Engineering bispecific exosome activators of T cells to target immune checkpoint inhibitor-resistant metastatic melanoma

engineering-bispecific-exosome-activators-of-t-cells-to-target-immune-checkpoint-inhibitor-resistant-metastatic-melanoma
Engineering bispecific exosome activators of T cells to target immune checkpoint inhibitor-resistant metastatic melanoma

Data availability

Sequences for all plasmids and primers are provided in Supplementary Information. The RNA-seq data for Fig. 3a were reanalyzed from the dataset deposited in GEO (GSE78220)66. Source data are provided with this paper.

References

  1. Robert, C. et al. Pembrolizumab versus ipilimumab in advanced melanoma. N. Engl. J. Med. 372, 2521–2532 (2015).

    Article  PubMed  Google Scholar 

  2. Wolchok, J. D. et al. Overall survival with combined nivolumab and ipilimumab in advanced melanoma. N. Engl. J. Med. 377, 1345–1356 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  3. Ribas, A. et al. Association of pembrolizumab with tumor response and survival among patients with advanced melanoma. JAMA 315, 1600–1609 (2016).

    Article  PubMed  Google Scholar 

  4. Bagchi, S., Yuan, R. & Engleman, E. G. Immune checkpoint inhibitors for the treatment of cancer: clinical impact and mechanisms of response and resistance. Annu. Rev. Pathol. 16, 223–249 (2021).

    Article  PubMed  Google Scholar 

  5. Balch, C. M. et al. A multifactorial analysis of melanoma. IV. Prognostic factors in 200 melanoma patients with distant metastases (stage III). J. Clin. Oncol. 1, 126–134 (2016).

    Article  Google Scholar 

  6. De Martin, E. et al. Characterization of liver injury induced by cancer immunotherapy using immune checkpoint inhibitors. J. Hepatol. 68, 1181–1190 (2018).

    Article  PubMed  Google Scholar 

  7. Giaccone, G. et al. Pembrolizumab in patients with thymic carcinoma: a single-arm, single-centre, phase 2 study. Lancet Oncol. 19, 347–355 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  8. Adam, K., Iuga, A., Tocheva, A. S. & Mor, A. A novel mouse model for checkpoint inhibitor-induced adverse events. PLoS ONE 16, e0246168 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  9. Langer, C. J. et al. Carboplatin and pemetrexed with or without pembrolizumab for advanced, non-squamous non-small-cell lung cancer: a randomised, phase 2 cohort of the open-label KEYNOTE-021 study. Lancet Oncol. 17, 1497–1508 (2016).

    Article  PubMed  PubMed Central  Google Scholar 

  10. Shui, L. et al. Bispecific antibodies: unleashing a new era in oncology treatment. Mol. Cancer 24, 212 (2025).

    Article  PubMed  PubMed Central  Google Scholar 

  11. Wang, C., Ye, Y., Hochu, G. M., Sadeghifar, H. & Gu, Z. Enhanced cancer immunotherapy by microneedle patch-assisted delivery of anti-PD1 antibody. Nano Lett. 16, 2334–2340 (2016).

    Article  PubMed  Google Scholar 

  12. Gilardi, M. et al. Microneedle-mediated intratumoral delivery of anti-CTLA-4 promotes cDC1-dependent eradication of oral squamous cell carcinoma with limited irAEs. Mol. Cancer Ther. 21, 616–624 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  13. Mikhail, A. S. et al. Hydrogel drug delivery systems for minimally invasive local immunotherapy of cancer. Adv. Drug Deliv. Rev. 202, 115083 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  14. Jin, Q. et al. Nanoparticle-mediated delivery of inhaled immunotherapeutics for treating lung metastasis. Adv. Mater. 33, e2007557 (2021).

    Article  PubMed  Google Scholar 

  15. Luke, J. J., Bao, R., Sweis, R. F., Spranger, S. & Gajewski, T. F. WNT/β-catenin pathway activation correlates with immune exclusion across human cancers. Clin. Cancer Res. 25, 3074–3083 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  16. Spranger, S., Bao, R. & Gajewski, T. F. Melanoma-intrinsic β-catenin signalling prevents anti-tumour immunity. Nature 523, 231–235 (2015).

