Glioblastoma is an intractable malignant mind tumor [1]. The scientific recurrence fee of glioblastoma sufferers is near 100%, and the 5-year survival fee is lower than 5% [2], [3]. The event of immunotherapy has introduced new hope for the therapy of glioblastoma [4], [5]. Nonetheless, the immunosuppression and irregular TME of glioblastoma make it troublesome to develop immunotherapy in glioblastoma. Nanocatalytic remedy is an rising tumor therapeutic technique lately, which is able to changing endogenous H2O2 on the tumor website into extremely poisonous •OH by way of a Fenton or Fenton-like response catalyzed by metallic ions [6], [7]. Extra •OH results in the peroxidation of polyunsaturated fatty acid into LPO, which additional induces ICD and contributes to expanded antigen presentation and dendritic cell (DC) maturation [8], [9]. Subsequently, nanocatalytic remedy is a potential technique for glioblastoma immunotherapy. Nonetheless, overexpressed indoleamine 2,3-dioxygenase 1 (IDO1)-mediated immunosuppression in addition to GSH-mediated antioxidant results inside glioblastoma tissues vastly diminish the therapeutic efficacy of nanocatalytic remedy [10], [11].
Sometimes, IDO1 is an endogenous immunosuppressive mediator that promotes the metabolism of tryptophan (Trp) to kynurenine (Kyn) and inhibits T cell exercise by consuming Trp from the microenvironment [12], [13], [14]. Moreover, since Kyn is an endogenous ligand for the aryl hydrocarbon receptor (AHR) that induces Tregs differentiation [15], excessive expression of IDO1 facilitates Tregs synthesis, thereby exacerbating the immunosuppressive diploma of the TME [16], [17]. However, Kyn is subsequently transformed into downstream metabolites, amongst which 3-hydroxykynurenine (3HK) and 3-hydroxyaminobenzoic acid (HAA) possess potent reactive oxygen species (ROS) scavenging capability [18]. The clearance of ROS inhibits the impact of nanocatalytic remedy, scale back intracellular LPO ranges, and finally decreases the energy of ICD signaling and the efficacy of tumor immunotherapy [19], [20]. Therefore, inhibition of extremely expressed IDO1 on the glioblastoma website can scale back the clearance of ROS generated by nanocatalytic remedy and inhibit the buildup of Tregs, thereby contributing to alleviate the immunosuppressive TME.
In the meantime, an endogenous antioxidant, GSH is extremely expressed inside TME [21], [22], [23], [24], can successfully offset the redox imbalance induced by massive quantities of •OH, resulting in a major discount within the therapeutic efficacy of ROS-dominated tumor nanocatalytic therapies [25], [26]. It’s identified that Cys depletion can block the synthesis of GSH [27], [28]. Steel ions are important parts of all life varieties and have an essential impact in nearly all primary organic processes [29]. Particularly, the transition metals iron (Fe), copper (Cu), zinc (Zn), manganese (Mn) and cobalt (Co) are important micronutrients that play an important position in metabolism resulting from their distinctive redox properties [30], [31]. Contemplating the sturdy means of Cu2+ to coordinate with sulfhydryl-containing ligands, thus, Cu2+ can chelate the considerable Cys straight on the tumor website and block the synthesis of GSH [32]. As well as, the Fe2+-dominated Fenton response has turn out to be a typical catalytic response for tumor remedy [33], [34]. Nonetheless, below physiologically impartial situations and weakly acidic tumor setting, Fe2+ catalyzed Fenton response effectivity is comparatively low [35]. Whereas, the Fenton-like response catalyzed by Cu2+ can successfully happen in each impartial and weakly acidic media [36]. Subsequently, Cu2+ can cooperate with Fe2+ to synergistically amplify the in vivo nanocatalytic response with explosive technology of •OH and strengthen the killing capability of tumor cells. Total, this can be very essential to design a bimetallic synergistic enhanced nanotherapeutic agent to withstand the antioxidant and immunosuppressive results for glioblastoma remedy.
Right here, we design an iron-copper bimetallic nanoagent (NMCuA) loaded with an IDO1 inhibitor (NLG919) and surface-modified with BBB cells concentrating on peptide angiopep-2 (Ang) (Scheme 1). Bimetallic nanoagent can degrade within the excessive ATP setting of tumor tissues. The launched Fe3+ is transformed to Fe2+ below the discount of tannic acid, after which Fe2+ collaborates with Cu2+ to catalyze tumor endogenous H2O2 and produce a considerable amount of •OH [37]. In the meantime, Cu2+ depletes GSH by chelating Cys, additional resulting in the buildup of LPO [38]. As well as, IDO1 inhibitor NLG919 can inhibit the conversion of Trp to Kyn, thereby stopping the downstream metabolites of KYN from scavenging ROS and additional synergizing with the nanocatalytic impact of Fe3+/Cu2+ to amplify intracellular oxidative stress. However, NLG919 exerts an immunomodulating impact in tumor cells, relieving Tregs-related immune brakes and in flip activating cytotoxic T cells [39]. In vivo experiments, NMCuA nanoagent confirmed sturdy tumor-killing immunity, not solely reversing the tumor immunosuppressive microenvironment, but additionally successfully inhibiting established GL261 tumors. Furthermore, when mixed with immune checkpoint blockers (ICB), NMCuA nanoagent are in a position to suppress tumor recurrence. Collectively, this work highlights the potential of bimetallic nanodrugs to amplify nanocatalytic-mediated immunotherapy of glioblastoma by interfering with tumor metabolism.