Affiliation:
1. Department of Oncology Zhongda Hospital, Medical School, Southeast University Nanjing 210009 China
2. State Key Laboratory of Digital Medical Engineering National Demonstration Center for Experimental Biomedical Engineering Education School of Biological Science and Medical Engineering Southeast University Nanjing 210096 China
3. Department of General Surgery Zhongda Hospital, Medical School, Southeast University Nanjing 210009 China
Abstract
AbstractLow immunogenicity, absence of tumor‐infiltrating lymphocytes and immunosuppressive microenvironment of immune cold tumors are the main bottlenecks leading to unfavorable prognosis. Here, an integrated tumor bioimaging and multimodal therapeutic strategy is developed, which converts immune cold into hot by modulating oxidative stress levels, enhancing photo‐killing efficacy, inducing immunogenic cell death and inhibiting the immune checkpoint. On that occasion, the unique tumor microenvironment can be harnessed to biosynthesize in situ self‐assembly iron complexes and fluorescent gold nanoclusters from metal ions Fe(II) and Au(III) for active targeting and real‐time visualization of the tumors, simultaneously regulating reactive oxygen species levels within tumors via peroxidase‐like activity. Furthermore, methylene blue (MB)‐mediated photodynamic therapy promotes the release of damage‐associated molecular patterns (DAMPs), which acts as in situ tumor vaccine and further induces dendritic cells maturation, augments the infiltration of antitumor T cells and significantly impedes the primary tumor growth and proliferation. More strikingly, by synergizing with the programmed cell death receptor‐1 (PD‐1) checkpoint inhibitor, the immunosuppressive microenvironment is remodeled and the survival time of model mice is prolonged. In summary, this paradigm utilizes the tumor‐specific microenvironment to boost robust and durable systemic antitumor immunity, providing a novel opportunity for precision cancer theranostics.
Funder
National Natural Science Foundation of China
China Postdoctoral Science Foundation