    Article  PubMed  Google Scholar 

  17. Waaler, J. et al. Tankyrase inhibition sensitizes melanoma to PD-1 immune checkpoint blockade in syngeneic mouse models. Commun. Biol. 3, 196 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  18. DeVito, N. C. et al. Pharmacological Wnt ligand inhibition overcomes key tumor-mediated resistance pathways to anti-PD-1 immunotherapy. Cell Rep. 35, 109071 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  19. Rodon, J. et al. Phase 1 study of single-agent WNT974, a first-in-class porcupine inhibitor, in patients with advanced solid tumours. Br. J. Cancer 125, 28–37 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  20. Diamond, J. R. et al. Phase Ib clinical trial of the anti-Frizzled antibody vantictumab (OMP-18R5) plus paclitaxel in patients with locally advanced or metastatic HER2-negative breast cancer. Breast Cancer Res. Treat. 184, 53–62 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  21. Kahn, M. Can we safely target the WNT pathway. Nat. Rev. Drug Discov. 13, 513–532 (2014).

    Article  PubMed  PubMed Central  Google Scholar 

  22. Battistoni, A. et al. Nasal administration of recombinant Neospora caninum secreting IL-15/IL-15Rα inhibits metastatic melanoma development in lung. J. Immunother. Cancer 11, e006683 (2023).

  23. Wang, Z. et al. Exosomes decorated with a recombinant SARS-CoV-2 receptor-binding domain as an inhalable COVID-19 vaccine. Nat. Biomed. Eng 6, 791–805 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  24. Popowski, K. D. et al. Inhalable dry powder mRNA vaccines based on extracellular vesicles. Matter 5, 2960–2974 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  25. Liu, M., Hu, S., Yan, N., Popowski, K. D. & Cheng, K. Inhalable extracellular vesicle delivery of IL-12 mRNA to treat lung cancer and promote systemic immunity. Nat. Nanotechnol. 19, 565–575 (2024).

  26. Dinh, P.-U. C. et al. Inhalation of lung spheroid cell secretome and exosomes promotes lung repair in pulmonary fibrosis. Nat. Commun. 11, 1064 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  27. Zhang, S. W., Edwards, D. A., Langer, R. & Cheng, K. Inhalable materials and biologics for lung defence and drug delivery. Nat. Rev. Mater. https://doi.org/10.1038/s41578-025-00841-y (2025).

  28. Cheng, K. & Kalluri, R. Guidelines for clinical translation and commercialization of extracellular vesicles and exosomes based therapeutics. Extracell. Ves. 2, 100029 (2023).

  29. Zickler, A. M. & El Andaloussi, S. Functional extracellular vesicles aplenty. Nat. Biomed. Eng 4, 9–11 (2020).

    Article  PubMed  Google Scholar 

  30. Rayamajhi, S. & Aryal, S. Surface functionalization strategies of extracellular vesicles. J. Mater. Chem. B 8, 4552–4569 (2020).

    Article  PubMed  Google Scholar 

  31. Gupta, D. et al. Amelioration of systemic inflammation via the display of two different decoy protein receptors on extracellular vesicles. Nat. Biomed. Eng 5, 1084–1098 (2021).

    Article  PubMed  Google Scholar 

  32. Dooley, K. et al. A versatile platform for generating engineered extracellular vesicles with defined therapeutic properties. Mol. Ther. 29, 1729–1743 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  33. Jeppesen, D. K. et al. Reassessment of exosome composition. Cell 177, 428–445 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  34. Kugeratski, F. G. et al. Quantitative proteomics identifies the core proteome of exosomes with syntenin-1 as the highest abundant protein and a putative universal biomarker. Nat. Cell Biol. 23, 631–641 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  35. Simpson, R. J., Kalra, H. & Mathivanan, S. ExoCarta as a resource for exosomal research. J. Extracell. Vesicles 1, 18374 (2012).

