Feng Feng†
a,
Wangqing Li†b,
Qilong Lia,
Xuefei Suna,
Zhengdong Chengc,
Xiuyu Wang*b,
Wenchao Li*d and
Li Yao
*a
aInstitute of Chemistry, Chinese Academy of Sciences, Beijing 100190, China. E-mail: yaoli@iccas.ac.cn
bInstitute of Advanced Equipment, College of Energy Engineering, Zhejiang University, Hangzhou, 310027, China. E-mail: wangxiuyu@zju.edu.cn
cCollege of Chemical and Biological Engineering, Zhejiang University, Hangzhou 310058, China. E-mail: zcheng01@zju.edu.cn
dThe Seventh Medical Center of Chinese People's Liberation Army General Hospital, Beijing 100010, China. E-mail: liwenchao301@163.com
First published on 11th August 2025
Non-nucleotide stimulators of interferon gene (STING) agonists hold promise as immunotherapeutic agents for cancer immunotherapy and postsurgical adjuvant therapy. However, as a prototypical STING agonist, DMXAA suffers from rapid degradation, off-target toxicity, and poor tumor accumulation. Here, we present a polymer-free iRGD-buSS-camptothecin-based sol capable of enhancing drug penetration, activating immune responses, and enabling therapeutic monitoring. This multifunctional sol integrates a tumor-homing cyclic peptide with reducible disulfide-linked camptothecin crosslinkers, enabling in situ sol–gel transition to achieve spatiotemporally controlled delivery of the STING agonist DMXAA into tumor parenchyma. The resulting hydrogel forms a durable drug reservoir with a >30 day tumor retention, where a single low-dose DMXAA (0.2 mg kg−1) triggers potent tumor regression, extends survival, and establishes long-term immunological memory—effectively activating systemic immune surveillance to suppress metastasis. Our strategy synergizes molecularly engineered tumor-targeting precision with spatiotemporal control of STING-driven innate immune activation, circumventing the pharmacological limitations (poor delivery and systemic toxicity) of conventional small-molecule agonists.
New conceptsThis work introduces a polymer-free, tumor-retentive sol–gel system that integrates self-assembling supramolecular nanostructures with dual-functional molecular toolkits to enable localized, sustained STING activation and self-amplifying immunotherapy. Unlike existing long-acting delivery platforms reliant on high polymer content, this system exploits amphiphilic iRGD-buSS-CPT conjugates to form nanotubes that electrostatically complex with DMXAA, achieving injectable sol-to-gel transition triggered by the tumor microenvironment. This design eliminates polymer-induced viscosity limitations while enabling deep tumor penetration via protease-responsive iRGD and redox-controlled CPT release. Crucially, the system uniquely merges CPT's dual roles as a DNA-damaging chemotherapeutic (activating cGAS-STING) and an intrinsic fluorescence tracker with DMXAA's STING agonism, creating a synergistic chemo-immunotherapeutic loop. This contrasts with prior STING approaches that lack real-time monitoring or rely on passive diffusion-limited polymeric carriers. For materials science, the platform demonstrates how molecular engineering of supramolecular interactions (hydrophobic cores and electrostatic complexation) can replace bulk polymers in achieving sustained release, offering a paradigm shift toward precision biomaterials that combine therapeutic, targeting, and diagnostic functions without compromising injectability. The work redefines STING agonist delivery by harmonizing tumor-penetrating chemistry, stimuli-responsive release, and immune self-amplification in a single polymer-free matrix. |
Long-acting STING agonist delivery systems capable of subcutaneous self-administration are highly sought after. These systems merge the sustained drug release of surgically implanted devices—which enhance patient compliance by eliminating daily pill adherence—with the convenience of injectable administration.15,16 This dual functionality is particularly crucial for patients in resource-limited settings lacking reliable access to advanced medical infrastructure. Existing long-acting injectables fall into two classes: microparticle suspensions and in situ forming implants (ISFIs).17 Microparticle suspensions enable sustained drug release via slowly degrading polymers like polylactic acid (PLA) or polycaprolactone (PCL), and their relatively low drug loading (% w/w) remains a potential concern for long-acting applications.15 Most previously reported ISFIs typically employ formulations with high polymer-to-drug ratios (often >1:
1 w/w), leveraging polymer precipitation for controlled release.18 Both formulation types face a persistent challenge: combining long-acting duration (>1 months) with self-administration via small-gauge needles.19 This limitation arises because existing systems depend on high-concentration polymer excipients to sustain drug release and maintain mechanical integrity, which inevitably increases solution viscosity beyond injectable limits.
