RNF43 p.G659fs 通过 PI3K/AKT/mTOR 信号通路和 HLA-E 上调导致 MSI-high 结直肠癌中 NK 细胞功能障碍
RNF43 p.G659fs leads to natural killer cell dysfunction in MSI-high colorectal cancer through PI3K/AKT/mTOR signaling and HLA-E up-regulation.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Natural Killer Cell-Mimicking Hypoxia-Responsive Nanomedicines for Tumor-Specific Suppression and Immune Regulation.
Natural Killer Cell-Mimicking Hypoxia-Responsive Nanomedicines for Tumor-Specific Suppression and Immune Regulation.
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自然杀伤(NK)细胞是先天免疫系统的关键效应细胞,可在无需预先抗原激活的情况下直接识别和杀伤肿瘤细胞。然而,肿瘤微环境中的缺氧和免疫抑制因子会削弱NK细胞活性。
在此,我们开发了NK细胞膜(NKCM)伪装的缺氧响应型纳米颗粒HSF@NK,共递送二茂铁(Fc)和碳酸酐酶IX(CAIX)siRNA,以模拟NK细胞的抗癌策略,增强肿瘤特异性细胞毒性并逆转免疫抑制性肿瘤微环境。HSF@NK通过保留NKCM蛋白实现肿瘤靶向和免疫逃逸。缺氧肿瘤微环境触发Fc和CAIX siRNA释放;通过下调CAIX降低细胞内pH,从而加速Fc参与的芬顿反应并增强肿瘤细胞氧化损伤,同时体外对正常细胞无细胞毒性。由此产生的氧化应激诱导免疫原性细胞死亡、树突状细胞成熟及细胞毒性T淋巴细胞浸润,NKCM蛋白则促进M1巨噬细胞极化。在B16F10小鼠肿瘤模型中,HSF@NK显著抑制肿瘤生长(85.0%)。与抗PD-L1联合时,HSF@NK在4T1肿瘤模型中进一步增强肿瘤抑制(92.4%),并建立长期免疫。该方法为NK细胞启发型纳米药物设计带来新范式,为实体瘤治疗提供可靠策略。
Natural killer (NK) cells, as critical effectors of the innate immune system, can directly recognize and kill tumor cells without prior antigen priming.
However, NK cell activity is hindered by hypoxia and immunosuppressive factors in the tumor microenvironment.
Herein, NK cell membrane (NKCM)-camouflaged hypoxia-responsive nanoparticles (HSF@NK) are developed to co-deliver ferrocene (Fc) and carbonic anhydrase IX (CAIX) siRNA for an NK cell-mimicking anticancer strategy, enhancing tumor-specific cytotoxicity and reversing the immunosuppressive tumor microenvironment. HSF@NK achieves tumor targeting and immune evasion by retaining NKCM proteins. Hypoxic tumor microenvironment triggers the release of Fc and CAIX siRNA, decreasing the intracellular pH by downregulating CAIX to accelerate Fc-involved Fenton reaction, and amplifies oxidative damage in tumor cells, while remaining non-cytotoxic to normal cells in vitro.
The resulting oxidative stress elicited immunogenic cell death, dendritic cells maturation, and cytotoxic T lymphocyte infiltration, while NKCM proteins promoted M1 macrophage polarization. HSF@NK significantly inhibited tumor growth ( 85. 0%) in B16F10 murine tumor models.
When combined with anti-PD-L1, HSF@NK further enhanced tumor suppression ( 92. 4%) and established long-term immunity in 4T1 tumor models. This approach offers a paradigm shift in the design of NK cell-inspired nanomedicines and paves the way for reliable strategies for solid tumor therapy.
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