  36. Lee, K. M., Seo, E. C., Lee, J. H., Kim, H. J. & Hwangbo, C. The multifunctional protein syntenin-1: regulator of exosome biogenesis, cellular function, and tumor progression. Int. J. Mol. Sci. 24, 9418 (2023).

  37. Hurley, J. H. & Odorizzi, G. Get on the exosome bus with ALIX. Nat. Cell Biol. 14, 654–655 (2012).

    Article  PubMed  Google Scholar 

  38. Li, S. P., Lin, Z. X., Jiang, X. Y. & Yu, X. Y. Exosomal cargo-loading and synthetic exosome-mimics as potential therapeutic tools. Acta Pharmacol. Sin. 39, 542–551 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  39. Marquez-Rodas, I. et al. Immune checkpoint inhibitors: therapeutic advances in melanoma. Ann. Transl. Med. 3, 267 (2015).

    PubMed  PubMed Central  Google Scholar 

  40. Carlino, M. S., Larkin, J. & Long, G. V. Immune checkpoint inhibitors in melanoma. Lancet 398, 1002–1014 (2021).

    Article  PubMed  Google Scholar 

  41. Harlin, H. et al. Chemokine expression in melanoma metastases associated with CD8+ T-cell recruitment. Cancer Res. 69, 3077–3085 (2009).

    Article  PubMed  Google Scholar 

  42. Ji, R.-R. et al. An immune-active tumor microenvironment favors clinical response to ipilimumab. Cancer Immunol. Immunother. 61, 1019–1031 (2012).

    Article  PubMed  Google Scholar 

  43. Hugo, W. et al. Genomic and transcriptomic features of response to anti-PD-1 therapy in metastatic melanoma. Cell 165, 35–44 (2016).

    Article  PubMed  PubMed Central  Google Scholar 

  44. Li, Y. et al. N-Myc downstream-regulated gene 2, a novel estrogen-targeted gene, is involved in the regulation of Na+/K+-ATPase. J. Biol. Chem. 286, 32289–32299 (2011).

    Article  PubMed  PubMed Central  Google Scholar 

  45. Khuu, C. H., Barrozo, R. M., Hai, T. & Weinstein, S. L. Activating transcription factor 3 (ATF3) represses the expression of CCL4 in murine macrophages. Mol. Immunol. 44, 1598–1605 (2007).

    Article  PubMed  Google Scholar 

  46. Anderson, K. G., Stromnes, I. M. & Greenberg, P. D. Obstacles posed by the tumor microenvironment to T cell activity: a case for synergistic therapies. Cancer Cell 31, 311–325 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  47. Spranger, S., Dai, D., Horton, B. & Gajewski, T. F. Tumor-residing BATF3 dendritic cells are required for effector T cell trafficking and adoptive T cell therapy. Cancer Cell 31, e714 (2017).

    Article  Google Scholar 

  48. Reschke, R. et al. Immune cell and tumor cell-derived CXCL10 is indicative of immunotherapy response in metastatic melanoma. J. Immunother. Cancer 9, e003521 (2021).

  49. Padovan, E., Spagnoli, G. C., Ferrantini, M. & Heberer, M. IFN-α2a induces IP-10/CXCL10 and MIG/CXCL9 production in monocyte-derived dendritic cells and enhances their capacity to attract and stimulate CD8+ effector T cells. J. Leukoc. Biol. 71, 669–676 (2002).

    Article  PubMed  Google Scholar 

  50. Chen, G. et al. Exosomal PD-L1 contributes to immunosuppression and is associated with anti-PD-1 response. Nature 560, 382–386 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  51. Poggio, M. et al. Suppression of exosomal PD-L1 induces systemic anti-tumor immunity and memory. Cell 177, 414–427 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  52. Yang, Y. et al. Exosomal PD-L1 harbors active defense function to suppress T cell killing of breast cancer cells and promote tumor growth. Cell Res. 28, 862–864 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  53. Janda, C. Y., Waghray, D., Levin, A. M., Thomas, C. & Garcia, K. C. Structural basis of Wnt recognition by Frizzled. Science 337, 59–64 (2012).