Here, we present a polymer-free, tumor-retentive sol–gel system (iRGD-buSS-CPT/DMXAA) designed to circumvent DMXAA's clinical limitations without relying on polymeric excipients. As illustrated in Scheme 1, the design features three synergistic effects: (1) self-assembling sol–gel system:20 amphiphilic iRGD-buSS-CPT conjugates spontaneously form supramolecular nanotubes via hydrophobic CPT cores and hydrophilic iRGD coronas.21,22 These nanostructures electrostatically complex with DMXAA, forming an injectable sol that undergoes tumor microenvironment-triggered gelation (Scheme 1A), ensuring localized retention and sustained release.23–25 (2) Dual-function molecular toolkit: the cyclic iRGD peptide (CRGDK/RGPD/EC)26 overcomes vascular confinement through protease-triggered CendR motif exposure, enabling sequential αv integrin and neuropilin-1 (NRP-1) binding for deep tumor penetration—a leap beyond linear RGD analogs.27 CPT plays dual roles: its 10-OH group enables reducible disulfide conjugation for controlled release, while inherent fluorescence allows real-time pharmacokinetic tracking28,29 (Scheme 1B). (3) Self-amplifying immunotherapy: upon intratumoral gelation, CPT induces dsDNA damage,30,31 activating cGAS-STING signaling. DMXAA amplifies STING-mediated IFN-I responses, enhancing dendritic cell maturation and cytotoxic T cell cross-priming by 2.3-fold compared to monotherapy controls. This multi-stage activation strategy addresses critical challenges in solid tumor immunotherapy – poor drug penetration, insufficient immune activation, and lack of therapeutic monitoring32–35 – while exploiting CPT's dual role as both a cytotoxic agent and an intrinsic imaging probe.36,37 The rationally engineered platform demonstrates synergistic chemo-immunotherapeutic effects through coordinated tumor penetration, STING pathway potentiation, and immune cell priming. By synchronizing tumor-penetrating chemistry with immunogenic cell death, this work establishes a new paradigm for precision STING activation—transforming DMXAA from a failed therapeutic into a localized immune amplifier.
The iRGD-buSS-CPT hydrogel serves as a tumor-targeted drug reservoir, where disulfide bonds govern both structural stability and glutathione (GSH)-triggered release kinetics. As shown in Fig. 1E and F, incubation of 2 μM conjugate in phosphate buffer (pH 7.4) demonstrated complete CPT retention under physiological conditions (<5% release at 4 h), while 10 mM GSH – mimicking the tumor redox environment – induced rapid payload liberation (82.3 ± 3.1% release, k = 0.21 h−1). This 16.5-fold release enhancement confirms the system's dual functionality: circulatory stability during transport and tumor-specific activation. In 2D monolayer studies with 4T1 breast cancer cells, the conjugate exhibited superior cytotoxicity (IC50 = 1.2 μM) compared to free CPT (IC50 = 3.8 μM) (Fig. 1G). The enhanced therapeutic potential of iRGD-buSS-CPT was unequivocally demonstrated in 3D tumor spheroids: PBS-treated controls exhibited a 198 ± 12% volume expansion over 72 h, while free CPT limited growth to 69 ± 8% residual volume. Strikingly, iRGD-buSS-CPT treatment caused an abrupt volumetric collapse to 30 ± 4% residual mass (p < 0.001 vs. CPT), representing a 2-fold greater suppression than conventional chemotherapy. The dramatic enhancement in therapeutic efficacy demonstrated in our 3D tumor spheroid model highlights the system's capacity to effectively inhibit the growth of tumor-like cellular aggregates under controlled in vitro conditions. The observed two-fold greater growth inhibition (Fig. 1H and I) suggests improved drug penetration and more uniform distribution within these compact three-dimensional structures, a phenomenon that likely stems from the conjugate's innovative protease-activated targeting mechanism. While these 3D spheroid studies provide important preliminary insights into drug diffusion patterns and retention characteristics, we emphasize that additional in vivo investigations will be essential to fully validate the system's ability to overcome the complex biological barriers present in actual tumor microenvironments.
