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Size switchable nanomodulator achieving ratio-precise dual-drug codelivery for synergistic glutamine metabolism modulation in pancreatic cancer

Time:2026/7/13 23:31:00 Views:29

Recently, we have reported a multifunctional co-delivery system with size-switchable and enhanced stroma-penetrating capacities. This delivery system can deliver distinct glutamine metabolic regulators deep into pancreatic ductal adenocarcinoma (PDAC) lesions at a precisely predefined molar ratio, and exert synergistic tumor-suppressive effects via multi-targeted metabolism modulation and immune activation. The relevant research, entitled Size switchable nanomodulator achieving ratio-precise dual-drug codelivery for synergistic glutamine metabolism modulation in pancreatic cancer has been published in Biomaterials.


Driven by persistent nutrient deprivation within the tumor microenvironment (TME) and nearly universal KRAS mutations, PDAC cells exhibit profound glutamine addiction, which directly underpins its malignant phenotypes and inherent clinical refractoriness.

PDAC cells coordinately upregulate multiple glutamine transporters, including SLC38A2 and SLC7A5, to rapidly uptake and deplete glutamine from TME. Meanwhile, the highly expressed glutaminase (GLS) catalyzes intracellular glutaminolysis, converting the imported glutamine into readily utilizable proximal metabolites ADDIN EN.CITE ADDIN EN.CITE.DATA . This concurrent high expression of transporters and metabolic enzymes forms a glutamine addiction axis characterized by unrestrained uptake and rapid metabolic utilization, which not only maintains intracellular redox homeostasis and the balance of material and energy metabolism, but also accelerates the malignant progression of PDAC. Meanwhile, excessive glutamine consumption by PDAC cells markedly depletes glutamine availability within the TME, inducing metabolic stress in fibroblasts and immune cells and reprogramming them toward pro-tumorigenic phenotypes This process accelerates extracellular matrix (ECM) deposition and suppresses antitumor immunity, ultimately forming a treatment-resistant barrier characterized by both physical obstruction and immunosuppression. Accordingly, targeting the aberrant glutamine metabolism represents a rational therapeutic entry point. However, due to the high metabolic plasticity of tumor cells and the metabolic convergence in normal tissues, GLS inhibitors such as 6-diazo-5-oxo-L-norleucine (DON) have shown limited in vivo efficacy and unacceptable systemic toxicity, severely restricting their clinical translation. These failures indicate that unrestricted single-target metabolism modulation is insufficient to effectively remodel the metabolic landscape of PDAC, whereas precision modulation of the uptake-utilization axis throughout multi-target synergy is required to enhance efficacy while minimizing systemic toxicity.

Extensive studies have demonstrated that by screening the optimal combination ratio, rational drug combination can achieve synergistic therapeutic effects. Unfortunately, mismatched pharmacokinetics among different small-molecule drugs pose an intrinsic challenge to achieving synergistic metabolism modulation in vivo, as it remains challenging to deliver these agents to their targets at a predefined ratio. In this context, nanomedicine-based drug delivery systems have demonstrated unique advantages in synchronizing drug pharmacokinetics and enabling ratio-precise multi-drug codelivery, thereby providing critical technical support for multi-target metabolism modulation. Nevertheless, excessive ECM deposition driven by glutamine addiction creates a highly dense physical barrier that severely restricts nanocarrier penetration and drug accumulation within tumor tissues. To overcome this bottleneck, a variety of PDAC-tailored delivery systems have recently been developed, commonly incorporating TME-responsive size-switchable properties. Such designs maintain systemic circulation stability while enabling size reduction within the PDAC TME, thereby facilitating deep ECM penetration and efficient malignant cell-targeted drug delivery.

Based on these considerations, we propose and validate the central hypothesis that a size-switchable, ECM-penetrating nanocarrier can overcome PDAC physical barriers to achieve ratio-precise dual-drug codelivery and synergistic modulation of glutamine metabolism To this end, we engineered a PDAC-targeted, matrix metalloproteinase (MMP)-cleavable multifunctional amphiphilic polymer T-PPLN and precisely co-encapsulated the GLS inhibitor NDY-J and the transporter inhibitor V-9302 at an optimized ratio, constructing a size-switchable metabolic nanomodulator J&V@T-PPLN NPs. Following intravenous administration, the nanomodulator preferentially accumulated within collagen-rich PDAC ECM; upon entry into the TME, elevated MMP-7 activity triggered de-PEGylation of J&V@T-PPLN NPs, releasing smaller drug-loaded metabolic nanomodulators that enabled deep ECM penetration. Ultimately, responsive drug release synchronously blocked glutamine uptake and utilization in PDAC cells, inducing upstream-downstream synergistic metabolic disruption. Both in vitro and in vivo studies demonstrated that this nanomodulator achieves ratio-precise codelivery of two metabolic inhibitors based on combination index optimization, maximizing therapeutic efficacy while minimizing nonspecific tissue exposure and ECM entrapment. Collectively, this strategy synergistically induces metabolism modulation, tumor suppression and immune reactivation, establishing a new paradigm for precision metabolism modulating therapy in PDAC.

PhD candidate Hongrui Fan serves as the first author of this manuscript, and Prof. Chen Jiang is the corresponding author. This work was financially supported by the National Natural Science Foundation of China, Shanghai Municipal Science and Technology Major Project, ZJ Lab, Shanghai Center for Brain Science and Brain-Inspired Technology, and the Open Grant from the Pingyuan Laboratory.

Link: https://www.sciencedirect.com/science/article/pii/S0142961226004308?via%3Dihub

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