“In the field of targeted alpha therapy for cancer treatment, a dual-locked pretargeted strategy was developed, integrating platinumIV (PtIV)-loaded hydrogel nanoparticles (HNPs) and radium-223 (223Ra)-loaded HNPs into an inverse electron demand Diels–Alder (IEDDA)-activated drug delivery system. This caged dual-locked approach enables precise pretargeted accumulation at the tumor site, followed by rapid dissociation and controlled release of 223Ra and PtIV upon IEDDA-triggered activation, thereby ensuring high tumor specificity while minimizing systemic exposure. The synergistic combination of TAT and chemotherapy effectively disrupts redox homeostasis, induces immunogenic cell death (ICD), and elicits a robust antitumor immune response. Furthermore, when combined with programmed death-ligand 1 (PD-L1) blockade, this strategy significantly enhances systemic antitumor immunity, leading to robust inhibition of tumor growth and metastasis. These findings underscore the potential of dual-locked pretargeted strategies to advance TAT by improving therapeutic efficacy and addressing the critical challenge of radionuclide leakage, paving the way for next-generation precision-targeted radiopharmaceuticals.”
Military Medical ResearchVol. 12, (2025)
Affiliations:
1.Department of Nuclear Medicine, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, School of Chemical Science and Engineering, Shanghai 200072, China
2.Institute of Nuclear Medicine, Tongji University School of Medicine, Shanghai 200072, China
3.College of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan 250355, China
4.Department of Nuclear Medicine, Zhejiang Cancer Hospital, Hangzhou 310022, China