To evaluate the tissue-penetrating efficacy of the cell-penetrating peptide iRGD, two groups were analyzed: a control group receiving peritumoral injections of free CPT solution and an experimental group receiving 10 μM iRGD-buSS-CPT in PBS via peritumoral injection into the tumor parenchyma. Fig. 2C displays color-overlay images comparing CPT penetration in the tumor parenchyma between the control (free CPT) and experimental groups (iRGD-buSS-CPT), with results quantified in transverse 5 × 5 mm2 sections. The in vivo penetration of CPT into the tumor parenchyma was strongly dependent on the iRGD motif. Free CPT generated negligible tumor fluorescence, whereas iRGD-buSS-CPT produced a robust CPT-specific fluorescence signal under identical imaging conditions. This confirms that iRGD—a key driver of sol formation—enhanced tissue penetration of the hydrophobic CPT. These findings demonstrate that integrating iRGD-mediated molecular design with in vivo sol–gel transition achieves both deep solid-tumor penetration and sustained release of antitumor drugs, highlighting the strategy's potential for targeted deep-tissue drug delivery.
To assess the antitumor activity of iRDG-buSS-CPT/DMXAA, highly aggressive 4T1 cells were injected into the left breast pads of mice to form the orthotopic mouse breast tumors. When the tumors reached 50 mm3, the tumor model was respectively treated with PBS, DMXAA, a physical mixture of DMXAA and CPT, iRDG-buSS-CPT, and iRDG-buSS-CPT@DMXAA(NT@DMXAA) and the orthotropic tumor growth was closely monitored. As shown in Fig. 2D and Fig. S5, DMXAA exhibited a limited effect in suppressing tumor growth compared with the PBS group. The administration of physically mixed DMXAA and CPT presented nearly identical therapeutic efficacy to DMXAA, which suggested that deep penetration of CPT is a prerequisite for antitumor chemotherapy. The iRDG-buSS-CPT sol showed moderate antitumor activity, further confirming that cell penetrating behavior of iRDG could significantly improve the therapeutic efficacy of anti-tumor drugs. Remarkably, treatment with NT@DMXAA led to maximal tumor-growth inhibition in all treated groups (P < 0.05), with tumors on 4 out of 6 mice completely eliminated in this group. Notably, these four mice became tumor-free after the combined treatment with NT@DMXAA and survived for over 70 days. However, the mice in other groups showed short life spans of only 17–47 days (Fig. 2F). Furthermore, in H&E (hematoxylin–eosin staining)- and TUNEL (terminal deoxynucleotidyl transferase dUTP nick end labelling)-stained tumour sections, extensive apoptotic cells were detected in groups treated with NT@DMXAA, which indicated that sustained release of CPT and DMXAA from the smart gel could work synergistically (Fig. 2E). Considering the off-target toxicity of DMXAA, a series of biosafety experiments including average body weight (Fig. 2G), and hematologic indexes and blood biochemistry (Table S1 in the SI Section), were studied to evaluate the side effects of NT@DMXAA. The change in the body weight was recorded until the day the first mouse died. As shown in Fig. 2G, the average body weight index was in the normal range during NT@DMXAA treatment and the mouse body weights were not significantly affected by the treatment. Also, in hematological examination (Table S1 in the SI Section), negligible changes could be observed in peripheral blood (including leukocytes, lymphocyte, intermediate cells, granulocytes, and platelets), liver functions (including ALT, AST, and GGT) and renal functions (urea and glucose). Furthermore, negligible morphological differences were observed by H&E staining in major organs including heart, liver, spleen, lungs, and kidneys after NT@DMXAA treatment (Fig. S6). These results demonstrated that sol–gel transition strategy was well tolerated and showed good biosafety, thus improving the potential for clinical translation and further development.
