The authors constructed NP-5: a CaCO3/protamine core encapsulating a CRISPR-Cas9 plasmid, surface-decorated with hyaluronic acid (HA, CD44 targeting), AS1411-aptamer-HA (nucleolin/nuclear targeting, 1:20 aptamer:sugar ratio), and TAT-NLS-peptide-HA (cell penetration/nuclear transport, 1:17 ratio). Particles were 230–320 nm with negative zeta potential and >95% plasmid encapsulation .
In H1299 lung cancer cells, NP-5 achieved the highest β-catenin knockout (40.2%), confirmed by Western blot, qPCR, Surveyor assay, and DNA sequencing. Knockout suppressed Wnt/β-catenin signaling (reduced β-catenin/TCF-4 co-IP, reduced TCF/LEF reporter activity) and downregulated PD-L1, CD47, c-Myc, cyclin D1, VEGF, and Bcl-2, while Bax was upregulated .
Immune restoration data: CD8+ T cells co-cultured with edited H1299 cells showed markedly enhanced cytotoxicity, T cell proliferation of 24.5% vs <7% with unedited cells, and ~80% IFN-γ+ T cells with elevated secreted IFN-γ by ELISA . Non-tumor HEK293T cells showed limited uptake and ~80% viability, supporting tumor selectivity. HeLa cells reproduced the trend.
Strengths: The logic chain (nuclear delivery → β-catenin knockout → PD-L1 downregulation → T cell restoration) is tested at each step with orthogonal assays, and uses biocompatible components (protamine, HA, CaCO3). Control nanoparticles (NP-1 through NP-4) isolate each functional component's contribution.
Key blind spots: Everything is in vitro with only two cancer lines and one non-tumor line—no animal model, no tumor microenvironment complexity, no pharmacokinetics. Off-target CRISPR editing was not systematically assessed (only targeted sequencing at the CTNNB1 site). The T cell cytotoxicity results are confounded: β-catenin knockout also suppresses tumor growth and induces apoptosis directly, so some of the "enhanced killing" may reflect generally weakened tumor cells rather than PD-L1 reversal specifically—the authors acknowledge this possibility but do not disentangle it. Reproducibility details (replicate numbers, statistical tests for many figures) are not visible in the extracted text. Receptor dependence on nucleolin/CD44 expression limits generalizability to tumors lacking these markers.
The central claim would be weakened if: (1) PD-L1 downregulation in edited cells does not reduce T cell killing when β-catenin-independent PD-L1 restoration is controlled; (2) genome editing shows substantial off-target indels in whole-genome sequencing; (3) results fail in orthotopic animal models with intact stroma and immune suppression.
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