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TIM3-targeted delivery of venetoclax overcomes drug resistance and reinvigorates NK cell activity in acute myeloid leukemia

delete2026-08-12
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PRE
AI
王启伟 (Qiwei Wang) *
J
Jingyi Li
X
Xin Zeng
L
Lina Liu
H
Huan Lu
赵银 cover
赵银 (Yin Zhao)
Y
Yan Huang
R
Rui Wang
C
Chen Wang
Y
Yingli Han
Y
Yishan Ye
Y
Yanmin Zhao
J
Jimin Shi
Y
Yi Luo
W
Weiyan Zheng
Y
Yongxian Hu
S
Shibing Wang
X
Xiangmin Tong *
H
He Huang *
S
Shanshan Pei *
P
Pengxu Qian *
DOI:10.1038/s43018-026-01217-zdelete
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Abstract

Abstract

En 中文
Acute myeloid leukemia (AML) remains challenging, especially for older or unfit individuals who develop resistance to venetoclax (VEN)-based regimens. Although TIM3 represents a promising AML target, clinical blockade has yielded suboptimal outcomes. Here, we develop VINCENT (VEN-integrated natural killer cell engager targeting TIM3), a therapeutic platform combining anti-CD16 and anti-TIM3 antibodies with nanoformulated VEN. In VEN-resistant AML cell lines and patient-derived xenograft models, VINCENT overcomes resistance by enhancing VEN delivery, eliminating TIM3+ blasts and dysfunctional T cells and activating natural killer (NK) cells. In primary AML samples, VINCENT selectively kills drug-resistant blasts, with efficacy correlating with the NK cell-to-TIM3+ blast ratio. Single-cell transcriptomics reveals VINCENT depletes high-TIM3 blasts and remodels the immunosuppressive microenvironment toward immune competence. Collectively, VINCENT simultaneously addresses VEN resistance, NK cell dysfunction and immune evasion, offering a personalized option for elderly or unfit individuals with AML failing standard VEN regimens. Qian and colleagues report the characterization of venetoclax-loaded nanoparticles conjugated with anti-CD16 and anti-TIM3 antibodies, showing that the platform overcomes venetoclax resistance and reinvigorates natural killer cell activity in acute myeloid leukemia.

Journal

Nature Cancer cover
Nature Cancer
IF:
28.5
Papers:
1.2K
Citations:
1.1W

Organization

W
Westlake University
Scholars:
1.5K
Papers: 587
Citations: 8.9K
C
chengdu medical college
Scholars:
788
Papers: 232
Citations: 0
Z
zhejiang university
Scholars:
17.1W
Papers: 11.9W
Citations: 152
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