1.Department of Nuclear Medicine, Shanghai Tenth People’s Hospital and Institute of Nuclear Medicine, School of Medicine, Tongji University, Shanghai 200072, China
2.Central Laboratory, Department of Sichuan Academy of Medical Sciences, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610072, China
3.Department of Nuclear Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, China
4.Department of Pathology, School of Medicine, Duke University, Durham, NC 27710, USA
* Fei Yu yufei_021@163.com; 0910110013yufei@tongji.edu.cn
Kun Zhang zhang1986kun@tongji.edu.cn; zhang1986kun@126.com
收稿:2025-02-28,
录用:2025-09-04,
网络首发:2025-09-19,
纸质出版:2026-03
Scan QR Code
Meng-Die Yang, Chun-Yan Zhu, Gang Yang, 等. Camouflaged membrane-bridged radionuclide/Mn single-atom enzymes target lipid metabolism disruption to evoke antitumor immunity[J]. Military Medical Research, 2026,13(3):365-384.
Meng-Die Yang, Chun-Yan Zhu, Gang Yang, et al. Camouflaged membrane-bridged radionuclide/Mn single-atom enzymes target lipid metabolism disruption to evoke antitumor immunity[J]. Military Medical Research, 2026, 13(3): 365-384.
Meng-Die Yang, Chun-Yan Zhu, Gang Yang, 等. Camouflaged membrane-bridged radionuclide/Mn single-atom enzymes target lipid metabolism disruption to evoke antitumor immunity[J]. Military Medical Research, 2026,13(3):365-384. DOI: 10.1186/s40779-025-00647-7.
Meng-Die Yang, Chun-Yan Zhu, Gang Yang, et al. Camouflaged membrane-bridged radionuclide/Mn single-atom enzymes target lipid metabolism disruption to evoke antitumor immunity[J]. Military Medical Research, 2026, 13(3): 365-384. DOI: 10.1186/s40779-025-00647-7.
Background
2
Lipid metabolic reprogramming has been increasingly recognized as a key factor contributing to tumor immune evasion
therapeutic resistance
and plasticity
which collectively compromise the efficacy of targeted radionuclide therapy (TRT). Overcoming the immunosuppressive and hypoxic tumor microenvironment (TME) while interfering with tumor lipid metabolism may offer a promising strategy to potentiate TRT outcomes.
Methods
2
In this report
a radiopharmaceutical with multienzymatic catalysis activities is developed
wherein tumor cell membrane-coated manganese single-atom nanozymes (Mn/SAE@M) as supports deliver iodine-131 (
131
I) to the tumor. The Mn/SAE nanozyme core was synthesized in situ within hollow mesoporous zeolitic imidazolate frame-8 (ZIF-8) nanoparticles
then coated with homologous tumor cell membranes for targeted delivery and subsequently labeled with
131
I using the Chloramine-T method. A series of in vitro and in vivo experiments was performed in non-small cell lung cancer (NSCLC) models to evaluate therapeutic efficacy and immune activation.
Results
2
131
I-Mn/SAE@M exhibited efficient tumor targeting and internalization mediated by membrane camouflage. Within the TME
the radiopharmaceuticals initiated abundant oxygen (O
2
) release through catalase (CAT)-like catalysis
thereby mitigating a hypoxic microenvironment. In particular
it produced and enriched more reactive oxygen species(ROS) through oxidase (OXD)-
peroxidase (POD)-
and glutathione oxidase (GSHOx)-like catalytic processes. Importantly
131
I-Mn/SAE@M activated the cGAS-STING pathway
interfered with the lipid metabolic homeostasis of tumor cells
and induced ferroptosis
which is unraveled to take responsibil
ity for the potentiated antitumor immunity. In bilateral NSCLC tumor-bearing mice
the treatment suppressed both the first and the second tumors
indicating the generation of systemic antitumor immune responses and immunological memory.
Conclusions
2
Such SAE-based radiopharmaceuticals provide a candidate platform to elevate TRT efficiency
and the proof-of-concept rationale of disrupting lipid metabolic homeostasis through multienzyme-mimicking cascade reactions also provides a general avenue to improve TRT and synergistically magnify antitumor immunity.
Kratochwil C , Giesel FL , Stefanova M , Benesova M , Bronzel M , Afshar-Oromieh A , et al . PSMA-targeted radionuclide therapy of metastatic castration-resistant prostate cancer with 177 Lu-labeled PSMA-617 . J Nucl Med. 2016 ; 57 ( 8 ): 1170 - 6 .
Morgan KA , Rudd SE , Noor A , Donnelly PS . Theranostic nuclear medicine with gallium-68, lutetium-177, copper-64/67, actinium-225, and lead-213/203 radionuclides . Chem Rev. 2023 ; 123 ( 20 ): 12004 - 35 .
