Tumor-associated immunosuppression, as a key barrier, prevents
immunotherapy-resistant
tumors. In this study, an ingenious "nanoconverter" was designed to convert immunosuppression into immunoactivation, which was a
C6-ceramide (C6)-modified
tumor cytomembrane-coated
polydopamine-
paclitaxel system (PTX/PDA@M-C6). The co-administration of
C6-ceramide and
tumor cytomembrane changed an adaptive immune state to an activation state, which induced a robust antigen presentation ability of
tumor-infiltrating dendritic cells to activate T1 helper cells and cytotoxic T lymphocytes. Meanwhile,
C6-ceramide regulated the phenotype of macrophages via the
reactive oxygen species pathway, which resulted in the conversion of M2-like macrophages by infiltration within
tumors into M2-like macrophages, and therefore, M2-like macrophage-mediated immunosuppression was weakened distinctly. The "nanoconverter"-mediated conversion process upregulated the expression of related
immune factors including
interleukin-12,
interleukin-6,
tumor necrosis factor-α and
interferon-γ and executed positive anti-
tumor effects. In addition, under the protection of
tumor-homologous cytomembrane, the "nanoconverter" exhibited excellent delivery efficiency (23.22%), and subsequently, accumulated special structural "nanoconverter" could break down into smaller nanoparticles for deep penetration into the
tumor tissue under a NIR
laser. Ultimately, chemo/thermal
therapy-assisted
immunotherapy completely eliminated the
tumors of
tumor-bearing mice, and a potent memory response relying on effector memory T cells still persisted to protect against
tumor relapse after the end of treatment. The "nanoconverter" serves as a promising nanodrug delivery system for the conversion of immunosuppression and enhanced chemo/thermal
therapy. Therefore, the highly cumulative "nanoconverter" has great potential for promoting the effect and clinical application of
immunotherapy.