FlexiPlasma Microcatheter–Embolic Material (FPM‐EM) Platform: A Non‐Inflammatory Pyroptosis Strategy for Precision Hepatocellular Carcinoma Therapy
Hepatocellular carcinoma (HCC) remains a global challenge, with conventional locoregional therapies like transarterial chemoembolization (TACE) lacking tumor specificity and promoting metastasis and inflammation. Cold atmospheric plasma (CAP) offers a tumor-selective ablation strategy but suffers from limited tissue penetration. To overcome this, the FlexiPlasma microcatheter (FPM) is developed, integrating flexible non-metallic microtubes and ring-shaped electrodes for precise CAP delivery to deep tumors. The optimized FPM-generated CAP eliminates cytotoxic UV and ozone while inducing tumor-specific pyroptosis via a ROS/Caspase-8/GSDMC pathway. Gasdermin-C (GSDMC) is highly expressed in liver tumors but absent in normal tissues, ensuring selective targeting with minimal inflammation. FPM is combined with embolic material (EM), PPP@CD hydrogel, enhancing injectability, tumor embolization, and sustained drug release. This FPM-EM strategy potentiates antitumor immunity, particularly CD4+ and CD8+ T-cell responses. These findings establish FPM-EM as a safe, effective, and minimally invasive therapy for HCC, revealing a non-inflammatory pyroptosis mechanism and broadening the potential of CAP-based cancer treatments. The FPM-EM combination offers promising new therapeutic options for HCC, addressing the limitations of TACE. Furthermore, the FPM-EM platform can be extended to the interventional therapy of other tumors and adapted to incorporate various drugs and nano-/micro-materials, highlighting the strong potential for future clinical translation.
Authors
- Syed Faheem Askari Rizvi (ORCID: https://orcid.org/0000-0002-8671-9168)
- Ziqi Zhuang (ORCID: https://orcid.org/0009-0007-2144-6182)
- Liqian Zhao (ORCID: https://orcid.org/0000-0001-5068-3688)
- Xiaofei Wen
- Hui Liu (ORCID: https://orcid.org/0000-0002-4265-7241)
- Erik W. Thompson (ORCID: https://orcid.org/0000-0002-9723-4924)
- Chengchao Chu (ORCID: https://orcid.org/0000-0002-1694-9363)
- Kanqi Wang (ORCID: https://orcid.org/0000-0002-4703-8677)
- Hongwei Cheng (ORCID: https://orcid.org/0000-0002-4251-0645)
- Yun Zeng (ORCID: https://orcid.org/0000-0002-5747-3349)
- Lili Jiang
- Jinyong Lin (ORCID: https://orcid.org/0009-0007-9540-2414)
- Yating Zheng
- Lijun Liu (ORCID: https://orcid.org/0000-0003-4385-8472)
- Gang Liu (ORCID: https://orcid.org/0000-0003-2613-7286)
- Yu Zhang (ORCID: https://orcid.org/0000-0002-4594-3868)
- Fei Cao (ORCID: https://orcid.org/0000-0002-9568-2360)
- Peiyu Wang (ORCID: https://orcid.org/0000-0002-6455-5043)
- Changhong Li (ORCID: https://orcid.org/0009-0006-2213-0481)
- Liang Zhang (ORCID: https://orcid.org/0000-0003-0782-0688)
- Jingsong Mao (ORCID: https://orcid.org/0000-0002-9973-5263)
- D. Li (ORCID: https://orcid.org/0000-0001-9229-5819)
- Zhitong Chen (ORCID: https://orcid.org/0000-0002-9142-281X)
- Lin Yang (ORCID: https://orcid.org/0000-0001-5379-6821)
- Zhixiang Lu (ORCID: https://orcid.org/0000-0001-9230-2169)
- Pan He (ORCID: https://orcid.org/0000-0002-8968-7261)
- Xiaowei Lu (ORCID: https://orcid.org/0000-0002-1385-4529)
Institutions
- Translational Research Institute (AU)
- University of Electronic Science and Technology of China (CN)
- Harbin Medical University (CN)
- Queensland University of Technology (AU)
- Jimei University (CN)
- Xiamen University (CN)
- Chinese Academy of Sciences (CN)
- University of Macau (MO)
- First Affiliated Hospital of Xiamen University (CN)
- Fourth Affiliated Hospital of Harbin Medical University (CN)
- Shenzhen Institutes of Advanced Technology (CN)
- Beijing Advanced Sciences and Innovation Center (CN)
- Xiamen Medical College
- Zhejiang University (CN)
- Guangzhou Medical University (CN)
Publication Details
- Journal
- Small Methods
- Published
- 2025-04-25
- DOI
- https://doi.org/10.1002/smtd.202500231
- Citations
- 6
- Primary Topic
- Heme Oxygenase-1 and Carbon Monoxide
- Type
- article
- Field-Weighted Citation Impact
- 4.84
Funders
- National Natural Science Foundation of China
- China Postdoctoral Science Foundation
- Xiamen University
- Science, Technology and Innovation Commission of Shenzhen Municipality
- Shenzhen Science and Technology Innovation Program