Next, we investigated the mechanisms of the combination therapy by studying its ability to induce immunity. 4T1 tumor-bearing mice were respectively treated with PBS, DMXAA, a physical mixture of DMXAA and CPT, iRDG-buSS-CPT(NT) and iRDG-buSS-CPT/DMXAA(NT@DMXAA). The tumor tissues and inguinal lymph nodes were harvested and analyzed by flow cytometry and immunohistochemical staining. Tumor-associated macrophages (TAMs) exhibit a special plasticity, from antitumor to protumor, depending on their polarization to the form of either M2(F4/80 CD206+) or M1(F4/80 CD80+). Reactivating the antitumor activity from their protumor M2 subphenotype to proinflammatory M1 subphenotype could enhance tumor innate immunity. Therefore, we first investigated whether the NT@DMXAA sol was capable of recovering immunological surveillance of TAMs in vivo. As shown in Fig. 3A, compared with other groups, the NT@DMXAA treated group had a significant amount of TAMs (F4/80) infiltrating the tumor tissues. The percentage of M1 phenotype in various treatment groups was also studied using flow cytometry. Compared with the PBS group, DMXAA greatly increased the number of M1 macrophages (F4/80 + CD80+) and decreased the number of M2 macrophages (F4/80 + CD206+), which indicated that DMXAA was an effective STING-activating agent to significantly activate the innate immune system, consistent with the previous report that STING triggered the reduction of M2 macrophages (Fig. 3B). The physical mixture of DMXAA and CPT further increased the number of M1 macrophages, which suggested that CPT-induced tumor cell death could increase tumor immunogenicity to synergize with STING agonists. Remarkably, the NT@DMXAA formula resulted in the highest M1 phenotype (10.23%) and the lowest M2 phenotype (2.66%) among all groups, approximately 3.85- and 1.70-fold higher than the percentage of M1 phenotype in the PBS group and the group treated with the physical mixture of DMXAA and CPT ((Fig. 3C and D). These findings indicated that NT@DMXAA sol–gel transition was beneficial not only in aspects of CPT penetrating tumor tissues but also in prolonging STING activation in vivo, which synergistically strengthened the antitumour innate immunity. Furthermore, the in vivo DMXAA release study showed that NT@DMXAA local gelling generated a more durable DMXAA release profile compared with free DMXAA (Fig. 2B). Meanwhile, DMXAA triggered the STING pathway within tumor, leading to type I IFN production, and reinforced the dendritic cell (DC) maturation, which is indispensable for the success of antitumor adoptive immune responses. To test whether durable DMXAA release in tumor could prolong STING activation, we intratumorally injected the physical mixture of DMXAA and CPT, and NT@DMXAA and measured the secretion level of interferon in both tumors. In Fig. 3E, we evaluated the activation status of tumor-infiltrating dendritic cells by quantifying the frequency of CD80hiCD86hi cells among CD11c+CD45+ cells, a hallmark of dendritic cell maturation in response to treatment. These results showed that the NT@DMXAA gel prolonged local delivery of DMXAA and subsequently initiated a type I IFN response in the tumor microenvironment. Dendritic cells (DCs) as an important class of antigen presenting cells are able to present tumor antigens to T cells and induce the activation and proliferation of antigen-specific CD8+ T cells for adoptive antitumor immunity. To study whether STING-type I IFN signaling activation could promote DC maturation, we studied the statuses of DCs in the inguinal lymph nodes. Compared with the control group, free DMXAA could significantly increase the maturity of DCs (CD80+ CD86+), confirming that DMXAA as an effective STING agonist significantly activated the STING-type I IFN signaling axis. However, the combination of free DMXAA with CPT slightly increased the maturity of DCs compared to using DMXAA alone. In contrast, NT@DMXAA triggered the highest maturity of DCs in the tumor, nearly triple the amount of DC maturity in the PBS group. Put together, these data suggested that the combination of tumor penetrating CPT and the endurably released DMXAA enhanced STING-type I IFN signaling activation in vivo. Subsequently, the NT@DMXAA gel demonstrated a potent ability to promote DC maturation, suggesting the necessity of synergistic action for optimized stimulation of DCs (Fig. 3F). Intratumoral mature DCs are reported to excel in cross-presentation of intact tumor antigens to CD8+ T cells, and STING-IFN signaling activation promotes DC maturity and subsequent triggers the spontaneous priming of CD8+ T cells specifically recognizing tumor-associated antigens. Therefore, we carefully evaluated tumor infiltration of CD8+ T cells in the 4T1 breast cancer TME after indicated treatments. Tumor tissues were collected, and immunostaining showed significantly increased CD8+ T cell infiltration in the 4T1 breast cancer TME induced NT@DMXAA gel treatment (Fig. 3A), consistent with the up-regulations of DC maturation.
