Intracellular marriage of bicarbonate and Mn ions as “immune ion reactors” to regulate redox homeostasis and enhanced antitumor immune responses

• Published in: Journal of nanobiotechnology Vol. 20; no. 1; pp. 193 - 17
• Main Authors: Feng, Yushuo, Liu, Yaqing, Ma, Xiaoqian, Xu, Lihua, Ding, Dandan, Chen, Lei, Wang, Zongzhang, Qin, Ruixue, Sun, Wenjing, Chen, Hongmin
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 19.04.2022; BioMed Central; BMC
• Subjects: Bicarbonates; Bicarbonates - therapeutic use; Biological response modifiers; Cancer; Care and treatment; Cell Line, Tumor; Chemical properties; Health aspects; Homeostasis; Humans; Immune activator; Immune response; Immunity; Immunotherapy; Manganese; Manganese immunotherapy; Metal ions; Methods; Neoplasms - drug therapy; Oncology, Experimental; Orthotopic liver cancer; Oxidation-Reduction; Redox homeostasis; Self-supplying intracellular ions; China; Immune activator; Self-supplying intracellular ions; Orthotopic liver cancer; Manganese immunotherapy; Redox homeostasis
• DOI: 10.1186/s12951-022-01404-x
• ISSN: 1477-3155

Different from Fe ions in Fenton reaction, Mn ions can function both as catalyst for chemodynamic therapy and immune adjuvant for antitumor immune responses. In Mn-mediated Fenton-like reaction, bicarbonate ([Formula: see text]), as the most important component to amplify therapeutic effects, must be present, however, intracellular [Formula: see text] is strictly limited because of the tight control by live cells. Herein, Stimuli-responsive manganese carbonate-indocyanine green complexes (MnCO -ICG) were designed for intracellular marriage of bicarbonate and Mn ions as "immune ion reactors" to regulate intracellular redox homeostasis and antitumor immune responses. Under the tumor acidic environment, the biodegradable complex can release "ion reactors" of Mn and [Formula: see text], and ICG in the cytoplasm. The suddenly increased [Formula: see text] in situ inside the cells regulate intracellular pH, and accelerate the generation of hydroxyl radicals for the oxidative stress damage of tumors cells because [Formula: see text] play a critical role to catalyze Mn-mediated Fenton-like reaction. Investigations in vitro and in vivo prove that the both CDT and phototherapy combined with Mn -enhanced immunotherapy effectively suppress tumor growth and realize complete tumor elimination. The combination therapy strategy with the help of novel immune adjuvants would produce an enhanced immune response, and be used for the treatment of deep tumors in situ.