Dynamic reprogramming of the tumor immune network via multicycle checkpoint degradation for cancer immunotherapy

免疫检查点 癌症免疫疗法 免疫疗法 免疫系统 癌症研究 重编程 封锁 肿瘤微环境 串扰 生物 髓样 PD-L1 树突状细胞 癌细胞 离体 癌症 细胞生物学 CTLA-4号机组 先天免疫系统 T细胞 免疫学 多细胞生物 细胞毒性T细胞 化学 中性粒细胞胞外陷阱
作者
Tao Shi,Yuanyuan Wu,Yiran Cai,Yuting Luo,Shiji Ren,Ye Cao,Yin Tang,Zizheng Jiang,Shiyao Hu,Wenxue Xie,Yuanyuan Chen,Lin Shen,Hang Xing,J. Wei
出处
期刊:Proceedings of the National Academy of Sciences of the United States of America [National Academy of Sciences]
卷期号:123 (10): e2525047123-e2525047123
标识
DOI:10.1073/pnas.2525047123
摘要

The efficacy of immune checkpoint blockade is often limited by intrinsic immunosuppressive networks within the tumor immune microenvironment (TIME). Despite progress in cancer treatment, current extracellular targeted protein degradation approaches often overlook the multicellular distribution and crosstalk of immune checkpoints. Here we reported a Receptor-mediated Endolysosomal recYcling Chimera (RECYC) platform. RECYC employs a CI-M6PR-targeting aptamer that remains stable across late endosomal pH and a protein-binding peptide with moderate affinity and pH responsiveness, which together drive recycling and sustained checkpoint clearance. In ex vivo co-culture and in vivo murine models, RECYC efficiently eliminated programmed death-ligand 1 (PD-L1) expression from both tumor cells and tumor-associated myeloid cells (macrophages, neutrophils and dendritic cells). By converting an immunosuppressive TIME to an immunostimulatory state, RECYC remodeled the tumor-immune network in an anti-tumor direction, thereby enhancing CD8 + T cell response and repolarizing immunosuppressive myeloid cells. Moreover, in both immune-cold and immune-hot murine cancer models, RECYC demonstrated superior anti-tumor effect compared to PD-L1 blockade treatment. Collectively, we propose an effective strategy to induce recycling and broad checkpoint clearance in the TIME, which in turn reprograms the multicellular tumor–immune network to achieve durable immunotherapy responses.
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