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OMV-C-C is a biosynthetically engineered bacterial outer membrane vesicle (OMV) derived from *Escherichia coli* designed for the treatment of glioblastoma (GBM). It is genetically modified to co-express cell-penetrating peptides (CPP) and chlorotoxin (CLT) on its surface, which enables the vesicle to efficiently cross the blood-brain barrier (BBB) and specifically target tumor cells. The therapeutic mechanism involves the intrinsic immunomodulatory activity of the OMV, which enhances the infiltration of CD8+ T cells into the tumor microenvironment. These T cells release interferon-gamma (IFN-γ), which subsequently induces ferroptosis in tumor cells by inhibiting the cystine-glutamate exchanger (system Xc-) and downregulating glutathione peroxidase 4 (GPX4). OMV-C-C can also serve as a delivery platform for ferroptosis inducers like RSL-3 to synergistically suppress tumor growth, offering a versatile approach to overcoming immune resistance and physiological barriers in brain tumor immunotherapy.
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