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author:

Wang, Lei (Wang, Lei.) [1] | Zhou, Han (Zhou, Han.) [2] | Chen, Qingjing (Chen, Qingjing.) [3] | Lin, Zhiwen (Lin, Zhiwen.) [4] | Jiang, Chenwei (Jiang, Chenwei.) [5] | Chen, Xingte (Chen, Xingte.) [6] | Chen, Mingdong (Chen, Mingdong.) [7] | Liu, Libin (Liu, Libin.) [8] | Shao, Lingdong (Shao, Lingdong.) [9] | Liu, Xiaolong (Liu, Xiaolong.) [10] | Pan, Jianji (Pan, Jianji.) [11] | Wu, Jingcheng (Wu, Jingcheng.) [12] | Song, Jibin (Song, Jibin.) [13] | Wu, Junxin (Wu, Junxin.) [14] | Zhang, Da (Zhang, Da.) [15]

Indexed by:

EI Scopus SCIE

Abstract:

Hypoxia-associated radioresistance in rectal cancer (RC) has severely hampered the response to radioimmunotherapy (iRT), necessitating innovative strategies to enhance RC radiosensitivity and improve iRT efficacy. Here, a catalytic radiosensitizer, DMPtNPS, and a STING agonist, cGAMP, are integrated to overcome RC radioresistance and enhance iRT. DMPtNPS promotes efficient X-ray energy transfer to generate reactive oxygen species, while alleviating hypoxia within tumors, thereby increasing radiosensitivity. Mechanistically, the transcriptomic and immunoassay analysis reveal that the combination of DMPtNPS and RT provokes bidirectional regulatory effects on the immune response, which may potentially reduce the antitumor efficacy. To mitigate this, cGAMP is loaded into DMPtNPS to reverse the negative impact of DMPtNPS and RT on the tumor immune microenvironment (TiME) through the type I interferon-dependent pathway, which promotes cancer immunotherapy. In a bilateral tumor model, the combination treatment of RT, DMPtNPS@cGAMP, and alpha PD-1 demonstrates a durable complete response at the primary site and enhanced abscopal effect at the distant site. This study highlights the critical role of incorporating catalytic radiosensitizers and STING agonists into the iRT approach for RC. DMPtNPS and radiotherapy (RT) have a potential to decrease tumor hypoxia and enhance radiosensitivity while provoking bidirectional regulatory effects on the immune response. Loading cGAMP on DMPtNPS reverse the negative impact on the immune response and improves immunotherapy through type 1 interferon pathway. When combined with DMPtNPS@cGAMP, RT and alpha PD-1 therapy, the result is long-lasting complete response and improved abscopal effects.image

Keyword:

cGAMP hypoxia platinum nanoparticles radioimmunotherapy radiosensitizers

Community:

  • [ 1 ] [Wang, Lei]Fujian Med Univ, Canc Hosp, Dept Radiat Oncol, Fuzhou 350025, Fujian, Peoples R China
  • [ 2 ] [Chen, Xingte]Fujian Med Univ, Canc Hosp, Dept Radiat Oncol, Fuzhou 350025, Fujian, Peoples R China
  • [ 3 ] [Liu, Libin]Fujian Med Univ, Canc Hosp, Dept Radiat Oncol, Fuzhou 350025, Fujian, Peoples R China
  • [ 4 ] [Shao, Lingdong]Fujian Med Univ, Canc Hosp, Dept Radiat Oncol, Fuzhou 350025, Fujian, Peoples R China
  • [ 5 ] [Pan, Jianji]Fujian Med Univ, Canc Hosp, Dept Radiat Oncol, Fuzhou 350025, Fujian, Peoples R China
  • [ 6 ] [Wu, Junxin]Fujian Med Univ, Canc Hosp, Dept Radiat Oncol, Fuzhou 350025, Fujian, Peoples R China
  • [ 7 ] [Wang, Lei]Nanchang Univ, Dept Oncol, Affiliated Hosp 2, Nanchang 360000, Jiangxi, Peoples R China
  • [ 8 ] [Zhou, Han]Univ Hong Kong, Shenzhen Hosp, Dept Clin Oncol, Shenzhen 518053, Guangdong, Peoples R China
  • [ 9 ] [Chen, Qingjing]Fujian Med Univ, United Innovat Mengchao Hepatobiliary Technol Key, Mengchao Hepatobiliary Hosp, Fuzhou 350025, Peoples R China
  • [ 10 ] [Lin, Zhiwen]Fujian Med Univ, United Innovat Mengchao Hepatobiliary Technol Key, Mengchao Hepatobiliary Hosp, Fuzhou 350025, Peoples R China
  • [ 11 ] [Liu, Xiaolong]Fujian Med Univ, United Innovat Mengchao Hepatobiliary Technol Key, Mengchao Hepatobiliary Hosp, Fuzhou 350025, Peoples R China
  • [ 12 ] [Zhang, Da]Fujian Med Univ, United Innovat Mengchao Hepatobiliary Technol Key, Mengchao Hepatobiliary Hosp, Fuzhou 350025, Peoples R China
  • [ 13 ] [Chen, Qingjing]Fujian Med Univ, Dept Hepatopancreatobiliary Surg, Affiliated Hosp 1, Fuzhou 350004, Peoples R China
  • [ 14 ] [Lin, Zhiwen]Fujian Med Univ, Dept Hepatopancreatobiliary Surg, Affiliated Hosp 1, Fuzhou 350004, Peoples R China
  • [ 15 ] [Jiang, Chenwei]Shanghai Jiao Tong Univ, Sch Biomed Engn, Shanghai 200030, Peoples R China
  • [ 16 ] [Chen, Mingdong]Fujian Med Univ, Dept Radiat Oncol, Mengchao Hepatobiliary Hosp, Fuzhou 350025, Peoples R China
  • [ 17 ] [Liu, Xiaolong]Chinese Acad Sci, Fujian Inst Res Struct Matter, CAS Key Lab Design & Assembly Funct Nanostruct, Fuzhou 350002, Peoples R China
  • [ 18 ] [Liu, Xiaolong]Fuzhou Univ, Mengchao Med X Ctr, Fuzhou 350116, Peoples R China
  • [ 19 ] [Zhang, Da]Fuzhou Univ, Mengchao Med X Ctr, Fuzhou 350116, Peoples R China
  • [ 20 ] [Wu, Jingcheng]Natl Hlth Commiss Peoples Republ China, Dept Hlth Sci Technol & Educ, Beijing 100088, Peoples R China
  • [ 21 ] [Song, Jibin]Beijing Univ Chem Technol, Coll Chem, State Key Lab Chem Resource Engn, Beijing 10010, Peoples R China

Reprint 's Address:

  • [Wu, Junxin]Fujian Med Univ, Canc Hosp, Dept Radiat Oncol, Fuzhou 350025, Fujian, Peoples R China;;[Zhang, Da]Fujian Med Univ, United Innovat Mengchao Hepatobiliary Technol Key, Mengchao Hepatobiliary Hosp, Fuzhou 350025, Peoples R China;;[Zhang, Da]Fuzhou Univ, Mengchao Med X Ctr, Fuzhou 350116, Peoples R China;;

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Source :

ADVANCED SCIENCE

ISSN: 2198-3844

Year: 2023

Issue: 7

Volume: 11

1 4 . 3

JCR@2023

1 4 . 3 0 0

JCR@2023

JCR Journal Grade:1

CAS Journal Grade:1

Cited Count:

WoS CC Cited Count: 0

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 2

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