Inhibition of residual kynurenine pathway activity boosts antitumor immune responses
摘要
Immunosuppressive metabolites are major drivers of tumor immune suppression. Among these, kynurenine (Kyn) is produced through the catalysis of tryptophan (Trp) 2,3-dioxygenase (TDO) in hepatocellular carcinoma. However, TDO inhibition alone is often insufficient because residual pathway flux sustains the accumulation of the downstream immunosuppressive metabolite quinolinic acid (QA). Here, we propose a strategy to disrupt residual kynurenine pathway activity to enhance metabolism-driven tumor immunotherapy. We develop acid-responsive metal-organic complex nanoparticles (APAP@TDOi-Zn, ATZn) that integrate the TDO inhibitor (TDOi) and Zn2+, while encapsulating acetaminophen (APAP) to inhibit 3-hydroxyanthranilate 3,4-dioxygenase (HAAO), thereby limiting QA production and simultaneously suppressing the residual immunosuppressive metabolite. QA suppression limits M2 macrophage polarization, whereas Kyn inhibition and Zn2+ supplementation promote T cell proliferation and cytotoxicity. Consequently, ATZn rewires Trp-Kyn metabolism and augments antitumor immunotherapy. This work enhances the efficacy of metabolic checkpoint blockade and provides a strategy to overcome metabolism-driven immune resistance.