clinical applications.

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