Engineered Dendritic Cell-Derived Vesicles for T-Cell-Targeted Magnesium Delivery and Metabolic Reprogramming.

Abstract

The tumor microenvironment (TME) fosters immunosuppression and T-cell exhaustion, which limit the efficacy of immunotherapy. Magnesium ions (Mg²⁺) have recently been identified as potent immunomodulators that enhance cytotoxic T lymphocyte (CD8⁺ T) activity. However, conventional carriers for Mg²⁺ delivery suffer from poor biocompatibility and inefficient targeting, restricting therapeutic outcomes. In this study, we developed an engineered extracellular vesicle (EV)-based system for targeted Mg²⁺ delivery. Dendritic cells were genetically modified to overexpress magnesium-specific channel protein MgtE (SLC41A1), enabling efficient Mg²⁺ encapsulation into dendritic cell-derived EVs (E-DEVs). The resulting Mg²⁺-loaded vesicles (E-DEVs@Mg²⁺) displayed strong tropism toward tumor-draining lymph nodes (TDLNs) and effectively modulated T-cell metabolism. Mechanistic studies revealed that E-DEVs@Mg²⁺ enhanced glycolysis and oxidative phosphorylation, restoring the metabolic fitness of exhausted CD8⁺ T cells. When combined with immune checkpoint blockade therapy, this strategy achieved a synergistic tumor suppression. Our findings highlight engineered DEVs as a biocompatible and effective Mg²⁺ delivery platform, providing a promising approach for metabolic reprogramming and improved cancer immunotherapy.