Mechanism of liposome arsenic trioxide regulating tumor microenvironment and sensitizing tumor immune response after radiofrequency ablation - Report - MDSpire

Mechanism of liposome arsenic trioxide regulating tumor microenvironment and sensitizing tumor immune response after radiofrequency ablation

  • By

  • Chao Liang

  • Shuguang Ju

  • Hao Li

  • Daqian Han

  • Jiacheng Wang

  • Yangyang Niu

  • Jianzhuang Ren

  • Xinwei Han

  • Xuhua Duan

  • June 29, 2026

  • 0 min

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Role of Liposome-Encapsulated Arsenic Trioxide in Modulating Tumor Microenvironment

Overview

This study investigates the effects of liposome-encapsulated arsenic trioxide (LATO) on tumor microenvironment modulation and immune response enhancement following incomplete radiofrequency ablation (iRFA) in a murine model. Preoperative LATO administration significantly reduced markers of tumor proliferation and hypoxia, while promoting immune cell infiltration.

Background

Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality, with limited treatment options for many patients. Incomplete tumor necrosis after radiofrequency ablation (RFA) can lead to tumor recurrence, necessitating strategies to improve treatment efficacy. The modulation of the tumor microenvironment and immune response is critical for enhancing therapeutic outcomes in HCC.

Data Highlights

ParameterControl GroupLATO Group
PCNA ExpressionIncreasedDecreased
CD31 ExpressionIncreasedDecreased
HIF-1α ExpressionIncreasedDecreased
Immune Cell Infiltration (CD4+, CD8+)LowerHigher
Survival TimeShorterProlonged

Key Findings

  • Preoperative LATO administration reduced PCNA, CD31, and HIF-1α expression in residual tumors.
  • LATO promoted the infiltration of immune cells (CD4+, CD8+) in the tumor microenvironment.
  • Survival time of mice was significantly prolonged with LATO treatment.
  • Combined use of anti-PD-L1 antibody further reduced tumor proliferation markers post-RFA.
  • HIF-1α upregulation was linked to increased angiogenesis and tumor progression after iRFA.

Clinical Implications

Further investigation into the clinical application of LATO in combination with immune checkpoint inhibitors is warranted.

Conclusion

Pre-treatment with LATO prior to RFA may enhance ablation efficacy.

Related Resources & Content

  1. Kong et al., Journal of Hepatology, 2025 -- Mechanisms of tumor aggressiveness driven by ablation-induced niche remodeling
  2. EASL Clinical Practice Guidelines, Journal of Hepatology, 2025 -- Management of hepatocellular carcinoma
  3. European Radiology (Springer) — Personalized dosimetry enhances hepatocellular carcinoma response in Yttrium-90 resin microsphere radioembolization
  4. Frontiers in Oncology — Magnetic thermoradiotherapy for lung cancer: evaluation in A549−based preclinical models
  5. The ASCO Post — In Era of Immunotherapy, Radiation Therapy May Become Essential Component of Systemic Treatments of Cancer
  6. Frontiers in Immunology — Radiotherapy-synergized in situ hydrogel vaccine with engineered Lactococcus lactis FOLactis potentiates anti-tumor immunity in pancreatic cancer
  7. Atezolizumab plus bevacizumab versus active surveillance in patients with resected or ablated high-risk hepatocellular carcinoma (IMbrave050)
  8. Critical Update: AASLD Practice Guidance on prevention, diagnosis, and treatment of hepatocellular carcinoma
  9. EASL Clinical Practice Guidelines on the management of hepatocellular carcinoma - Journal of Hepatology
  10. Frontiers | Mechanisms of rapid tumor progression after insufficient radiofrequency ablation of hepatocellular carcinoma
  11. Mechanisms of tumor aggressiveness driven by ablation-induced niche remodeling - ScienceDirect
  12. MELK prevents radiofrequency ablation-induced immunogenic cell death and antitumor immune response by stabilizing FABP5 in hepatocellular malignancies | Military Medical Research | Springer Nature Link
  13. Nanodelivery of arsenic trioxide induces macrophage-governed cGAS-STING signaling to remodel immune microenvironment in hepatocellular carcinoma - ScienceDirect
  14. Arsenic Trioxide Enhances the Efficacy of PD‐1 Inhibitors in Hepatocellular Carcinoma by Inducing Immunogenic Cell Death via the ROS/ERS Pathway - PMC
  15. Maximizing arsenic trioxide's anticancer potential: Targeted nanocarriers for solid tumor therapy - ScienceDirect

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