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Prodrug-tethered lipid nanoparticles for synergistic messenger RNA cancer immunotherapy

Abstract

Regulating T cell phenotypes between activation and exhaustion remains a significant challenge for messenger RNA-based cancer immunotherapy. A potential approach to improve anti-cancer T cell activity is to co-deliver interleukin-12 (IL-12), to stimulate effector T cells, and indoleamine 2,3-dioxygenase (IDO) inhibitor, to suppress T cell exhaustion. Here we design prodrug ionizable lipid nanoparticles (pLNPs), via a library of prodrug ionizable lipids (pILs), incorporating an intracellularly cleavable IDO inhibitor within the pIL structure and encapsulating IL-12 messenger RNA. The lead pIL shows enhanced mRNA transfection over a clinically utilized ionizable lipid, as well as strong immunomodulatory effects via release of the IDO inhibitor. In a subcutaneous colon cancer mouse model, pLNP drives complete regression of primary tumours by eliciting effector T cell infiltration while reducing exhaustion, induces a memory T cell response and stimulates a systemic immune response that allows for regression of distal tumours in this study. These results highlight the promise of pLNPs for small-molecule drug and mRNA combination cancer immunotherapy.

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Fig. 1: Engineering IDO inhibitor-based prodrug ionizable lipids (pILs) to facilitate IL-12 mRNA delivery via prodrug lipid nanoparticles (pLNPs) for synergistic cancer immunotherapy.
The alternative text for this image may have been generated using AI.
Fig. 2: In vitro and in vivo screening of pIL library and lead pLNPs for mRNA delivery.
The alternative text for this image may have been generated using AI.
Fig. 3: G0-SS-AA-C12 LNP for potent IL-12 mRNA transfection and suppression of T cell exhaustion in vitro.
The alternative text for this image may have been generated using AI.
Fig. 4: G0-SS-AA-C12 IL-12 pLNP achieves synergistic therapeutic effects in vivo in an MC38 tumour model and induces a splenic T cell response.
The alternative text for this image may have been generated using AI.
Fig. 5: Characterization of TME after treatment with G0-SS-AA IL-12 pLNPs encapsulating IL-12 mRNA.
The alternative text for this image may have been generated using AI.
Fig. 6: Intratumoural injection of G0-SS-AA-C12 IL-12 pLNP elicits effective long-term anti-tumour response and drives regression of distal tumours.
The alternative text for this image may have been generated using AI.

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Data availability

All relevant data supporting the findings of this study are available within the paper, Supplementary Information or Source Data file. Source data are provided with this paper.

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Acknowledgements

M.J.M. acknowledges support from a Burroughs Wellcome Fund Career Award at the Scientific Interface (CASI), a US National Science Foundation CAREER award (CBET-2145491) and an American Cancer Society Research Scholar Grant (RSG-22-122-01-ET).

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Authors

Contributions

Q.S., N.G. and M.J.M. conceived and designed the experiments. Q.S., N.G., J.W., Q.Z., M.-G.A., G.D., B.D., J.M., Z.L., R.P., J.X., Y.Z., L.X., X.H., D.K., Q.C., H.Y., H.C.G., R.E.-M. and I.-C.Y. performed the experiments. Q.S., N.G. and M.J.M. analysed the data. Q.S., R.P., C.G.F.-E., H.C.G., D.W. and M.J.M. wrote, reviewed and edited the paper. M.J.M. supervised the entire project. All authors discussed the results and commented on the paper.

Corresponding author

Correspondence to Michael J. Mitchell.

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M.J.M. and Q.S. have filed a patent application based on this study (Application No. PCT/US25/52032). The other authors declare no competing interests.

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Nature Nanotechnology thanks Philippe Barthélémy and Quanyin Hu for their contribution to the peer review of this work.

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Shi, Q., Gong, N., Wang, J. et al. Prodrug-tethered lipid nanoparticles for synergistic messenger RNA cancer immunotherapy. Nat. Nanotechnol. 21, 430–442 (2026). https://doi.org/10.1038/s41565-025-02102-z

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