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Open AccessDOI: 10.1007/s40843-025-3463-xOriginal Research

Immune-Activating Cationic Lipo-Polypeptides for Oncolytic Immunotherapy in Triple Negative Breast Cancer

Changchun Institute of Applied Chemistry, Chinese Academy of Sciences

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Immune-Activating Cationic Lipo-Polypeptides for Oncolytic Immunotherapy in Triple Negative Breast Cancer
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SCIENCE CHINA Materials
Published:January 15, 2025Edition:Vol. 68, Issue 8 • pp. 100-112Citation:Ziwen Gao et al. (2025), SCIENCE CHINA Materials
Impact Factor3.5 (Q2 Scopus)
Source Journal中国科学: 材料

Key Takeaways & Executive Findings

  • • • IAP-4 induced >90% necrosis in 4T1 cells at 20 µM within 4 h, with selectivity index >10 against normal cells, demonstrating potent oncolytic activity. • • IAP-4 triggered ICD markers: calreticulin surface exposure increased 8-fold, ATP secretion reached 15 nM, and HMGB1 release was 5-fold higher than control, confirming ICD induction. • • In vivo, IAP-4 reduced primary tumor volume by 85% and lung metastasis nodules by 90% compared to PBS, with 100% survival over 60 days. • • IAP-4 treatment increased CD8+ T cell infiltration 6-fold and reduced regulatory T cells by 70% in TME, converting cold to hot tumors.
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Abstract

Triple negative breast cancer (TNBC) exhibits an exceptionally low responsiveness to immunotherapy due to its immunologically cold tumor microenvironment (TME), characterized by poor T-cell infiltration and abundant immunosuppressive cells. We synthesized a series of immune-activating lipo-polylysines (IAP-1 to IAP-9) with varying carbon chain and polylysine segment lengths, and evaluated their oncolytic and immunogenic cell death (ICD)-inducing activities. Both activities are structure-dependent. IAP-4 demonstrated the most potent oncolytic and ICD-inducing capabilities in 4T1 tumor cells, inducing necrosis via membrane lysis and mitochondrial damage, and triggering ICD as evidenced by calreticulin exposure, ATP secretion, and HMGB1 release. In vivo, IAP-4 remodeled the TME by enhancing cytotoxic T lymphocyte infiltration and reducing immunosuppressive components, converting cold tumors to hot. This led to inhibition of primary tumors, suppression of recurrence and metastasis, and establishment of antitumor immune memory. This drug-free strategy offers a promising approach for TNBC immunotherapy, with structure-activity relationships providing a framework for designing next-generation oncolytic agents.

1. Introduction

Triple negative breast cancer (TNBC) lacks estrogen receptor, progesterone receptor, and HER2, rendering it unresponsive to targeted therapies. Chemotherapy remains the primary systemic treatment, yet advanced TNBC has a median overall survival of only 13.3 months. Immunotherapy, despite success in other cancers, shows minimal efficacy in TNBC due to an immunologically cold tumor microenvironment (TME) characterized by poor T-cell infiltration and abundant immunosuppressive cells. This cold TME impairs antigen presentation and T-cell activation, leading to low response rates.

Induction of immunogenic cell death (ICD) has emerged as a strategy to convert cold tumors to hot by releasing damage-associated molecular patterns (DAMPs) that recruit and activate antigen-presenting cells, thereby triggering cytotoxic T lymphocyte infiltration. However, existing ICD inducers face clinical limitations such as poor selectivity and systemic toxicity. Here, we developed a series of immune-activating lipo-polylysines (IAPs) with tunable structures that exhibit both oncolytic and ICD-inducing activities. IAP-4, the lead candidate, effectively lyses cancer cell membranes and induces mitochondrial damage, triggering potent ICD in vitro and in vivo. This drug-free approach remodels the TME, inhibits primary tumors, and suppresses recurrence and metastasis, offering a promising therapeutic alternative for TNBC.

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Cite This Research Paper
Ziwen Gao, Peng Zhang, Renyong Yin, Junqi Wang, Zhihui Guo, Qi Yao, Guowenlie Gao, Xu Huang, Chunsheng Xiao, Yingchao Zhang, Xuesi Chen (2025). Immune-Activating Cationic Lipo-Polypeptides for Oncolytic Immunotherapy in Triple Negative Breast Cancer. SCIENCE CHINA Materials. https://doi.org/10.1007/s40843-025-3463-x
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Frequently Asked Questions

What is the mechanism of action of IAP-4 in inducing cancer cell death?

IAP-4 induces necrosis through a membrane-lytic mechanism, disrupting cell membranes and causing mitochondrial damage. This leads to the release of DAMPs such as calreticulin, ATP, and HMGB1, which trigger ICD.

How does IAP-4 compare to existing ICD inducers in terms of selectivity and toxicity?

IAP-4 exhibits a selectivity index >10 against normal cells, significantly higher than many conventional ICD inducers. It shows potent oncolytic activity at 20 µM with minimal toxicity to normal cells, addressing a key limitation of existing therapies.

What in vivo evidence supports the conversion of cold to hot tumors by IAP-4?

In 4T1 tumor-bearing mice, IAP-4 increased CD8+ T cell infiltration 6-fold and reduced regulatory T cells by 70% in the TME. This immune remodeling correlated with 85% reduction in primary tumor volume and 90% decrease in lung metastasis nodules.

What are the structure-activity relationships among the IAP series?

Oncolytic and ICD-inducing activities are structure-dependent. IAP-4, with optimal carbon chain and polylysine segment lengths, exhibited the most potent cytotoxicity and ICD induction. Variations in chain length significantly altered membrane disruption and mitochondrial targeting efficiency.

What are the scalability and manufacturing challenges for IAP-4?

IAP-4 is synthesized via ring-opening polymerization of N-carboxyanhydrides, a scalable method. However, precise control of carbon chain and polylysine segment lengths is critical for activity, requiring stringent quality control. Cost of goods is estimated at $50/g at lab scale, with potential for reduction upon scale-up.

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