Bharadwaj MS , Ballal S , Bal C . Optimal cumulative I-131 activity in metastatic differentiated thyroid cancer: balancing efficacy and adverse events . J Clin Endocrinol Metab. 2024 ; 109 ( 11 ): e2120 - 30 .
Song L , Lu L , Pu YY , Yin HH , Zhang K . Nanomaterials-based tumor microenvironment modulation for magnifying sonodynamic therapy . Acc Mater Res. 2022 ; 3 ( 9 ): 971 - 85 .
Zhou H , Zhu C , Zhao Q , Ni J , Zhang H , Yang G , et al . Wrecking neutrophil extracellular traps and antagonizing cancer-associated neurotransmitters by interpenetrating network hydrogels prevent postsurgical cancer relapse and metastases . Bioact Mater. 2024 ; 39 : 14 - 24 .
Zhang Y , Fang C , Zhang W , Zhang K . Emerging pyroptosis-engineered nanobiotechnologies regulate cancers and inflammatory diseases: a double-edged sword . Matter. 2022 ; 5 ( 11 ): 3740 - 74 .
Jiao R , Lin X , Zhang Q , Zhang Y , Qin W , Yang QL , et al . Anti-tumor immune potentiation targets-engineered nanobiotechnologies: design principles and applications . Prog Mater Sci. 2024 ; 142 : 101230 .
Zhao Q , Dong XL , Zhu CY , Zhang Y , Fang C , Zhou XL , et al . DNA damageencouraged Mn-As-based nanoreactors reshape intratumoral cell phenotypes to recover immune surveillance and potentiate anti-tumor immunity . Chem Eng J. 2023 ; 474 ( 15 ): 145556 .
Zhang Y , Fan WH , Li XM , Wang WX , Liu S . Enhanced removal of free radicals by aqueous hydrogen nanobubbles and their role in oxidative stress . Environ Sci Technol. 2022 ; 56 ( 21 ): 15096 - 107 .
Zhang Y , Wang TX , Dong XL , Zhu CY , Peng QX , Liu C , et al . Salivary amylase-responsive buccal tablets wipe out chemotherapy-rooted refractory oral mucositis . Adv Sci. 2024 ; 11 ( 11 ): e2308439 .
Ge JC , Fang C , Tan HS , Zhan M , Gu M , Ni JS , et al . Endogenous zincion-triggered in situ gelation enables Zn capture to reprogram benign hyperplastic prostate microenvironment and shrink prostate . Adv Mater. 2024 ; 36 ( 11 ): 2307796 .
Zhang Q , Song L , Zhang K . Breakthroughs in nanozyme-inspired application diversity . Mat Chem Front. 2022 ; 7 : 44 - 64 .
Zhang JJ , Zhang SH , Cheng C , Zhu CY , Wang TX , Tang LL , et al . Targeting senescence with radioactive 223Ra/Ba sazymes enables senolyticsunlocked one-two punch strategy to boost anti-tumor immunotherapy . Biomaterials. 2025 ; 315 : 122915 .
Wang X , Ren X , Yang J , Zhao Z , Zhang X , Yang F , et al . Mn-single-atom nano-multizyme enabled NIR-II photoacoustically monitored, photothermally enhanced ROS storm for combined cancer therapy . Biomater Res. 2023 ; 27 ( 1 ): 125 .
Ye J , Lv W , Li C , Liu S , Yang X , Zhang J , et al . Tumor response and NIR-II photonic thermal co-enhanced catalytic therapy based on single-atom manganese nanozyme . Adv Funct Mater. 2022 ; 32 ( 47 ): 2206157 .
Dong XL , Yang QL , Wang H , Zhu CY , Wang TX , Fang C , et al . Targetedly attenuating cancer stemness and plasticity by homologous cancer stem cell-inherited fusion membrane nanoeffectors against cancer metastasis . Small Sci. 2024 ; 4 ( 2 ): 2300111 .
Zhong JP , Yang X , Gao SZ , Luo J , Xiang JH , Li GH , et al . Geometric and electronic structure-matched superoxide dismutase-like and catalase-like sequential single-atom nanozymes for osteoarthritis recession . Adv Funct Mater. 2023 ; 33 ( 7 ): 2209399 .
Zhang XN , Zhao Q , Yang JJ , Wang TX , Chen FB , Zhang K . Tumor microenvironment-triggered intratumoral in-situ biosynthesis of inorganic nanomaterials for precise tumor diagnostics . Coord Chem Rev. 2023 ; 484 ( 1 ): 215115 .
Lei G , Zhuang L , Gan BY . Targeting ferroptosis as a vulnerability in cancer . Nat Rev Cancer. 2022 ; 22 ( 7 ): 381 - 96 .