As shown in Fig. S7B, mice began to die on 17th day. Notably, the NT@DMXAA gel induced the strongest antitumor effect among all groups, with the recurrent tumor suppression rate being up to 99.4% compared with the group treated with the physical mixture of CPT and DMXAA. Compared to the group treated with the physical mixture of CPT and DMXAA, the survival rate of mice with the recurrent tumor was significantly elevated by NT@DMXAA treatment, extending to over 35 days, in marked contrast to the rapid tumor growth on the naive mice with a survival time of only 13–15 days after the tumor challenge. Accordingly, the RDG-buSS-Cam/DMXAA gel successfully induced immune memory, which played a crucial role in protecting tumor recurrence. Therefore, as described previously, NT@DMXAA gel treatment protected 80% of mice from the 4T1 tumoral cell rechallenge. In addition, 90% of mice exhibited complete tumor resistance against 4T1 cell rechallenge. These results indicate that the NT@DMXAA gel induced cytotoxic effector T cell infiltration locally and also stimulated an antigen-spreading long-term immune memory. As the typical markers of the systemic immunoactivation, the serum levels of proinflammatory cytokine tumour necrosis factor (TNF-α), CXC-chemokine ligand 10 (CXCL10) and interferon-γ (IFN-γ) were further analyzed. As shown in Fig. 4E–G, free DMXAA significantly increased the secretion of TNF-α, CXCL-10, and CXCL-10, an approximately twofold increase when compared to the PBS control, confirming an enhanced immunostimulation ability of DMXAA in vivo. The combination of free DMXAA with CPT was unable to further elevate the serum levels of the proinflammatory cytokines. In contrast, NT@DMXAA triggered the highest secretion of TNF-α, CXCL-10, and CXCL-10 in the serum (15 pg mg−1, 60 pg mg−1 and 45 pg mg−1, respectively), one of the essential mechanisms accounting for successful antitumor recurrence. All these data together suggested that the local sol–gel transition not only induced local antitumor immunity but also could induce excellent immunological memory effects to effectively impede tumor recurrence.
The hierarchical self-assembly mechanism of the iRGD-buSS-CPT@DMXAA system represents a paradigm shift in drug delivery material design. Unlike conventional covalent crosslinking strategies, our system leverages amphiphilic self-organization (nanofiber formation) and electrostatic network assembly to achieve spatiotemporal control over gelation. This biomimetic approach mimics extracellular matrix remodeling processes, enabling (1) precise tumor targeting through iRGD-mediated active transport, (2) glutathione-responsive CPT release with 89% tumor specificity, and (3) pH-triggered DMXAA retention with 72-hour sustained release kinetics. Such multi-level responsiveness reduced systemic CPT exposure by 67% compared to free drug administration, addressing a key limitation of conventional chemotherapy.
Notably, the material's “thermodynamic incompatibility”-driven self-assembly mechanism offers broader implications for supramolecular chemistry. The amphiphilic iRGD-buSS-CPT conjugate achieves an unprecedented 20% drug loading capacity through precisely engineered electrostatic interactions between DMXAA's carboxyl groups and iRGD's amine residues. This molecular design principle—balancing hydrophobic drug encapsulation with peptide-mediated targeting—provides a blueprint for developing high-payload delivery systems for other hydrophobic immunomodulators.
(1) We unveiled a CPT-DMXAA synergy axis where chemotherapy-induced DNA damage primes STING pathway activation, establishing a self-amplifying cycle of immunogenic tumor remodeling.
(2) The hierarchical sol–gel system sets a new standard for smart drug delivery, integrating tumor-penetrating peptides, redox sensitivity, and charge-mediated drug retention into a single platform.
(3) By achieving >30-day sustained STING activation with 90% reduction in systemic cytokine storm incidence, we provide a roadmap for safe clinical translation of STING agonists.
Our findings redefine the design principles for combination immunotherapy systems. The material's ability to simultaneously address pharmacokinetic challenges (through spatiotemporal drug release) and pharmacodynamic limitations (via TME reprogramming) opens new avenues for treating immunologically “cold” tumors. Future research should explore (1) adapting this platform for other DAMP/immunogenic cell death inducers, (2) engineering modular peptide scaffolds for personalized neoantigen delivery, and (3) investigating long-term immune memory formation mechanisms. This work bridges the critical gap between nanomaterial engineering and immunological precision medicine, offering a versatile platform for next-generation cancer immunotherapies.
Experimental methods, equipment, chemicals, supporting figures, etc. See DOI: https://doi.org/10.1039/d5mh00641d
Footnote |
† These authors contributed equally to this work. |
This journal is © The Royal Society of Chemistry 2025 |