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LDLR 介导的肽-22 偶联纳米颗粒用于脑胶质瘤的双重靶向治疗。

LDLR-mediated peptide-22-conjugated nanoparticles for dual-targeting therapy of brain glioma.

机构信息

Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei 430022, PR China.

出版信息

Biomaterials. 2013 Dec;34(36):9171-82. doi: 10.1016/j.biomaterials.2013.08.039. Epub 2013 Sep 3.

Abstract

Chemotherapy for brain glioma has been of limited benefit due to the inability of drugs to penetrate the blood-brain barrier (BBB) and non-selective drug accumulation in the entire brain. To obviate these limitations, dual-targeting paclitaxel-loaded nanoparticles were developed by decoration with peptide-22 (PNP-PTX), a peptide with special affinity for low-density lipoprotein receptor (LDLR), to transport the drug across the BBB, and then target brain tumour cells. Enzyme-linked immune sorbent assay (ELISA) revealed that LDLR was over-expressed in C6 cells and brain capillary endothelial cells (BCECs), but low LDLR expression was observed in H92c(2-1) cells. Nanoparticle uptake demonstrated that peptide-22-decorated nanoparticles significantly increased the cellular uptake of nanoparticles by C6 cells and BCECs but not by H92c(2-1) cells, and excess free peptide-22 significantly inhibited the cellular uptake of PNP by C6 cells and BCECs. Cellular uptake mechanism experiments showed that PNP uptake by both BCECs and C6 cells was energy-dependant and caveolae- and clathrin-mediated endocytosis pathway other than macropinocytosis were involved. Dual-targeting effects in an in vitro BBB model showed that peptide-22 decoration on nanoparticles loaded with paclitaxel significantly increased the transport ratio of PTX across the BBB and induced apoptosis of C6 glioma cells below the BBB, and these effects were significantly inhibited by excess free peptide-22. Ex vivo and in vivo fluorescence imaging indicated that PNP labelled with a near-infrared dye could permeate the BBB and accumulate more in the glioma site than unmodified NP. Glioma section observed by fluorescence microscopy further demonstrated PNP distributed more extensively in both glioma bulk and infiltrative region around than unmodified NP. Pharmacodynamics results revealed that the median survival time of glioma-bearing mice administered with dual-targeting PNP-PTX was significantly prolonged compared with that of any other group. TUNEL assay and H&E staining showed that PNP-PTX treatment induced significantly more cell apoptosis and tumour necrosis compared with other treatments. Taken together, these promising results suggested that the dual-targeting drug delivery system might have great potential for glioma therapy in clinical applications.

摘要

由于药物无法穿透血脑屏障(BBB)以及在整个大脑中非选择性地积累,脑胶质瘤的化疗效果有限。为了避免这些限制,通过用对低密度脂蛋白受体(LDLR)具有特殊亲和力的肽-22(PNP-PTX)进行修饰,开发了双重靶向紫杉醇载药纳米颗粒,以将药物穿过 BBB 运输,并靶向脑肿瘤细胞。酶联免疫吸附试验(ELISA)显示,LDLR 在 C6 细胞和脑毛细血管内皮细胞(BCECs)中过表达,但在 H92c(2-1)细胞中 LDLR 表达水平较低。纳米颗粒摄取实验表明,肽-22 修饰的纳米颗粒显著增加了 C6 细胞和 BCECs 对纳米颗粒的细胞摄取,但对 H92c(2-1)细胞的摄取没有显著影响,过量的游离肽-22 显著抑制了 C6 细胞和 BCECs 对 PNP 的摄取。细胞摄取机制实验表明,PNP 被 BCECs 和 C6 细胞摄取是能量依赖性的,并且涉及网格蛋白和小窝蛋白介导的内吞途径,而不是巨胞饮。在体外 BBB 模型中的双重靶向作用表明,载紫杉醇的纳米颗粒上的肽-22 修饰显著增加了 PTX 穿过 BBB 的转运率,并诱导 BBB 下的 C6 神经胶质瘤细胞凋亡,过量的游离肽-22 显著抑制了这种作用。体外和体内荧光成像表明,用近红外染料标记的 PNP 可以穿透 BBB,并在未修饰的 NP 基础上更多地积聚在神经胶质瘤部位。荧光显微镜观察的神经胶质瘤切片进一步表明,PNP 在神经胶质瘤实体瘤和浸润区的分布比未修饰的 NP 更为广泛。药效学结果表明,与其他组相比,荷瘤小鼠给予双重靶向 PNP-PTX 的中位生存时间显著延长。TUNEL 检测和 H&E 染色显示,与其他治疗相比,PNP-PTX 治疗诱导的细胞凋亡和肿瘤坏死明显更多。综上所述,这些有前途的结果表明,双重靶向药物递送系统可能具有很大的潜力用于临床应用中的脑胶质瘤治疗。

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