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利用奥曲肽修饰的紫杉醇主动靶向胶束和盐霉素被动靶向胶束根除乳腺癌和癌症干细胞。

The eradication of breast cancer and cancer stem cells using octreotide modified paclitaxel active targeting micelles and salinomycin passive targeting micelles.

机构信息

State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University, Beijing 100191, China.

出版信息

Biomaterials. 2012 Jan;33(2):679-91. doi: 10.1016/j.biomaterials.2011.09.072. Epub 2011 Oct 22.


DOI:10.1016/j.biomaterials.2011.09.072
PMID:22019123
Abstract

Tumor stem cells have emerged as the new targets for anti-cancer therapy, besides tumor cells themselves. To eradicate both breast cancer cells and breast cancer stem cells which can not be eliminated by the conventional chemotherapy, octreotide (Oct)-modified paclitaxel (PTX)-loaded PEG-b-PCL polymeric micelles (Oct-M-PTX) and salinomycin (SAL)-loaded PEG-b-PCL polymeric micelles (M-SAL) were developed and investigated in combination. In this study, Oct that targets somatostatin receptors (SSTR) overexpressed in tumors including breast cancer, was coupled to the PEG end of PEG-b-PCL, and all the micelles were prepared using thin film hydration method. Results showed that the particle size of all the micelles was approximately 25-30 nm, and the encapsulation efficiency was >90%. Quantitative and qualitative analysis demonstrated that Oct facilitates the uptake of micelles in SSTR overexpressed breast cancer MCF-7 cells while free Oct inhibited cellular uptake of Oct-modified micelles, revealing the mechanism of receptor-mediated endocytosis. Breast cancer stem cells (side population cells, SP cells) were sorted from MCF-7 cells and identified with the CD44+/CD24- phenotype. M-SAL was capable of decreasing the proportion of SP cells, and its suppression was more potent in SP cells than that in cancer cells. As compared to PTX-loaded micelles (M-PTX), the inhibition of Oct-M-PTX against MCF-7 cells was stronger while such effect significantly increased when applying Oct-M-PTX in combination with M-SAL. In the MCF-7 xenografts, the combination therapy with Oct-M-PTX plus M-SAL produced the strongest antitumor efficacy, in accord with the combination treatment in vitro. Compared with free SAL, M-SAL was found to be more effective in suppressing breast cancer stem cells in vivo. Thus, this combination therapy may provide a strategy to improve treatment of breast cancers for eradication of breast cancer cells together with breast cancer stem cells.

摘要

肿瘤干细胞已成为癌症治疗的新靶点,除了肿瘤细胞本身。为了根除常规化疗无法消除的乳腺癌细胞和乳腺癌干细胞,开发并研究了奥曲肽(Oct)修饰的紫杉醇(PTX)负载聚乙二醇-b-聚己内酯(PEG-b-PCL)聚合物胶束(Oct-M-PTX)和萨利霉素(SAL)负载聚乙二醇-b-聚己内酯(PEG-b-PCL)聚合物胶束(M-SAL)联合使用。在这项研究中,靶向包括乳腺癌在内的肿瘤中过度表达的生长抑素受体(SSTR)的 Oct 与 PEG-b-PCL 的 PEG 端偶联,并且所有胶束均使用薄膜水化法制备。结果表明,所有胶束的粒径约为 25-30nm,包封效率>90%。定量和定性分析表明,Oct 促进了 SSTR 过度表达的乳腺癌 MCF-7 细胞对胶束的摄取,而游离 Oct 抑制了 Oct 修饰的胶束的细胞摄取,揭示了受体介导的内吞作用的机制。从 MCF-7 细胞中分离出乳腺癌干细胞(侧群细胞,SP 细胞),并通过 CD44+/CD24-表型进行鉴定。M-SAL 能够降低 SP 细胞的比例,并且在 SP 细胞中的抑制作用强于在癌细胞中的抑制作用。与负载 PTX 的胶束(M-PTX)相比,Oct-M-PTX 对 MCF-7 细胞的抑制作用更强,而当将 Oct-M-PTX 与 M-SAL 联合应用时,这种抑制作用显著增强。在 MCF-7 异种移植瘤中,Oct-M-PTX 联合 M-SAL 的联合治疗产生了最强的抗肿瘤疗效,与体外联合治疗一致。与游离 SAL 相比,M-SAL 被发现更有效地抑制体内乳腺癌干细胞。因此,这种联合治疗可能为根除乳腺癌细胞和乳腺癌干细胞的乳腺癌治疗提供一种策略。

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