Introduction: Immunotherapy has led to a paradigm shift in reinvigorating treatment of cancer.Nevertheless, tumor associated macrophages (TAMs) experience functional polarization on account of the generation of suppressive metabolites, contributing to impaired antitumor immune responses.Methods: Hence, metabolic reprogramming of tumor microenvironment (TME) can synergistically improve the efficacy of anti-tumor immunotherapy.Herein, we engineered an iron-based nanoplatform termed ER Fe 3 O 4 NPs.This platform features hollow Fe 3 O 4 nanoparticles loaded with the natural product emodin, the outer layer is coated with red blood cell membrane (mRBCs) inserted with DSPE-PEG2000-galactose.This effectively modulates lactate production, thereby reversing the tumor immune suppressive microenvironment (TIME).Results: The ER Fe 3 O 4 NPs actively targeted TAMs on account of their ability to bind to M2-like TAMs with high expression of galectin (Mgl).ER Fe 3 O 4 NPs achieved efficient ability to reverse TIME via the production of reducing lactate and prompting enrichment iron of high concentrations.Furthermore, ER Fe 3 O 4 NPs resulted in heightened expression of CD16/32 and enhanced TNF-α release, indicating promotion of M1 TAMs polarization.In vitro and in vivo experiments revealed that ER Fe 3 O 4 NPs induced significant apoptosis of tumor cells and antitumor immune response.Discussion: This study combines Traditional Chinese Medicine (TCM) with nanomaterials to synergistically reprogram TAMs and reverse TIME, opening up new ideas for improving anti-tumor immunotherapy.
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Zhang et al. (2024) studied this question.
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