题目: | Sonodynamic therapy augmented by glycolysis inhibition: a novel metabolic reprogramming strategy for enhanced osteosarcoma treatment |
作者: | Zhuorun Song1,2#, Shunyi Lu1,2#, Yuqi Yang2, Zijun Chen3, Youdong Chen2, Jie Cao2, Zimin Zhang1, Jun Ge1,2*, Huilin Yang1* and Liang Cheng2* |
单位: | 1The First Affiliated Hospital of Soochow University Department of Orthopedic Surgery, Suzhou 215006 2Institute of Functional Nano & Soft Materials (FUNSOM), Jiangsu Key Laboratory for Carbon-Based Functional Materials & Devices, Soochow University, Suzhou 215123 3Obstetrics & Gynecology Hospital of Fudan University Department of Breast Surgery, Yangtze River Delta Integration Demonstration Zone (Qingpu), Shanghai 201799 |
摘要: | A metabolic reprogramming strategy, considered an efficient way to enhance current therapies, has provided renewed hope for treating osteosarcoma (OS), which has reached a bottleneck in clinical practice. In this study, SHK@Mn-TiO2 were developed as novel SDT agents with glycolysis-inhibiting properties. By reducing the expression of PKM2 and HK-2, SHK@Mn-TiO2 effectively inhibited glycolysis, thereby reversing the hypoxic TME, as evidenced by more than ∼ 50% decrease in HIF-1α and lactate (LA) levels compared with those of Mn-TiO2. Under this O2-enriched TME, SHK@Mn-TiO2 enhanced intracellular reactive oxygen species (ROS) levels by approximately 53% and increased K7M2 tumor inhibition under ultrasound (US). Furthermore, the combination of glycolysis inhibition and SDT initiated a cascade of immune responses, promoting a ∼ 98% increase in the maturation of dendritic cells and a ∼ 280% increase in the infiltration of IFN-γ+ CD8+ T cells compared with those in the control. The typically immunosuppressive TME induced by conventional SDT was significantly reversed, as indicated by the reduction in the proportions of regulatory T cells to ∼ 18% and myeloid-derived suppressor cells (MDSCs) to ∼ 49% in the Mn-TiO2 groups. Moreover, a long-term immune memory effect was observed in the K7M2 tumor rechallenge model as a result of strong immune activation. Overall, this study highlights a sono-immune strategy for OS treatment based on the synergistic effects of glycolysis inhibition combined with SDT, offering a promising solution to the current therapeutic challenges in clinical OS management. |
影响因子: | 17.1 |
分区情况: | 一区 |
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责任编辑:郭佳