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Dual-locked targeted alpha-emitter enhanced tumor immunotherapy via Diels–Alder reaction-based self-immolative molecular cage strategy
RESEARCH | Updated:2026-01-29
    • Dual-locked targeted alpha-emitter enhanced tumor immunotherapy via Diels–Alder reaction-based self-immolative molecular cage strategy

    • 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 Research   Vol. 12, (2025)
    • DOI:10.1186/s40779-025-00673-5    

      CLC:
    • Received:14 May 2025

      Accepted:13 November 2025

      Online First:01 December 2025

      Published:2025

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  • Meng-Die Yang, Kang Fang, Xiao-Yi Zhang, et al. Dual-locked targeted alpha-emitter enhanced tumor immunotherapy via Diels–Alder reaction-based self-immolative molecular cage strategy[J/OL]. Military Medical Research, 2025, 12. DOI: 10.1186/s40779-025-00673-5.

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