纳米颗粒介导的紫杉醇和他林洛尔的同时靶向递送克服肿瘤耐药性。
Nanoparticle-mediated simultaneous and targeted delivery of paclitaxel and tariquidar overcomes tumor drug resistance.
作者信息
Patil Yogesh, Sadhukha Tanmoy, Ma Linan, Panyam Jayanth
机构信息
Department of Pharmaceutical Sciences, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, MI 48201, USA.
出版信息
J Control Release. 2009 May 21;136(1):21-9. doi: 10.1016/j.jconrel.2009.01.021. Epub 2009 Feb 5.
Drug resistance is a major obstacle to the success of cancer chemotherapy. Overexpression of the drug-efflux transporter P-glycoprotein (P-gp) is a key factor contributing to tumor drug resistance. Third generation P-gp inhibitors like tariquidar have shown promising efficacy in early clinical trials. However, for maximum efficacy, it is important to limit the exposure of normal cells and tissues to the efflux inhibitor and the anticancer drug, and temporally colocalize the drug-inhibitor combination in the tumor cells. In this study, we investigated simultaneous and targeted delivery of anticancer drug, paclitaxel, with P-gp modulator, tariquidar, using poly(d,l-lactide-co-glycolide) nanoparticles to overcome tumor drug resistance. Nanoparticles were surface functionalized with biotin for active tumor targeting. Dual agent nanoparticles encapsulating the combination of paclitaxel and tariquidar showed significantly higher cytotoxicity in vitro than nanoparticles loaded with paclitaxel alone. Enhanced therapeutic efficacy of dual agent nanoparticles could be correlated with increased accumulation of paclitaxel in drug-resistant tumor cells. In vivo studies in a mouse model of drug-resistant tumor demonstrated significantly greater inhibition of tumor growth following treatment with biotin-functionalized nanoparticles encapsulating both paclitaxel and tariquidar at a paclitaxel dose that was ineffective in the absence of tariquidar. Taken together, these results suggest that the use of targeted, dual agent nanoparticles delivering a combination of P-gp modulator and anticancer drug is a very promising approach to overcome tumor drug resistance.
耐药性是癌症化疗取得成功的主要障碍。药物外排转运体P-糖蛋白(P-gp)的过表达是导致肿瘤耐药的关键因素。像 tariquidar 这样的第三代P-gp抑制剂在早期临床试验中已显示出有前景的疗效。然而,为了达到最大疗效,限制正常细胞和组织对外排抑制剂及抗癌药物的暴露,并使药物 - 抑制剂组合在肿瘤细胞中实现时间上的共定位很重要。在本研究中,我们研究了使用聚(d,l - 丙交酯 - 乙交酯)纳米颗粒同时靶向递送抗癌药物紫杉醇和P-gp调节剂tariquidar,以克服肿瘤耐药性。纳米颗粒用生物素进行表面功能化以实现主动肿瘤靶向。包裹紫杉醇和tariquidar组合的双药纳米颗粒在体外显示出比单独负载紫杉醇的纳米颗粒显著更高的细胞毒性。双药纳米颗粒增强的治疗效果可能与紫杉醇在耐药肿瘤细胞中的积累增加有关。在耐药肿瘤小鼠模型中的体内研究表明,用包裹紫杉醇和tariquidar的生物素功能化纳米颗粒治疗后,在没有tariquidar时无效的紫杉醇剂量下,肿瘤生长受到显著更大的抑制。综上所述,这些结果表明使用靶向的双药纳米颗粒递送P-gp调节剂和抗癌药物的组合是克服肿瘤耐药性的一种非常有前景的方法。