Document Type

Article

Publication Date

1-1-2026

Keywords

JMG, Dendritic Cells, Animals, Lung Neoplasms, Carcinoma, Non-Small-Cell Lung, Mice, ErbB Receptors, Humans, 5'-Nucleotidase, Tumor Microenvironment, Hydrogen-Ion Concentration, Mutation, Immunotherapy, Cell Line, Tumor, Nanoparticles, GPI-Linked Proteins

JAX Source

Adv Sci (Weinh). 2026;13(1):e13182.

ISSN

2198-3844

PMID

41144813

DOI

https://doi.org/10.1002/advs.202513182

Abstract

EGFR mutations remain a major challenge in immunotherapy for non-small cell lung cancer (NSCLC), with poor responses to immune checkpoint inhibitors driven by mechanisms associated with EGFR mutation-mediated tumor microenvironment (TME) modulation. This study reveals that EGFR mutations prominently impaired dendritic cell (DC) maturation, disrupting their capacity to effectively prime CD8+ T cells and thereby compromising anti-tumor immune responses. By application of clinical specimen analyses, multi-omics approaches, and in vivo mouse models, this work demonstrates that EGFR mutations elicited adenosine production through the ERK/c-Jun signaling axis in tumor cells, establishing an immunosuppressive TME that impeded maturation and antigen presentation of DCs, and in turn weakened CD8+ T cell activation. To overcome the EGFR mutation-induced immunosuppression, this work next develops F127 ZIF-8 AB680 , a pH-responsive and tumor-selective nanodrug specifically designed to target the CD73-adenosine pathway within the acidic TME. This nanodrug significantly improves the therapeutic efficacy of PD-1 blockade, leading to robust tumor growth inhibition and prolonged survival of mice in EGFR-mutant NSCLC models. Leveraging the advanced nanotechnology, this newly designed pH-sensitive nanocarrier introduces a precise CD73/adenosine inhibition within the acidic TME that reprograms the immune landscape in EGFR-mutant NSCLC, which represents a promising therapeutic strategy to overcome immunotherapy resistance in NSCLC.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Share

COinS