Activatable Sulfur Dioxide Nanosonosensitizer Enables Precisely Controllable Sono‐Gaseous Checkpoint Trimodal Therapy for Orthotopic Hepatocellular Carcinoma

Abstract Immune checkpoint blockade (ICB) is combined with sonodynamic therapy (SDT) to increase response rates and enhance anticancer efficacy. However, the “always on” property of most sonosensitizers in reducing tumor microenvironment (TME) compromises the therapeutic outcome of sonoimmunotherapy...

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Main Authors: Jing Liang, Guangwen Cheng, Luping Qiu, Liyun Xue, Huning Xu, Xiaohui Qiao, Na Guo, Huijing Xiang, Yu Chen, Hong Ding
Format: Article
Language:English
Published: Wiley 2025-02-01
Series:Advanced Science
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Online Access:https://doi.org/10.1002/advs.202409442
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author Jing Liang
Guangwen Cheng
Luping Qiu
Liyun Xue
Huning Xu
Xiaohui Qiao
Na Guo
Huijing Xiang
Yu Chen
Hong Ding
author_facet Jing Liang
Guangwen Cheng
Luping Qiu
Liyun Xue
Huning Xu
Xiaohui Qiao
Na Guo
Huijing Xiang
Yu Chen
Hong Ding
author_sort Jing Liang
collection DOAJ
description Abstract Immune checkpoint blockade (ICB) is combined with sonodynamic therapy (SDT) to increase response rates and enhance anticancer efficacy. However, the “always on” property of most sonosensitizers in reducing tumor microenvironment (TME) compromises the therapeutic outcome of sonoimmunotherapy and exacerbates adverse side effects. Precisely controllable strategies combining sulfur dioxide (SO2) gas therapy with cancer immunotherapy can address these issues but remain lacking. Herein an “activatable SO2 nanosonosensitizer” for precise sono‐gaseous checkpoint trimodal therapy of orthotopic hepatocellular carcinoma (HCC) is reported, whose full activity is initiated by ultrasound (US) irradiation in the reducing TME. This “activatable SO2 nanosonosensitizer,” Aza‐DNBS nanoparticles (NPs), are established by self‐assembling Aza‐boron‐dipyrromethene based sonosensitizer molecules and 2,4‐dinitrobenzenesulfonate (DNBS)‐caged SO2 prodrug. The activity of Aza‐DNBS NPs is initially silenced, and the sonodynamic, gaseous, and immunosuppressive TME reprogramming activities are precisely awakened under US irradiation. Due to the glutathione‐responsiveness of Aza‐DNBS NPs, Aza‐DNBS NPs can generate large amounts of SO2 for gas therapy‐enhanced SDT, which triggers robust immunogenic cell death activation and reprogramming of the immunosuppressive TME, thereby significantly suppressing orthotopic tumor growth and delaying lung metastasis. Thus, this study represents a strategy for designing a generic nanoplatform for precisely combined immunotherapy of orthotopic HCC.