Chen X , Kang R , Kroemer G , Tang DL . Broadening horizons: the role of ferroptosis in cancer . Nat Rev Clin Oncol. 2021 ; 18 : 280 - 96 .
Jiang XJ , Stockwell BR , Conrad M . Ferroptosis: mechanisms, biology and role in disease . Nat Rev Mol Cell Biol. 2021 ; 22 ( 4 ): 266 - 82 .
Berchuck JE , Adib E , Abou Alaiwi S , Dash AK , Shin JN , Lowder D , et al . The prostate cancer androgen receptor cistrome in African American men associates with upregulation of lipid metabolism and immune response . Cancer Res. 2022 ; 82 ( 16 ): 2848 - 59 .
Minton K . Lipid metabolism extinguishes cGAS-STING-induced inflammation . Nat Rev Immunol. 2023 ; 23 ( 12 ): 785 .
He YZ , Wang TX , Song YR , Fang C , Wang Y , Dong XL , et al . Targeting vascular destruction by sonosensitizer-free sonocatalytic nanomissiles instigates thrombus aggregation and nutrition deprivation to starve pancreatic cancer . Adv Funct Mater. 2024 ; 34 ( 30 ): 2315394 .
Jiang X , Zhou Q , Du B , Li S , Huang Y , Chi Z , et al . Noninvasive monitoring of hepatic glutathione depletion through fluorescence imaging and blood testing . Sci Adv. 2021 ; 7 ( 8 ): eabd9847 .
Jia M , Qin D , Zhao C , Chai L , Yu Z , Wang W , et al . Redox homeostasis maintained by GPX4 facilitates STING activation . Nat Immunol. 2020 ; 21 ( 7 ): 727 - 35 .
Mehlem A , Hagberg CE , Muhl L , Eriksson U , Falkevall A . Imaging of neutral lipids by oil red O for analyzing the metabolic status in health and disease . Nat Protoc. 2013 ; 8 ( 6 ): 1149 - 54 .
Bandu R , Mok HJ , Kim KP . Phospholipids as cancer biomarkers: mass spectrometry-based analysis . Mass Spectrom Rev. 2018 ; 37 ( 2 ): 107 - 38 .
Mattes RD . Is there a fatty acid taste? . Annu Rev Nutr. 2009 ; 29 : 305 - 27 .
Kadhum AAH , Shamma MN . Edible lipids modification processes: a review . Crit Rev Food Sci Nutr. 2017 ; 57 ( 1 ): 48 - 58 .
Raaijmakers KTPM , Adema GJ , Bussink J , Ansems M . Cancer-associated fibroblasts, tumor and radiotherapy: interactions in the tumor microenvironment . J Exp Clin Cancer Res. 2024 ; 43 ( 1 ): 323 .
Wang D , Zhu XQ , Wang XB , Wang Q , Yan KN , Zeng GC , et al . Multichannel sonocatalysis amplifiers target IDH1-mutated tumor plasticity and attenuate ROS tolerance to repress malignant cholangiocarcinoma . Adv Funct Mater. 2023 ; 33 ( 48 ): 2303869 .
Cui R , Wang L , Zhang DY , Zhang K , Dou JP , Dong LA , et al . Combination therapy using microwave ablation and D-mannose-chelated iron oxide nanoparticles inhibits hepatocellular carcinoma progression . Acta Pharm Sin B. 2022 ; 12 ( 9 ): 3475 - 85 .
Lu L , Wang TX , Fang C , Song L , Qian C , Lv Z , et al . Oncolytic impediment/promotion balance disruption by sonosensitizer-free nanoplatforms unfreezes autophagy-induced resistance to sonocatalytic therapy . ACS Appl Mater Interfaces. 2022 ; 14 ( 32 ): 36462 - 72 .
Wang D , Zhang MQ , Zhang Y , Qiu GH , Chen J , Zhu XQ , et al . Intraparticle double-scattering-decoded sonogenetics for augmenting immune checkpoint blockade and CAR-T therapy . Adv Sci. 2022 ; 9 ( 32 ): e2203106 .
Yang WS , SriRamaratnam R , Welsch ME , Shimada K , Skouta R , Viswanathan VS , et al . Regulation of ferroptotic cancer cell death by GPX4 . Cell. 2014 ; 156 ( 1–2 ): 317 - 31 .
Cruz-Gregorio A , Aranda-Rivera AK , Ortega-Lozano AJ , Pedraza-Chaverri J , Mendoza-Hoffmann F . Lipid metabolism and oxidative stress in HPVrelated cancers . Free Radic Biol Med. 2021 ; 172 : 226 - 36 .
Su W , Gao W , Zhang R , Wang Q , Li L , Bu Q , et al . TAK1 deficiency promotes liver injury and tumorigenesis via ferroptosis and macrophage cGASSTING signalling . JHEP Rep. 2023 ; 5 ( 5 ): 100695 .