    Article  PubMed  PubMed Central  Google Scholar 

  54. Woo, S. R. et al. Immune inhibitory molecules LAG-3 and PD-1 synergistically regulate T-cell function to promote tumoral immune escape. Cancer Res. 72, 917–927 (2012).

    Article  PubMed  Google Scholar 

  55. Peng, W. et al. PD-1 blockade enhances T-cell migration to tumors by elevating IFN-γ inducible chemokines. Cancer Res. 72, 5209–5218 (2012).

    Article  PubMed  PubMed Central  Google Scholar 

  56. Fuertes, M. B. et al. Host type I IFN signals are required for antitumor CD8+ T cell responses through CD8α+ dendritic cells. J. Exp. Med. 208, 2005–2016 (2011).

    Article  PubMed  PubMed Central  Google Scholar 

  57. Corso, G. et al. Systematic characterization of extracellular vesicle sorting domains and quantification at the single molecule–single vesicle level by fluorescence correlation spectroscopy and single particle imaging. J. Extracell. Vesicles 8, 1663043 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  58. Parsons, M. J., Tammela, T. & Dow, L. E. WNT as a driver and dependency in cancer. Cancer Discov. 11, 2413–2429 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  59. Gajos-Michniewicz, A. & Czyz, M. WNT signaling in melanoma. Int. J. Mol. Sci. 21, 4852 (2020).

  60. Li, S. et al. PIF1 helicase promotes break-induced replication in mammalian cells. EMBO J. 40, e104509 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  61. Thery, C. et al. Minimal information for studies of extracellular vesicles 2018 (MISEV2018): a position statement of the International Society for Extracellular Vesicles and update of the MISEV2014 guidelines. J. Extracell. Vesicles 7, 1535750 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  62. McDermott, S. P., Eppert, K., Lechman, E. R., Doedens, M. & Dick, J. E. Comparison of human cord blood engraftment between immunocompromised mouse strains. Blood 116, 193–200 (2010).

    Article  PubMed  Google Scholar 

  63. Liu, S. et al. DNA repair protein RAD52 is required for protecting G-quadruplexes in mammalian cells. J. Biol. Chem. 299, 102770 (2023).

    Article  PubMed  Google Scholar 

  64. Zhenilo, S. et al. DeSUMOylation switches Kaiso from activator to repressor upon hyperosmotic stress. Cell Death Differ. 25, 1938–1951 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  65. Liu, S. et al. FZR1 as a novel biomarker for breast cancer neoadjuvant chemotherapy prediction. Cell Death Dis. 11, 804 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  66. Hugo W. et al. mRNA expressions in pre-treatment melanomas undergoing anti-PD-1 checkpoint inhibition therapy. Gene Expression Omnibus https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE78220 (2016).

Download references

Acknowledgements

We thank B. A. Hanks from Duke University Medical Center for the invaluable gift of the BP melanoma cell line. Microscopy, flow cytometry and cell sorting were performed in the Herbert Irving Comprehensive Cancer Center at Columbia University, funded in part through the National Institutes of Health (NIH)-NIC Cancer Center Support Grant P30CA013696. This research was funded by NIH grants HL179818 (K.C.), HL170612 (K.C.), HL144002 (K.C.), HL146153 (K.C.) and HL154154 (K.C.) and American Heart Association grant 24CDA1277521 (D.Z.). K.C. also wishes to thank C. Kaganov and her late husband A. L. Kaganov for their generous support that helped make this work possible.

Author information

Author notes

  1. These authors contributed equally: Shuo Liu, Mengrui Liu, Zhenzhen Wang.

Authors and Affiliations

  1. Department of Biomedical Engineering, Columbia University, New York, NY, USA

    Shuo Liu, Mengrui Liu, Shiqi Hu, Kaiyue Zhang, Chao Lu, Xiao Cheng, Ming Shen, Dashuai Zhu & Ke Cheng

  2. Herbert Irving Comprehensive Cancer Center, Columbia University, New York, NY, USA

    Shuo Liu, Mengrui Liu, Shiqi Hu, Kaiyue Zhang, Xiao Cheng, Ming Shen, Dashuai Zhu & Ke Cheng

