Malignant tumors often develop resistance to oxidative stress therapies through metabolic reprogramming and reinforcing redox defense mechanisms. To overcome this challenge, we strategically targeted thioredoxin reductase (TrxR), a master regulator of cellular redox homeostasis. The hypothesis that TrxR disruption could impair the antioxidant capacity and restore the therapeutic sensitivity of tumors was evaluated. A tumor-selective nanoregulator, P-3@MIL-100@HA (PMH), was engineered, which combines a natural product-derived TrxR inhibitor (P-3) with an iron-based metal-organic framework (MIL-100), and features a hyaluronic acid (HA) coating to enable CD44-mediated delivery. The core component, P-3, was identified through systematic pharmacological screening and structural optimization as a promising TrxR inhibitor. PMH orchestrates triple redox disruption in resistant tumors: (1) effective TrxR inhibition by P-3 induces sustained hydrogen peroxide accumulation, amplifying oxidative stress; (2) GSH depletion via iron-mediated redox cycling cripples antioxidant defenses; and (3) Fenton-driven hydroxyl radical (·OH) generation further intensifies oxidative damage. Under the reductive tumor microenvironment, PMH exhibits stimuli-responsive release of P-3 and Fe2+, triggering dual apoptosis and pyroptosis. In gastric cancer models, PMH achieves superior therapeutic outcomes with minimal systemic toxicity. This study establishes a novel paradigm in oxidative stress-mediated antitumor therapy by successfully integrating TrxR inhibition with metal-based chemodynamic therapy (CDT) for the first time. Our work provides fundamental design principles for developing oxidative stress-amplifying nanotherapeutics and presents a clinically viable strategy against oxidative stress-resistant malignancies.
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