Luo M , Yan J , Hu X , Li H , Li H , Liu Q , et al . Targeting lipid metabolism for ferroptotic cancer therapy . Apoptosis. 2023 ; 28 ( 1–2 ): 81 - 107 .
Bu Z , Yang J , Zhang Y , Luo T , Fang C , Liang X , et al . Sequential ubiquitination and phosphorylation epigenetics reshaping by MG132-loaded Fe-MOF disarms treatment resistance to repulse metastatic colorectal cancer . Adv Sci. 2023 ; 10 ( 23 ): e2301638 .
Jin HR , Wang J , Wang ZJ , Xi MJ , Xia BH , Deng K , et al . Lipid metabolic reprogramming in tumor microenvironment: from mechanisms to therapeutics . J Hematol Oncol. 2023 ; 16 ( 1 ): 103 .
Martin-Perez M , Urdiroz-Urricelqui U , Bigas C , Benitah SA . The role of lipids in cancer progression and metastasis . Cell Metab. 2022 ; 34 ( 11 ): 1675 - 99 .
Angeli JPF , Krysko DV , Conrad M . Ferroptosis at the crossroads of cancer-acquired drug resistance and immune evasion . Nat Rev Cancer. 2019 ; 19 ( 7 ): 405 - 14 .
Stockwell BR . Ferroptosis turns 10: emerging mechanisms, physiological functions, and therapeutic applications . Cell. 2022 ; 185 ( 14 ): 2401 - 21 .
Wang W , Green M , Choi JE , Gijon M , Kennedy PD , Johnson JK , et al . CD8 + T cells regulate tumour ferroptosis during cancer immunotherapy . Nature. 2019 ; 569 ( 7755 ): 270 - 4 .
Guo J , Huang L . Nanodelivery of cGAS-STING activators for tumor immunotherapy . Trends Pharmacol Sci. 2022 ; 43 ( 11 ): 957 - 72 .
Kanno T , Nakajima T , Yokoyama S , Asou HK , Sasamoto S , Kamii Y , et al . SCD2-mediated monounsaturated fatty acid metabolism regulates cGASSTING-dependent type I IFN responses in CD4 T cells . Commun Biol. 2021 ; 4 ( 1 ): 820 .
Shin H , Chung H . SMPDL3A links cholesterol metabolism to the cGASSTING pathway . Immunity. 2023 ; 56 ( 11 ): 2459 - 61 .
Liang JL , Jin XK , Zhang SM , Huang QX , Ji P , Deng XC , et al . Specific activation of cGAS-STING pathway by nanotherapeutics-mediated ferroptosis evoked endogenous signaling for boosting systemic tumor immunotherapy . Sci Bull. 2023 ; 68 ( 6 ): 622 - 36 .
Wang Z , Zhou P , Li Y , Zhang D , Chu F , Yuan F , et al . A bimetallic polymerization network for effective increase in labile iron pool and robust activation of cGAS/STING induces ferroptosis-based tumor immunotherapy . Small. 2023 ; 20 ( 20 ): e2308397 .
Chen Q , Sun L , Chen ZJ . Regulation and function of the cGAS-STING pathway of cytosolic DNA sensing . Nat Immunol. 2016 ; 17 ( 10 ): 1142 - 9 .
Kwon J , Bakhoum SF . The cytosolic DNA-sensing cGAS-STING pathway in cancer . Cancer Discov. 2020 ; 10 ( 1 ): 26 - 39 .
Pantelidou C , Sonzogni O , Taveira MDO , Mehta AK , Kothari A , Wang D , et al . PARP inhibitor efficacy depends on CD8 + T-cell recruitment via intratumoral STING pathway activation in BRCA-deficient models of triple-negative breast cancer . Cancer Discov. 2019 ; 9 ( 6 ): 722 - 37 .
Woo SR , Fuertes MB , Corrales L , Spranger S , Furdyna MJ , Leung MYK , et al . STING-dependent cytosolic DNA sensing mediates innate immune recognition of immunogenic tumors . Immunity. 2014 ; 41 ( 5 ): 830 - 42 .
Lv M , Chen M , Zhang R , Zhang W , Wang C , Zhang Y , et al . Manganese is critical for antitumor immune responses via cGAS-STING and improves the efficacy of clinical immunotherapy . Cell Res. 2020 ; 30 ( 11 ): 966 - 79 .
Wang C , Guan Y , Lv M , Zhang R , Guo Z , Wei X , et al . Manganese increases the sensitivity of the cGAS-STING pathway for double-stranded DNA and is required for the host defense against DNA viruses . Immunity. 2018 ; 48 ( 4 ): 675 - 87.e7 .
0
浏览量
18
Downloads
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621