  3. Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill and North Carolina State University, Chapel Hill/Raleigh, NC, USA

    Zhenzhen Wang

  4. Department of Molecular Biomedical Sciences, North Carolina State University, Raleigh, NC, USA

    Zhenzhen Wang & Jianing Bi

  5. Seymour, Paul, and Gloria Milstein Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA

    Ke Cheng

Authors

  1. Shuo Liu
  2. Mengrui Liu
  3. Zhenzhen Wang
  4. Shiqi Hu
  5. Kaiyue Zhang
  6. Chao Lu
  7. Xiao Cheng
  8. Ming Shen
  9. Jianing Bi
  10. Dashuai Zhu
  11. Ke Cheng

Contributions

K.C. and D.Z. supervised the project. K.C. and S.L. initiated the idea and conceived the study. S.L., M.L. and Z.W. designed and performed the in vitro and in vivo analyses. S.H. contributed to the in vivo studies and analyzed the RNA-seq results from the GEO database. K.Z., C.L., M.S. and J.B. contributed to the in vivo study. X.C. contributed to the data analysis. S.L. reviewed the statistical methods and revised the paper. S.L. wrote the paper, with input from all authors.

Corresponding authors

Correspondence to Dashuai Zhu or Ke Cheng.

Ethics declarations

Competing interests

The authors declare no competing interests.

Peer review

Peer review information

Nature Biotechnology thanks Samir El Andaloussi and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Extended data

Extended Data Fig. 1 Characterization of engineered exosomes.

a, Immunoblotting of exosome markers in engineered exosomes. b, NanoSight size distribution analysis of the engineered exosomes. c, Representative TEM image of the isolated engineered exosomes. Scale bar, 100nm. d, SPR analysis on the affinity between PD-L1 and engineered exosomes. e, Flow cytometry showing the percentage of rmPD1-Fc positive tumor cells post PD1-Alix-Exo treatment (n = 3 independent experiments). P values were determined by one-way ANOVA post-Tukey’s multiple comparisons test using GraphPad PRISM software. Exact P values are indicated. Results are presented as means ± s.d.

Source data

Extended Data Fig. 2 Single vesicle analysis of engineered exosomes.

a, Single exosome flow cytometry analysis of PD1 positive exosomes after engineering. b, Representative single exosomes in (a). c, Gating strategy for (a). d. Single exosome imaging for engineered PD1 exosomes generated by ONI Nanoimager.

Extended Data Fig. 3 Comparison of Inhaled PD1-Alix-Exo and Intravenously Administered Anti-PD-L1 Antibody.

a, Flow cytometry showing the percentage of anti-PD-L1 antibody positive tumor cells at 0 h, 0.5 h, 4 h, 24 h and 48 h post i.v. injection (n = 5 independent mice for each group). b, Quantification of Ex vivo fluorescent images of lungs after Cy7-labeled PD1-Alix-Exo inhalation and Cy7-labeled anti-PD-L1 antibody i.v. injection at 0 h, 0.5 h, 24 h, 48 h, 96 h, and 168 h. The normalized rate was determined by comparing the fold changes over pre-delivery. c, Quantification of Ex vivo fluorescent imaging of blood after Cy7-labeled PD1-Alix-Exo inhalation and Cy7-labeled anti-PD-L1 antibody i.v. injection at 0 h, 0.5 h, 24 h, 48 h, and 96 h. The normalized rate was determined by comparing the fold changes over pre-delivery. P values were determined by one-way ANOVA post-Tukey’s multiple comparisons test in (a) and by two-tailed unpaired Student’s t-test in (b and c). P values were determined using GraphPad PRISM software. Exact P values are indicated. Results are presented as means ± s.d.

