Lingxiu Liu, Jianye Gong, Xue Wang, Zhang Ye, Guoyu Jiang, Jianguo Wang, Ben Zhong Tang
ABSTRACT Photodynamic immunotherapy holds great promise in tumor treatment by activating immune memory to surveil and eradicate recurrent/metastatic tumor cells. However, its efficacy against hypoxic solid tumors remains significantly limited due to oxygen dependency, apoptosis resistance, and immunosuppressive tumor microenvironment (TME). Herein, a facile strategy of anion‐π + interactions was proposed to fabricate Type I photosensitizers (PSs) to achieve ferroptosis‐driven photodynamic immunotherapy against hypoxic solid tumors. By introducing anion‐π + interaction, aggregation‐induced emission (AIE)‐active TMTPA with near‐infrared emission was developed and encapsulated into nanoparticles (NPs). Under 635 nm laser irradiation, TMTPA NPs demonstrated superior Type I reactive oxygen species (ROS) generation and exceptional mitochondrial targeting, causing lipid peroxidation accumulation and triggering ferroptosis. This further promoted dendritic cell (DC) maturation and stimulated T cell proliferation, thereby amplifying systemic antitumor immunity. Ultimately, TMTPA NPs achieved 86% inhibition of the primary tumor and effective suppression of lung metastasis. This work presents a novel anion‐π + Type I PS that induces ferroptosis and reprograms the immunosuppressive TME, offering a promising strategy for combating hypoxic solid tumors.