The immunomodulatory effect of divalent manganese cations (Mn 2+ ), such as activation of the cGAS?STING pathway or NLRP3 inflammasomes, positions them as adjuvants for cancer immunotherapy. In this study, we found that trace Mn 2+ ions, bound to bovine serum albumin (BSA) to form Mn@BSA nanocomplexes, stimulated pro-inflammatory responses in human- or murine-derived macrophages through TLR4-mediated signaling cascades. Building on this, the assembly of Mn@BSA nanocomplexes to obtain nanowire structures enables stronger and longer-lasting immunostimulation of macrophages by regulating phagocytosis. Furthermore, Mn@BSA nanocomplexes and their nanowires efficiently activated peritoneal macrophages, reprogrammed tumor-associated macrophages, and inhibited the growth of melanoma tumors in vivo. They also show better biosafety for potential clinical applications compared to typical TLR4 agonists like lipopolysaccharides. Accordingly, our findings provide insights into the mechanism of metalloalbumin complexes as potential TLR agonists that activate macrophage polarization, and highlight the importance of their nanostructures in regulating macrophage-mediated innate immunity. This article is protected by copyright. All rights reserved
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