Source data

Extended Data Fig. 4 Synergistic Targeting of BEAT.

a, Immunoblotting of immunoprecipitation assay. b, Western blot of tumor cell PD-L1 with the indicated treatment. c, Representative immunostaining images of BEAT treated tumor cells. Lysosomes were stained with lysotracker (red), BEAT were stained with DiD (gray), and nuclear were stained with Hoechst (blue). d, Schematic illustrating the assessment of antitumor efficacy following treatment. e, Statistical lung colonized tumor growth over time post BEAT and FZD8-Exo plus PD1-Exo treatment. The normalized tumor growth rate was calculated by comparing the fold-changes over the initial bioluminescence intensity from tumor cells. Experiments were conducted simultaneously with Extended Data Fig. 5f, sharing the same PBS and BEAT groups. n = 5 independent mice for each group. P values were determined by two-tailed unpaired Student’s t-test using GraphPad PRISM software. Exact P values are indicated. Results are presented as means ± s.d.

Source data

Extended Data Fig. 5 BEAT therapy exhibits dose-dependent tumor suppression and outperforms systemically delivered dual antibody.

a, Schematic illustrating the assessment of antitumor efficacy following treatment. b, Normalized luminescent intensity of tumors at the endpoint of the study. n = 5 independent mice for each group c, Dose reponse curve. n = 5 independent mice for each group. d, Confirmation of linked dual antibody. e, Schematic illustrating the assessment of antitumor efficacy following treatment. f, Statistical tumor growth over time post BEAT and dual antibody treatment. The normalized tumor growth rate was calculated by comparing the fold-changes over the initial bioluminescence intensity from tumor cells. Experiments were conducted simultaneously with Extended Data Fig. 4e, sharing the same PBS and BEAT groups. n = 5 independent mice for each group. P values were determined by two-tailed unpaired Student’s t-test using GraphPad PRISM software. Exact P values are indicated. Results are presented as means ± s.d.

Source data

Extended Data Fig. 6 BEAT inhibits the tumor growth of spontaneous lung metastasize.

a, Schematic illustrating the assessment of antitumor efficacy following treatment in a checkpoint inhibitor therapy–resistant tumor model established by subcutaneous injection of 1×10⁶ cells. b, Representative H&E staining of lungs with spontaneous metastasize after BEAT treatment. c, Statistical analysis of tumor nodules in (a). P values were determined by two-tailed unpaired Student’s t-test using GraphPad PRISM software. Exact P values are indicated. Results are presented as means ± s.d.

Source data

Extended Data Fig. 7 BEAT inhibits the melanoma liver metastasis.

a, Ex vivo imaging of tumor bearing mouse liver after 24h of Cy7-labeled BEAT intravenous injection. b, Quantification of the fluorescence density in ex vivo mouse livers (a). c, Schematic illustrating the assessment of antitumor efficacy following treatment. d, Statistical liver colonized tumor growth over time post BEAT treatment. The normalized tumor growth rate was calculated by comparing the fold-changes over the initial bioluminescence intensity from tumor cells. n = 5 independent mice for each group. P values were determined by two-tailed unpaired Student’s t-test using GraphPad PRISM software. Exact P values are indicated. Results are presented as means ± s.d.

Source data

Extended Data Fig. 8 Toxicity study of BEAT therapy in healthy mice.

a, Schematic illustrating the assessment of antitumor efficacy following treatment. b, Serum glucose levels in healthy mice after BEAT and antibody therapy. n=5 in each treatment group. c, Representative H&E staining of the pancreas after BEAT and antibody treatment. d, Representative immunostaining images of BEAT and antibody treated mouse pancreas. Insulin was stained with anti-insulin antibody (red), cleaved caspase3 was stained with anti-cleaved caspase 3 antibody (green) and and nuclear were stained with DAPI (blue). e, Serum AST levels in healthy mice after BEAT and antibody therapy. n=5 in each treatment group. f, Representative H&E staining of mouse major organs at the study endpoint. P values were determined by one-way ANOVA post-Tukey’s multiple comparisons test using GraphPad PRISM software. Exact P values are indicated. Results are presented as means ± s.d.

Source data

Supplementary information

Source data

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Liu, S., Liu, M., Wang, Z. et al. Engineering bispecific exosome activators of T cells to target immune checkpoint inhibitor-resistant metastatic melanoma. Nat Biotechnol (2026). https://doi.org/10.1038/s41587-025-02890-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Version of record:

  • DOI: https://doi.org/10.1038/s41587-025-02890-8