Abstract Galectin-1 is overexpressed in a wide range of malignant cancers and is strongly associated with immune suppression as well as cancer aggressiveness. However, effective therapeutics targeting Galectin-1 remain elusive in clinical practice. Herein, we report an activatable nano-system, termed Pr5S, to downregulate Galectin-1 through in vivo gene silencing. Pr5S features a bio-responsive lattice that can protect siRNA during circulation and efficiently break down for gene interference upon exposure to the elevated reductive pressure in the tumor microenvironment. When used independently, Pr5S significantly reduces Galectin-1 expression and mitigates T cell apoptosis, achieving tumor inhibition comparable to anti-Galectin-1 antibodies and superior to small molecule inhibitors. In combination with radiation, Pr5S enhances the anti-tumor immunity and results in significantly improved therapeutic outcome than clinical treatments such as chemoradiation or immune checkpoint blockade + radiation. Moreover, Pr5S strengthens the abscopal effect of radiation, efficiently abrogating unirradiated tumors. In summary, this work highlights a safe and efficient design of a gene silencing nanovector to improve personalized immuno-radiotherapy. Citation Format: Yuyan Jiang, Hongbin Cao, Huaping Deng, Li Guan, Jimpi Langthasa, Quynh-Thu Le. Targeting Galectin-1 to enhance immuno-radiotherapy [abstract]. In: Proceedings of the AACR Special Conference in Cancer Research: RNAs as Drivers, Targets, and Therapeutics in Cancer; 2024 Nov 14-17; Bellevue, Washington. Philadelphia (PA): AACR; Mol Cancer Ther 2024;23(11_Suppl):Abstract nr PR008.
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