Karolinska Institutet, Institute of Environmental Medicine, Division of Molecular Toxicology, Nobels väg 13, SE-17177 Stockholm, Sweden.
Biomaterials. 2014 Jan;35(4):1227-39. doi: 10.1016/j.biomaterials.2013.10.042. Epub 2013 Nov 7.
Resistance to single or multiple chemotherapeutic drugs is a major complication in clinical oncology and is one of the most common treatment limitations in patients with reoccurring cancers. Nanoparticle (NP)-based drug delivery systems (DDS's) have been shown to overcome drug resistance in cancer cells mainly by avoiding the activation of efflux pumps in these cells. We demonstrate in this work that polyester-based hyperbranched dendritic-linear (HBDL)-based NPs carrying doxorubicin (Dox) can effectively overcome microsomal glutathione transferase 1 (MGST1)-mediated drug resistance in breast cancer cells. Our DDS was much more effective at considerably lower intracellular Dox concentrations (IC50 6.3 μm vs. 36.3 μm) and achieved significantly greater reductions in viability and induced higher degrees of apoptosis (31% vs. 14%) compared to the free drug in the resistant cells. Dox-loaded HBDL NPs were found to translocate across the membranes of resistant cells via active endocytic pathways and to be transported to lysosomes, mitochondria, and the endoplasmic reticulum. A significantly lower amount of Dox accumulated in these cytoplasmic compartments in resistant cells treated with free Dox. Moreover, we found that Dox-HBDL significantly decreased the expression of MGST1 and enhanced mitochondria-mediated apoptotic cell death compared to free Dox. Dox-HBDL also markedly activated the JNK pathway that contributes to the apoptosis of drug-resistant cells. These results suggest that HBDL NPs can modulate subcellular drug distribution by specific endocytic and trafficking pathways and that this results in drug delivery that alters enzyme levels and cellular signaling pathways and, most importantly, increases the induction of apoptosis. Our findings suggest that by exploiting the cell transport machinery we can optimize the polymeric vehicles for controlled drug release to overcome drug resistance combat drug resistance with much higher efficacy.
对单一或多种化疗药物的耐药性是临床肿瘤学的主要并发症,也是复发性癌症患者最常见的治疗限制之一。纳米粒子(NP)为基础的药物传递系统(DDS)已被证明可以克服癌细胞中的耐药性,主要是通过避免这些细胞中流出泵的激活。我们在这项工作中证明,携带阿霉素(Dox)的聚酯基超支化树枝状线性(HBDL)纳米粒子可以有效地克服乳腺癌细胞中介导的微粒体谷胱甘肽转移酶 1(MGST1)介导的药物耐药性。我们的 DDS 在更低的细胞内 Dox 浓度(IC50 为 6.3μm 对 36.3μm)下更有效,并在耐药细胞中显著降低了细胞活力并诱导了更高程度的细胞凋亡(31%对 14%),与游离药物相比。载有 Dox 的 HBDL NPs 被发现通过主动内吞途径穿过耐药细胞的细胞膜,并被转运到溶酶体、线粒体和内质网。与用游离 Dox 处理的耐药细胞相比,在这些细胞质隔室中积累的 Dox 量显著减少。此外,我们发现 Dox-HBDL 与游离 Dox 相比,显著降低了 MGST1 的表达并增强了线粒体介导的细胞凋亡。Dox-HBDL 还显著激活了 JNK 途径,该途径有助于耐药细胞的凋亡。这些结果表明,HBDL NPs 可以通过特定的内吞和运输途径调节细胞内药物分布,从而导致改变酶水平和细胞信号通路的药物传递,最重要的是,增加诱导细胞凋亡。我们的研究结果表明,通过利用细胞运输机制,我们可以优化聚合物载体以进行控制药物释放,从而克服耐药性,以更高的疗效对抗耐药性。