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Peer-reviewedCC BY 4.0PLOS One

Reprogramming M2 macrophages via TLR7/8 agonist-loaded hollow MnO₂ nanovehicles to suppress the progression of liver cancer

4 affiliations
  1. 1Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China
  2. 2Innovation Centre for Science and Technology of North Sichuan Medical College, Nanchong, Sichuan, China
  3. 3Biotechnology Innovation Drug Application and Transformation Key Laboratory of Sichuan Province, North Sichuan Medical College, Nanchong, Sichuan Province, China
  4. 4Department of Ultrasound, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China

Abstract

As a prevalent malignancy, liver cancer ranks as the third most common cause of cancer mortality globally. Within the tumor microenvironment, tumor-associated macrophages (TAMs) exhibit contrasting functional phenotypes: the anti-tumor M1 type and the pro-tumor M2 type. Reprogramming TAMs from the M2 to the M1 phenotype has emerged as a promising immunotherapeutic strategy. Here, we engineered a multi-nano therapeutic system, PAH@HMMDN@R848, by loading a TLR7/8 agonist (R848) onto hollow MnO2 nanoparticles (HMMDN) and coating with polyallylamine hydrochloride (PAH). In vitro, this system efficiently repolarized M2 macrophages to the M1 phenotype, evidenced by decreased CD206, Arg-1, IL-10 and increased CD80, iNOS, TNF-α (P < 0.05). Under acidic/glutathione-rich conditions, HMMDN degraded to release Mn2+, which served as a T1-weighted MRI contrast agent with a high relaxivity (r1 = 5.255 mM-1 s -1). Mechanistically, PAH@HMMDN@R848 activated both NF-κB (via R848) and STING (via Mn2+) pathways, leading to synergistic M1 polarization. In a subcutaneous H22 liver cancer mouse model, intratumoral injection of PAH@HMMDN@R848 significantly suppressed tumor growth (tumor inhibition rate 80.6%) without obvious systemic toxicity. Immunohistochemistry and cytokine analysis revealed that the treatment increased M1 macrophage infiltration (CD80+) and reduced M2 macrophages (CD206+) within tumors, along with elevated TNF-α/iNOS and decreased IL-10/Arg-1. This study presents a multifunctional nanoplatform capable of TAMs reprogramming and MRI diagnosis, offering a promising approach for liver cancer theranostics.

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BibTeX
@article{he2026reprogramming,
  title = {{Reprogramming M2 macrophages via TLR7/8 agonist-loaded hollow MnO₂ nanovehicles to suppress the progression of liver cancer}},
  author = {Pei-pei He and Zheng-ju Hou and Han-mei Li and Ji-xuan Zhang and An-Qi Chen and Quan-you Miao and Chao-Feng Yang and Jin-hong Yu and Yang Li},
  journal = {PLOS One},
  year = {2026},
  month = sep,
  doi = {10.1371/journal.pone.0358567},
  url = {https://doi.org/10.1371/journal.pone.0358567},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Reprogramming M2 macrophages via TLR7/8 agonist-loaded hollow MnO₂ nanovehicles to suppress the progression of liver cancer
AU  - Pei-pei He
AU  - Zheng-ju Hou
AU  - Han-mei Li
AU  - Ji-xuan Zhang
AU  - An-Qi Chen
AU  - Quan-you Miao
AU  - Chao-Feng Yang
AU  - Jin-hong Yu
AU  - Yang Li
PY  - 2026
DA  - 2026/09/18
JO  - PLOS One
DO  - 10.1371/journal.pone.0358567
UR  - https://doi.org/10.1371/journal.pone.0358567
AB  - As a prevalent malignancy, liver cancer ranks as the third most common cause of cancer mortality globally. Within the tumor microenvironment, tumor-associated macrophages (TAMs) exhibit contrasting functional phenotypes: the anti-tumor M1 type and the pro-tumor M2 type. Reprogramming TAMs from the M2 to the M1 phenotype has emerged as a promising immunotherapeutic strategy. Here, we engineered a multi-nano therapeutic system, PAH@HMMDN@R848, by loading a TLR7/8 agonist (R848) onto hollow MnO2 nanoparticles (HMMDN) and coating with polyallylamine hydrochloride (PAH). In vitro, this system efficiently repolarized M2 macrophages to the M1 phenotype, evidenced by decreased CD206, Arg-1, IL-10 and increased CD80, iNOS, TNF-α (P < 0.05). Under acidic/glutathione-rich conditions, HMMDN degraded to release Mn2+, which served as a T1-weighted MRI contrast agent with a high relaxivity (r1 = 5.255 mM-1 s -1). Mechanistically, PAH@HMMDN@R848 activated both NF-κB (via R848) and STING (via Mn2+) pathways, leading to synergistic M1 polarization. In a subcutaneous H22 liver cancer mouse model, intratumoral injection of PAH@HMMDN@R848 significantly suppressed tumor growth (tumor inhibition rate 80.6%) without obvious systemic toxicity. Immunohistochemistry and cytokine analysis revealed that the treatment increased M1 macrophage infiltration (CD80+) and reduced M2 macrophages (CD206+) within tumors, along with elevated TNF-α/iNOS and decreased IL-10/Arg-1. This study presents a multifunctional nanoplatform capable of TAMs reprogramming and MRI diagnosis, offering a promising approach for liver cancer theranostics.
SN  - 1932-6203
ER  -