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spelling doaj-art-ed311b08a43d43e9b4dadee951ce076e2025-02-04T13:14:55ZengWileyAdvanced Science2198-38442025-02-01125n/an/a10.1002/advs.202409442Activatable Sulfur Dioxide Nanosonosensitizer Enables Precisely Controllable Sono‐Gaseous Checkpoint Trimodal Therapy for Orthotopic Hepatocellular CarcinomaJing Liang0Guangwen Cheng1Luping Qiu2Liyun Xue3Huning Xu4Xiaohui Qiao5Na Guo6Huijing Xiang7Yu Chen8Hong Ding9Department of Ultrasound Huashan Hospital Fudan University Shanghai 200040 ChinaDepartment of Ultrasound Huashan Hospital Fudan University Shanghai 200040 ChinaDepartment of Ultrasound Huashan Hospital Fudan University Shanghai 200040 ChinaDepartment of Ultrasound Huashan Hospital Fudan University Shanghai 200040 ChinaDepartment of Ultrasound Huashan Hospital Fudan University Shanghai 200040 ChinaDepartment of Ultrasound Huashan Hospital Fudan University Shanghai 200040 ChinaDepartment of Pathology Zhejiang Cancer Hospital Hangzhou Zhejiang 310022 ChinaMaterdicine Lab School of Life Sciences Shanghai University Shanghai 2000444 ChinaMaterdicine Lab School of Life Sciences Shanghai University Shanghai 2000444 ChinaDepartment of Ultrasound Huashan Hospital Fudan University Shanghai 200040 ChinaAbstract Immune checkpoint blockade (ICB) is combined with sonodynamic therapy (SDT) to increase response rates and enhance anticancer efficacy. However, the “always on” property of most sonosensitizers in reducing tumor microenvironment (TME) compromises the therapeutic outcome of sonoimmunotherapy and exacerbates adverse side effects. Precisely controllable strategies combining sulfur dioxide (SO2) gas therapy with cancer immunotherapy can address these issues but remain lacking. Herein an “activatable SO2 nanosonosensitizer” for precise sono‐gaseous checkpoint trimodal therapy of orthotopic hepatocellular carcinoma (HCC) is reported, whose full activity is initiated by ultrasound (US) irradiation in the reducing TME. This “activatable SO2 nanosonosensitizer,” Aza‐DNBS nanoparticles (NPs), are established by self‐assembling Aza‐boron‐dipyrromethene based sonosensitizer molecules and 2,4‐dinitrobenzenesulfonate (DNBS)‐caged SO2 prodrug. The activity of Aza‐DNBS NPs is initially silenced, and the sonodynamic, gaseous, and immunosuppressive TME reprogramming activities are precisely awakened under US irradiation. Due to the glutathione‐responsiveness of Aza‐DNBS NPs, Aza‐DNBS NPs can generate large amounts of SO2 for gas therapy‐enhanced SDT, which triggers robust immunogenic cell death activation and reprogramming of the immunosuppressive TME, thereby significantly suppressing orthotopic tumor growth and delaying lung metastasis. Thus, this study represents a strategy for designing a generic nanoplatform for precisely combined immunotherapy of orthotopic HCC.https://doi.org/10.1002/advs.202409442gas therapyimmunotherapynanomedicinenanosonosensitizersonodynamic therapy
spellingShingle Jing Liang
Guangwen Cheng
Luping Qiu
Liyun Xue
Huning Xu
Xiaohui Qiao
Na Guo
Huijing Xiang
Yu Chen
Hong Ding
Activatable Sulfur Dioxide Nanosonosensitizer Enables Precisely Controllable Sono‐Gaseous Checkpoint Trimodal Therapy for Orthotopic Hepatocellular Carcinoma
Advanced Science
gas therapy
immunotherapy
nanomedicine
nanosonosensitizer
sonodynamic therapy
title Activatable Sulfur Dioxide Nanosonosensitizer Enables Precisely Controllable Sono‐Gaseous Checkpoint Trimodal Therapy for Orthotopic Hepatocellular Carcinoma
title_full Activatable Sulfur Dioxide Nanosonosensitizer Enables Precisely Controllable Sono‐Gaseous Checkpoint Trimodal Therapy for Orthotopic Hepatocellular Carcinoma
title_fullStr Activatable Sulfur Dioxide Nanosonosensitizer Enables Precisely Controllable Sono‐Gaseous Checkpoint Trimodal Therapy for Orthotopic Hepatocellular Carcinoma
title_full_unstemmed Activatable Sulfur Dioxide Nanosonosensitizer Enables Precisely Controllable Sono‐Gaseous Checkpoint Trimodal Therapy for Orthotopic Hepatocellular Carcinoma
title_short Activatable Sulfur Dioxide Nanosonosensitizer Enables Precisely Controllable Sono‐Gaseous Checkpoint Trimodal Therapy for Orthotopic Hepatocellular Carcinoma
title_sort activatable sulfur dioxide nanosonosensitizer enables precisely controllable sono gaseous checkpoint trimodal therapy for orthotopic hepatocellular carcinoma
topic gas therapy
immunotherapy
nanomedicine
nanosonosensitizer
sonodynamic therapy
url https://doi.org/10.1002/advs.202409442
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